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Ailsa Claire: Meeting the information needs of clinical commissioning groups

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Ailsa Claire, Transition Programme Lead patients and Intelligence, NHS Commissioning Board Design Team, discusses the information needs of clinical commissioning groups at The King's Fund's NHS Information Revolution conference.

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Ailsa Claire: Meeting the information needs of clinical commissioning groups

  1. 1. Meeting the information needs of clinical commissioning groups Ailsa Claire OBETransition Programme Lead Patients & Intelligence NHS Commissioning Board Design Team
  2. 2. The vision: Government White Paper“Information, combined with the right support, is the key to better care, better outcomes and reduced costs.” Equity & Excellence: Liberating the NHS
  3. 3. Context• No decision without me − fundamental change in the relationship with patients• Health service that is open, transparent responsive• Clinical evidence − effectiveness• Safety• Transforming patient experience• Outcomes
  4. 4. Patient choice and control• Patients access to information to make choices about their care.• People should be able to share their records with third parties eg, patient support groups, who can help patients manage their condition better.• Patients increased control over their own care records.• People should have access to information for self care and self-directed support.• Patients information on health care to enable them to share in decisions made about their care and available services.• ‘NHS like the internet for info and access.’
  5. 5. Intelligence context• Patient and public voice• Insight• Trustworthy open data intelligence• Consumer choice − channels• Technology to transform relationships
  6. 6. The CCG narrative• Clinical commissioning• Based on clinical practice• Focus on a patient, groups of patients and populations• Focus on self care, self-directed support• Care pathways not described in current PbR language• Procurement, contracting back room functions
  7. 7. Traditional information• Devolved down to practices• Not real time• Not connected to individual patient info• Not connected to finance• Often inaccurate or incomplete• Difficult to engage with• Focus on contract validation
  8. 8. Why do we think it will be different this time?
  9. 9. • Clinical commissioning will fail if things do not change.• The information revolution’s obligations to patients will not be achieved.• Unique role of the NHS Commissioning Board.• Unique role of GP commissioners.• Information Centre has greater powers.• New support for commissioning arrangements.
  10. 10. Intelligence requirements of CCGs• One shared, virtual patient-level care record visible at primary care that supports clinical practice and care pathway-based commissioning• Data and intelligence aggregated from the care record• Patients access to their care record• Risk stratification tools
  11. 11. Intelligence needs of CCGs – continued• Systems should be inter-operable between care settings to allow commissioners to track patients through a pathway• Integrated finance and activity data (inc. ‘forward order book’)• Information must be timely• Data quality must be improved and be consistent across the country• National information standards must be set and adhered to.
  12. 12. NHS Commissioning Flows - GPCC Potential Future State NHS Commissioning Board PCT Cluster Healthcare ‘Any Aggregated Willing Provider’ Primary Care Activity data Information Activity information for: • Annual Planning • Contract Monitoring • Ambulance GP Consortium / • Community • Commissioning Information • Performance Information • Acute Commissioning • Mental Health Support Unit • General Information for: Practice • Patient risk stratification • Other non- • Benchmarking Ability to share information NHS providers across consortium e.g. Third Sector, Local Authority etc GP / Primary Care Information for: • Health Care • Patient Choice • Decision support Patient level care • Patient empowerment record • Single authoritative source of patient level dataGovernance/Access Secondary data maps to • Data captured at pointOther organisations may primary care; of carerequire access to care Captured close to pointrecords e.g. Information of care;Centre; Social Care; Ability to track patientsPublic Health; LocalAuthority; Healthwatch; PatientCQC; NICE and Greater control overEconomic Regulator care record: • Access to electronic or Denotes : NHS Commissioners/Groups of otherwise commissioners • Ability to comment/challenge Denotes : Providers
  13. 13. Information sharing• A culture of open information, active responsibility and challenge to ensure patient safety is priority.• To make aggregate data available in a standard format to allow intermediaries to analyse and present it to patients.
  14. 14. Commissioning• Providers would have clear contractual obligations, with sanctions, in relation to accuracy and timeliness of data.• Commissioners and providers would have to use agreed technical and data standards to promote compatibility between different systems.• More information about commissioning of health care will also improve public accountability. Information about services will be published on a commissioner basis where possible.
  15. 15. Government White Paper – Information Revolution The role of the NHS Commissioning Board• Commissioning for quality improvement: - making information on commissioner performance available• Promoting public and patient involvement and choice: - commissioning information requirements for choice and for accountability, including through patient-reported measures• NHS CB will need access to robust data to hold providers to account for quality and outcomes• The NHS CB would be responsible for setting and maintaining national information standards for the NHS
  16. 16. The future• Intelligence to enable patients carers, public and those who support them to make the best decisions and choices they can.• Transform patient experience with information and technology.

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