Ailsa Claire: Commissioning Intelligence Programme


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Ailsa Claire, Director of Commissioning Development, NHS Yorkshire and Humber, talks on the Commissioning Intelligence programme: What have we learned so far?

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Ailsa Claire: Commissioning Intelligence Programme

  1. 1. Commissioning Intelligence programme update: what have we learned so far? Ailsa Claire Director of Commissioning Development NHS Yorkshire and Humber
  2. 2. <ul><li>‘ Information, combined with the right support, is the key to better care, better outcomes and reduced costs.’ </li></ul><ul><li>Equity & Excellence: Liberating the NHS </li></ul>The vision: government White Paper
  3. 3. <ul><li>lack of timely, patient focused data </li></ul><ul><li>lack of ‘order book’ information </li></ul><ul><li>issues with accuracy/data quality </li></ul><ul><li>reliance on out-of-date information </li></ul><ul><li>inefficient use of data − duplication of analytical data </li></ul>Commissioning Intelligence – universal issues
  4. 4. <ul><li>Patients should have access to information to make choices about their care. </li></ul><ul><li>People should be able to share their records with third parties eg, patient support groups, who can help patients manage their condition better. </li></ul><ul><li>Patients should have increased control over their own care records. </li></ul><ul><li>People should have access to information to help them look after their health. </li></ul><ul><li>Patients need more information on health care to enable them to share in decisions made about their care and available services. </li></ul>Patient choice and control
  5. 5. <ul><li>Increasing amounts of information needed about providers on: </li></ul><ul><li>• Safety: eg, about levels of health care-associated infections, adverse events and avoidable deaths, broken down by providers and clinical teams. </li></ul><ul><li>• Effectiveness: eg, mortality rates, emergency re-admission rates, and patient-reported outcome measures </li></ul><ul><li>• Experience: including information on average and maximum waiting times, opening hours and clinic times, and diverse measures of patient experience, based on feedback from patients, families and carers. </li></ul>Information to support choice & accountability
  6. 6. <ul><li>A culture of open information, active responsibility and challenge to ensure patient safety is priority. </li></ul><ul><li>To make aggregate data available in a standard format to allow intermediaries to analyse and present it to patients. </li></ul>Information sharing
  7. 7. <ul><li>Providers would have clear contractual obligations, with sanctions, in relation to accuracy and timeliness of data. </li></ul><ul><li>Commissioners and providers would have to use agreed technical and data standards to promote compatibility between different systems. </li></ul><ul><li>More information about commissioning of health care will also improve public accountability. Information about services will be published on a commissioner basis where possible. </li></ul>Commissioning
  8. 8. <ul><li>Why do we think it will be different this time? </li></ul>
  9. 9. <ul><li>Unique role of the NHS Commissioning Board AND of GP commissioners </li></ul><ul><li>Information revolution − o bligations to patients in relation to information </li></ul><ul><li>Information Centre has greater powers </li></ul><ul><li>Potential for shared information service </li></ul><ul><li>New support for commissioning arrangements </li></ul>
  10. 10. <ul><li>Intelligence needs of GP commissioning consortia </li></ul><ul><li>Patients need access to their care record. </li></ul><ul><li>National information standards must be set and adhered to. </li></ul><ul><li>One shared, virtual patient-level care record that supports care pathway-based commissioning. </li></ul><ul><li>Virtual patient-level care record based on NHS Number. </li></ul>
  11. 11. <ul><li>Intelligence needs of GP CC − continued </li></ul><ul><li>Systems should be inter-operable between care settings to allow commissioners to track patients through a pathway. </li></ul><ul><li>Integrated finance and activity data (inc ‘forward order book’). </li></ul><ul><li>Information must be more timely. </li></ul><ul><li>Data quality must be improved and be consistent across the country. </li></ul>
  12. 13. <ul><li>NHS Commissioning Board core functions and duties </li></ul><ul><li>To deliver strategic objectives and outcome domains </li></ul><ul><li>National leadership </li></ul><ul><li>Direct commissioning </li></ul><ul><li>Establishing, supporting and holding consortia to account </li></ul><ul><li>PPE & choice </li></ul><ul><li>Promoting equality & reducing Inequality </li></ul><ul><li>Collaboration & partnership </li></ul><ul><li>Quality improvement </li></ul><ul><li>Corporate governance </li></ul>
  13. 14. <ul><li>NHS Commissioning Board – Why is ‘intelligence’ important? </li></ul><ul><li>Intelligence will be a key enabler in supporting the NHS Commissioning Board (NHS CB) in discharging all of its core obligations </li></ul><ul><li>It is critical that the Commissioning Board’s role with respect to intelligence is correctly articulated and implemented </li></ul>
  14. 15. <ul><li>Government White Paper – Information Revolution </li></ul><ul><li>The role of the NHS Commissioning Board </li></ul><ul><li>Commissioning for quality improvement: </li></ul><ul><li>- Making information on commissioner performance available </li></ul><ul><li>Promoting public and patient involvement and choice: </li></ul><ul><li>- Commissioning information requirements for choice and for accountability, including through patient-reported measures. </li></ul><ul><li>NHS CB will need access to robust data to hold providers to account for quality and outcomes </li></ul><ul><li>The NHS CB would be responsible for setting and maintaining national information standards for the NHS </li></ul>
  15. 16. <ul><li>How might the NHS CB conduct its business with regards to intelligence? </li></ul><ul><li>NHS CB Intelligence Function to:- </li></ul><ul><ul><li>develop requirements and commission information services on a co-production basis with ‘trusted’ partner </li></ul></ul><ul><li>National Shared Informatics Service which would:- </li></ul><ul><ul><li>Provide solutions management (eg, technology to underpin information needs) </li></ul></ul><ul><ul><li>Manage market to deliver integrated information solutions </li></ul></ul><ul><ul><li>Provide technical expertise </li></ul></ul><ul><ul><li>Provide advice on governance and standards </li></ul></ul>