1. Community Information Data Set User Group
For Providers and Suppliers
24th May 2013

2. Welcome and Introductions
Morning Session
Presented by
Nicholas Richman

3. Agenda
AM – Community
General Update & Principles Behind Data Set Design – Nicholas Richman
Community Information Data Set (CIDS) – Nicholas Richman
CIDS Reporting – Tony Childs
Lunch
PM – Children and Young Person’s Health Services (CYPHS)
CYPHS Data Set Overview & Changes – Nicholas Richman
CYPHS Data Set Reporting – Paul Niblett

4. General Update & Principles Behind Data Set Design
Presented by
Nicholas Richman

5. New Role of HSCIC
One of five surviving Arms Length Bodies – NHS England, NICE, MONITOR, CQC
Previous roles of NHS IC plus central CfH (plus some SHA) = New HSCIC
National safe haven
National data repository
Data Quality
Data linkage – Acute inpatients, A&E, Mental Health, IAPT
New data sets in 2013/14 – CAMHS, Maternity, CYPHS
New data sets in 2014/15 – Community (CIDS)

6. Principles Behind Data Set Design
Collect once, extract once
Linked data, CDS and others?
Move to care.data platform
Reporting across multiple care settings

7. Community Information Data Set (CIDS)
Presented by
Nicholas Richman

8. CIDS – Current Version

9. CIDS – New Version

10. General Update New ISN is being developed that will include:
Additional data items
Removal of some data items where they can be derived
Additional data values to support provider mapping
Updated definition of Community Services
Updated AHP RTT guidance
Community Currencies/Payment by Results development underway
Submission format is still XML although the flow will be directly to HSCIC not BT SUS. Updated XML schema will be published with ISN

11. New Data Items Primary and Foreign Keys
File header included in specification
Service Referral
NHS Service Agreement Line Number
Care Contact Activity
Administrative Category Code

12. New Data Values Service Referral Care Contact Activity
Service Type Referred To
Source of Referral for Community
Referring Care Professional Staff Group
Primary Reason For Referral + Other
Care Contact Activity
Activity Location Type Code
Care Professional Staff Group

13. Defining Community Services
Old definition referred to services funded through the community contract
Community contract replaced by standard NHS Contract in April 2012
Services cannot be defined by what they aren’t
Maintaining the ‘status quo’ is the objective

14. Updated Definition for Community Services
“All services defined in ‘Service Type Referred To’ that are delivered by Community Care Professionals in community premises are classified as Community Services. Community Services that are funded and/or provided by the NHS are required to include their clinical activity in the Community Information Data Set.”

15. AHP RTT
Update to AHP RTT definition and guidance to bring in line with AHP RTT definition in Commissioning Data Set (CDS) v6.2
CDS AHP RTT data started flowing in April 2013
CDS AHP RTT data will be extracted and combined with CIDS data centrally
AHP RTT data will also be captured in MHMDS, CAMHS and CYPHS

16. Submission Method (1 of 3)
Submission format is XML. HSCIC looking to provide tools and guidance in order to support this
XML schema to be published along with the Information Standards Notice
Submission sent directly to HSCIC via a web based portal. Possibly SSD (Exeter) which is used for MHMDS and CAMHS
XML accreditation will not be required
Reporting period is one month
Submission window is two months long and opens as soon as the reporting period ends

17. Submission Method (2 of 3)
Apr
May
Jun
Jul
Aug
Sep
Reporting Period
April Submission Window
May Submission Window
June Submission Window
July Submission Window
Submission window will overlap for subsequent reporting periods
Submission files can be submitted multiple times during the submission window
Data quality reports will be generated and made available after each submission
Once the submission window is closed there will not be a further opportunity to submit data for that reporting period

18. Submission Method (3 of 3)
Data is required to start flowing for a patient when their referral is received by a Community Service, which includes new birth notifications
Data stops flowing once the patient/baby has been discharged from service
All submissions have to include an entry in the CID001 ‘Patient’ table and the CID101 ‘Service Referral’ table. Other conditions also apply and are detailed in the output specification
First submission must include all referral and activity data for referrals received in March 2014 or after. Data for referrals that are ‘open’ in April 2014 must also be included but only the initial contact and referral data is required. Follow-up contacts prior to April can be excluded

19. Timescales
Information Standards Notice (ISN) updating the local collection is planned to be going to the Information Standards Board for approval in September For publication early October
Additional ISN mandating the central flow aiming for publication in Summer 2014
Voluntary submissions were planned to be available from November 2013 now not possible
Mandation of central flow aiming for end of 2014

20. Any questions?

21. CIDS Reporting
Presented by
Tony Childs

22. Background Me & role Examples Questions – what do you want?
Business Case
Appendix F – Quality Benefits Assessment 14
Outputs – audience

23. Role Section Head for CIDS
“Community Services represent 10% of the National Health Service annual spend, a total yearly investment of approximately £11 billion, yet a common understanding of the Community landscape – vital if the goals outlined by the government are to be realised. The key to meeting the goals and continuing to improve Community Services is the availability of information in the form of locally and nationally comparable data, informing commissioning decisions and management of services.”

24. Local Level Information
Accident and Emergency (HES)
Innovation Scorecard
Search?productid=10385&q=innovation+scorecard&sort=Relevance&size=10&page=1&area=both#top

25. Data Quality

26. Data Quality

27. Data Quality

28. Quality Benefits Assessment
Ability to benchmark across services
Commissioning according to demand
Availability of data on local patient requirements (complexity and number)
Ability to monitor service uptake by age, ethnicity, disability
Provides ability to monitor improvements/areas of concern in Community outcomes
Provides ability to monitor levels of service and outcomes related to the safeguarding of children and vulnerable adults in the Community
Provides the ability to monitor the management of routine care (e.g. asthma, or gestational diabetes in pregnancy) towards improving outcomes and reducing unnecessary/emergency admissions from Community care
Increased ability to focus national Community services through targeted commissioning

29. Quality Benefits Assessment (cont)
Provides clear pathway to national aggregated data within acceptable timelines (investment objective)
Provides the ability to inform development of professional guidelines (e.g. NICE) through the widespread aggregation of detailed clinical information
Provides the ability to contribute to national research and government studies through widespread aggregation of detailed clinical information
Provides full support for monitoring of Community policy and spend
Provides full support for key ambitions and commitments identified in Government policy ('The Coalition: our programme for government')
Provides ability to monitor provision of 'early intervention' which has been proven to improve patient outcomes/care
Solutions tailored according to local needs and providing local support rather than central-focused
Fully compatible with existing strategic approaches
Leverages existing infrastructure for maximum reuse and efficiency

30. What would you like?

31. Lunch

32. CYPHS Data Set User Group
For Providers and Suppliers
9th May 2013

33. Welcome and Introductions
Afternoon Session
Presented by
Nicholas Richman

34. Agenda
AM – Community
General Update & Principles Behind Data Set Design – Nicholas Richman
Community Information Data Set (CIDS) – Nicholas Richman
CIDS Reporting – Tony Childs
Lunch
PM – Children and Young Person’s Health Services (CYPHS)
CYPHS Data Set Overview & Changes – Nicholas Richman
CYPHS Data Set Reporting – Paul Niblett

35. General Update & Principles Behind Data Set Design
Presented by
Nicholas Richman

36. New Role of HSCIC
One of five surviving Arms Length Bodies – NHS England, NICE, MONITOR, CQC
Previous roles of NHS IC plus central CfH (plus some SHA) = New HSCIC
National safe haven
National data repository
Data Quality
Data linkage – Acute inpatients, A&E, Mental Health, IAPT
New data sets in 2013/14 – CAMHS, Maternity, CYPHS
New data sets in 2014/15 – Community (CIDS)

37. Principles Behind Data Set Design
Collect once, extract once
Linked data, CDS and others?
Move to care.data platform
Reporting across multiple care settings

38. Children & Young Person’s Health Services (CYPHS) Data Set
Presented by
Nicholas Richman

39. CYPHS Data Set – Current Version

40. CYPHS Data Set – New Version

41. CYPHS Data Set Changes Removal of items relating to inpatient stays
Replacement of the Clinical Activity group with the new Community Information Data Set (CIDS) data structure
Addition of date fields within tables to enable the inclusion rules to work
Renaming of data items to conform to the NHS Data Dictionary
Move from segment structure to XML as the submission format

42. Submission Method (1 of 3)
Submission format is now XML. HSCIC looking to provide tools and guidance in order to support this
XML schema to be published along with the Information Standards Notice
Submission sent directly to SSD (Exeter) which is part of the HSCIC via a web based portal. This service currently receives the MHMDS and CAMHS data sets
XML accreditation is not required to use this portal
Reporting period is one month
Submission window is two months long and opens as soon as the reporting period ends

43. Submission Method (2 of 3)
Apr
May
Jun
Jul
Aug
Sep
Reporting Period
April Submission Window
May Submission Window
June Submission Window
July Submission Window
Submission window will overlap for subsequent reporting periods
Submission files can be submitted multiple times during the submission window
Data quality reports will be generated and made available after each submission
Once the submission window is closed there will not be a further opportunity to submit data for that reporting period

44. Submission Method (3 of 3)
For new births data starts flowing once the baby is referred to the service
Data stops flowing once the baby/child/young person has been discharged from service
All submissions have to include the CYP001 ‘MPI’ table. All clinical activity relating to a referral needs to include an entry in the ‘Service Referral’ table. Other conditions also apply and are detailed in the output specification
First submission must include all referral and activity data for referrals received in April 2013 or after. Data for referrals that are ‘open’ in April 2013 must also be included but only the initial contact and referral data is required. Follow-up contacts prior to April can be excluded

45. Timescales
Information Standards Notice (ISN) is planned to go to the Information Standards Board in September , for publication early October 2013
Mandation expected to be March 2014, with the first submission window opening in March 2014 for data going back to April 2013
This timeframe is based on an implementation period of six months

46. Any questions?

47. CYPHS Reporting
Presented by
Paul Niblett

48. Reporting Update
Following slides give an overview of what will be available with the specifics still to be determined
Reporting plans being fleshed out before data is collected
More detail available at future meetings

49. Outline of Reporting Roadmap
Validation and data quality reports produced on submission of data – “day 1” reports
At end of submission window, metric reports and more sophisticated data quality reports will be available via reporting tool
Accessed via Open Exeter system
2 provider reports
Static report for benchmarking with other providers – restricted access i.e. national or other provider data can not be released until HSCIC publishes
Interactive/drill down for own data only
1 commissioner report – own data only
Note that population of metrics will be heavily dependent on data quality.
They will evolve over time, i.e. won’t all be there initially

50. Outline of Reporting Roadmap (cont)
Solution for access for ad hoc requests/PQs being considered
Members of the wider health system (e.g. NHS England, PHE, Monitor, CQC etc.) will have controlled access to on-line interactive reports where they can also access the non-identifiable underlying data
For non-standard or more complex reporting access to the underlying data may need to be off-line via the HSCIC data extract service
The general public will have access to publicly available non- interactive reports on HSCIC website

51. Reporting Requirements
Child Health
Uses
Breastfeeding at 6-8 weeks
PHOF, CCGOIS, Benefits
Safeguarding - Child Protection Plan
Policy Monitoring
Care contacts
Benefits
Urgent care activity
PHOF
Immunisations
Obesity
PHOF, Benefits
Mortality
NHSOF, Benefits

52. Options for further analysis
List of reports will be adjusted depending on policy developments and additions to outcome frameworks.
Requests for additional reports can be submitted to the HSCIC and will be prioritised by project board.

53. Data Duplication
New datasets could reduce need for aggregate returns to support outcomes frameworks.
Dependent on data quality.
Period of dual running needed for assurance.

54. Summary and Close
Presented by
Nicholas Richman

55. Mailboxes/Web pages Enquiries All enquiries should go to:
HSCIC web pages
Community Information Data Set (CIDS):
CYPHS Data Set: