Transcript Document
Social Care and Health Intelligence
Going Forward.
The context For Adult
Social Care
The vision for adult social care is laid out in Putting People
First, a document that spells out the direction for social care
for the next decade and beyond.
At its heart are four main themes:
Universal Services
• Access to the right services at the right time
• Information and advice available to all
Preventive Services
• Promoting longer-term independence without the need for
interventions
• Enablement and assistive technology
Choice and Control for people receiving services and their carers
• Shaping services to meet people’s needs
Building social capital
• Recognising the needs of carers
• Community cohesion and social inclusion
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What does this mean for the
Information Agenda?
Providing information to the general public to promote
healthier lifestyle choices,
Providing information for service users to inform selfdirected support, advocacy and brokerage,
Sharing information between Local Authorities to enable
them to benchmark progress and manage the transition,
Sharing information outside LAs – with PCT’s, with other
partner organisations eg Housing Agencies, with
regulators and central Government,
Transforming the performance frameworks to better
match the new priorities and make best use of the data
held by LA’s/PCT’s
Where are we now in Social Care?
• Only a small percentage of the social care information collected
by LAs is shared at regional or national level – and the notion
persists that social care is ‘data poor’
• LAs use different systems and providers to collect and hold
information – speaking the same language but in different
dialects?
• No structured or standard way in which information is collected
and stored
• Many gaps in the information needs of different organisations
• Information agenda out of alignment with requirements of
Personalisation?
• Imbalance between local and national priorities in performance
monitoring
• Numerous responsible bodies/organisations involved in different
aspects of information – new Strategic Information Programme
Board for ASC
Where must we be in 2011 – at the
latest?
• Accessible public information resources
• Structured care records accessible by the user
• Consistent recording of data for assessments, commissioning and
case management
• Information standards for data recording and storage to enable
interoperability and sharing across social care and health
• Operational sharing of performance data between LAs and the
centre via a data warehouse, facilitating benchmarking and
informing national policy
• Performance frameworks and national indicators better aligned to
shared priorities and supporting policy direction
Taking this forward….
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In developing a new, coherent strategy for adult social care and
health information, we need to consider how best to:
make better use of the information held by LAs – facilitate data
sharing for benchmarking locally and nationally
establish clear, common standards to underpin information
systems – make the same thing mean the same to everyone
be clear about the requirements of the centre – for policy,
assessment and regulation
align the different performance and assessment frameworks
with each other and with the transformation agenda
reduce reporting burdens – collect once and use numerous
times (COUNT)
Maintaining the status quo is not an option!
Standards: A Pre-requisite
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Interoperability
Developing them & implementing them
Content & technical
The Information Standards Board for
Health and Social Care
• The NHS Number as first exemplar
The information core
• Common Assessment Framework
(CAF)
• Social care/NHS record structures
• Data dictionary – for Social Care and
NHS
• Service user access to care record
• Mapping flows across organisations
THE NATIONAL ADULT SOCIAL
CARE INTELLIGENCE SERVICE.
(NASCIS)
• The First Key Step
• Proof of concept
• Project Board established and Project
Manager appointed
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NASCIS (continued)
• 8 Workstreams
Single repository/Data from other
sources/Analytics/Governance/Library/
Customer Service model/ Back
office/End stage road-map
• To launch July 2009 (Single repository,
Analytics, Library)
Still outstanding….
• Needs of service users – inform decision-making,
measure outcomes and effectiveness
• Wider perspective on information sharing – nonpersonal and personal data (a strategic review of this
is underway)
• Across the board links with NHS – health and social
care interfaces, Darzi pathways
• Managing the interface with childrens’ services –
transition
• Information needs to support commissioning, JSNA
Why will this be different?
• Political agenda
• Citizens’ expectations
• DH policy drivers (Information Strategy
Board)
• Chief Information Officer for DH
• Informatics across health and social
care now a priority