1. The NIRS Programme

2. Presentation Objectives… Provide overview of the aims and objectives of NARS and HRSS Explain the current position and thinking behind the requirements for a Shared Infrastructure Overview of changes to NHS

3. What is NIRS Programme? NHS Information Reporting Service Programme The Vision for NIRS is to: –enable the collection of data from operational systems –provide reporting and analysis capability to support planning, management, research, and auditing of public health at local, regional and national levels

4. What is NARS? The NARS project is part of NIRS Programme The vision for NARS is to: Empower the NHS IC to adopt a more agile and self sufficient approach in delivering analysis and reporting. The objectives for NARS are to: –enable the NHS IC to rapidly respond to the changing information needs of the NHS and the Department of Health –provide a better and more responsive service to NHS IC Customers –achieve productivity gains at reduced cost through a new more “hands-on” approach

5. What is RCP Programme? Research Capabilities Programme The Vision for RCP is to: –enable better health outcomes for the public and patients achieved through best value for the taxpayer –support the ambition to make the UK the preferred place to carry out health research by building a nationwide health data and information platform that will enable health research to achieve its maximum potential

6. What is HRSS? Vision for RCP will be achieved through the Health Research Support Service (HRSS) The HRSS is intended to support and promote health research in the UK by: –increasing the range of data routinely available to support health research –providing services and functions to prepare for and support research –providing services and functions to protect personal information when confidential processing is necessary, and to reduce the need to use data which identifies individuals

7. NARS vs. HRSS Similarities between HRSS and NARS: –Range of datasets –Data linkage and transformation –Database and data management requirements –Analysis capabilities –Data extract requirements Differences between HRSS and NARS: –HRSS a new service, NARS replacing and growing an existing service (HES – Hospital Episode Statistics) –Different customer groups –Record level data vs. aggregate data –Different service providers Similar technical requirements Supporting different business processes

8. NIRS Shared Infrastructure NIRS Shared Infrastructure will: reduce duplication reduce cost reduce burden on data providers ensure consistency of data use …while still: fulfilling the individual data requirements of HRSS and NARS allowing services to operate independently and separately providing a flexible platform capable of supporting additional data services being responsive to a changing business environment

9. NIRS Shared Infrastructure: Conceptual Model NIRS Foundation Services Development Sandpits Data Marts Transparency Data investigation Delineate services Data access control Different data requirements Output design Resource allocation Data warehouse Regular Processing

10. What’s happened? Feb-Jun: Feasibility for NIRS Shared Infrastructure Jun: Shared Infrastructure Requirements for review May: Election Jun-Jul: ICT project review Sept: Information Strategy Oct: Capital Spending Review publication Feb Mar Apr May Jun Jul Aug Sep Oct

11. Secondary Care Hospital Trusts (all FTs) Mental Health (60) Ambulances (12) Secondary Care Hospital Trusts (170, 130 FTs) Mental Health (60) Ambulances (12) Regulators Monitor (economic); Care Quality Commission (quality); GP Commissioning Consortia (400-600?) NHS Commissioning Board Changing Landscape… Secretary of State for Health Department of Public Health Strategic Health Authorities (10) Primary Care Trusts (150) Primary and community services GP practices (8,000) Dentists (22,000) Opticians Pharmacists (10,000) Community Regulators Monitor (FTs) Care Quality Commission Clinical Standards NICE Commission Specialised commissioning Department of Health

12. The Challenge… Different and changing customer groups Researchers; GP’s; Commissioners; Trusts; Regulators; Patients and public; etc… Changing NHS landscape –Organisations merging and changing –Roles merging and changing –Data and reporting requirements changing Probably not for the last time… We need a solution that can cope in this environment…

13. Next Steps… Publish (current) NIRS Shared Infrastructure requirements for comment Market sounding Assess impact of Comprehensive Spending Review (when available) Review scope and requirements for HRSS and NARS