1. Data Quality Lyndsay Pendegrass IST Peter Hyland
Director of Operational Performance and Information, GOSH 4th May 2017
Title slide with embedded images

2. Agenda Order for the session Time Introduction and context
DQ self assessment
SA findings to date
Future support
GOSH introduction and context
Example operational reports
Next steps and future direction 2

3. Introduction and Context
Linked to delivery of the standard is the concern around the quality of the data and an awareness that there is inconsistency in the management and processes related to RTT data across organisations
These concerns were identified in the National Audit Office (NAO)and Parliamentary Advisory Committee (PAC) reports which focused on data quality specifically around elective care
National compliance against the Incomplete standard has been a challenge for some months with 1,583 patients waiting over 52 weeks
Number of patients waiting for treatment is increasing (3.66m February 2017)
Areas of regional focus include demand management, diversion at point of referral, use of IS, long waiter trajectories and data quality and PTL improvements

4. 1 2 3 4 5 6 7 PTL data quality and validation
NHSI and NHSE identified data quality strategy for and the work streams highlighted are linked to the requirements to assist with the delivery of the suggested improvement strategy. The aim of the strategy is to improve data quality for all providers.
Non-reporting Trust review and Intensive (focused) Support 1
On site IST data quality diagnostic to all non reporting providers and others agreed with regional teams. Support return to reporting trajectories with monthly reporting progress reviews. Further support to be contracted outside of NHSI
RTT Data Quality Self-Assessment Tool 2
Roll out to providers to cover business rules and exclusions, data quality checks, PAS outlook, data quality governance and operational management. Commenced 31st January
Focus on best practice 3
Share best practice and information sheets covering: Data validation versus data audit, RTT rules adherence and access policies, training, pathway exclusions and local governance. Look to include an offer of support to commissioners.
Regulation and contractual levers 4
Centrally led joint team to work with NHSI and NHSE on regulatory requirements with respect to driving better data quality and use of the NHS Contract.
Data Validation 5
Provide best practice on validation prioritisation and validation v’s audit. Develop list of preferred external suppliers for mass legacy validation and also those that ‘clean’ PTLs e.g. NECSU Clear PTL (National work)
Improved quality of referrals 6
NHSE to lead on improving referrals data. To include eRS, MAR and SUS data support of RTT
Analytics and reporting 7
Support trusts to develop the right analytical and reporting capabilities so they can judge their own data quality and develop national indicators of data quality

5. IST support offer Detailed on site DQ review
Specific dq non reporters support
Advice and guidance- provider and commissioner level
DQ Assessment
IST dq support as part of work stream package
Detailed on site DQ review
Increasing level of IST support
DQ self assessment

6. IST DQ self Assessment Sections include:
Business rules exclusions (National and local);
Data input sheet;
Data systems, operational reporting and dq governance;
Data check results
Risk summary
Assumptions

7. General Findings from self assessment to date
Key Issues
Incorrect exclusions applied to raw data set for several reasons;
Local application of rules to ‘cover up’ poor input of data (understanding of rules)
Application of blanket rules (not understanding the rules)
Lists of patients with unknown RTT status
Number of clock starts and stops does not link to variations in total list size
Lack of governance
No records of pathway removals and who agreed them
Limited board reports on data quality
Knowledge of who signs off monthly return
Poor quality of referral data (using gp referrals only)
Limited follow up PTLs
Poor visibility of planned lists
PAS implementation leaving legacy patients to validate

8. IST Resources IST Elective Care Guide
IST Data Quality Self-Assessment Tool
IST Good Practice Guides
Managing Patients with uncertain RTT status
Data Validation versus Data Audit
Patient Administration System Basic Rules
Good practice approach to RTT data quality
IST Sustainability Tool