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General Practice Extraction Service GPES

DAVE ROBERTSProgramme Head non-acute care at the NHS Information CentreGPES Project Director. Overview. Why?business requirementscurrent situation and provisionWhat?scope of the servicebusiness case options and conclusions How?progress to datenext steps. Background. ~8,500 GP practic

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General Practice Extraction Service GPES

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    1. General Practice Extraction Service (GPES)

    2. DAVE ROBERTS Programme Head non-acute care at the NHS Information Centre GPES Project Director

    3. Overview Why? business requirements current situation and provision What? scope of the service business case options and conclusions How? progress to date next steps

    4. Background ~8,500 GP practices in England and ~30,000 GPs Each GP practice has a clinical system that holds patient records Conditions, prescribing, tests and procedures all coded ( 3 different coding systems ) ~12 types of clinical systems supplied by 4 main commercial system suppliers

    5. Why? Business requirements DH Primary Care Contracting GPES intended to replace the extraction facility for QOF data patient survey work QOF assessor toolkit (currently part of BT contract with NHS CFH) QOF development work Workload toolkit (pilot looking for roll out)

    6. Why? Business requirements Resource Allocation team at DH Review of resource allocation process has identified a need for ‘patient level’ data to support allocations for: practice based commissioning PCT unified allocation formulae required to facilitate addressing health inequalities global sum calculations

    7. Why? Business requirements Public Health Health Improvement Directorate (DH) public health indicator work around risk management, including issues such as alcohol abuse, obesity, smoking, CHD risk surveillance data required on vaccines, flu pandemic preparation etc (extraction required on a daily basis) Health Protection Agency surveillance data in particular on STIs

    8. Why? Business requirements Research and development Research Capability Programme Pharma companies’ statutory requirements for drug licensing adverse drug reaction reporting post marketing surveillance other research programmes

    9. Why? Business requirements NICE Developing guidelines Monitoring the impact of guidelines

    10. Why? Business requirements New commissioner of clinical audits clinical audits with primary care focus national diabetes audit other audits (e.g. cancer, renal)

    11. Why? Phase 2 requirements PRIMIS+ request for new extraction service to replace MIQUEST from CfH clinical leads to help policy objectives such as the IM&T DES process to allow data from GP systems to enter the spine SHAs/PCTS/Practice based commissioners requirements for commissioning several PCTs and SHAs currently implementing and considering procurement of extraction facilities

    12. Why? Business requirements Other considerations individual studies, particularly those that require linkage to other data sets across health and social care a mixture of aggregate and ‘patient level’ data required on a routine and ad hoc basis census requirement rather than sample

    13. Why? Current situation Current situation GPs extract information from their own systems through proprietary systems developed by the relevant system supplier or through the nationally implemented MIQUEST software The QMAS system has been developed as part of a payments system for the Quality and Outcomes Framework; however these data are restricted to the indicators negotiated as part of the GMS contract (which are subject to change each year) and the data collected are complete only at financial year end given that they are collected primarily for payment purposes. The NHS Information Centre publishes complete practice-level data

    14. Why? Current situation cont. commercial companies have the expertise and software capable of extracting data from GP systems if they have the cooperation of the system suppliers there are several research databases which contain anonymised patient records from samples of GP systems. National estimates can be made from these databases

    15. Why? Current provision The current provision of data: those that require data to be extracted from the majority or all practices are restricted in the data they collect, are not coordinated and are expensive to run. other data collections that collect comprehensive data from practices are only available for samples of practices. considerable duplication of effort and cost currently exists collecting overlapping sets of data existing processes are not aligned to the current architecture of the National Programme for Information Technology

    16. What? Total scope of service (Authority and Contractor) GPES scope

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