Open Data Platform (ODP)Enabling Project Update13th March 2012

Project Summary

• Policy Context• Draft Investment Objectives• Enabling Project Deliverables• Procurement Principles• Key Themes from Stakeholder Engagement

Context (1)

NHS Reforms- Focus on quality and

outcomes- Respective roles of:- NHS Commissioning Board- Public Health England- NHS Information Centre

Transparency Agenda Current Information Provision

Information Strategy Themes-

Context (2)

NHS Reforms

Transparency Agenda- Government ICT Strategy - Open Data Commitments- e.g. Data for Life Sciences - Information Intermediaries Current Information Provision

Information Strategy Themes-

Context (3)

Information Strategy Themes- Future Forum proposals

- Electronic capture of records- patient access

- re-use for other purposes- information governance

NHS Reforms

Transparency Agenda Current Information Provision

Context (4)

Information Provision- SUS / HES

- NHS Comparators- MHMDS

- Community information (to come)

NHS Reforms

Transparency Agenda

Information Strategy Themes-

NHS Reforms

Transparency Agenda

Information Strategy Themes-

Information Provision

Open Data Platform

… as the basis for …

ODP Supports Secondary Use of Data

• ODP’s focus is on the secondary use of data which supports:– Population needs assessment– Risk profiling of populations– Service design and prioritisation– Review of service provision– Contract and financial management– Comparative data for performance management, benchmarking

and patient choice

Project Organisation:Enablement / Approvals Stage

• Sponsorship from NHS Commissioning Board• Project being led by the NHS Information Centre• Involvement and support from NHS Connecting for Health• Seeking input and support (and approval) from Cabinet

Office• And involvement from the NHS, suppliers, users ,,,

Draft Investment Objectives

1) To support reporting against the measures in the Outcomes Frameworks

2) To support current and emerging commissioning and NHS wide performance management information needs

3) To enable the capture and linkage of person-centred health and care data in pathways across care settings providing information relating to the health care provided to patients and supporting the assessment of the health and wellbeing of local populations.

4) To facilitate greater transparency and openness by providing open access to secondary uses and comparative data for a wide range of users

5) To offer a range of core national services and to enable the potential for additional services at a sub-national or local level

6) To build a platform for a flexible, responsive and scalable system, adaptable to future data and functional requirements

7) To maintain continuity of essential existing services, both during the transition and as a core component of the new services

Users

• NHS Information Centre• NHS Commissioning Board • Clinical Commissioning

Groups• Commissioning Support

Organisations• DH• Health and care providers• Public Health England /

Health and well-being Boards

• Regulators (e.g. CQC and Monitor)

• Researchers (including Pharmacy, biotech's and the Clinical Practice Research Datalink (CPRD))

• Information Intermediaries • Local Authorities• Public (including media)• Professional bodies (Royal

Colleges and BMA)• Health Education England• Audit organisations• NICE

Architectural Principles

• Separation of components, e.g.:– Data Storage– Common services, e.g. security, data transmission and

loading, viewing tools– Applications that transform data into information

• Why? – Greater agility and lower cost of implementing change– Supports separation of local from national requirements– Supports contestability and value for money in

procurement– Supports flexibility and scalability

Procurement Objective

To enable a contracts ‘ecosystem’ which:• Facilitates national and local commissioning of services• Manages and reduces cost of build and change• Leverages the market at multiple levels• Enables multiple methods of purchase and transaction• Promotes resilience and the maintenance of multiple

options and lines to supply• Promotes ongoing competition and market access

ODP Enabling Stage Overview

• User engagement• Supplier engagement:

– Market testing• Development and appraisal of options• Production of :

– outline requirements– procurement strategy– outline business case– other supporting documentation

Project StagesE

nabl

ing

Sta

ge Outline Business Case

Procurement Strategy

Outline Requirements

Enabling Stage Complete P

rocu

rem

ent S

tage OBC Approval

Detailed Requirements Developed

Issue OJEU(s)

Supplier Selection

Full Business Case Approval

Contract s Signature

Impl

emen

tatio

n S

tage Flow community

data set

Implement PbR through ODP

Transition data & services from SUS

SUS contract ends

ODP fully operational

Nov 2011

May 2012

May 2013

Jan 2015

Stakeholder Engagement Approach

Stakeholder Engagement Approach

Key Influencers (identified by project leads)

1-1 interviews

User Group representatives (SUS, Community Expert Reference Group)

Attend scheduled user group forums; provide briefing and request feedback

Wider user community (Commissioners; CSS’s, Providers, Arms Length Bodies)

Two half day workshops (Leeds & London) – over 50 people attended

IC and DHID service management staff

Weekly requirements sessions; meetings with key teams

Policy Development NHS Commissioning BoardNIRS Programme BoardIntelligence for Commissioners ProgrammeCSS Learning Network

General Themes from User Engagement

• Continuing need for collation and distribution service, with improvements in data quality control, processing timeliness and methods of accessing data

• Focus on data quality and consistency of data is essential for commissioning purposes

• Secondary use of data is changing to encompass risk modelling, LTC management and integrated care teams

• Availability of other data-sets such as extended CDS to include more clinical data, Primary Care, Social Care, Community, Mental Health and Workforce data

• We must not lose what is already available

Critical Success Factors

• Improved data quality, validated on entry, is essential• User friendly/good design to support both business and

analyst users with access to raw or “canned” outputs as required by business function

• Continuity of existing data flows and access• Timeliness of data is becoming more important (clinical

response and activity fluctuations), much faster end to end processing necessary.

• Flexibility to add services as required or as new requirements emerge

• Diversity of suppliers and ability to switch suppliers if not performing

National Processing of Data

• Perform nationally defined processes nationally (PbR, RTT) and allow the local NHS to focus on truly local issues

• Apply standard derivations and processes nationally• Ability to support a user defined algorithm and run adhoc

queries (the provision of a user environment)• Benchmarking/comparative outputs from NHS

Comparators etc are useful and need to continue• Increase data quality reports, summarise each dataset and

provider quality accounts.• National processes applied to data must be transparent

and based on an agreed national standards

National Management of Data

• Clear need for a single data flow as the definitive source of contract data to help avoid local disputes

• Ability to run analysis on historic data (i.e. Apply current HRGs on historic data for comparative purposes)

• Retention of data must be aligned with national guidance

Accessing Data

• Need for both routine and irregular extracts of data but also a need for a ‘dynamic’ link to some preselected data so that it is instantly updated when needed

• Ability to extract raw data and standard reports dependent on needs of user

• Ability to extract data for user-selected organisations is critical to commissioning support organisations

• Single view of both timely (records to date) and contractual (snapshots)

Linkage of records in different data sets• Existing users want consistent complete national datasets

and to perform linkage locally adding in further data.• Linkage of site (ward) and workforce data with activity is

important for outcomes analysis• Linked datasets to include social care; workforce; prison;

hospices; 999 data; independent sector• Datasets linked to personal demographics service in real-

time• Cross-checking and validation between datasets at a

national level would be of value