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1 Copyright © 2014, Health and Social Care Information Centre.
Event Briefing
Health+Care 2015
(incorporating the Commissioning Show 2015)
Charlotte Tye
22/06/2015
2 Copyright © 2014, Health and Social Care Information Centre.
1. Event details and overview
Event name: Health+Care 2015 (incorporating the Commissioning Show 2015)
Venue: Excel, London
Dates: 24-25 June, 2015
The HSCIC has an exhibition stand at this event and is also providing a number of
speakers who are appearing predominantly in the ‘Technology First’ stream of the
conference.
The main HSCIC stand (K60) will feature a range of products, services, programmes and
initiatives that we believe will be of most interest to delegates. The stand will provide a
platform for the HSCIC to communicate and engage with delegates about our role,
priorities and plans for 2015-20, and to answer their questions.
Other activities taking place away from the stand
At the centre of our promotional campaign at the show will be the launch of our new
‘Focus on the Health and Care of Young People’ report, the findings of which will be
outlined in a presentation at the event on Thursday 25 June. The report looks at the use
of health and care provisions of young people, from child birth to young adulthood and will
incorporate a wide range of data sources. We expect that the findings of this report will be
of interest to a wide range of delegates at the event including commissioners, local
authorities, public health specialists and providers.
In addition to the main stand, GP Systems of Choice (GPSoC) team are sponsoring the
GP Systems of Choice Framework Zone (I40) which has been devised in conjunction with
the event organisers to help delegates discover the products and services available under
the framework. This will be done through a series of supplier presentations and talks from
the GPSoC team. Please see Appendix A for full details.
The Summary Care Record (SCR) team have also taken a satellite stand (L65) adjacent to
the main HSCIC stand. They will be talking to delegates about how SCR can save up to 30
minutes during hospital admissions. Please see Appendix D for full details
3 Copyright © 2014, Health and Social Care Information Centre.
2. Delegate profile
An estimated 7,500 delegates from across the health and care sector are expected to
attend over the two days. Delegates from all levels at commissioning organisations, local
authorities, General Practice, public health, and care providers will be present. Delegates
are expected to include staff from:
 Clinical Commissioning Groups, Commissioning Support Units and Area Teams
 Community/Mental Health/Acute and Foundation Trusts
 GPs and Practice Managers
 Government bodies and associations
 Academics, researchers and policy makers
 Health sector charities
 Health and Wellbeing Boards and Public Health specialists
 Local Authorities
 Provider organisations
 Third sector providers
 Patient groups/representatives
3. Communications objectives
Our objectives for the event are to:
 Clearly articulate the HSCIC’s role, priorities and commitments for 2015/16
 Provide more detailed information about products, services and programmes of
interest according to the role of each delegate
 Ensure that delegates are able to stay in touch with areas that are of interest to
them by capturing their details for future communications activity
Listening to our customers
Just as important as communicating our messages to delegates, we are also attending this
event to listen to our customers and stakeholders and learn more about the topics and
issues that are of interest/concern to them.
4 Copyright © 2014, Health and Social Care Information Centre.
4. Key messages
The overall messages to be communicated will underline the purpose of the organisation:
We provide information, data and IT systems for commissioners, analysts and clinicians in
health and social care
The headline messages and photography featured on the stand graphics will highlight
some the ways we are supporting the health and care system including:
Photography Headline and story
Making the better use of health and care
information
Photo: Carol Robertson (Paramedic, North West
Ambulance Service)
NHS Pathways is a suite of clinical assessment
content used to triage telephone calls from the
public, based on the symptoms they report when
they call. It has an integrated Directory of Services
which identifies appropriate services for a patient’s
care if an ambulance is not required. A mobile
version of the directory was developed for use by
clinicians to direct patients to a service that is most
suitable for their needs following a face to face
assessment. Carol and her colleagues at the North
West Ambulance Service were amongst the first in
the country to use the NHS Pathways mobile
directory during its pilot year.
Working with partners to raise awareness of
health issues
Photo: Kerry McLeod (Heart Health
Multimedia Manager) and Ceri Jones (Head of
Programme) of the British Heart Foundation
Kerry and Ceri collaborated with the NHS Choices
team and Public Health England to develop, launch
and promote the Heart Age tool. Launched on
Valentine’s Day, the tool appeared on both the NHS
Choices and British Heart Foundation websites and
was aimed at making any high risk users (over 40
years old) more aware of their blood pressure and
cholesterol levels as these are key indicators for
heart health. Since the launch over 450,000 visitors
to NHS Choices have completed the
Heart Age test.
5 Copyright © 2014, Health and Social Care Information Centre.
Helping organisations get the best from
technology
Photo: Deirdre Lyons (Consultant Obstetrics and
Gynaecology) of Imperial College Healthcare NHS
Trust
Our Local Service Provider teams help NHS
organisations to select IT systems providers and
then work with them and their suppliers to
successfully implement the solutions.
Last year we worked with Imperial College
Healthcare NHS Trust and their suppliers BT to
implement the Cerner Millennium patient
administration system and start the roll-out of
electronic health records across their estate. Deirdre
and her team were involved in the pilot programme
and are now benefitting from the increased access
to care information that the system provides.
6 Copyright © 2014, Health and Social Care Information Centre.
5. Bringing the messages to life
The programmes, products, systems and services that will feature on the stand will
support the headline messages.
Headline Supporting programme, product, service or system
Making the better use of health
and care information
Data Access Request Service
Data Services for Commissioners
Electronic Prescription Service
Focus on the Health and Care of young People
Indicator Portal
NHS Pathways Intelligent Data Toolkit
NHS Pathways Mobile Directory
Summary Care Record
Helping organisations get the
best from technology
Electronic Prescription Service
GP2GP
GP Systems of Choice
Health and Social Care Network
NHS e-Referrals Service
NHS Pathways Mobile Directory
Summary Care Record
Working with partners to raise
awareness of health issues
Child Protection – Information Sharing
NHS Choices heart age checker
Briefing notes and key messages for many of these programmes, products and services
are detailed in the appendices at the end of this document.
7 Copyright © 2014, Health and Social Care Information Centre.
6. Capturing delegate details and logging enquiries
A web page has been created for capturing the details and preferences of delegates so
that we can stay in touch with them about the products, services and programmes that are
of most interest to them.
The survey will be available via all the tablets on the stand and is located at
 https://www.surveymonkey.com/r/HSCIC_event_signup
This link will be on the “Quick Links” document that will loaded onto all of the tablets
The form can be used by stand staff to:
 Record the details of delegates including the areas of our work that they would like
to receive further information on or be kept up to date about
 Log an enquiry that stand staff are not able to answer for follow up after the show
 Capture the details of a delegate who has directly requested a follow up call or
email on a particular topic after the show
8 Copyright © 2014, Health and Social Care Information Centre.
7. Stand staffing
The main HSCIC stand (K60) will be staffed by members of the communications team as
well as support staff from various programmes and services as detailed below.
Details of staff working on the stand:
24-25 June
 Charlotte Tye, Events Manager – Tel: 07801 540 514 (Stand Manager)
 Duncan Graham, Communications/Stakeholder Engagement Manager
 Kathryn Knight, Section Head, Primary Care Domain
 Kate Croft, Head of Statistical Response Unit
 Dr Peter Short, Directorate Professional Lead
24 June only
 David Shapland, Corporate Communications Manager
 Mandeip Kaur, Communications Executive
 Dr Neil Jones, Senior Clinical Advisor
25 June only
 Ben Pace, Senior Information Analyst, Benefits and Utilisation
 Caroline Symes, Communications and Stakeholder Engagement Manager
NHS Pathways additional support
In addition to the staff above NHS Pathways have two experts on the Intelligent Data
Toolkit who will be available in the networking area of the stand during busy periods to
demonstrate the system to commissioners who would like to see the system. Any
commissioner interested in seeing a demonstration should be encouraged to return to the
stand during the times or be logged on the data capture form for a call back after the show
by the NHs Pathways team.
Scott Denton and James Yates will be available to give demonstrations of the IDT at the
following times on both days of the show which coincide with breaks on the speaker
programmes:
 11.35-12.00
 13.30-13.45
9 Copyright © 2014, Health and Social Care Information Centre.
8. Stand opening times and peak traffic periods
During the conference, the stand will be open during these times;
 08.30 - 17.45 on Wednesday 24 June
 08:30- 16:45 on Thursday 25 June
We anticipate that the busiest times on the stand on both days will be:
 08.30 - 09.25 Registration and Networking
 11.35-12.00 Conference Break and Exhibition Visit
 13.05-14.00 Lunch and Exhibition Visit
 15.05-15.40 Conference Break and Exhibition Visit
Staffing the stand at peak periods
Please could all stand staff ensure that they are available on the stand at these peak times
to talk to delegates and answer their questions. Note that, at this event all
Delegate/Exhibitor badges will provide access to any of the conference sessions so,
during quiet periods you are encouraged to identify and attend sessions that are of interest
to you.
10 Copyright © 2014, Health and Social Care Information Centre.
9. Speakers
There are seven speakers from the HSCIC contributing to the ‘Technology First’ stream of
the conference. The schedule for these sessions, all of which will take place in the
‘Healthcare Technology’ theatre (theatre 8) is below:
24 June 25 June
14.35-15.05
Speaker: Eve Roodhouse, Programme Director
for Care.data
Title: Working with care.data pathfinder CCGs
Synopsis:
 Overview of the approach taken
 Description of the work carried out with
Pathfinders by the Care.data
programme
 Update on progress and summary of
findings so far
 Next steps
10.30-11.00
Speaker: Kingsley Manning, Chair
Title: Information and technology for better care
Synopsis:
 Introduction to the Health and Social
Care Information Centre
 Overview of the HSCIC’s new strategy
for 2015-20
 Highlighting some of the important work
that is underway to support the strategy
16.20-16.50
Speaker: Peter Kidd, Programme Head for
Busting Bureaucracy
Title: Minimising burden and bureaucracy in
health and social care
Synopsis:
 Overview and objectives of the
programme
 Phase 1: findings from our work with
acute trusts
 Phase 2: working with mental health and
community trusts
 Key themes emerging from the field
work
12.00-12.30
Speaker: Martin Warden, Programme Director
for GP Systems of Choice
Richard McEwan, Senior Solution Architect
Title: Integrating GP IT systems
Synopsis:
 An overview of GP Systems of Choice
(GPSoC)
 A focus on system integration and
interoperability under GPSoC
 Hear from one of HSCIC’s lead solution
architects working on interoperability
 What might the future hold?
11 Copyright © 2014, Health and Social Care Information Centre.
14.35-15.05
Speaker: Kemi Adenubi, Director for
Commissioning, Finance and Data Services
(with Ming Tang from NHS England)
Title: Update on Data Services for
Commissioners
Synopsis:
 Overview of Data Services for
Commissioners
 Future operating model explained
15.45-16.15
Speaker: Haroona Irshad-Franklin, Senior
Responsible Owner for the Health and Social
Care Network, Department of Health
Title: The Health and Social Care Network
Synopsis:
 Background to the Health and Social
Care Network (HSCN)
 A blueprint for the new service that will
integrate health and social care
 Progress update on implementation and
what’s coming next.
We also have one speaker for the ‘Adult and Children’s Services’ stream of the
conference. The schedule for this session is below and will take place in the ‘Adult and
Children’s Services’ theatre (theatre 12).
25 June
09.25 – 09.55
Speaker: Kate Croft, Section Head for Benefits and Utilisation
Title: Focus on the Health and Care of Younger people
Content:
 Highlights from a new statistical publication that provides wider picture of younger people's
health and lifestyle by pulling together data on hospital activity, mental health, social care,
prescribing, lifestyles, and census data
12 Copyright © 2014, Health and Social Care Information Centre.
10. Hints and Tips for Stand Staff
Even if you’ve worked on a stand before it’s worth you refreshing your memory on these
guidelines. Generally it is important to remember that delegates’ opinion of the HSCIC will
be shaped by their experience on our stand and the staff they meet and interact with.
Please do…
 Make eye contact
 Ask open questions
 Listen to the answers
 Ask the person about their reasons for attending the event
 Ask about their job role/organisation/business
 Ask about their problems and be sympathetic
 Smile and be enthusiastic
 Demonstrate open, receptive body language
 Be proactive and engaging
 Keep the stand clean and tidy
Please always…
… ask delegates what they would be interested in finding out more about after the show
and sign them up to receive further communications from us using the data capture form
Please don’t…
 Open a conversation with “Can I help you?” or “Are you alright there?” Introduce
yourself and ask delegates who they are, what they do and what they are
interested in
 Eat or drink on the stand – there will be areas throughout the venue where you
can take a rest and meal breaks
 Sit on chairs at the stand unless you are talking to delegates
 Chat with colleagues on the stand if there are delegates waiting for attention
 Read books, magazines or newspapers
 Work on your laptop
 Make phone calls
Practical considerations…
 Wear sensible shoes
 Make sure that you can take layers of clothing off if the exhibition hall gets hot
 Make sure that you stow personal items (handbags, coats etc.) in the cloak
rooms provided at the venue
 Keep valuables (phones etc.) with you at all times
 Lock down any equipment you are not using
13 Copyright © 2014, Health and Social Care Information Centre.
Appendix A: GP Systems of Choice activity briefing
24-25 June
GP Systems of Choice (GPSoC) Framework Zone
Stand I40
Discover the products and services available under ‘GP Systems of Choice’ through a
series of supplier presentations and talks from the GPSoC team.
The GPSoC Framework Zone will host a two-day schedule of short (20-minute)
presentations from:
 14 different GPSoC Suppliers will be talking about the products and services they’re
making available under the three GPSoC frameworks. The schedule of
presentations within the Zone will be available as a PDF on the ipads on the HSCIC
stand
 At 10.30 and 14.00 on each day of the show Glenn Collett, GPSoC Programme
Manager will present a practical and high-level overview of the frameworks that will
help to contextualise the supplier presentations that follow.
GPSoC team members will be around in the zone to answer questions and have one to
one conversations.
All GPSoC suppliers exhibiting at the show will be given a violet “GPSoC Framework
Supplier” label for their facia board to link them with the GPSoC Zone.
The GPSoC framework zone will be of particular interest to:
 GPs and Practice Managers (i.e. users of GP clinical IT systems)
 CCGs and CSUs (i.e. the people that place GPSoC orders on behalf of their users)
 Practices currently on the Local Service Provider (LSP) contract which expires next
year
25 June
GP Systems of Choice speaker in the ‘Technology First’ theatre
12:00-12:30 – “Integrating GP IT systems”
Martin Warden, Programme Director, will be speaking about where GPSoC has come
from, where we are now, where we’re headed in the future and what challenges we’re
working to address.
He’ll then hand over to Rich McEwan (Senior Solution Architect) who’ll talk in more detail
about integration and interoperability under GPSoC.
They’ll then spend 5 minutes at the end of the session answering questions from the floor
and directing people back to the GPSoC Zone for more detailed conversations.
14 Copyright © 2014, Health and Social Care Information Centre.
Appendix B: NHS Pathways briefing
What is NHS Pathways?
 NHS Pathways is a clinical assessment tool used by urgent and emergency care teams
for direct patient care.
 It triages 14 million calls a year from the public made to NHS 111, 999 and the GP out-
of-hours service.
 Calls are triaged based on the symptoms reported. People who are seriously ill receive
a direct ambulance dispatch, while others are matched to a local service that meets
their clinical needs.
 NHS Pathways comprises an electronic clinical assessment tool and an integrated
directory of 60,000 clinical services across the country.
Clinical governance
 NHS Pathways clinical content has been extensively reviewed and is actively
supported by the Royal Colleges through the National Clinical Governance Group who
hold NHS Pathways to account and provide expert guidance on the latest clinical
evidence and decision making within the system
Training
 There is strong evidence that the quality of user training and probing skills has a
marked impact on system performance and by using the training tools provided by the
NHS Pathways team enables effective reduction in 999 referrals.
15 Copyright © 2014, Health and Social Care Information Centre.
Pressure on A&E (Emergency Department)
 NHS Pathways does not increase pressure on A&E. Only 3.6% of total A&E activity
was referred by NHS 111 during October to December 2014. See graph.
Intelligent Data Tool (IDT) – launching from late summer 2015
 Online dynamic tool, providing graphical representation of data for Commissioners and
the NHS.
 Range of filters available to enable flexible reporting.
 Outcome/call sorting for every call triaged using NHS Pathways in approximately 90%
of Pathways user sites (over 6 million calls and counting)
 Service Referrals from NHS Pathways sites including, services selected, rejected,
displayed and service type referral trends
 Symptom Trends – graph providing a view of call volumes for symptom groups. E.g.
dental, flu and headaches
 DoS Gap – information about services which were not returned from DoS due to only
failing one search criteria. This information can assist Commissioners in understanding
care provision and identify where changes may be needed to support commissioning
strategy.
 Data sent to IDT from Providers approximately 15 minutes after a call is closed.
 Graphs and tables can be exported via PDF. Detailed data can be exported via CSV.
 Expected to be available to Commissioning Organisations late summer 2015.
(Provision for 2 licenses per CCG – free of charge).
0
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
2013-14 Oct-
Dec
2013-14 Jan-
Mar
2014-15 Apr-Jun2014-15 Jul-Sep 2014-15 Oct-
DecTotal A&E Attendances Series5
111 Total Triaged Calls 111 Recommend Attend A&E
111 Ambulance Dispatches
16 Copyright © 2014, Health and Social Care Information Centre.
Mobile Directory – national rollout from August 2015
 For use by NHS Clinicians to search for services to refer patients to on mobile or
desktop devices
 Quick and easy to use.
 Pilot completed by paramedics in a number of Ambulances services to provide
alternative services other than referral to emergency departments
 Searching can be completed by service type or by symptom, time frame, location.
 Appropriate services are returned to user so that referral can be made by the NHS
Clinician
Useful links
A number of communications resources are available for NHS Pathways including a series
of myth-busting videos. These can be accessed from our website:
 Comms resources - http://systems.hscic.gov.uk/pathways/comms
 Myth buster videos- http://systems.hscic.gov.uk/pathways/mythbuster
17 Copyright © 2014, Health and Social Care Information Centre.
Appendix C: Focus on the Health and Care of Young People report
Key message
HSCIC publishes over 260 national reports on health and care statistics each year. These
support one of our strategic priorities to ‘Make better use of health and social care
information’. The launch of the ‘Focus On…’ is one of the most high profile releases of the
year and its findings will be of interest to commissioners, local authorities, public health
specialists and researchers alike.
Report launch
25 June
‘Adult and Children’s Services’ theatre
09:25-09:55 – “Focus on the Health and Care of young People”
This new report pulls together a number of short facts related to the health and care of the
young person (people under 25 years old). It is being published at 9.30am on Thursday 25
June and Kate Croft will present some of the key findings at the Commissioning show.
Kate and Ben Pace will be on the stand on Thursday to answer detailed questions about
this publication and other HSCIC data and statistics.
About the report
The Focus On data is mainly from HSCIC, and has been produced to increase users’
awareness and use of HSCIC data. Other data is included to provide context, for example
it includes birth and population ethnicity data from ONS. The first half of the report provide
information specific to three age groups:
1) New-borns and Infants
2) Childhood
3) Teenage Years and Young Adulthood.
The second half looks at variation that exists within specific care settings (GP Prescribing,
Accident and Emergency, Hospital Inpatients, Workforce data) across these age groups.
The publication does not delve into great detail, however more detail is available in a
range of other publications, and links to these are provided at the bottom of each slide.
Spreadsheets of regional data (where the breakdowns are available) are also being
published alongside the main publication. Regional data is available for smoking in
pregnancy, immunisations (5in1 and MMR), obesity (need to check – there may be some
more regional data).
18 Copyright © 2014, Health and Social Care Information Centre.
Appendix D: NHS e-Referral Service, Electronic Prescription Service and
Summary Care Record key messages
NHS e-Referral Service
 The new service replaced the old Choose and Book system a week ago.
 NHS e-referrals is used for 52% of all bookings (40k a day) If it was 100% it would
save the NHS £50m.
 We are working with clinicians and commissioners to schedule the enhancements
to the system to help achieve a paperless NHS by 2108.
Electronic Prescription Service
 The Electronic Prescription Service is saving clinicians’ time and helping them
provide better care for patients. 56% of GP practices offer EPS and deployment
continues as quickly as the NHS can deliver.
 Over 13m patients have nominated a pharmacy to get their electronic prescription.
 GPs should be able to prescribe controlled drugs electronically by the end of 2015
increasing, efficiency, improving safety and reducing fraud even further.
 By 2016 it is anticipated all prescriptions will be electronic.
Summary Care Record
 Over 95% of patients have a Summary Care Record (Shows medication, allergies
and adverse reactions). Accessing the record, with patient consent, improves the
quality of patient care and saves time.
 Using the SCR can save around 30 minutes in hospital admissions
 Access to the SCR is being extended, following an announcement by DH of
funding, for community pharmacy to have access to the SCR.
 The ability to include additional information, where the patient wishes is being rolled
out. This can include information on conditions such as diabetes and end of live
care plans.
 The SCR team can provide more information – They are on stand L65 (adjacent to
main HSCIC stand)
19 Copyright © 2014, Health and Social Care Information Centre.
Appendix E: Data Services for Commissioners briefing
25 June
Data Services for Commissioners speaker Kemi Adenube in the ‘Technology First’
theatre
14:35-15:05 – “Update on Data Services for Commissioners”
Update on Data Services for Commissioners
The service provided by the Data Services for Commissioners (DSfC) programme enables
the intelligent commissioning of £90billion of health and social care services across
England, with the minimal, safe and efficient use of personal confidential data (PCD), in
line with legal requirements.
Why do commissioners need Data Services for Commissioners?
Commissioners of healthcare services need to plan and commission in their local area
through analysis of actual and projected use of services across all parts of the care
economy. This modelling requires access to information about the care provided to
patients, their hospital stays and patient journeys.
Care commissioners do not provide direct patient care, and therefore they have no legal
basis on which to access personal confidential patient information. Under the Health and
Social Care Act 2012, the HSCIC has legal powers as an Accredited Safe Haven (ASH) to
collect, hold and process data for purposes other than the direct provision of patient care.
What is Data Services for Commissioners?
Data Services for Commissioners is an intermediary service provided at the direction of
NHS England and specialises in capturing, processing and packaging patient information
in a format that commissioners can legally use.
The service allows the appropriate commissioners to access relevant data for their defined
purposes, without compromising patient confidentiality, or statutory legal requirements
20 Copyright © 2014, Health and Social Care Information Centre.
around the use of this data. The programme also provides a gateway to specialist advice
and support relating to the capture, analysis and sharing of data to support its efficient and
lawful processing.
Data Services for Commissioners helps Clinical Commissioning Groups (CCGs), NHS
England Area Teams and Local Authority Public Health to plan and commission healthcare
services in their local area and nationally.
How is Data Services for Commissioners delivered?
DSfC has established ten regional processing centres, known as Data Services for
Commissioners Regional Offices (DSCROs). DSCROs perform their services with staff
from Commissioning Support Units (CSUs) who are seconded into the DSCRO and work
with data in the regional processing centres. These staff follow strict rules on accessing,
analysing and processing data using systems that are separate to those used by CSUs.
The powers granted by the Health and Social Care Act 2012 mean that staff are operating
within an approved legal framework.
How do these services help commissioners?
Business intelligence provided by Data Services for Commissioners informs decisions
relating to strategic and emergency planning, contract negotiation and performance
management and enables commissioning bodies to identify patients at risk of conditions or
diseases and plan preventative services in their area.
The HSCIC’s status as an ASH allows Data Services for Commissioners to carry out
complex analyses across different datasets and relating to individual patient journeys
through health and care services e.g. in-patients, out-patients and A&E to be linked
together for patients without identifying individuals.
By defining and implementing standards; providing specialist advice, promoting best
practice and dealing with around 1,000 ad hoc enquiries per year, Data Services for
21 Copyright © 2014, Health and Social Care Information Centre.
Commissioners helps reduce the administrative burden on local commissioning
organisations as well as the risk of unlawful or inappropriate handling of data.
What are the future arrangements for the Service?
The focus of future development of the service will be on improving healthcare outcomes
through better commissioning insights and intelligence. HSCIC will provide a national
service to deliver assured data services effectively and responsively.
HSCIC will access and link patient confidential data using consistent pseudonyms.
Commissioners will be able to obtain commissioning data using lawful gateways. Data
sharing practices will be simplified and made more consistent.
Where can I find out more and how can I get involved?
To find out more about the DSfC programme, visit: www.hscic.gov.uk/dsfc; email us at:
enquiries@hscic.gov.uk or call us on 0845 300 6016.
As part of its work to develop the future model for the service, DSfC is engaging with
commissioners to establish programme advisory groups and to mechanisms to gain input.
For more information, please email us at: england.dsfc@nhs.net
22 Copyright © 2014, Health and Social Care Information Centre.
Appendix F: Burden programmes briefing
24 June
Burden and Bureaucracy speaker Peter Kidd in the ‘Technology First’ theatre
16:20-16:50 – “Minimising burden and bureaucracy in health and social care”
Overview
The Health and Social Care Information Centre (HSCIC) is the trusted national provider of
high-quality information, data and IT systems for health and social care.
HSCIC has a statutory duty to ensure the amount of time and effort involved in
administration and bureaucracy is kept to a minimum to allow health and care
professionals to devote as much time as possible to providing care to patients:
HSCIC does this by:
 Assessing and helping reduce the bureaucracy associated with data collections in
health and social care
 Assessing and advising on the burden imposed by national and local data collections
on health and care organisations.
Bureaucracy
The estimated cost of national central returns is £75m and that figure will be increased
substantially by the estimated burden of local collections.
Audits
In March 2014, the programme published the Busting Bureaucracy report into the
administrative burden experienced by 16 acute trusts as a result of data collections.
This report made a series of 22 recommendations to help acute trusts spend less time on
paperwork, and more time on providing direct care.
23 Copyright © 2014, Health and Social Care Information Centre.
A report on subsequent research with eight community and mental health trusts is due
to be published in Summer 2014.
Self-assessment toolkit and top ten tips
As part of Busting Bureaucracy, the burden reduction service published a top ten tips and
self-assessment toolkit providing a consistent means for trusts to assess the level of
burden in their organisation and action plan to reduce it.
More information: www.hscic.gov.uk/bb and bb@hscic.gov.uk
Burden Advice and Assessment Service
HSCIC introduced the Burden Advice and Assessment Service (BAAS) in July 2014.
BAAS aims to reduce duplication and minimise the burden of data collections by:
 Providing advice and criterial to developers of new collections, information standards
and extractions
 Assessing the value and burden incurred by introducing new information standards,
collections and extractions
 Making recommendations to the Standardisation Committee for Care Information
(CSSI) regarding whether to accept or reject proposals
 Conducts a rolling review to assess and report on the level of burden associated with
national and local data collections
 Will make recommendations to the Secretary of State for Health in April 2016.
More information: http://www.hscic.gov.uk/baas and baas@hscic.gov.uk
Data Collections Burden Reduction Service (DCBR)
A part of BAAS, the Data Collections Burden Reduction Service (DCBR) is a simple and
confidential way to allow data providers such as hospital trusts to refer data collections
they feel would benefit from further scrutiny.
24 Copyright © 2014, Health and Social Care Information Centre.
Anyone working in the NHS who feels that data collections conducted by their organisation
seem unnecessary, or that the administrative burden of work required to run the collection
outweigh its benefits can contact the DCBR team and ask them to investigate.
Each referral receives an objective and reliable evaluation of the data by looking at the
quality and suitability of collection and its value to the NHS.
More information and to refer a collection: www.hscic.gov.uk/dcbr
25 Copyright © 2014, Health and Social Care Information Centre.
Appendix G: N3 and Health and Social Care Network (HSCN) briefing
25 June
Health and Social Care Network speaker Haroona Irshad-Franklin (DH SRO) in the
‘Technology First’ theatre
15:45-16:15 – “The Health and Social Care Network”
N3 and HSCN
N3 is a robust and reliable national broadband network making it possible for health and
care organisations to exchange information efficiently and securely with each other and
access information, data and national applications.
The contract with the current service provider ends in June 2016. The future Health and
Social Care Network (HSCN) solution is being defined in consultation with users and
suppliers to meet emerging health and care requirements.
N3 users will continue to be able to access live N3 services and order new services while
future services are established. Funding arrangements for the future network will be
confirmed later in 2015.
Health and social care landscape
The Health and Social Care Act 2012, Care Act 2014 and NHS England Five-year Forward
View introduced new responsibilities and models of health and care where:
 Care is organised around patient need and provided by multiple agencies across
primary, secondary care, mental health and the community etc. needing to exchange
information and data with each other and nationally;
 Mobile working and use of portable devices are ubiquitous requiring high bandwidth
connectivity almost anywhere; healthcare professionals, patients and carers connect
and collaborate virtually from e.g. trusts, partner organisations and in the community
26 Copyright © 2014, Health and Social Care Information Centre.
 Diagnosis, consultations treatment and monitoring of patients can be done remotely
(tele-health/tele-monitoring); administration e.g. referrals, discharges, prescriptions
and test results are transmitted electronically
 Patients take responsibility for their own health; authorised care professionals, patients
and carers can access healthcare applications, information and rich personal data.
Network requirements – guiding principles
Information and technology are fundamental to realising transformation in health and care
service delivery [The National Information Board’s (NIB) Framework for Action and HSCIC
Information and Technology for Better Care]. The blueprint for the network is underpinned
by a set of guiding principles developed from stakeholder consultation and review:
 A robust and network providing high speed internet connectivity constructed to support
access and exchange of information to Government Secure standards
 Transition from a dedicated network towards an open and internet-based solution to
support integration of care and give open and remote access to national IT services
 Agile and incremental programme delivery to accommodate changing demand and
support continual improvement
 A flexible [disaggregated operating model [multiple providers] to control and reduce
costs [by a target 20%] and take advantage of new technology.
Market engagement
Since Autumn 2014, HSCN has been engaged with users and systems suppliers to
determine the extent and configuration of the existing N3 network and test the feasibility of
alternative models for future provision.
The programme has conducted a series of pilots with a small number of sample users to
explore the feasibility of existing configurations and future changes and with systems
suppliers to identify the potential for cost savings through transition and exit.
27 Copyright © 2014, Health and Social Care Information Centre.
Following Her Majesty’s Treasury approval of the Programme Business Case in May 2015,
these and other consultations will inform the development of the Outline Business Case
and procurement of the new solution from Q3 2015 onwards.
Find out more and contact us
Attend Haroona Franklin’s presentation at the Healthcare Technologies Theatre on
Thursday 25 June from 15:45 – 16:15.
Find out more at http://systems.hscic.gov.uk/hscn and www.n3.nhs.uk. Organisations with
an N3 connection have a designated N3 Implementation Manager assigned by N3 to their
organisation. Sign up to HSCN bulletins: http://systems.hscic.gov.uk/hscn/signup
Event Briefing: Commissioning 2015
28 Copyright © 2014, Health and Social Care Information Centre.
Appendix H: GP2GP briefing
What is GP2GP?
 The GP2GP service allows the rapid, secure transfer of the electronic patient health
record between GP practices when patients change their GP. Previously records were
transferred by paper using a ‘Lloyd George’ envelope.
 It improves patient care as the new GP will have knowledge of the patient's current
medication, drug interactions, current problems and past medical history, resulting in
enhanced patient safety and more focused consultations from day one enabling better
continuity of patient care.
 GP2GP was developed in order to deal with inefficiencies and risks relating to how
patient health records are transferred in the 3.5 million instances per annum when
patients change their registered GPs in England.
 Available on 3 of the 4 principal clinical systems; TPP, EMIS & INPS. Microtest will be
available later in 2015.
 Over 95% practices are now registered to use GP2GP.
Benefits of the service:
Improved safety
 There are fewer transcribing errors and omissions because the need to key in information
from paper records will be massively reduced.
 Allergies and Adverse Drug Reactions are flagged for review for new patients, resulting in
safer prescribing of new drugs after a GP2GP patient record transfer
Clinical time savings
 Electronic health records more likely to be available during initial consultations.
 GP2GP allows the NHS to preserve the usability of rich data accumulated in patient
records, such as history of blood results for diabetics, rather than losing it every time a
patient moves between practices – which means fewer requests for duplicate lab tests
Administrative time savings
 Administrative support teams will have to spend less time processing incoming patient
records due to the richness of the information available electronically.
Version 2 – Launching from Summer 2015
A new version of GP2GP will launch from this summer and includes a number of benefits for
practices and patients:
Large messaging
 Records greater than 5MB in size and /or containing more than 99 items can now be
transferred. This reduces the time and effort spent summarising paper records and
ensures a continuity of care for patients with complex health needs.
Event Briefing: Commissioning 2015
29 Copyright © 2014, Health and Social Care Information Centre.
Reduction in printing
 The printing and scanning of records in practices will be reduced as once the electronic
health record is received a message will be sent to the old practice to advise if any
printing is required. This will prevent records being printed and scanned unnecessarily.
Better re-registration for returning patients
 Patients who temporarily move to a new practice (such as students) can now be fully
integrated back into the returning practice system, supporting the lifelong electronic
health record for patients.
Useful links
A number of communications resources are available for GP2GP including a factsheet and
animated guide, these can be accessed from our website:
http://systems.hscic.gov.uk/gp2gp/communications

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HSCIC Event Briefing Provides Delegate Profile and Objectives

  • 1. 1 Copyright © 2014, Health and Social Care Information Centre. Event Briefing Health+Care 2015 (incorporating the Commissioning Show 2015) Charlotte Tye 22/06/2015
  • 2. 2 Copyright © 2014, Health and Social Care Information Centre. 1. Event details and overview Event name: Health+Care 2015 (incorporating the Commissioning Show 2015) Venue: Excel, London Dates: 24-25 June, 2015 The HSCIC has an exhibition stand at this event and is also providing a number of speakers who are appearing predominantly in the ‘Technology First’ stream of the conference. The main HSCIC stand (K60) will feature a range of products, services, programmes and initiatives that we believe will be of most interest to delegates. The stand will provide a platform for the HSCIC to communicate and engage with delegates about our role, priorities and plans for 2015-20, and to answer their questions. Other activities taking place away from the stand At the centre of our promotional campaign at the show will be the launch of our new ‘Focus on the Health and Care of Young People’ report, the findings of which will be outlined in a presentation at the event on Thursday 25 June. The report looks at the use of health and care provisions of young people, from child birth to young adulthood and will incorporate a wide range of data sources. We expect that the findings of this report will be of interest to a wide range of delegates at the event including commissioners, local authorities, public health specialists and providers. In addition to the main stand, GP Systems of Choice (GPSoC) team are sponsoring the GP Systems of Choice Framework Zone (I40) which has been devised in conjunction with the event organisers to help delegates discover the products and services available under the framework. This will be done through a series of supplier presentations and talks from the GPSoC team. Please see Appendix A for full details. The Summary Care Record (SCR) team have also taken a satellite stand (L65) adjacent to the main HSCIC stand. They will be talking to delegates about how SCR can save up to 30 minutes during hospital admissions. Please see Appendix D for full details
  • 3. 3 Copyright © 2014, Health and Social Care Information Centre. 2. Delegate profile An estimated 7,500 delegates from across the health and care sector are expected to attend over the two days. Delegates from all levels at commissioning organisations, local authorities, General Practice, public health, and care providers will be present. Delegates are expected to include staff from:  Clinical Commissioning Groups, Commissioning Support Units and Area Teams  Community/Mental Health/Acute and Foundation Trusts  GPs and Practice Managers  Government bodies and associations  Academics, researchers and policy makers  Health sector charities  Health and Wellbeing Boards and Public Health specialists  Local Authorities  Provider organisations  Third sector providers  Patient groups/representatives 3. Communications objectives Our objectives for the event are to:  Clearly articulate the HSCIC’s role, priorities and commitments for 2015/16  Provide more detailed information about products, services and programmes of interest according to the role of each delegate  Ensure that delegates are able to stay in touch with areas that are of interest to them by capturing their details for future communications activity Listening to our customers Just as important as communicating our messages to delegates, we are also attending this event to listen to our customers and stakeholders and learn more about the topics and issues that are of interest/concern to them.
  • 4. 4 Copyright © 2014, Health and Social Care Information Centre. 4. Key messages The overall messages to be communicated will underline the purpose of the organisation: We provide information, data and IT systems for commissioners, analysts and clinicians in health and social care The headline messages and photography featured on the stand graphics will highlight some the ways we are supporting the health and care system including: Photography Headline and story Making the better use of health and care information Photo: Carol Robertson (Paramedic, North West Ambulance Service) NHS Pathways is a suite of clinical assessment content used to triage telephone calls from the public, based on the symptoms they report when they call. It has an integrated Directory of Services which identifies appropriate services for a patient’s care if an ambulance is not required. A mobile version of the directory was developed for use by clinicians to direct patients to a service that is most suitable for their needs following a face to face assessment. Carol and her colleagues at the North West Ambulance Service were amongst the first in the country to use the NHS Pathways mobile directory during its pilot year. Working with partners to raise awareness of health issues Photo: Kerry McLeod (Heart Health Multimedia Manager) and Ceri Jones (Head of Programme) of the British Heart Foundation Kerry and Ceri collaborated with the NHS Choices team and Public Health England to develop, launch and promote the Heart Age tool. Launched on Valentine’s Day, the tool appeared on both the NHS Choices and British Heart Foundation websites and was aimed at making any high risk users (over 40 years old) more aware of their blood pressure and cholesterol levels as these are key indicators for heart health. Since the launch over 450,000 visitors to NHS Choices have completed the Heart Age test.
  • 5. 5 Copyright © 2014, Health and Social Care Information Centre. Helping organisations get the best from technology Photo: Deirdre Lyons (Consultant Obstetrics and Gynaecology) of Imperial College Healthcare NHS Trust Our Local Service Provider teams help NHS organisations to select IT systems providers and then work with them and their suppliers to successfully implement the solutions. Last year we worked with Imperial College Healthcare NHS Trust and their suppliers BT to implement the Cerner Millennium patient administration system and start the roll-out of electronic health records across their estate. Deirdre and her team were involved in the pilot programme and are now benefitting from the increased access to care information that the system provides.
  • 6. 6 Copyright © 2014, Health and Social Care Information Centre. 5. Bringing the messages to life The programmes, products, systems and services that will feature on the stand will support the headline messages. Headline Supporting programme, product, service or system Making the better use of health and care information Data Access Request Service Data Services for Commissioners Electronic Prescription Service Focus on the Health and Care of young People Indicator Portal NHS Pathways Intelligent Data Toolkit NHS Pathways Mobile Directory Summary Care Record Helping organisations get the best from technology Electronic Prescription Service GP2GP GP Systems of Choice Health and Social Care Network NHS e-Referrals Service NHS Pathways Mobile Directory Summary Care Record Working with partners to raise awareness of health issues Child Protection – Information Sharing NHS Choices heart age checker Briefing notes and key messages for many of these programmes, products and services are detailed in the appendices at the end of this document.
  • 7. 7 Copyright © 2014, Health and Social Care Information Centre. 6. Capturing delegate details and logging enquiries A web page has been created for capturing the details and preferences of delegates so that we can stay in touch with them about the products, services and programmes that are of most interest to them. The survey will be available via all the tablets on the stand and is located at  https://www.surveymonkey.com/r/HSCIC_event_signup This link will be on the “Quick Links” document that will loaded onto all of the tablets The form can be used by stand staff to:  Record the details of delegates including the areas of our work that they would like to receive further information on or be kept up to date about  Log an enquiry that stand staff are not able to answer for follow up after the show  Capture the details of a delegate who has directly requested a follow up call or email on a particular topic after the show
  • 8. 8 Copyright © 2014, Health and Social Care Information Centre. 7. Stand staffing The main HSCIC stand (K60) will be staffed by members of the communications team as well as support staff from various programmes and services as detailed below. Details of staff working on the stand: 24-25 June  Charlotte Tye, Events Manager – Tel: 07801 540 514 (Stand Manager)  Duncan Graham, Communications/Stakeholder Engagement Manager  Kathryn Knight, Section Head, Primary Care Domain  Kate Croft, Head of Statistical Response Unit  Dr Peter Short, Directorate Professional Lead 24 June only  David Shapland, Corporate Communications Manager  Mandeip Kaur, Communications Executive  Dr Neil Jones, Senior Clinical Advisor 25 June only  Ben Pace, Senior Information Analyst, Benefits and Utilisation  Caroline Symes, Communications and Stakeholder Engagement Manager NHS Pathways additional support In addition to the staff above NHS Pathways have two experts on the Intelligent Data Toolkit who will be available in the networking area of the stand during busy periods to demonstrate the system to commissioners who would like to see the system. Any commissioner interested in seeing a demonstration should be encouraged to return to the stand during the times or be logged on the data capture form for a call back after the show by the NHs Pathways team. Scott Denton and James Yates will be available to give demonstrations of the IDT at the following times on both days of the show which coincide with breaks on the speaker programmes:  11.35-12.00  13.30-13.45
  • 9. 9 Copyright © 2014, Health and Social Care Information Centre. 8. Stand opening times and peak traffic periods During the conference, the stand will be open during these times;  08.30 - 17.45 on Wednesday 24 June  08:30- 16:45 on Thursday 25 June We anticipate that the busiest times on the stand on both days will be:  08.30 - 09.25 Registration and Networking  11.35-12.00 Conference Break and Exhibition Visit  13.05-14.00 Lunch and Exhibition Visit  15.05-15.40 Conference Break and Exhibition Visit Staffing the stand at peak periods Please could all stand staff ensure that they are available on the stand at these peak times to talk to delegates and answer their questions. Note that, at this event all Delegate/Exhibitor badges will provide access to any of the conference sessions so, during quiet periods you are encouraged to identify and attend sessions that are of interest to you.
  • 10. 10 Copyright © 2014, Health and Social Care Information Centre. 9. Speakers There are seven speakers from the HSCIC contributing to the ‘Technology First’ stream of the conference. The schedule for these sessions, all of which will take place in the ‘Healthcare Technology’ theatre (theatre 8) is below: 24 June 25 June 14.35-15.05 Speaker: Eve Roodhouse, Programme Director for Care.data Title: Working with care.data pathfinder CCGs Synopsis:  Overview of the approach taken  Description of the work carried out with Pathfinders by the Care.data programme  Update on progress and summary of findings so far  Next steps 10.30-11.00 Speaker: Kingsley Manning, Chair Title: Information and technology for better care Synopsis:  Introduction to the Health and Social Care Information Centre  Overview of the HSCIC’s new strategy for 2015-20  Highlighting some of the important work that is underway to support the strategy 16.20-16.50 Speaker: Peter Kidd, Programme Head for Busting Bureaucracy Title: Minimising burden and bureaucracy in health and social care Synopsis:  Overview and objectives of the programme  Phase 1: findings from our work with acute trusts  Phase 2: working with mental health and community trusts  Key themes emerging from the field work 12.00-12.30 Speaker: Martin Warden, Programme Director for GP Systems of Choice Richard McEwan, Senior Solution Architect Title: Integrating GP IT systems Synopsis:  An overview of GP Systems of Choice (GPSoC)  A focus on system integration and interoperability under GPSoC  Hear from one of HSCIC’s lead solution architects working on interoperability  What might the future hold?
  • 11. 11 Copyright © 2014, Health and Social Care Information Centre. 14.35-15.05 Speaker: Kemi Adenubi, Director for Commissioning, Finance and Data Services (with Ming Tang from NHS England) Title: Update on Data Services for Commissioners Synopsis:  Overview of Data Services for Commissioners  Future operating model explained 15.45-16.15 Speaker: Haroona Irshad-Franklin, Senior Responsible Owner for the Health and Social Care Network, Department of Health Title: The Health and Social Care Network Synopsis:  Background to the Health and Social Care Network (HSCN)  A blueprint for the new service that will integrate health and social care  Progress update on implementation and what’s coming next. We also have one speaker for the ‘Adult and Children’s Services’ stream of the conference. The schedule for this session is below and will take place in the ‘Adult and Children’s Services’ theatre (theatre 12). 25 June 09.25 – 09.55 Speaker: Kate Croft, Section Head for Benefits and Utilisation Title: Focus on the Health and Care of Younger people Content:  Highlights from a new statistical publication that provides wider picture of younger people's health and lifestyle by pulling together data on hospital activity, mental health, social care, prescribing, lifestyles, and census data
  • 12. 12 Copyright © 2014, Health and Social Care Information Centre. 10. Hints and Tips for Stand Staff Even if you’ve worked on a stand before it’s worth you refreshing your memory on these guidelines. Generally it is important to remember that delegates’ opinion of the HSCIC will be shaped by their experience on our stand and the staff they meet and interact with. Please do…  Make eye contact  Ask open questions  Listen to the answers  Ask the person about their reasons for attending the event  Ask about their job role/organisation/business  Ask about their problems and be sympathetic  Smile and be enthusiastic  Demonstrate open, receptive body language  Be proactive and engaging  Keep the stand clean and tidy Please always… … ask delegates what they would be interested in finding out more about after the show and sign them up to receive further communications from us using the data capture form Please don’t…  Open a conversation with “Can I help you?” or “Are you alright there?” Introduce yourself and ask delegates who they are, what they do and what they are interested in  Eat or drink on the stand – there will be areas throughout the venue where you can take a rest and meal breaks  Sit on chairs at the stand unless you are talking to delegates  Chat with colleagues on the stand if there are delegates waiting for attention  Read books, magazines or newspapers  Work on your laptop  Make phone calls Practical considerations…  Wear sensible shoes  Make sure that you can take layers of clothing off if the exhibition hall gets hot  Make sure that you stow personal items (handbags, coats etc.) in the cloak rooms provided at the venue  Keep valuables (phones etc.) with you at all times  Lock down any equipment you are not using
  • 13. 13 Copyright © 2014, Health and Social Care Information Centre. Appendix A: GP Systems of Choice activity briefing 24-25 June GP Systems of Choice (GPSoC) Framework Zone Stand I40 Discover the products and services available under ‘GP Systems of Choice’ through a series of supplier presentations and talks from the GPSoC team. The GPSoC Framework Zone will host a two-day schedule of short (20-minute) presentations from:  14 different GPSoC Suppliers will be talking about the products and services they’re making available under the three GPSoC frameworks. The schedule of presentations within the Zone will be available as a PDF on the ipads on the HSCIC stand  At 10.30 and 14.00 on each day of the show Glenn Collett, GPSoC Programme Manager will present a practical and high-level overview of the frameworks that will help to contextualise the supplier presentations that follow. GPSoC team members will be around in the zone to answer questions and have one to one conversations. All GPSoC suppliers exhibiting at the show will be given a violet “GPSoC Framework Supplier” label for their facia board to link them with the GPSoC Zone. The GPSoC framework zone will be of particular interest to:  GPs and Practice Managers (i.e. users of GP clinical IT systems)  CCGs and CSUs (i.e. the people that place GPSoC orders on behalf of their users)  Practices currently on the Local Service Provider (LSP) contract which expires next year 25 June GP Systems of Choice speaker in the ‘Technology First’ theatre 12:00-12:30 – “Integrating GP IT systems” Martin Warden, Programme Director, will be speaking about where GPSoC has come from, where we are now, where we’re headed in the future and what challenges we’re working to address. He’ll then hand over to Rich McEwan (Senior Solution Architect) who’ll talk in more detail about integration and interoperability under GPSoC. They’ll then spend 5 minutes at the end of the session answering questions from the floor and directing people back to the GPSoC Zone for more detailed conversations.
  • 14. 14 Copyright © 2014, Health and Social Care Information Centre. Appendix B: NHS Pathways briefing What is NHS Pathways?  NHS Pathways is a clinical assessment tool used by urgent and emergency care teams for direct patient care.  It triages 14 million calls a year from the public made to NHS 111, 999 and the GP out- of-hours service.  Calls are triaged based on the symptoms reported. People who are seriously ill receive a direct ambulance dispatch, while others are matched to a local service that meets their clinical needs.  NHS Pathways comprises an electronic clinical assessment tool and an integrated directory of 60,000 clinical services across the country. Clinical governance  NHS Pathways clinical content has been extensively reviewed and is actively supported by the Royal Colleges through the National Clinical Governance Group who hold NHS Pathways to account and provide expert guidance on the latest clinical evidence and decision making within the system Training  There is strong evidence that the quality of user training and probing skills has a marked impact on system performance and by using the training tools provided by the NHS Pathways team enables effective reduction in 999 referrals.
  • 15. 15 Copyright © 2014, Health and Social Care Information Centre. Pressure on A&E (Emergency Department)  NHS Pathways does not increase pressure on A&E. Only 3.6% of total A&E activity was referred by NHS 111 during October to December 2014. See graph. Intelligent Data Tool (IDT) – launching from late summer 2015  Online dynamic tool, providing graphical representation of data for Commissioners and the NHS.  Range of filters available to enable flexible reporting.  Outcome/call sorting for every call triaged using NHS Pathways in approximately 90% of Pathways user sites (over 6 million calls and counting)  Service Referrals from NHS Pathways sites including, services selected, rejected, displayed and service type referral trends  Symptom Trends – graph providing a view of call volumes for symptom groups. E.g. dental, flu and headaches  DoS Gap – information about services which were not returned from DoS due to only failing one search criteria. This information can assist Commissioners in understanding care provision and identify where changes may be needed to support commissioning strategy.  Data sent to IDT from Providers approximately 15 minutes after a call is closed.  Graphs and tables can be exported via PDF. Detailed data can be exported via CSV.  Expected to be available to Commissioning Organisations late summer 2015. (Provision for 2 licenses per CCG – free of charge). 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 2013-14 Oct- Dec 2013-14 Jan- Mar 2014-15 Apr-Jun2014-15 Jul-Sep 2014-15 Oct- DecTotal A&E Attendances Series5 111 Total Triaged Calls 111 Recommend Attend A&E 111 Ambulance Dispatches
  • 16. 16 Copyright © 2014, Health and Social Care Information Centre. Mobile Directory – national rollout from August 2015  For use by NHS Clinicians to search for services to refer patients to on mobile or desktop devices  Quick and easy to use.  Pilot completed by paramedics in a number of Ambulances services to provide alternative services other than referral to emergency departments  Searching can be completed by service type or by symptom, time frame, location.  Appropriate services are returned to user so that referral can be made by the NHS Clinician Useful links A number of communications resources are available for NHS Pathways including a series of myth-busting videos. These can be accessed from our website:  Comms resources - http://systems.hscic.gov.uk/pathways/comms  Myth buster videos- http://systems.hscic.gov.uk/pathways/mythbuster
  • 17. 17 Copyright © 2014, Health and Social Care Information Centre. Appendix C: Focus on the Health and Care of Young People report Key message HSCIC publishes over 260 national reports on health and care statistics each year. These support one of our strategic priorities to ‘Make better use of health and social care information’. The launch of the ‘Focus On…’ is one of the most high profile releases of the year and its findings will be of interest to commissioners, local authorities, public health specialists and researchers alike. Report launch 25 June ‘Adult and Children’s Services’ theatre 09:25-09:55 – “Focus on the Health and Care of young People” This new report pulls together a number of short facts related to the health and care of the young person (people under 25 years old). It is being published at 9.30am on Thursday 25 June and Kate Croft will present some of the key findings at the Commissioning show. Kate and Ben Pace will be on the stand on Thursday to answer detailed questions about this publication and other HSCIC data and statistics. About the report The Focus On data is mainly from HSCIC, and has been produced to increase users’ awareness and use of HSCIC data. Other data is included to provide context, for example it includes birth and population ethnicity data from ONS. The first half of the report provide information specific to three age groups: 1) New-borns and Infants 2) Childhood 3) Teenage Years and Young Adulthood. The second half looks at variation that exists within specific care settings (GP Prescribing, Accident and Emergency, Hospital Inpatients, Workforce data) across these age groups. The publication does not delve into great detail, however more detail is available in a range of other publications, and links to these are provided at the bottom of each slide. Spreadsheets of regional data (where the breakdowns are available) are also being published alongside the main publication. Regional data is available for smoking in pregnancy, immunisations (5in1 and MMR), obesity (need to check – there may be some more regional data).
  • 18. 18 Copyright © 2014, Health and Social Care Information Centre. Appendix D: NHS e-Referral Service, Electronic Prescription Service and Summary Care Record key messages NHS e-Referral Service  The new service replaced the old Choose and Book system a week ago.  NHS e-referrals is used for 52% of all bookings (40k a day) If it was 100% it would save the NHS £50m.  We are working with clinicians and commissioners to schedule the enhancements to the system to help achieve a paperless NHS by 2108. Electronic Prescription Service  The Electronic Prescription Service is saving clinicians’ time and helping them provide better care for patients. 56% of GP practices offer EPS and deployment continues as quickly as the NHS can deliver.  Over 13m patients have nominated a pharmacy to get their electronic prescription.  GPs should be able to prescribe controlled drugs electronically by the end of 2015 increasing, efficiency, improving safety and reducing fraud even further.  By 2016 it is anticipated all prescriptions will be electronic. Summary Care Record  Over 95% of patients have a Summary Care Record (Shows medication, allergies and adverse reactions). Accessing the record, with patient consent, improves the quality of patient care and saves time.  Using the SCR can save around 30 minutes in hospital admissions  Access to the SCR is being extended, following an announcement by DH of funding, for community pharmacy to have access to the SCR.  The ability to include additional information, where the patient wishes is being rolled out. This can include information on conditions such as diabetes and end of live care plans.  The SCR team can provide more information – They are on stand L65 (adjacent to main HSCIC stand)
  • 19. 19 Copyright © 2014, Health and Social Care Information Centre. Appendix E: Data Services for Commissioners briefing 25 June Data Services for Commissioners speaker Kemi Adenube in the ‘Technology First’ theatre 14:35-15:05 – “Update on Data Services for Commissioners” Update on Data Services for Commissioners The service provided by the Data Services for Commissioners (DSfC) programme enables the intelligent commissioning of £90billion of health and social care services across England, with the minimal, safe and efficient use of personal confidential data (PCD), in line with legal requirements. Why do commissioners need Data Services for Commissioners? Commissioners of healthcare services need to plan and commission in their local area through analysis of actual and projected use of services across all parts of the care economy. This modelling requires access to information about the care provided to patients, their hospital stays and patient journeys. Care commissioners do not provide direct patient care, and therefore they have no legal basis on which to access personal confidential patient information. Under the Health and Social Care Act 2012, the HSCIC has legal powers as an Accredited Safe Haven (ASH) to collect, hold and process data for purposes other than the direct provision of patient care. What is Data Services for Commissioners? Data Services for Commissioners is an intermediary service provided at the direction of NHS England and specialises in capturing, processing and packaging patient information in a format that commissioners can legally use. The service allows the appropriate commissioners to access relevant data for their defined purposes, without compromising patient confidentiality, or statutory legal requirements
  • 20. 20 Copyright © 2014, Health and Social Care Information Centre. around the use of this data. The programme also provides a gateway to specialist advice and support relating to the capture, analysis and sharing of data to support its efficient and lawful processing. Data Services for Commissioners helps Clinical Commissioning Groups (CCGs), NHS England Area Teams and Local Authority Public Health to plan and commission healthcare services in their local area and nationally. How is Data Services for Commissioners delivered? DSfC has established ten regional processing centres, known as Data Services for Commissioners Regional Offices (DSCROs). DSCROs perform their services with staff from Commissioning Support Units (CSUs) who are seconded into the DSCRO and work with data in the regional processing centres. These staff follow strict rules on accessing, analysing and processing data using systems that are separate to those used by CSUs. The powers granted by the Health and Social Care Act 2012 mean that staff are operating within an approved legal framework. How do these services help commissioners? Business intelligence provided by Data Services for Commissioners informs decisions relating to strategic and emergency planning, contract negotiation and performance management and enables commissioning bodies to identify patients at risk of conditions or diseases and plan preventative services in their area. The HSCIC’s status as an ASH allows Data Services for Commissioners to carry out complex analyses across different datasets and relating to individual patient journeys through health and care services e.g. in-patients, out-patients and A&E to be linked together for patients without identifying individuals. By defining and implementing standards; providing specialist advice, promoting best practice and dealing with around 1,000 ad hoc enquiries per year, Data Services for
  • 21. 21 Copyright © 2014, Health and Social Care Information Centre. Commissioners helps reduce the administrative burden on local commissioning organisations as well as the risk of unlawful or inappropriate handling of data. What are the future arrangements for the Service? The focus of future development of the service will be on improving healthcare outcomes through better commissioning insights and intelligence. HSCIC will provide a national service to deliver assured data services effectively and responsively. HSCIC will access and link patient confidential data using consistent pseudonyms. Commissioners will be able to obtain commissioning data using lawful gateways. Data sharing practices will be simplified and made more consistent. Where can I find out more and how can I get involved? To find out more about the DSfC programme, visit: www.hscic.gov.uk/dsfc; email us at: enquiries@hscic.gov.uk or call us on 0845 300 6016. As part of its work to develop the future model for the service, DSfC is engaging with commissioners to establish programme advisory groups and to mechanisms to gain input. For more information, please email us at: england.dsfc@nhs.net
  • 22. 22 Copyright © 2014, Health and Social Care Information Centre. Appendix F: Burden programmes briefing 24 June Burden and Bureaucracy speaker Peter Kidd in the ‘Technology First’ theatre 16:20-16:50 – “Minimising burden and bureaucracy in health and social care” Overview The Health and Social Care Information Centre (HSCIC) is the trusted national provider of high-quality information, data and IT systems for health and social care. HSCIC has a statutory duty to ensure the amount of time and effort involved in administration and bureaucracy is kept to a minimum to allow health and care professionals to devote as much time as possible to providing care to patients: HSCIC does this by:  Assessing and helping reduce the bureaucracy associated with data collections in health and social care  Assessing and advising on the burden imposed by national and local data collections on health and care organisations. Bureaucracy The estimated cost of national central returns is £75m and that figure will be increased substantially by the estimated burden of local collections. Audits In March 2014, the programme published the Busting Bureaucracy report into the administrative burden experienced by 16 acute trusts as a result of data collections. This report made a series of 22 recommendations to help acute trusts spend less time on paperwork, and more time on providing direct care.
  • 23. 23 Copyright © 2014, Health and Social Care Information Centre. A report on subsequent research with eight community and mental health trusts is due to be published in Summer 2014. Self-assessment toolkit and top ten tips As part of Busting Bureaucracy, the burden reduction service published a top ten tips and self-assessment toolkit providing a consistent means for trusts to assess the level of burden in their organisation and action plan to reduce it. More information: www.hscic.gov.uk/bb and bb@hscic.gov.uk Burden Advice and Assessment Service HSCIC introduced the Burden Advice and Assessment Service (BAAS) in July 2014. BAAS aims to reduce duplication and minimise the burden of data collections by:  Providing advice and criterial to developers of new collections, information standards and extractions  Assessing the value and burden incurred by introducing new information standards, collections and extractions  Making recommendations to the Standardisation Committee for Care Information (CSSI) regarding whether to accept or reject proposals  Conducts a rolling review to assess and report on the level of burden associated with national and local data collections  Will make recommendations to the Secretary of State for Health in April 2016. More information: http://www.hscic.gov.uk/baas and baas@hscic.gov.uk Data Collections Burden Reduction Service (DCBR) A part of BAAS, the Data Collections Burden Reduction Service (DCBR) is a simple and confidential way to allow data providers such as hospital trusts to refer data collections they feel would benefit from further scrutiny.
  • 24. 24 Copyright © 2014, Health and Social Care Information Centre. Anyone working in the NHS who feels that data collections conducted by their organisation seem unnecessary, or that the administrative burden of work required to run the collection outweigh its benefits can contact the DCBR team and ask them to investigate. Each referral receives an objective and reliable evaluation of the data by looking at the quality and suitability of collection and its value to the NHS. More information and to refer a collection: www.hscic.gov.uk/dcbr
  • 25. 25 Copyright © 2014, Health and Social Care Information Centre. Appendix G: N3 and Health and Social Care Network (HSCN) briefing 25 June Health and Social Care Network speaker Haroona Irshad-Franklin (DH SRO) in the ‘Technology First’ theatre 15:45-16:15 – “The Health and Social Care Network” N3 and HSCN N3 is a robust and reliable national broadband network making it possible for health and care organisations to exchange information efficiently and securely with each other and access information, data and national applications. The contract with the current service provider ends in June 2016. The future Health and Social Care Network (HSCN) solution is being defined in consultation with users and suppliers to meet emerging health and care requirements. N3 users will continue to be able to access live N3 services and order new services while future services are established. Funding arrangements for the future network will be confirmed later in 2015. Health and social care landscape The Health and Social Care Act 2012, Care Act 2014 and NHS England Five-year Forward View introduced new responsibilities and models of health and care where:  Care is organised around patient need and provided by multiple agencies across primary, secondary care, mental health and the community etc. needing to exchange information and data with each other and nationally;  Mobile working and use of portable devices are ubiquitous requiring high bandwidth connectivity almost anywhere; healthcare professionals, patients and carers connect and collaborate virtually from e.g. trusts, partner organisations and in the community
  • 26. 26 Copyright © 2014, Health and Social Care Information Centre.  Diagnosis, consultations treatment and monitoring of patients can be done remotely (tele-health/tele-monitoring); administration e.g. referrals, discharges, prescriptions and test results are transmitted electronically  Patients take responsibility for their own health; authorised care professionals, patients and carers can access healthcare applications, information and rich personal data. Network requirements – guiding principles Information and technology are fundamental to realising transformation in health and care service delivery [The National Information Board’s (NIB) Framework for Action and HSCIC Information and Technology for Better Care]. The blueprint for the network is underpinned by a set of guiding principles developed from stakeholder consultation and review:  A robust and network providing high speed internet connectivity constructed to support access and exchange of information to Government Secure standards  Transition from a dedicated network towards an open and internet-based solution to support integration of care and give open and remote access to national IT services  Agile and incremental programme delivery to accommodate changing demand and support continual improvement  A flexible [disaggregated operating model [multiple providers] to control and reduce costs [by a target 20%] and take advantage of new technology. Market engagement Since Autumn 2014, HSCN has been engaged with users and systems suppliers to determine the extent and configuration of the existing N3 network and test the feasibility of alternative models for future provision. The programme has conducted a series of pilots with a small number of sample users to explore the feasibility of existing configurations and future changes and with systems suppliers to identify the potential for cost savings through transition and exit.
  • 27. 27 Copyright © 2014, Health and Social Care Information Centre. Following Her Majesty’s Treasury approval of the Programme Business Case in May 2015, these and other consultations will inform the development of the Outline Business Case and procurement of the new solution from Q3 2015 onwards. Find out more and contact us Attend Haroona Franklin’s presentation at the Healthcare Technologies Theatre on Thursday 25 June from 15:45 – 16:15. Find out more at http://systems.hscic.gov.uk/hscn and www.n3.nhs.uk. Organisations with an N3 connection have a designated N3 Implementation Manager assigned by N3 to their organisation. Sign up to HSCN bulletins: http://systems.hscic.gov.uk/hscn/signup
  • 28. Event Briefing: Commissioning 2015 28 Copyright © 2014, Health and Social Care Information Centre. Appendix H: GP2GP briefing What is GP2GP?  The GP2GP service allows the rapid, secure transfer of the electronic patient health record between GP practices when patients change their GP. Previously records were transferred by paper using a ‘Lloyd George’ envelope.  It improves patient care as the new GP will have knowledge of the patient's current medication, drug interactions, current problems and past medical history, resulting in enhanced patient safety and more focused consultations from day one enabling better continuity of patient care.  GP2GP was developed in order to deal with inefficiencies and risks relating to how patient health records are transferred in the 3.5 million instances per annum when patients change their registered GPs in England.  Available on 3 of the 4 principal clinical systems; TPP, EMIS & INPS. Microtest will be available later in 2015.  Over 95% practices are now registered to use GP2GP. Benefits of the service: Improved safety  There are fewer transcribing errors and omissions because the need to key in information from paper records will be massively reduced.  Allergies and Adverse Drug Reactions are flagged for review for new patients, resulting in safer prescribing of new drugs after a GP2GP patient record transfer Clinical time savings  Electronic health records more likely to be available during initial consultations.  GP2GP allows the NHS to preserve the usability of rich data accumulated in patient records, such as history of blood results for diabetics, rather than losing it every time a patient moves between practices – which means fewer requests for duplicate lab tests Administrative time savings  Administrative support teams will have to spend less time processing incoming patient records due to the richness of the information available electronically. Version 2 – Launching from Summer 2015 A new version of GP2GP will launch from this summer and includes a number of benefits for practices and patients: Large messaging  Records greater than 5MB in size and /or containing more than 99 items can now be transferred. This reduces the time and effort spent summarising paper records and ensures a continuity of care for patients with complex health needs.
  • 29. Event Briefing: Commissioning 2015 29 Copyright © 2014, Health and Social Care Information Centre. Reduction in printing  The printing and scanning of records in practices will be reduced as once the electronic health record is received a message will be sent to the old practice to advise if any printing is required. This will prevent records being printed and scanned unnecessarily. Better re-registration for returning patients  Patients who temporarily move to a new practice (such as students) can now be fully integrated back into the returning practice system, supporting the lifelong electronic health record for patients. Useful links A number of communications resources are available for GP2GP including a factsheet and animated guide, these can be accessed from our website: http://systems.hscic.gov.uk/gp2gp/communications