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Health and Social Care Data Integration

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Health and Social Care Data Integration and Intelligence Project

Consultation

Consultation on the Local Authority Dataset with associated Definitions closed on Friday 11th July 2014. The HSCDIIP team are now collating all responses and these will be considered along with any other available evidence to help finalise the dataset. The Project Board are scheduled to meet in September 2014 where they will sanction the revised dataset upon full review of all responses received during consultation. Following the Project Board meeting a feedback report on this consultation will be published here.

Thank you for taking the time to complete the Consultation Document.

Introduction

The Public Bodies (Joint Working) (Scotland) Act provides the legislative framework for the integration of health and social care in Scotland. You can find more information about the Act here:

http://www.legislation.gov.uk/asp/2014/9/contents/enacted

The legislation will require Health Boards and Local Authorities to put in place integrated governance arrangements for adult health and social care. New integrated health and social care partnerships will oversee development and delivery of joint strategic commissioning plans that focus on preventative and anticipatory care, and the wellbeing of patients, service users, carers and families, within the context of national outcomes for health and wellbeing that are defined in legislation and integrated budgets for health and social care. Localities will be identified within the area of each integrated health and social care partnership. Led by local clinicians and other professionals, locality arrangements will ensure that strategic planning at partnership level is informed by local understanding of needs and priorities within communities.

Health Boards and Local Authorities will integrate health and social care services from April 2015; local partnerships are now establishing shadow arrangements, and work is currently underway to produce joint strategic commissioning plans.

The Scottish Government has commissioned the Information Services Division (ISD) of NHS National Services Scotland to work with a range of stakeholders to develop and improve the information available to partnerships to support joint commissioning and other information needs.

Effective strategic planning requires a robust evidence base to enable good local understanding of activity and resource use across health and social care, and to support service planning that is in line with local priorities. The Scottish Government recognises the importance within this context of effective information systems, and is working with ISD to provide support to Health Boards, Local Authorities and the new health and social care partnerships created under the legislation.

In order to undertake effective strategic planning, local integrated health and social care partnerships need to be able to:

  • understand health and social care resource use;
  • assess and forecast needs;
  • link investment to desired outcomes;
  • consider options using a robust evidence base;
  • plan for the nature, range and quality of future service provision; and
  • work in partnership to put these in place.

Click here to access a range of analytical outputs which have been developed to support partnerships in service redesign, integration and strategic commissioning.

Supporting Integration

We want to maximise the use of health and social care data to provide a clear understanding of the whole patient/service user pathway. The data needs to support effective decision making and prioritisation at all levels: locally by clinicians and other professionals working with staff in integrated health and social care partnerships, and nationally in terms of policy making more broadly.

ISD will link health and social care data at an individual level to build an understanding of how people use services, particularly in terms of patterns of use. Working with local partners across health and social care, ISD will develop and deliver:

  • a nationally agreed core dataset and definitions, which will enhance and build upon social care data already collected by the Scottish Government, the Care Inspectorate and other partners. This will include the annual Scottish Government Social Care Data Collection, the Scottish Care Home Census, and the Integrated Resource Framework (IRF) mapping exercise;
  • a secure transfer of social care data from Local Authorities that is seeded with an individual’s Community Health Index (CHI) number so that the CHI number can be routinely linked to existing national data sources with derived activity and costs;
  • an IT solution to allow access to these data with appropriate information governance safeguards;
  • a reporting tool that will allow easy analysis and presentation of the data; and
  • bespoke analytical support and assistance with data interpretation.

This will be delivered by way of a phased programme of work, split into work streams (data collection, data sharing, IT solution and outputs), and through working closely with all Health Boards, Local Authorities and integrated health and social care partnerships as they are established.

Work is underway to begin testing the secure transfer process with our trial sites in Argyll and Bute, North Lanarkshire and West Dunbartonshire. Taking a phased approach, ISD will work with all of the remaining areas between now and December 2014, allocating each area with a named contact to help progress plans and achieve these project objectives.

For the latest information on the project please read our where we are Download PDF file [175kb] update.

Further information

At our engagement meetings, the team provided an information pack containing the following:

An information summary Download PDF file [417kb]

Our flowchart for engagement Download PDF file [100kb]

Our route map Download PDF file [278kb]

If you would like to discuss a work stream in more detail or the wider project in general please get in touch.


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