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Rabu, 22 November 2017

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Health and Social Care Network briefing with NHS Digital
src: www.techuk.org

NHS Digital is the trading name of the Health and Social Care Information Centre, which is the national provider of information, data and IT systems for commissioners, analysts and clinicians in health and social care in England, particularly those involved with the National Health Service (England).

Its work includes managing digital projects such as the NHS Spine, E-Referral service, NHS.UK and NHS Mail. It makes sure these and other national systems meet contractual, clinical safety and information standards. It also provides a range of specialist data services.

The organisation is an executive non-departmental public body of the Department of Health, and was re-branded as NHS Digital on 1 August 2016.

NHS Digital has taken on the roles of a number of predecessor bodies including the NHS Information Centre, NHS Connecting for Health, and parts of NHS Direct. The organisation produces more than 260 official and national statistical publications. This includes national comparative data for secondary uses, developed from the long-running Hospital Episode Statistics which can help local decision makers to improve the quality and efficiency of frontline care.


Video NHS Digital



History

The organisation was created as a special health authority on 1 April 2005 by a merger of parts of the Department of Health, parts of the NHS Information Authority, and the Prescribing Support Unit.

Following the Health and Social Care Act 2012, the HSCIC changed from a special health authority to an Executive Non-Departmental Public Body (ENDPB) on 1 April 2013. Effective at this time, HSCIC took over parts of the troubled NHS National Programme for IT (NPfIT) from the agency NHS Connecting for Health (CfH) which ceased to exist. It also runs the Health Survey for England (HSE).

On 20 April 2016, it was announced that HSCIC would be rebranding, changing its name to NHS Digital in July 2016.


Maps NHS Digital



Hospital Episode Statistics

Hospital Episode Statistics are collected into a data warehouse that records details of all admissions, outpatient appointments and A&E attendances at NHS hospitals in England. This enables health care providers to be paid according to levels of activity. It also provides data for a wide range of healthcare analysis.

Statistics have been collected since 1987. Before then a 10% sample was collected by Regional Health Authorities. Now the intention is to collect a detailed record for each 'episode' of admitted patient care delivered in England, either by NHS hospitals or delivered in the independent sector but commissioned by the NHS. There are details of around 16 million episodes of patient care per year. The basic counting unit for calculation in admitted care data is the finished consultant episode. This is the total time a patient spends under the care of an individual consultant. During the course of a hospital admission a patient may have more than one such episode.


NHS DIGITAL COMPOSITE: NHS and small boot print on white ...
src: c8.alamy.com


care.data

A programme called care.data was announced by the HSCIC in Spring 2013. It aimed to extract data from GP surgeries into a central database through the General Practice Extraction Service (GPES). Members of the English population who were registered with GP practices were informed that data on their health would be uploaded to HSCIC unless they exercised their rights to object by informing their GP. Data on patients who did not object would then be used in anonymised form by health care researchers, managers and planners including those outside the NHS such as academic institutions or commercial organisations. The use of identifiable data is governed by the common law on confidentiality, UK data protection legislation, the National Health Service Act 2006 and the Health and Social Care Act 2012. Identifiable data can only be released in compliance with those laws. Software and services are being provided by Atos which has itself received criticism for some of its other UK government projects.

Since its launch, the care.data program was controversial. Initially criticism focused around the lack of patient awareness of the programme, and the lack of clarity around options for opting out of the data extraction. The leaflet sent to households in England was criticised for only describing the benefits of the scheme, and not including an opt-out form. The programme was stopped in May 2014 and in October 2014 six clinical commissioning groups in four areas of England were selected to take part in a "pathfinder" programme involving 265 GP surgeries with 1.7 million patients across West Hampshire, Blackburn and Darwen, Leeds and Somerset.

A review by the Cabinet Office Major Projects Authority said to have been conducted in October 2014 concluded that the program had "major issues with project definition, schedule, budget, quality and/or benefits delivery, which at this stage do not appear to be manageable or resolvable".

Atos was criticised by the Public Accounts Committee in December 2015 and accused of taking advantage of the Department of Health and not showing "an appropriate duty of care to the taxpayer". The company is one of 8 suppliers working on the project and is to be paid £11.4 million, an increase on the original £8 million.

In June 2015, it was announced that the programme of data extraction would start again in Blackburn in September. In September 2015, it was announced that the programme had again been paused due to confidentiality concerns remaining unresolved.

The programme was abandoned in July 2016.


NHS Digital Chair Sceptical on Five Year Forward View Progress ...
src: healthcaretimes.co.uk


References


Papworth Hospital Trust on cyber security support from NHS Digital ...
src: i.ytimg.com


External links

  • NHS Digital official website
  • Key service: NHS Comparators
  • Key service: NHS iView
  • Key service: National Adult Social care Intelligence Service
  • Key service: National Diabetes Intelligence Service
  • Key resource: Statistical publications
  • Key resource: World Class Commissioning Datapacks
  • Key resource: Quality and Outcomes Framework
  • Key resource: Mental Health Minimum Dataset
  • Key resource: NHS data available via a REST API
  • Key resource: NHS data available via database download
  • Key resource: Portal for looking-up NHS Data

Source of the article : Wikipedia

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