Nailing down the numbers: whole system mapping for health and social care integration

Carolyn Hunter-RoweNHS Highland

Jenny Bruce, Lindsay GraingerNHS Dumfries and Galloway

The Plan

• Background

• D&G approach

• Methods

• Whole system maps

• Next Steps

“Information and intelligence plays a vital role in producing high

quality care outcomes for citizens and for effective

and efficient decision making across health and

social care services.”

National Information and Intelligence Framework for Health and Social Care for Scotland: 2012-17

Background

Health and Social Care Integration

Joint strategic plans:

•Past, current and future resource use

•Plan nature, range and quality of future services

•Link investment to outcomes

•Joint data for decision making

Whole System Mapping in D&G

• High level overview pre-integration

• Map patient flows across health & social care system

• Explore regional variations in services

• Examine resource use across specific pathways

• Identify information gaps

Setting – D&G

Services in Scope

• General practice

• Emergency care

• Acute services

• Tertiary services

• Maternity

• Community care

• Social care

• Mental Health

Methods

• Multiple routine administrative data

• 2012/13 and 2013/14 financial years

• ‘Best fit’ data sources

• Patient level - aggregate - cost book

• Service contacts

• Flows within & between services

• Regional and locality estimates

Challenges

• Nailing down the numbers

• Significant data gaps GP data Care in the community Social care

• Referral sources and outcomes

• Data linkage

• Timeliness

Further Work• Integration datasets

care at home care homes third and independent sector

• Mapping pathways End of life care Complex discharges

• Integrated Resource Framework

• ‘Qlikview’

Conclusions

• Comprehensive approach to mapping health and social care pathways• Baseline pre integration• Using whole system maps to inform commissioning and service

planning• Need to address significant data gaps at local and national level

• a

Acknowledgements:Jenny Bruce, Lindsay GraingerHealth Intelligence UnitNHS Dumfries and Galloway

Carolyn Hunter-RoweService Planning DepartmentNHS Highlandc.hunterrowe@nhs.net

Further Information: