DSfC - Kirklees Metropolitan Council - Vanguard- COMM

The purpose of this data flow is to enable the Integrated Commissioning Exec –ICE (Kirklees Council, NHS North Kirklees CCG and NHS Greater Huddersfield CCG) to understand how services, and the trajectory of service users interact around social care provision and hospital utilisation (by linking pseudonymised social care data with pseudonymised SUS data).

Data must only be used as stipulated within this Data Sharing Agreement.

Data Processors must only act upon specific instructions from the Data Controller.

Data can only be stored at the addresses listed under storage addresses.

The Data Controller and any Data Processor will only have access to records of patients of residence and registration within North Kirklees CCG and Greater Huddersfield CCG.

Patient level data will not be shared outside of the Local Authority unless it is for the purpose of Direct Care, where it may be shared only with those health professionals who have a legitimate relationship with the patient and a legitimate reason to access the data.

No patient level data will be linked other than as specifically detailed within this agreement. Data will only be shared with those parties listed and will only be used for the purposes laid out in the application/agreement. The data to be released from NHS Digital will not be national data, but only that data relating to the specific locality of interest of the applicant.

NHS Digital reminds all organisations party to this agreement of the need to comply with the Data Sharing Framework Contract requirements, including those regarding the use (and purposes of that use) by “Personnel” (as defined within the Data Sharing Framework Contract ie: employees, agents and contractors of the Data Recipient who may have access to that data)

Segregation

Where the Data Processor and/or the Data Controller hold both identifiable and pseudonymised data, the data will be held separately so data cannot be linked.

All access to data is audited

The Data Services for Commissioners Regional Office (DSCRO) obtains the following data set:

1. SUS+

Data quality management and pseudonymisation is completed within the DSCRO using the Nottingham Open Pseudonymiser tool and is then disseminated as follows:

Data Processor – PI Limited

1) Pseudonymised SUS+ is securely transferred from the DSCRO to PI Limited.

2) Kirklees Metropolitan Council pseudonymise social care data using the Nottingham Open Pseudonymiser tool.

3) Kirklees Metropolitan Council then securely transfer the pseudonymised social care data to PI Limited.

4) PI Ltd link the SUS+ data and Social Care and load the data into the CareTrak Business Intelligence Tool

5) Data will only be shared within the Council on a need to know basis, as per the purposes stipulated within the Data Sharing Agreement. External aggregated reports only with small number suppression can be shared as set out within NHS Digital guidance applicable to each data set.

Reports, analyses and dashboards to support the integration of health and social care including:

1. Falls

2. Better Care Fund national metrics

3. Better Care Fund local schemes

4. Intermediate Care

1. Improved performance against national Better Care Fund metrics

2. Reduction in A&E attendances (especially for elderly persons)

3. Reduction in emergency hospital admissions (especially for elderly persons)

4. Accurate evaluation of local Better Care Fund schemes

5. Accurate evaluation of system transformation of Intermediate Care

6. Improved experience of service users

7. Improved health outcomes

8. Improved social care outcomes

9. Improved productivity thorough streamlining and integration of services.

The complexity of initiating integrated working, the related internal (to Kirklees as a locality) political landscape, and information governance have in their various ways complicated how the intended work was addressed. Ultimately meaning that there are no immediate benefits, but it has provided us with the insight, means and understanding of how we can move forward in a meaningful way