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DOTI North - Data and Design; Manira Ahmad

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Manira joined NHS National Service Scotland in May 2015, and was appointed to lead the deployment of Local Intelligence across Health and Social Care. Within the first year the Local Intelligence Support (LIST) were embedded across all Integration Authorities in Scotland and resulted in co-designing linked data across multiple care sectors to support improved decision making.

In 2016 Manira’s remit increased, providing analytical expertise deployed across Scottish Government. From 2017 Manira has been accountable for developing the intelligence and informatics offering across Primary Care to support the newly formed GP Clusters, whilst co-designing a “whole system”. In addition, from 2018 Manira is been leading the data and intelligence design for Regional Planning across Scotland.

Published in: Design
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DOTI North - Data and Design; Manira Ahmad

  1. 1. Harnessing the Power of Data… Improving Outcomes @ManiraAhmad #DOTI #DataFest19
  2. 2. 14 ‘territorial’ NHS Boards and 8 ‘special’ Boards NHS Education for Scotland NHS Health Scotland NHS National Waiting Times Centre NHS24 Scottish Ambulance Service State Hospitals Board for Scotland NHS Healthcare Improvement Scotland NHS National Services Scotland
  3. 3. “To transform information into evidence for action to protect and improve health and well-being in Scotland”
  4. 4. The Data Landscape in Scotland #DOTI #DataFest19
  5. 5. The data landscape Every week in Scotland data are collected on around : 1,000 Births 15,000 Out of Hours attendances 20,000 Screened for cancer 30,000 Hospital admissions 30,000 A&E attendances 40,000 NHS eye exams & tests 90,000 NHS dental treatments 200,000 Outpatient clinic attendances 500,000 GP practice consultations 2,000,000 Drugs dispensed
  6. 6. 7 Supporting Integrated Service Delivery Driving Population Outcomes Underpinning Quality and Effective Care Delivery Enabling Better Personal Outcomes Service Delivery Outcome improvement Individual Level Population level Opportunity to drive value – NSS I&I current position At/near maximum Delivering value Delivering some value Yet to be explored Our Primary Objectives
  7. 7. Public Health Reform
  8. 8. Understanding the wider determinants of health Contributions of health outcomes We have to concentrate action on all fronts Health Behaviours 30% Socioeconomic Factors 40% Clincal Care 20% Built Environment 10% Smoking 10% Education 10% Employment 10% Income 10% Family/Social Support 5% Community Safety 5% Diet/Exercise 10% Alcohol use 5% Poor sexual health 5% Access to care 10% Quality of care 10% Environmental Quality 5% Built Environment 5%
  9. 9. Supporting Our Customers #DOTI #DataFest19
  10. 10. ‘Actionable intelligence’ Translation Intelligence Data Our direction of travel
  11. 11. Analytic capabilities ‘Actionable intelligence’
  12. 12. Knee Replacements
  13. 13. Reality Knee Replacements
  14. 14. Our Local Approach #DOTI #DataFest19
  15. 15. Traditional Hierarchy
  16. 16. …what actually happens
  17. 17. LIST Local Deployed Support • Resource Based Locally • Access to Specialist Skills • Enabling access to national resource and support • Support Local Priorities • Facilitate Local Discussions • Sharing Best Practice • Share Skills, Knowledge and Expertise HSCP GP Clusters CPPs Third Sector Supporting Health & Social Care Integration LIST Local Intelligence Support Team
  18. 18. Iterative Structure
  19. 19. Culture
  20. 20. Local Focus East North ISD Specialist Teams West West East North North Centre Local Local Local Local West Centre Local Local Local Local East Centre Local Local Local Local ISD Specialist Teams Local Local Local Present In the past
  21. 21. What have we been doing Diabetes Prevalence Demand and Capacity ACP And Frailty Risk Prediction Chronic Pain Management Cancer Pathways Appointments Prescribing Home Visits Admissions and re- admissions
  22. 22. What have we been doing Prisoner & Homelessness Child Health Substance Misuse, Poverty & Impact on Children Play & Early Intervention Services Perth & Kinross Association of Voluntary Services Erskine Hospital ANP service evaluation Leuchie House – Respite Care Services ALLIANCE on Dementia Resonate Social Enterprise Organisation Custodial Medical Care & Medical Forensic Services
  23. 23. Making an impact with data locally Our Stories
  24. 24. ….last weeks book club
  25. 25. What’s Next… #DOTI #DataFest19
  26. 26. A Single Sign-on: our aspiration
  27. 27. Discussion #DOTI #DataFest19
  28. 28. Policy Context #DOTI #DataFest19
  29. 29. Solutions for Scotland Four major programmes: Health and Social Care integration “Optimising and joining up balanced health and care services, whether provided by NHS Scotland, local government or the third and independent sectors” The National Clinical Strategy “Strengthen primary and community care, improve secondary and acute care focus on realistic medicine” Public Health Improvement “Create a clear set of national public health priorities for Scotland as a whole and streamline the current public health landscape” NHS Board Review “Review the functions of existing national NHS Boards to explore the scope for more effective and consistent delivery of national services and the support provided to local health and social care systems for service delivery at regional level”
  30. 30. NHS Forth Valley Practice Profiles Performance Reports Pharmacy Information A&E Frequent Attendees LIST Data collection and Linkage Local Deployed Support Policy Context
  31. 31. A&E Maternity BIRTH DEATH Child health surveillance Immunisation GP consultations Outpatients Hospital Admissions Mental Health Prescribing Screening Continuing care census Cancer registry Dental inspection Scottish birth record Substance misuse Clinical audits Most of our data sets offer 100% coverage Community Health Index – CHI seeded
  32. 32. A&E Maternity BIRTH DEATH Child health surveillance Immunisation GP consultations Outpatients Hospital Admissions Mental Health Prescribing Screening Continuing care census Cancer registry Dental inspection Scottish birth record Substance misuse Clinical audits new data! social care, local data, etc Most of our data sets offer 100% coverage Community Health Index – CHI seeded
  33. 33. Doing it Once for Scotland Video

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