The NIRS Programme

Presentation Objectives…

• Provide overview of the aims and objectives of NARS and HRSS

• Explain the current position and thinking behind the requirements for a Shared Infrastructure

• Overview of changes to NHS

What is NIRS Programme?

• NHS Information Reporting Service Programme

• The Vision for NIRS is to:– enable the collection of data from operational systems– provide reporting and analysis capability to support planning,

management, research, and auditing of public health at local, regional and national levels

What is NARS?

• The NARS project is part of NIRS Programme

• The vision for NARS is to:

Empower the NHS IC to adopt a more agile and self

sufficient approach in delivering analysis and reporting.

• The objectives for NARS are to:– enable the NHS IC to rapidly respond to the changing information

needs of the NHS and the Department of Health– provide a better and more responsive service to NHS IC

Customers– achieve productivity gains at reduced cost through a new more

“hands-on” approach

What is RCP Programme?

• Research Capabilities Programme

• The Vision for RCP is to:– enable better health outcomes for the public and patients

achieved through best value for the taxpayer– support the ambition to make the UK the preferred place to

carry out health research by building a nationwide health data and information platform that will enable health research to achieve its maximum potential

What is HRSS?

• Vision for RCP will be achieved through the Health Research Support Service (HRSS)

• The HRSS is intended to support and promote health research in the UK by:– increasing the range of data routinely available to support

health research– providing services and functions to prepare for and support

research– providing services and functions to protect personal information

when confidential processing is necessary, and to reduce the need to use data which identifies individuals

NARS vs. HRSS

• Similarities between HRSS and NARS:– Range of datasets– Data linkage and transformation– Database and data management requirements– Analysis capabilities– Data extract requirements

• Differences between HRSS and NARS:– HRSS a new service, NARS replacing and growing an

existing service (HES – Hospital Episode Statistics)– Different customer groups– Record level data vs. aggregate data – Different service providers

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NIRS Shared Infrastructure

NIRS Shared Infrastructure will:

• reduce duplication

• reduce cost

• reduce burden on data providers

• ensure consistency of data use

…while still:

• fulfilling the individual data requirements of HRSS and NARS

• allowing services to operate independently and separately

• providing a flexible platform capable of supporting additional data services

• being responsive to a changing business environment

NIRS Shared Infrastructure: Conceptual Model

NIRS Foundation Services

Develo

pm

ent

Sandpits

Data Marts

Transparency

Data investigation

Delineate services

Data access control

Different data requirements

Output design

Resource allocation

Data warehouse

Regular Processing

What’s happened?

Feb-Jun: Feasibility for NIRS Shared Infrastructure

Jun: Shared Infrastructure Requirements for review

May: Election

Jun-Jul: ICT project review

Sept: Information Strategy

Oct: Capital Spending Review publication

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Secondary CareHospital Trusts (all FTs)

Mental Health (60) Ambulances (12)

Secondary CareHospital Trusts (170, 130 FTs)

Mental Health (60) Ambulances (12)

RegulatorsMonitor (economic);

Care Quality Commission (quality);

GP Commissioning Consortia(400-600?)

NHS Commissioning Board

Changing Landscape…

Secretary of State for Health

Department of Public Health

Strategic Health Authorities (10)

Primary Care Trusts(150)

Primary and community servicesGP practices (8,000)

Dentists (22,000) Opticians

Pharmacists (10,000)Community

RegulatorsMonitor (FTs)

Care Quality Commission

Clinical Standards NICE

Co

mm

ission

Specialise

d commiss

ioning

Department of Health

The Challenge…

• Different and changing customer groups

Researchers; GP’s; Commissioners; Trusts; Regulators; Patients and public; etc…

• Changing NHS landscape– Organisations merging and changing– Roles merging and changing– Data and reporting requirements changing

• Probably not for the last time…

We need a solution that can cope in this environment…

Next Steps…

• Publish (current) NIRS Shared Infrastructure requirements for comment

• Market sounding

• Assess impact of Comprehensive Spending Review (when available)

• Review scope and requirements for HRSS and NARS