Social Care and Health Intelligence

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Social Care and Health Intelligence Going Forward.
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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 peoples 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
  self-directed support, advocacy and brokerage,
• Sharing information between Local Authorities to
  enable them to benchmark progress and manage the
  transition,
• Sharing information outside LAs with PCTs,
  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 LAs/PCTs

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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

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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

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Taking this forward.

• 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!

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Standards A Pre-requisite

• Interoperability
• Developing them implementing them
• Content technical
• The Information Standards Board for Health and
  Social Care
• The NHS Number as first exemplar

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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

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THE NATIONAL ADULT SOCIAL CARE INTELLIGENCE
SERVICE. (NASCIS)

• The First Key Step
• Proof of concept
• Project Board established and Project Manager
  appointed
• 
  /continued

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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)

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Still outstanding.

• Needs of service users inform decision-making,
  measure outcomes and effectiveness
• Wider perspective on information sharing
  non-personal 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

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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

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