1. ASSIST National Conference 2009
“Quality Informatics: your role in delivering the NHS Next Stage
Tim Straughan, Chief Executive

2. The big three - across the world
Quality of care
Economic downturn
Information to help address 1 and 2!

3. NSR Review
Set out ambitious commitments for making quality the organising principle of the NHS
We can only be sure to improve what we can actually measure"
Lord Darzi, High Quality Care for All, June 2008

4. Informatics Challenges
Clinical quality
World Class Commissioning
Payment by Results
Improving efficiency
Audit, inspection and assurance
For which we need to:
Measure the right things
Measure them right
Use the measures right…

5. The NHS Information Centre for health & social care
Vision:
To be the recognised source of relevant health and social care information Mission:
To drive the use of information to improve decision making and deliver better care
The Information Centre has a primary aim to become a key enabler of improved patient care

6. Information management programmes
2009/10 NHSIC Programmes
Data Sources
Information for
Commissioning
Clinical programme
Finance & Performance
Information for Workforce
Planning and Productivity
Social Care Services
Information for Patients
NHS Choices content
NHS Information Reporting Service
( include. GPES)
Data Quality Programme
Syndication of Information
Honest Broker
Signposting of Information
Information Services and Analysis NHS IC Organisational Development & Capacity Building frontline information management capacity/professional development
NHS Spine Data
Care outcomes data
Research Data
Finance Data
Workforce +
ESR Data
Primary Care
Other Data Sources
Data Standards Programme
Frontline Programmes
enabling better care
Information management programmes
Streamlining Data Collections
Communications Programme

7. Measure the right things – NHS IC Programmes
Clinical:
Indicators for Quality Improvement, Public Health, Clinical Audit & research

8. Indicators for Quality Improvement (IQI)
What
details of over 200 quality of care indicators – see
Purpose
resource for local clinical teams providing a set of robust indicators which they can use as the basis for local quality improvement
source of indicators which can be used to benchmark and compare providers
Criteria for indicators
clear evidence base
clear, unambiguous definition
robust calculation methodology (appropriately defined, standardised and risk-adjusted to avoid perverse incentives, gaming and misinterpretation)
support from professionals

9. Measure the right things – NHS IC Programmes
Clinical:
Indicators for Quality Improvement, Public Health, Clinical Audit & research
Information for Patients – NHS Choices
Information for Commissioning

10. Commissioning Cycle http://www.ic.nhs.uk/commissioning
Joint strategic needs assessment (JSNA)
JSNA core dataset focussing on a list of indicators, cross-tabulated against Vital Signs and the National Indicator Set.
Social Care publications and statistics
How much is being spent on social care services locally?
Healthcare Resource Groups (HRGs)
Supports determining of service provision based on measuring current and future treatments.
Neighbourhood Statistics Service
Understand the factors involved in reducing neighbourhood deprivation levels.
Lifestyle Publications
Insight into alcohol consumption, obesity, smoking, drug misuse, and specialist surveys relating to young people.
NHS Comparators
Local in/outpatient disease area activity, costs, outcomes, and identifying prescribing activity.
Quality and Outcomes Framework
Resourcing healthcare based on practice-level prevalence data.
Health Poverty Index
Compare the indicators that influence health inequalities between different areas.
Health Survey for England
Annual snapshot of the nation’s health and health needs.
Hospital Episode Statistics (HES)
Records of all admissions to NHS hospitals in England.
Clinical Audit
Compare clinical conditions and treatment received for cancer, heart disease, diabetes and renal services.
General Practice & Dentistry
Statistics providing insight into earnings, expenses, levels and types of activity
iView Workforce
Online resource enabling NHS workforce planning, using statistics on NHS staff numbers, earnings, turnover, and vacancies.
Over 120 health and social care publications
Comprehensive insight into disability, older people, child health and measurement, screening, eye care, maternity, general practice, and mental health.

11. Measure the right things – NHS IC Programmes
Clinical:
Indicators for Quality Improvement, Public Health, Clinical Audit & research
Information for Patients – NHS Choices
Information for Commissioning
Information for Social Care

12. National Adult Social Care Information System (NASCIS)
Here is a screenshot of the proposed NASCIS dashboard.

13. Measure the right things – NHS IC Programmes
Clinical:
Indicators for Quality Improvement, Public Health, Clinical Audit & research
Information for Patients – NHS Choices
Information for Commissioning
Information for Social Care
Information for Workforce Planning and Productivity
Information for Finance and Performance:
new performance regime: operational standards and targets, quality and safety, User experience & Board capability
Data Standards:
Community, Social Care, Maternity…
Streamlining Data Collections

14. Measure things right: NHS IC Programmes
NHS Information and Reporting Services (NIRS)

15. NHS Information Reporting: Future Vision
Landing
Staging
Data Collation and Processing
NHS Analysis
and
Reporting
Service
Data submitted by
all providers of
NHS “acute” and
Mental Health Care
Extracts for Non NHS
organisations
User access
Clinical
Audit
Data from primary care GP
Extract
Server
reports
Dashboards
National
Applications
(e.g. PDS, CAB,
EPS, ESR etc.)
QMAS
NHAIS
Research
Capability
Programme
Analysis and Presentation
Data Sources
Universal Data
Warehouse

16. Analysis & Reporting Services within NIRS – “NARS”
Framework for the processing datasets for analysis and reporting
Construction and presentation of indicators, across datasets, to NHS-wide standards
Information presented via multiple channels
Three phases:
National PbR Analysis & Reporting
HES Replacement & NHS Comparators
Future additions, e.g. Patient Reported Outcome Measures, other datasets etc

17. Objectives for NARS: to focus on analysis and presentation
reports GP
Extract
Service
User access
Objectives for NARS: to focus on analysis and presentation
Research
Capability
Programme
User access
NHS Analysis
and
Reporting
Service
User access
Extracts for Non NHS
organisations
User access
Clinical
Dashboards
User access

18. Use measures right: NHS IC Programmes
Honest broker
Syndication
Signposting
Building frontline IM capacity
Shared solutions to shared problems
Providing practical guidance and advice
Supporting skills development

19. For further information
Attend today’s workshops
Visit the NHS IC stand
Talk to NHS IC staff here today
Visit our website