Minimising burden and bureaucracy in health and social care

presented by Nicholas Oughtibridge

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The scale of burden

• The estimated burden cost of national central returns is over £75m

• It is expected that the estimated burden cost of “local collections” would substantially increase this £75m figure.

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National Information Board

How better use of data and technology will help create a more efficient NHS, and reduce the administrative burden for care professionals.

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Our strategy

As part of our strategy for the next five years we will maximise the value and benefits that data can provide and minimise the administrative burden of data collection on care providers.

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Our responsibilities

The Health and Social Care Act 2012 gave the HSCIC statutory responsibilities to:

• seek to minimise the burden it imposes on others

• provide advice and guidance e.g. ways to minimise the administrative burden of data collections on the health and social care system

• conduct a three-year rolling review and advise the Secretary of State on how burden could be minimised.

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What have we done so far?

• Burden reduction plans based on the principle of the concordat, November 2013

• Audits in 16 acute trusts, March 2014• New burden assessment methodology, July 2014

• A confidential burden referral service, summer 2014• Eight mental health and community trust audits, January 2015• Three-year rolling review due, April 2016

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Concordat and burden reduction plansSignatories:

NHS EnglandMonitor

NHS Trust Development AuthorityCare Quality Commission

National Institute for Health & Care ExcellencePublic Health England

Health and Social Care Information CentreHealth Education EnglandHealth Research Authority

NHS Blood & TransplantMedicines and Healthcare products Regulatory Agency

NHS Business Services AuthorityNHS Litigation Authority

Human Fertilisation & EmbryologyAuthority

Human Tissue Authority

This concordat asks DH and its Arm’s Length Bodies (ALBs) to:

• collect data which is proportionate and with a clear business purpose

• not duplicate other data collections

• work through the HSCIC as the national base for all data

• review the need to collect the data regularly.

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Acute trust audits

Products and tools available at: www.hscic.gov.uk/bb

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Mental health and community trust audits

• Complex care settings with specific issues

• Understanding of mental health settings and KPIs set

• Joint commissioning models could reduce duplicate KPIs

• Cost-saving measures can be counter productive

• Non-compliance with the concordat.

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Burden assessment

• Assessment process to validate and challenge the level of burden

• Advice and assessment criteria

• Accurate measurement of costs and burden

• Central national collections register to prevent duplication

• Recommendations to Standardisation Committee for Care Information (SCCI).

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Three-year rolling review

• Review and publish a richer picture of burden 

• Consider national and local collections together

• Sharing of data collection good practice

• Challenge the need to collect

• Ensure collections meet stakeholder requirements

• Advise the Secretary of State on ways burden may be minimised.

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Burden referral service

The service offers a simple and confidential way to:

• refer data collections that might benefit from further scrutiny

• share good practice which may be useful to data collection owners or providers of information

  All referrals for further scrutiny receive an objective and reliable review of the data, looking at its quality and suitability of collection and value to health and social care.

Visit: www.hscic.gov.uk/dcbrform or contact baas@hscic.gov.uk

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Next steps

Mental health and community trust report

Work with ALBs to implement burden reduction plans

Burden minimisation portal

Case studies in collaboration with acute trusts

Deliver recommendations to Secretary of State

www.hscic.gov.uk/baasbaas@hscic.gov.uk