Date post: | 03-Jan-2016 |
Category: |
Documents |
Upload: | candace-ford |
View: | 29 times |
Download: | 0 times |
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