Sebastian Stewart, Growth Director, CHS Healthcare
On 8th April, we held the fourth installation in our CHC webinar series, ‘The use of analytics: exploring ways to enhance CHC performance’. I was joined by Raj Bhatt, Head of Analytics (NHS continuing Healthcare) and Paul Kaye, Director – QuiqSolutions who provide the CHAT assurance tool and AIMS quarterly performance data.
We heard about the huge amount of work going on to prepare CHC data collection and systems for the move from CCGs to ICS. This is creating opportunity to improve how we collect data, what we report on and how that supports improvement for CHC.
You can watch the webinar here The use of analytics: exploring ways to enhance CHC performance | CHS Healthcare but my key takeaways from the discussion are:
Fragmentation of processes and systems will be a challenge. Raj and his team at NHS England are keen to help CCGs where they have issues with pulling together systems and data for the transition to ICS structures.
Mechanism for submitting data: NHS England are working with NHS Digital to make sure there are improvements to how data is provided on the MESH platform, reducing the process to 2 or 3 clicks from uploading, QAing and submitting rather than the current 5-7 clicks.
Reducing the burden of data collection: Raj is keen to hear from CHC data teams about possible improvements for the patient level data set and collection. There is support for utilising existing data sources wherever relevant – with the governance and quality of data being pulled in paramount.
Move from aggregate to patient level data: Aggregate collection has been used to support visibility of compliance against national standards. The limitation of aggregate data is that it doesn’t speak as effectively to patient experience.
While the initial focus for this patient level data, will be on reconciliations, in time patient level data will allow the development of KPIs for topical areas e.g. health inequalities, waiting times, and cost.
Data as a tool for comparison in the move to ICS: Now data is captured, processed, and reported at CCG level. This is compared amongst peers through clustering indicating unwanted variation and prompting further investigation. As we move to ICBs the level of assurance will take place at sub-ICB location (CCG level) creating consistency with existing methodology.
New CQC inspection methodology places significant emphasis on capturing the experience of people who use services to support understanding of quality. There are many ways to do this including phone surveys and paper surveys. Paul also discussed a number of ‘off the shelf’ solutions.
As Raj stated the key challenges of reporting data will be during the transition to ICSs and the impact it will have on CHC performance. “From a challenge perspective I think it is an obvious statement to say it is going to be a journey for all colleagues to improve data quality and improve a level of reconciliation when we’re comparing both the aggregate and patient level data sets. But data quality is at the heart of what we’re trying to achieve”.
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