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Paper to National Information Governance Board for Health and Social Care 22 September 2011 Paper A

Paper to National Information Governance Board for Health and Social Care 22 September 2011 Paper A

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Published by Help Me Investigate
The NHS Information Centre is seeking comments, advice and support from
NIGB on the proposals for transitioning the Hospital Episode Statistics (HES)
Service into the Health and Social Care Information Centre (NHS IC), and on
how the NHS IC should continue to work with the NIGB. The Board is asked to
provide input and guidance and to support the transition process.
The NHS Information Centre is seeking comments, advice and support from
NIGB on the proposals for transitioning the Hospital Episode Statistics (HES)
Service into the Health and Social Care Information Centre (NHS IC), and on
how the NHS IC should continue to work with the NIGB. The Board is asked to
provide input and guidance and to support the transition process.

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Published by: Help Me Investigate on Jul 01, 2013
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NIGB 220911 Group A Paper - NIGB_HES NHS IC presentation September 2011v2 
Page 1 of 8
Paper toNational Information Governance Boardfor Health and Social Care22 September 2011Group A – PAPER
Version: 1 Issued: 12/09/2011
Title:
Proposal for Changes to Arrangements for the HospitalEpisode Statistics Service
 
Submitted by:
Clare Sanderson, Director of InformationGovernance, NHS Information Centre
Executive Summary:
The NHS Information Centre is seeking comments, advice and support fromNIGB on the proposals for transitioning the Hospital Episode Statistics (HES)Service into the Health and Social Care Information Centre (NHS IC), and onhow the NHS IC should continue to work with the NIGB. The Board is asked toprovide input and guidance and to support the transition process.
 
Reason for Submission
:
 
For consideration, advice and support
 
 
NIGB 220911 Group A Paper - NIGB_HES NHS IC presentation September 2011v2 
Page 2 of 8
National Information Governance Board
Proposal for Changes to Arrangements for the Hospital EpisodeStatistics Service - August 2011Request for Board Action
The NHS IC is seeking comments, advice and support from NIGB on the proposalsfor transitioning the Hospital Episode Statistics (HES) Service into the Health andSocial Care Information Centre (NHS IC). Further we are seeking agreement onhow we continue to work with the board, the NIGB secretariat and the Ethics andConfidentiality Committee (ECC) as we rationalise and improve our activities.
Introduction
The purpose of this paper is to inform the National Information Governance Board(NIGB) of proposed changes to the Hospital Episode Statistics (HES) serviceprovided by the NHS IC.HES contains information about hospital admissions and outpatient and accidentand emergency attendances in England. Although it contains personal identifierssuch as NHS number and postcode HES does not include name and addressdetails.The NHS IC currently has s251 support for the processing of HES data and meetsthe requirements of the Data Protection Act 1998 in relation to processingidentifiable and sensitive information. The NHS IC processes data fairly and lawfullyunder Schedule 2 and 3 of the Act, and has procedures in place for the handling ofSubject Access Requests and withdrawal of consent by patientsThe data in HES comes from the Secondary Uses Service (SUS) and is itself thedata source for a wide range of healthcare analysis for the NHS, government andmany other organisations such as Public Health Observatories, regulatory bodies(e.g. Care Quality Commission and the Audit Commission), academia and healthinformation intermediaries. Such analysis has a major part to play in shaping andimproving the quality of services received by patients including
Assessment of equality of access to health care
Production of comparative information for the patients, the NHS and widergroups
Identification of potential improvements to the patient/carer experience
Examination of health outcomes
Assessment of the effectiveness of the delivery of care
Identification of public health issues
Monitoring improvements in public health
Performance management of the NHS
Support for public and parliamentary accountability
 
 
NIGB 220911 Group A Paper - NIGB_HES NHS IC presentation September 2011v2 
Page 3 of 8
Management and planning of health services centrally and locally
Resource acquisition and distribution
General medical research and statistical functions
Development, monitoring and evaluation of government policiesThe NHS IC routinely uses HES data in the preparation of official national statistics,answers to Parliamentary Questions, and summary datasets which are madepublicly available via the HES Online websiteHES data can be accessed through a variety of means:
HESonline provides users with access to a range of HES data asdownloadable tables. These do not include personal data, (small numbersare suppressed within any tables provided), and are publicly available.
HESOnline also provides users the opportunity for self service. This is aninteractive service that allows users to create their own tables from aselection of HES data. As above these tables do not include personal dataand are publicly available.
Users can also request tailor-made reports or extracts. These may besummary reports in aggregate tables or individual episode records. Wherethe user wishes to include sensitive data items or identifiable data in theirreports or extracts they are required to obtain the appropriate approvalsbefore the data will be supplied to them. In the absence of patient consent,for sensitive data approval is granted through the Data Access Advisory
1
 Group (DAAG) and for identifiable data through s251 support.A limited number of users are granted direct access to the HES interrogationsystem, known locally as Business Objects. These users are able to manipulate andanalyse the data within the business objects environment and download theresultant summary tables. As for tailor made reports where the user requires accessto sensitive or identifiable data items appropriate approvals must be obtained beforeaccess is granted.The NHS IC is proposing changes to the way in which these services are delivered.The changes are necessary to deal with an enforced migration of the NorthgateInformation Systems (NIS) managed HES service into the NHS IC, and theincreasing use of the NHS IC’s Data Management Environment (DME) as a primarydata handling and processing platform for all services.The NHS IC believes that the proposals outlined in this paper represent a pragmaticway forward for the immediate data handling and processing changes, and forensuring that patient data is suitably protected throughout. This represents the startof a long process of rationalisation of NHS IC’s services which will result in better
1
Sensitive data items include legal category of patient, referring General Practitioner code, OrdnanceSurvey grid. DAAG took over from DMsG and consider applications for extracts of HES datacontaining sensitive data items to ensure that the related benefits are understood and justify suchprocessing and to advise on any additional safeguards required.

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