1. Providing the evidence…..linking social care, housing support and health data Gillian Barclay & Ellen Lynch Scottish Government

2. Summary Areas of Research Project Governance Privacy Impact Assessment Overview of the Data Linking Process

3. Areas of Research Improve our understanding of whether those who have had multiple unplanned admissions to hospital have a social care package in place Improving the information on people with dementia Tracking people with dementia over time to provide evidence of how their support packages change and if this impacts on emergency admissions. Improving the information on people who have a mental health problem and on those who have died by probable suicide to see if and what support packages were in place.

4. Project governance (1) Ministerial Strategic Group for Health & Community Care Delivery Group Linking Social Care, Housing & Health Data Governance Group Linking Social Care, Housing & Health Data Operating Group Linking Social Care, Housing & Health Data Reference Group Data Linking Steering Group

5. Project governance (2) Permission from the data controllers including data sharing agreements. Support from the Information Commissioner’s Office. Ethical approval (if deemed ‘research’ as opposed to ‘audit’ or ‘service evaluation’). Approval from the CHI Advisory Group. Approval from the Privacy Advisory Committee.

6. Who are/will be involved in developing the project? Scottish Government – statisticians, data protection officers & policy ISD Scotland/SHIP – analysts, data linking specialists, IT specialists, Caldicott Guardians National Records of Scotland – Analysts COSLA & ADSW representatives Other local authority representatives – analysts, IT, data protection officers Health board representatives Social care & health service users

7. Privacy Impact Assessment (PIA) The Scottish Government is committed to using Privacy Impact Assessments to identify and address the potential privacy impacts of all new policy proposals, projects and programmes. –Identity Management and Privacy Principles http://www.scotland.gov.uk/Publications/2010/12/PrivacyPrinciples Linking social care, housing support & health data PIA –http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Data linking/HealthSocialCareandHousin/HSCHPIAhttp://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Data linking/HealthSocialCareandHousin/HSCHPIA –Any comments on the PIA from local authorities to be received by 21st Oct, prior to Privacy Advisory Committee application. –Local authorities to confirm interest to participate by 21st Oct.

8. How we will link data? Utilise the Scottish Health Informatics Programme (SHIP)/ISD Scotland –http://www.scot-ship.ac.uk/http://www.scot-ship.ac.uk/ Utilise Scotxed Unit, SG –Already collect the social care data from LAs for national statistical publications –This same social care data will be used in the data linking project –https://www.scotxed.net/default.aspxhttps://www.scotxed.net/default.aspx

9. Data linking process overview (Stage 1) SMR01 Personal identifiers, Unique ID Home care Personal identifiers, Unique ID Prescribing Personal identifiers, Unique ID ISD’s Data Indexing Team

10. Data linking process overview (Stage 2) Data Controller (LA) ISD’s Data Indexing Team Data Controller (ISD) Linkage Key (used to decrypt Linkage ID) Prescribing (UniqueID, Encrypted Linkage ID, Project Code) Home care (UniqueID, Encrypted Linkage ID, Project Code) SMR01 (UniqueID, Encrypted Linkage ID, Project Code) Data Controller (ISD)

11. Data linking process overview (Stage 3) Data Controller (LA) Data Controller (ISD) Home Care (Unique ID, Project Code, Encrypted Linkage ID) SMR01 (Project Code, Encrypted Linkage ID, Attribute Data) Data Controller (ISD) ScotXed Unit, SG Home Care (Project Code, Encrypted Linkage ID, Attribute Data) Prescribing (Project Code, Encrypted Linkage ID, Attribute Data)

12. Data linking process overview (Stage 3 cont...) Linkage Key (Used to decrypt Linkage ID) SMR01 (Project Code, Encrypted Linkage ID, Attribute Data) Home Care (Project Code, Encrypted Linkage ID, Attribute Data) Prescribing (Project Code, Encrypted Linkage ID, Attribute Data) Linking Area ISD’s Linking Team Linkage Agent

13. Data linking process overview (Stage 4) Linking Linking Area ISD’s Linking Team Linkage Agent Secure access area Prescribing (Project Code, Linkage ID, Attribute data) Home Care (Project Code, Linkage ID, Attribute data) SMR01 (Project Code, Linkage ID, Attribute data) Safe Haven Analyst Statistical Disclosure Control Report

14. Further information http://www.scotland.gov.uk/Topics/Statistic s/Browse/Health/Datalinking/HealthSocial CareandHousinhttp://www.scotland.gov.uk/Topics/Statistic s/Browse/Health/Datalinking/HealthSocial CareandHousin Ellen Lynch, Health Analytical Services, Scottish Government –SWStat@scotland.gsi.gov.ukSWStat@scotland.gsi.gov.uk –0131 244 4093