80466 programme factsheets_final_0506_b

1. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk
How we support the
implementation of care
Key facts and figures

2. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.nhs.uk
NHS Choices
NHS Choices is the website for the National Health Service in the UK, providing health
and lifestyle advice, information about local services and the latest health news.
visits per month
It’s the UK’s most popular health
website accounting for a quarter of
health related web traffic
including over 200 NHS organisations,
Boots, Mumsnet and Microsoft
have taken up running as a result
of the information and support
available from NHS Choices
>5x number of people who run the
London marathon
Social media is a significant part of the
NHS Choices service, reaching up to
3 million people a month via Facebook,
Twitter and video channels; equivalent to
the population of Wales
NHS Choices monthly visits have
increased by 39% over the previous year
48million
over 600
websites
Approximately
200,000
people per year
1.7p cost
per visit
YOUTUBE LOGO SPECS
WEB on dark bon light backgrounds
main red
#CD332D
R205 G51 B45
gradient bottom
#6E0610
R110 G6 B16
white
gradient top
#CD332D
R205 G51 B45
white
gradient bottom
#D5D5D2
R213 G213 B210
black
gradient bottom
#231F20
R35 G31 B32
black
gradient top
#3D3C3C
R61 G60 B60
standar
waterm
stacked
standard
watermark
stacked logo (for sharing only)
3 million
people a month
NHS Choices shares
its content with
39%increase in visits

3. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015
Ministry of Defence patient records
have been integrated into NHS IT
systems through the Defence Medical
Services Project – the equivalent
of three times the capacity of
the London Olympic stadium.
www.hscic.gov.uk/xgp
Cross Government Programmes
The Female Genital Mutilation (FGM)
Prevention project is delivering information
systems to support the eradication of FGM
within a lifetime.
FGM impacts
girls a year – this equates to one girl from
every sixth primary school in England.
The HSCIC is delivering Cross Government Programmes that facilitate the provision of care and
information sharing across government, and support the delivery of Ministerial priorities. The HSCIC
has led and delivered a number of high visibility and innovative projects with our partners across government.
Our partners across
government:
– Ministry of Defence
– Ministry of Justice
– Home Office
– Department for Education
– Department for International
Development
– Department for Work
and Pensions
In 2013, the HSCIC
Adapter project
won a leading
industry efficiency
award for “Efficiency
in Administration
and Clerical Services”.
The Adapter seamlessly
shares patient admission and discharge
information across health and social care.
Work is underway to enable
patients within the residential Health
and Justice system to move their patient
record between NHS and prisons.
This better supports the often complex
health needs of offenders.
250,000
80,000
4,000

4. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015http://systems.hscic.gov.uk/cpis
Child Protection – Information Sharing (CP-IS)
CP-IS connects local authorities’ children social care IT systems with those used by NHS unscheduled care settings (e.g. A&E) to
provide better care and earlier intervention for children who are considered ‘vulnerable and at risk’.
“Not having prompt
access to the details
of the local authority
responsible for such a
child has been a long-
standing problem for
the NHS. What CP-IS
does for the first time is
share such information
between health and
local authorities at a
national level.”
Consultant Paediatrician
Within one week
of the first system go-live,
an “at risk” child was
identified and appropriate
action was taken
CP-IS will cost £6.78million to implement
across England once fully delivered in 2018.
This is 0.56% of the annual cost of all child
abuse in England (£1.2 billion)
£6.78Mto implement
CP-IS is expected to generate cost savings of
£20.9 million and more importantly, provide
earlier identification of potential harm for
over 118,000 children. Record uploads will
significantly increase throughout 2015
118,000
children
In 2015 so far, across four local authorities
6,681 childrens’ records who are considered to
be ‘vulnerable and at risk’ (some not yet born)
have been uploaded onto the national CP-IS
system. The equivalent of 36.6 children being
added every day
36 per day

5. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk
N3
The N3 national broadband network connects NHS organisations by
enabling information to flow efficiently through the system – placing
key data at the fingertips of clinicians and patients.
N3 Awards
–– Government Commerce Award
for Innovation, Best Project -
Government to Government (2008)
–– e-Government National Awards -
e-Government excellence - Innovation
in strategy on a national level (2008)
–– e-Government National Awards -
e-Government excellence - for
sustainable,‘green IT’ or ‘Carbon-
efficient’ (2009)
–– BCS and Computing UK IT Industry
Awards
–– IT project demonstrating most
effective use of collaborative
technology (2012)
46,000 connections, which
is more than the capacity of
Liverpool FC’s home games
at Anfield, across 15,000 sites
600 terabytes
of data pass through
its internet gateway
every month, which
is the equivalent of
150 billion printed
A4 pages every second
The network has more
than 12,000 miles
of fibre –
enough
to stretch
to San
Francisco
and back
The network connects staff
at every GP, hospital
and clinic in England
and provides access
to the one million
x-rays and scans
created every day

6. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/spine
The Spine
The Spine supports the NHS in the exchange of information across national and local
NHS systems. It connects clinicians and patients to essential national services including
the Electronic Prescription Service, Summary Care Record and Choose and Book.
In peak periods
the Spine handles
1,500 messages per
second – nearly
four times the
number of debit
and credit card
transactions that
take place per
second in the UK.
The UK Cards Association,
Card Expenditure Statistics, Jan 2015
Handles
6 billion
messages
every year,
about five
times the
annual number of London
Underground passengers
Holds over 500 million
records and documents
900,000registered users –
which equates to
approximately 70% of
the total NHS workforce.
Typically has 250,000
people accessing the
Spine at any one time
Connects and services
over 28,000 health
care IT systems in
21,000 organisations

7. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015
NHSmail
NHSmail is the secure email service available for use across organisations commissioned to deliver health and social care. More
than 750,000 NHS staff use NHS mail across England and Scotland. The service underpins clinical care by securely connecting
health and social care professionals, enabling the delivery of more efficient patient care.
NHSmail is endorsed by the
British Medical Association
(BMA) and the Royal College
of Nursing (RCN) for the
safe transfer of patient
information.
Equivalent to
the total number
of passengers
passing through
Gatwick airport
between 2010
and 2015
169Mmessages a month
10%per annum
79%satisfaction
Current user satisfaction is over 79% –
higher than any leading consumer email
providers
User numbers are growing at
10% per annum
Currently 150,000 users
wish to join the service:
That’s double the
capacity at a Manchester
United home game
Over 1,100 organisations have access to
NHSmail – which is approximately the number
of Sainsbury’s supermarkets in the UK
In March 2015 over 169 million email
messages were processed by NHSmail
www.hscic.gov.uk/nhsmail
1,100+organisations

8. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk
IT services for GPs
From £1.6 billion in payments to GPs, through to helping patients to switch GPs quickly and efficiently
and an open market of IT services to help equip GPs to deliver better patient care; HSCIC plays an essential
role in the development and management of a range of systems and services that support GPs in England.
“GP2GP provides rapid
access to a patient’s
electronic health record
for their first consultation
and gives the
clinician key medical
information such as the
patient’s medication
history, allergies, and
investigation results.”
Louise Johnston
Practice Manager,
Unity Health
£1.6Billion
73%
1.2Millionin quality payments processed
for GPs using data collected
by the General Practice
Extraction Service
and calculated by
the Calculating Quality
Reporting Service
of general practices procure their main clinical
system via the HSCIC framework (GPSoC).
The framework gives GPs access to a list
of robustly accredited systems at nationally
negotiated prices
are transferred between GP practices in
England using GP2GP annually; that’s about
the same number of people who switch their
current account every year in the UK
by transferring patients records
electronically using the GP2GP service
rather than on paper. That’s enough
to fund 460 new practice nurses
GPSoC is driving up standards in GP IT –
improving patient care through services
like appointment booking online, repeat
prescriptions and patient access to records.
HSCIC’s GP IT programmes are instrumental to delivering a paperless NHS by 2020.
electronic patient records
(5,976)
million
saved£12

9. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/eps
Electronic Prescription Service
The Electronic Prescription Service (EPS) enables prescriptions to be sent
electronically from a GP surgery to a pharmacy of the patients’ choice and then on
to NHS Prescription Services for payment.
prescriptions are issued
in England every day and
70% of them are repeat
prescriptions
EPS delivered
£115Mof benefits in 2014/15
200M+items dispensed
“Patients love being able
to choose their most
convenient pharmacy.
It has really improved
efficiency at the
practice.”
Dr Donya Young,
GP, Bromley>12.8M
patients
nearly a quarter of the population, have
chosen a pharmacy so they can use EPS
1.7million
Over 200 million prescription items have
been dispensed via EPS since 2009 - a
number equivalent to the combined
populations of the UK, France, and Italy
Proportion of GPs and pharmacies that
offer EPS to their patients:
55% 97%
GP practices
(4421)
Pharmacies
(11,449)
that’s enough to train
230 GPs or 1,642 nurses

10. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/ers
are referred through Choose and Book
– that’s 2,000 more people than took
part in the 2015 London marathon
The NHS e-Referral Service
Choose and Book is the national NHS service which combines electronic booking with a choice of place,
date and time for first hospital or clinic appointments. Patients can choose their initial hospital or clinic
appointment, book it in the GP surgery at the point of referral, or later at home on the phone or online.
The NHS e-Referral Service is replacing the current Choose and Book system.
“I think it is wonderful!
I got an appointment
there and then. It was
very reassuring and
there was no anxious
wait for a letter from
the hospital. I had a
choice of what time
and date would suit me.”
Breda Calenti,
Cambridgeshire,
Choose and Book patient
referrals have been made using Choose
and Book since 2004 – the equivalent
of one referral for every member of
the UK population
Electronic referrals has reduced
missed appointments from
of referrals were electronic, hospitals could
save over £50m per year – enough to pay
for 2,272 more nurses
Choose and Book is available to all GPs
in the NHS. In May 2015, 92% of GPs
used Choose and Book to make a referral
Evidence shows a patient is more likely
to attend a first outpatient appointment
booked through Choose and Book,
compared to a first outpatient appointment
booked through a traditional paper process
40k
If100% 10% 5%
patients
a day 60Million
OverOver
annually
to

11. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/scr
Summary Care Record
The NHS in England uses an electronic record called the Summary Care Record (SCR) to support patient care.
The SCR is a copy of key information from a patient’s GP record, such as medication, allergies and adverse
reactions. It provides authorised healthcare staff with faster, more secure access to essential patient information.
“The SCR
represents a
major resource
for improving
patient safety.
There is no doubt
that physicians
should use it when
needed.”
Professor Iain Carpenter,
Royal College of Physicians
million
people
Over
Up
to
54in England (95% of the population)
have a Summary Care Record created
from over 7,500 GP practices
29min
which is over 2.3 million
views per year
£7M
An SCR is viewed
15sec
every
of benefits realised through
SCR use every month in
hospital pharmacies and GP
Out of Hours services
the amount of time a
hospital clinician can
save by looking at a
patient’s SCR

12. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015
Local Service Provider Delivery
The HSCIC manages the delivery and support of electronic patient record systems and services to GPs, hospitals and other
NHS care providers in England. The HSCIC also supports NHS organisations to safely exit the national contracts by 2015/16
and to advance productivity, care quality and care integration through their use of information and technology.
1.3
66%
1,900
140
In London the HSCIC has
stored and migrated the largest
volume of patient data in Europe
Equivalent to the population of London
having 139 images each.
Petabytes
(2.4 billion X-rays/scans)
of all NHS organisations in England use
a patient record system delivered by
the HSCIC. The number of staff using
these systems would fill London’s O2
Arena 26 times.
Digital X-ray and scan systems
from the HSCIC have reduced
image waiting times from
Weeks to Days
clinical systems delivered
to GP practices
clinical systems delivered
in prisons – that’s every
prison in England.
http://systems.hscic.gov.uk/lsp
“I am thrilled ... by the
success of the Trust in
improving patient care by
implementing the Cerner
Millennium system… our
patients are benefitting from
it every day. Staff both in
hospital and the community
can make more informed
decisions and instantly
access all of the information
recorded for each patient
at the touch of a button.”
John Goulston,
Chief Executive,
Croydon Health Services NHS Trust

13. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015
NHS Pathways
NHS Pathways is a clinical assessment tool used by urgent and emergency care
teams for direct patient care. It triages calls from the public made to NHS 111,
999 and GP out-of-hours services.
up to 15% of 999 calls are now closed
without an ambulance being sent –
previously this was just 1%
Since its introduction, NHS
Pathways has halved the cost
of an urgent call to around £12.
Million
calls a year
are triaged
that’s every call
to NHS 111
and over half
of all 999 calls14
Unnecessary
ambulance
despatches reduced
of callers to NHS 111 are directed to the right
care, first time, on the first call. The rest are
transferred to or called back by a clinician.
Right care,
first call: 80%
“The (NHS Pathways)
system itself is brilliant –
I can’t fault it. It’s a better
way of handling calls all
round. Better care for the
patient means we have
more ambulances free
to deal with the more
serious and potentially
life-threatening
emergencies.”
Ann Barnstable,
Senior Emergency Call Operator,
SE Coast Ambulance Service NHS Trust
!
www.hscic.gov.uk/pathways

14. Copyright © 2015 Health and Social Care Information Centre Release 1 – June 2015www.hscic.gov.uk/sus
Secondary Uses Service
The Secondary Uses Service (SUS) is the single, comprehensive repository of healthcare data for hospital services in England.
It enables healthcare activity to be analysed and reported on, locally and nationally.
In February 2015, SUS was successfully transitioned from an external provider to an in-house HSCIC managed service.
The transition is part of a strategy to deliver a more responsive service that fits the long term needs of the NHS.
“We produce a significant
number of reports and extracts
for our commissioners. We
need to provide these quickly,
under tight deadlines. I have
been impressed with the
improvement since HSCIC
transitioned the service [in-
house]. Data extracts run in
about half the time it used to
take, and the downloads are
taking about a quarter of the
time. We are able to provide
a better level of service to
our customers.”
Mark Bridges, Data Manager,
Midlands and Lancashire Commissioning Support Unit
terabytes of data stored
(recently compressed to 49).
In comparison, the Hubble
telescope collected 45 terabytes
of data in its first 20 years.
£30 billionworth of NHS services each year,
with £197.4 billion processed to date.
SUS enables the payment of
NHS activity records
submitted to date
6billion
80
records processed per day,
on average
3.6
million