Sharing Data: Improving Outcomes Stuart MacDonald 

Sharing data: improving outcomes  Vision for the future  Making it happen  What works?  Working in partnership 

Sharing data: improving outcomes Vision for the future -  National strategy  Single ISP and consent framework  Effective and efficient solutions  Reduced bureaucracy  Better outcomes for citizens  Trust 

Sharing data: improving outcomes: Vision for the future National strategy  Policy driven - align with public service reform agenda  Strategy board in Scottish Executive – national standards and targets  14 areas, each with MAS  Implementation committee in each area representing partners  Committee chairs form national policy forum  Implementation manager in each area  Package of support tailored to job to be done  Monitoring; QA; evaluation; reporting 

Sharing data: improving outcomes: Vision for the future Single ISP and consent framework  National data sharing requires a national approach  Executive will work with partners towards a:  Single ISP for Scotland  Single consent regime  Detailed proposals on taking this forward by March 2006  Consultation and final proposals by June 2006  Implementation by end 2006 

Sharing data: improving outcomes: Vision for the future Effective and efficient solutions  Global and national standards  Security  Proven robust technologies  Effective procurement  Low cost  Working with suppliers – innovation and development  Supporting lean processes 

Sharing data: improving outcomes: Vision for the future Reduced bureaucracy  Data entered once  Better quality data  Reduced transaction times  Support for minimal intervention 

Sharing data: improving outcomes: Vision for the future Better outcomes for citizens  Quicker access to more appropriate services  Reduced risk  Better practitioner decisions  Earlier interventions and…  Better use of public funds 

Sharing data: improving outcomes: Vision for the future Trust  Respect for privacy  Robust and well understood framework of consent  Access to citizens’ data  Visible improvement 

Sharing data: improving outcomes: what works? Evaluation results Technical  Dr John Mullin (ACS (UK) Ltd.) Outcomes  David Frame (Imera Consultants Ltd.) 

Process  22 technical eCare documents were provided by the Scottish Executive  The documents cover architecture, design, data, security, risk management, implementation etc.  We are asked:  Do the documents meet their objectives and scope?  Is the solution adequate and based on sound principles and good practice?

Findings  The quality of the documentation ranges from good to excellent  The documentation is clear, concise and meets its objectives  The architectural + technical challenges have been successfully met  Now, focus on more detailed design and overview documentation

Evaluation of eCare projects  2 pilot projects evaluated  Older People’s Services Perth & Kinross eCare Single Shared Assessment  Children’s Services Lanarkshire eCare messaging  Structured interviews  Not a formal project audit  Evaluation against  National eCare objectives  National eCare frameworks  National policy priorities 

Perth & Kinross  Pilot delivery  Improved information sharing  Data standards  Organisational development  Benefits  Reduction in time for assessment  Reduction of number of inappropriate referrals  Learning outcomes 

Lanarkshire  Pilot delivery  Improved information sharing  Data standards  Organisational development training roll out using CCSF  Benefits  Out of Hours & crisis service  Time saving in finding information  Learning outcomes 

Sharing data: improving outcomes: Working in partnership Scenario for 2007 and Beyond  Child on Child Protection Register  Becomes Adult with alcohol misuse problems  Commits crime – receives custodial sentence  Becomes Older Person with mental health problems Agency Interventions  Social Work, GP, Health Visitor, Teacher, School Nurse, Educational Psychologist, SCRA  Social Work, Community Nursing, Alcohol & Addiction Services, Police, Courts, Prison, Medicine  Social Work, Community Psychiatric Nurse, Old Age Psychiatrist, GP, Health Visitor, Service Providers e.g. Home Care, Day Care, pharmacy 

Sharing data: improving outcomes: what works?  Person at the centre  Data gathered evolves with person  Data collection becomes complementary and not contradictory  Dynamic, living record emerges  Data accessible & shareable within eCare Framework where appropriate 

Data Standards & eCare Website

Sharing data: improving outcomes Thanks to:  Local Authority & NHS partners  Vendors & providers of IT infrastructure  External Consultants  Data Standards and eCare Division staff (past and present)  Policy colleagues within & beyond Scottish Executive  Meeting Point  Inchyra Grange 