Health System Reforms and the future of NHS ICTim Straughan

White Paper – Structure overview

White Paper - Core principles

White Paper key elements - structural

• DH becomes (smaller) Department of Public Health• Resources allocation and operational management

devolved to (lean) NHS Commissioning Board• Commissioning managed by GP Commissioning Consortia• Local Authorities take over PCT responsibilities for public

health improvement • SHAs and PCTs wound up• Monitor economic regulator • CQC quality inspectorate across health and social care

White Paper key elements – operational

• Increased choice and “voice” for patients – “no decision about me without me”

• Focus on outcomes; “NHS Outcomes Framework”; end to process targets

• Quality standards from NICE underpin commissioning and payment

• Money will follow patients; providers paid for performance

• Transparency and “information revolution”

White Paper key elements - financial

• £20bn efficiency savings by 2014

• NHS management costs cut by 45% by 2014/15

• De-layer and simplify NHS Bodies and DH; abolish quangos

Review of DH Arms Length Bodies

18 down to 8 -10 Deliver savings of over £180m by 2014/15

Clear future roles for: CQC (with new “HealthWatch England”) Monitor Health & Social Care Information Centre Medicines & Healthcare Products Regulatory Agency NICE NHS Blood & Transplant

White Paper

2.15 “We will ensure the right data is collected by the Health and Social Care Information Centre to enable people to exercise choice. We will seek to centralise all data returns in the Information Centre, which will have lead responsibility for data collection and assuring the data quality of those returns, working with other interested parties such as Monitor and the Care Quality Commission. We will also review data collections with a view to reducing burdens, as outlined in chapter 5. The forthcoming Health Bill will contain provisions to put the Information Centre on a firmer statutory footing, with clearer powers across organisations in the health and care system”.

6.7 “Placing the Health and Social Care Information Centre, currently a Special Health Authority, on a firmer statutory footing, with powers over other organisations in relation to information collection;…”

Key aspects of future HSC IC Role as highlighted in White Paper & ALB review

Standards

Data Collection Hub/Depository

Providing Linkage & Rules about Linkage

Custodian of national methodologies

Data Quality, Assurance,Accreditation

Reducing Burden

Access-Easy open, Syndication,

Sharing of Data

National & Official Statistics

PQs & Information for policymakers and ministerial briefing

NHS IC Customers

Future State??

Information Centre

RegulatorsMonitor/CQC

and NICE

Information Intermediaries

Public Health Service.Local Government.

Dept of Health

NHS Commissioning Board

GP Consortia

Providers Patients and Public

ProposalAugust

Forum17th Sept

EDG MtgsSept

Changed CustomerLandscape

Indicative Timetable

Commitment Date

Health Bill introduced in Parliament

Public Bodies (Reform) Bill introduced in Parliament

Autumn 2010

Shadow NHS Commissioning Board established April 2011

NHS Commissioning Board fully established

Public Health Service in place

NICE put on a firmer statutory footing

Monitor established as an economic regulator

Report on long-term funding of Social Care

Health and Social Care Information Centre put on a

firmer statutory footing

April 2012

Data Collection and Quality

•To have lead responsibilityfor data collectionand assuring the dataquality of those returns

National Data Repository

•To be the nationalrepository for dataacross health care,public health and adult social care

•To enable linkage of data within strong information governance

Better Access

•To make data widely available, for use by third parties, and to meet theneeds of a multiplicityof customers

Our Vision

The national source of Health and Social care information

How

Tier 1 Tier 2 Tier 3

Value AddedInformation

Services

Tools

TransactionalServicesOther Data

Sources

ResearchData

FinanceData

Workforce Data (+ESR)

Managing input from

NHS Sources

NHS Spine Data (PDS)

(but could be PSIS,

Medication Record Etc)

PR

EP

AR

AT

ION

Core Information presentation

PA

CK

AG

ING

LIN

KIN

G

EX

TR

AC

T S

ER

VIC

ES

Services Operated by IC

SUSDatabase

MakingPublic DataPublic

Tier 4

End Users

Services Operated byInformation Intermediaries

NHS IC Data & Information Access Model