SUS+ User Group - digital.nhs.uk€¦ · Web viewPeter Sherratt. 12:15. 7. Any other business. All. 12:45. 8. Meeting close . All. 13:00. Actions. Review of previous meeting a

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SUS+ User GroupAgenda and Minutes

15 November 2017

SUS+ User Group

Table of Contents

Meeting details 3Agenda 3Actions 3Feedback from and to the SUS Programme Board 3Current SUS+ Service update 3SUS+ Development Update 4AOB 7Attendance 8Next meeting 9

Copyright © 2017 Health and Social Care Information Centre.NHS Digital is the trading name of the Health and Social Care Information Centre. 2

SUS+ User Group

Meeting detailsDate Wednesday 15 November 2017Time 10:30am - 13:00pm

Location TSQ Bevan, Ground Floor, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE

Remote access WebEx – Detailed in the calendar entry

Support contact Phil Saville – [email protected]

AgendaItem Agenda Item Presenter Schedul

e1 Welcomes and apologies Chair 10:30

2 Review of previous meeting actions and minutes Chair 10:35

3 Feedback from and to the SUS Programme Board Chair 10:40

4 SUS+ Service Update Mark Stangroom 10:45

5 SUS+ Development Update Graham Spearing 11:15

6 ECDS update Peter Sherratt 12:15

7 Any other business All 12:45

8 Meeting close All 13:00

ActionsReview of previous meeting actions and minutes.Minutes of the previous meeting were agreed.

Feedback from and to the SUS Programme BoardAction from the user group, especially regarding development prioritisation, was raised and the board was supportive.AB confirmed there was a drive for SUS+ to be the single source of truth for data for PbR purposes. NHS England are working on a proposal that may be standardised in the contract when it’s next available to be amended. SUS+ developments to promote this will be required if it’s approved.

Current SUS+ Service updateMS confirmed there have been no SUS+ service issues this month. There were 69 million records submitted during September with 3,764 interchanges. 3,650 extracts processed. Volumes were typical of those expected at this time of year. There was 100% availability across the SUS+ Service during October. One SAR was completed, and we deployed replication across data centres.


SUS+ User Group

No low lights. Controlled site data migration completed, which is a pre-cursor to disaster recovery plan. Penetration tests being planned for January. Regarding ECDS, 34 current providers, 4 current providers submitting daily, there are a further 2 providers going through the submission phase.

There were a lot of service requests regarding DQ support. This was in relation to the internal web based migration project. Many users couldn’t access dashboards that show KPI reports.

AB asked if it is now back up and running. MS confirmed that it was up and running. The migration team asked the DQ team for a list of users, the list was sent to the migration team who informed 20% of the users but didn’t tell the DQ team, who kept identifying anomalies with legacy users who were not enabled. This resulted in the lists being reissued several times before the full list was sent out.

Rolling 13-month view, as to be expected. 69m records, slight increase in interchanges from previous October, due to ECDS.

Inbound processes, one slight delay due to late interchanges arriving on inclusion day, but a standard pattern. Outbound process, with annotation, as requested by the board that shows wait time. Shows peaks of records being extracted. On the Friday 6 November a PbR national extract was run and completed in early hours of Saturday, not within the same calendar day, so it shows as a delay.

The user group noted that the annotation on the report was very useful. It was also requested that the report be distributed prior to the user group. MS confirmed that this would be done in future.

NEW ACTION: Performance report to be distributed to the group prior to the next meeting.

Inbound processing, all completed within 5 hours, 100%. Outbound processing still at 88%. MS has made some slight amendments to the tables and added some additional detail. The bottom tables shows extracts completed on the same calendar day, 90% in Oct, other table shows extracts completed in the same working day.

Regarding Data Quality, the board has asked for more detail. 175 submitting data whereas 188 expected.

DA asked what the process is to improve the poor performers, is there a regional DQ contact? MS confirmed he doesn’t know, the information is passed to the providers.

Presented by: Mark StangroomAccompanying material:

SUS+ Development UpdateGS gave an overview of SUS+ Development Updates, please see attached slides, for details.


SUS+ User Group

It was requested that a five month forward view up to the end of the financial year be produced, as well as what is planned for 2018/19.AN asked what the final vision for SUS+ is viewed as being? GS confirmed that was a difficult question to answer. The vision is that it will be a single version of the truth for commissioning data, however, the SUS+ development team are asked to do additional things that are outside of this vision. At the board, SUS+ will be asked to do mental health and maternity. From a processing point of view this can be done. Regarding local pricing, this will hopefully be completed by march. If SUS+ is to be the single version of the truth it needs to reflect local and national data.ECDS Phase 2, we are in the later stages of delivering a supplementary full ECDS extract, however there are IG issues with legally restricted SNOMED codes.AB and GH raised concerns regarding ECDS and the prioritisation of work. It has been deemed that it is unacceptable that providers still can’t see their own data they’ve submitted, when it was noted as a priority back in April. From a commissioner and provider point of view it is vital this be completed as soon as possible. GS confirmed that the team is critically aware that it is a priority and a work stream has been allocated to it. It has been acknowledged how important it is. NEW ACTION: GS to establish when ECDS developments will be completed. NEW ACTION: AN has suggested GS should arrange workshops with DSCRO’s.Regarding HES data in SUS+ it was queried if there will be an option for users to view their data in HES view. NEW ACTION: GS to establish if there will be an option for users to view their data in HES view.GS asked the group to consider if there are things they feel the SUS+ development team should be looking to do in the 18/19 financial year. Presented by: Graham SpearingAccompanying material:

ECDS UpdatePSh delivered an updated on ECDS.There was a lengthy discussion about ECDS and streaming, the main points have been summarised below. The ECDS team has created a crib sheet that’s is available for self-download and can also be requested from the team. PSh has suggested if anyone wants one they should email [email protected] and they will be posted out. Regarding streaming and counting guidance, a number of WebEx’s on how to do streaming with ECDS have been run and were very well attended.A number of questions were asked regarding when guidance on submitting data in ECDS would be made available by NHS Improvement. PSh confirmed that the decision has been taken by NHS Improvement not to release further guidance on implementing streaming until spring 2018 so as not to put additional pressure on A&E departments. It


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SUS+ User Group

was clarified that if providers are already streaming to continue, however there would be no repercussions if they did stop.AN stated that commissioners need to know what to do with streamed extracts, and if additional guidance was available. PSh suggested taking this outside of the meeting to fully understand the question.GH stated waiting until spring 2018 for updated guidance was not useful. York Hospitals have been streaming for over a year and they have no guidance, and it is a priority. GH raised an issue surrounding advice they have received from their CCG. They send streamed attendances to SUS, but when the patient is streamed to GP services they also submit to SUS, meaning the same patients are being streamed twice. They have been told they should stop. So, York are stopping streaming some patients. York have implemented this rule from a CCG based on discussions from NHSE and from NHSD. NEW ACTION: PSh to seek clarity and guidance on streaming.

PSh also discussed the Jim Mckay letter from NHS Improvement and asked if anyone had seen it.

NEW ACTION: PSh to circulate the Jim McKay letter.

PSh confirmed that there was an ECDS animation video that been produced, aimed at A&E staff that explains why ECDS is important. This is on the ECDS webpage and YouTube. PSh asked the group that it be shared widely.

DSCRO access. This is about providers having access to their own data via the download showing submitted data. In terms of this, it is almost ready to go, and the specification is available from the SUS+ web page. This can’t be turned on for providers due to limitations in the portal, if it was turned on for providers it would be visible for DSCRO’s. Currently exploring a one-off extract to bridge this gap and find the timescales. This is being worked through now as there is an Information Governance issue that needs to be resolved.

AN asked for this to be clarified, will the full upload be switched on for DSCRO’s, but they won’t be able to disseminate the data until they have IGARD approval? PSh confirmed this would be the case.

AN also asked what does the name of the equivalent main extract look like in new ECDS? AN queried why is it changing, why not use the current one? This way there would be continuity and it would be backwards compatible. The DSCRO’s will be having to fit together the data. So, it would be beneficial.

NEW ACTION: GS to look at the naming convention for extracts in ECDS and if it will remain the same.

AB asked if all Trusts would be given a one-off extract? GS replied that it was hoped they won’t need to do this and that the portal will be switched on. AB asked why this wasn’t done from day one as you can’t ask providers to submit data when there is no mechanism for them to see it. The inbound flow is there, the outbound isn’t. Asking for providers to submit data when they can’t see it is wrong. Need timescales and action.

NEW ACTION: GS and PSh to discuss this in more detail, especially regarding dissemination of data and IGARD.


SUS+ User Group

NEW ACTION: JS to forward the extract specification link round to the group.

NEW ACTION: PSh to ascertain what the report will contain and how it will be accessed, and when, as it’s not a native SUS+ report. PSh to let the whole group know.

The early adopters bonus, the data is due to go to the HES team for the initial DQ analysis, it will the move into SUS+. One this analysis has been done, it will be validated to see who did submit. It will then go to NHSE who will then look to provide the payment to CCG’s and the Trust will invoice the CCG for the bonus cash, as well as those who took part in the initial case studies.

Regarding ECDS progress, around 30% of the NHS in England is live with ECDS, this is expected to rise to 50% by December due to the Lorenzo sites being switched on.

GH queried if anything would be done around the impact in the change of tariff on switching to ECDS. His Trust have seen the average attendance price drop by £5.72, which equates to around £600,000 loss per year. It was confirmed that the guidance from NHS England is that providers should follow the ECDS guidance in the ECDS user guide. Prices and ECDS should have already been agreed. There is a two-year grace period where Trusts can locally negotiate with commissioners, after two years it is hoped that there is enough data to produce an accurate tariff.

Presented by: Peter SherrattAccompanying material:

http://content.digital.nhs.uk/sus/pbrguidanceSUS+ Extract Specification v 3.1 [191kb]

AOBJS informed the group that NCDR are taking their extract this month on the 27 November (incorrect information given, NCDR timetable is to extract data from SUS+ on the 4th working day after inclusion).Gerry Firkins provided an update on standards in development. There is a new ODS code for structure of ACO’S and STP’s coming out soon, as well as healthcare associated infections and GP diabetic retinopathy.Overseas visitors - ECDS introduced the new values for overseas visitors and this is to cover out all the purposes of visitors. DH have already issued the plans and procedures prior to ECDS, so this is somewhat of a catch-up process. Next year Employment status in healthcare, if this is recorded it will be upgraded.In the next calendar year, there will be an update to GUMCAD data v3, the IG Toolkit and patient level information costing.


http://content.digital.nhs.uk/media/25502/SUS-Extract-Specification-v-31/xls/SUS__Extract_Specification_v_3.1.xlsx

http://content.digital.nhs.uk/sus/pbrguidance

SUS+ User Group

Attendance

Attendee Organisation Attendance

Andy Banks (AB)Chair NHS West Sussex Foundation Trust In personRichard Peasgood Northern Lincolnshire and Goole In PersonDan Taylor Countess of Chester Hospital NHS Trust In personMark Bridges (MB) Central Midlands DSCRO In personGary Hardcastle (GH) York Teaching Hospital NHS Trust In personDerek Alexander North East London DSCRO In personErica Field Anglia Community Healthcare Service In personJoanna Sweeney Anglia Community Healthcare Service In personBrain Smith North Midlands and Lancashire CSU RemoteChris Cooper Yorkshire CSU RemoteJoanne Field Newcastle Hospitals RemoteSue Clark University Hospitals Leicester RemoteAndy Norman (AN) North East London DSCRO Remote Carole Archer Leeds Teaching Hospitals RemoteCathy Hendy North West DSCRO RemoteJohn Lowther Poole NHS Trust RemoteWendy Lee Southern Collaborative CSU RemotePeter Sherratt (PSh NHS Digital RemoteJonathan Bliss (JB) NHS Digital In person Beverley Harris (BH) NHS Digital In personJames Salt (JS) NHS Digital In personGraham Spearing (GS) NHS Digital In personPhil Saville (PS) NHS Digital In personGerry Firkins (GF) NHS Digital In personMark Stangroom (MS) NHS Digital In person

Apologies Stuart Howard (SH) Blackpool Teaching Hospitals

Next meeting

Date 20 December 2017Time 10:30 - 13:00Location TSQ Bevan, Ground Floor, 1 Trevelyan Square, Boar Lane,

Leeds, LS1 6AERemote access WebEx - TBC


SUS+ User Group

Support contact Phil Saville – [email protected]


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Documents

SUS+ User Group - digital.nhs.uk€¦ · Web viewPeter Sherratt. 12:15. 7. Any other business. All. 12:45. 8. Meeting close . All. 13:00. Actions. Review of previous meeting a