Tactical
Information
Service (TIS)
Supporting Practice based
Commissioning (PbC).
TIS analyser
TIS project website
D:\219471557.doc
nww.gmtis.nhs.uk
nww. gmtis.nhs.uk/ abouttis
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Contents
1. Useful Information on TIS ........................................................................................................ 3
2. PbC Guidance links ................................................................................................................. 3
3. Glossary .................................................................................................................................. 3
4. Register to use the TIS Analyser ............................................................................................. 4
5. Introduction ............................................................................................................................. 5
6. What is PbC? .......................................................................................................................... 5
7. What information is required to make PbC work well? ............................................................. 5
8. Does TIS have all the data required to support PbC? .............................................................. 5
9. A sample of reports ................................................................................................................. 8
Elective activity for GM Inpatient and Day case patients by specialty .............................................. 9
Non –Elective admissions Length of Stay by time ......................................................................... 10
Non- Elective by source of admission ........................................................................................... 11
1st and follow up outpatient appointments over time ...................................................................... 12
1st Outpatient appointments attendances and their outcome ......................................................... 13
Outpatient indicative spending ...................................................................................................... 14
Mental heath data set ................................................................................................................... 15
Referral rates ................................................................................................................................ 16
Admission rates ............................................................................................................................ 17
Benchmarking providers ............................................................................................................... 18
GP practice referral rates .............................................................................................................. 19
Geographical mapping of register CHD prevalence ...................................................................... 20
Estimated average patient journey time for general surgery by providers. .................................... 21
3 SHAs Geographical mapping of register COPD unadjusted prevalence ..................................... 22
North, Central and South Manchester PCT, year to date Medical and Surgical spells with and OS
map............................................................................................................................................... 23
Release 5_ Data Sources Map V5.1 ............................................................................................. 24
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1. Useful Information on TIS
TIS analyser
TIS project website
TIS Helpdesk
Email
Training details link
nww.gmtis.nhs.uk
nww. gmtis.nhs.uk/ abouttis
0161 237 2591
tis.feedback@gmsha.nhs.uk
http://nww.gmtis.nhs.uk/abouttis/SiteSections/Team/Training/Training_Home.htm
Getting started guide
http://nww.gmtis.nhs.uk/abouttis/SiteSections/News/TISPromotionalPacks.html
2. PbC Guidance links
PbC: Achieving Universal Guidance
http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidan
ce/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4127125&chk=pAds%2BV
Primary Care Contracting
http://www.primarycarecontracting.nhs.uk/1.php
NHS Networks
http://www.networks.nhs.uk/
Kings Fund published review
http://www.practicebasedcommissioning.info/King'sFundEvidence.pdf
GPC guidance
http://www.bma.org.uk/ap.nsf/Content/pracbasedcomm1204
3. Glossary
C&L
C&M
CaB
CHD
DoH
GM
HRG
MHMDS
NHS
OP
PAS
PbC
PbR
QOF
TIS
Cumbria and Lancashire
Cheshire and Merseyside
Choose and Book
Chronic heart disease
Department of Health
Greater Manchester
Healthcare Resource Group
Mental Health Minimum Data Set
National Health Services
Outpatient
Patient Administration System
Practice based commissioning
Payment by Results
Quality Outcomes Framework
Tactical Information Service
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4. Register to use the TIS Analyser
4.1. Click Register to use TIS Analyser
4.2. Complete the form, and make a note of your user name and password, then click register
button.
After a short while TIS helpdesk will authorise your details and allow access to TIS. If you
require immediate access please, call our helpdesk on 0161 237 2591.
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5. Introduction
5.1. This pack suggests how the TIS Analyser can support Practice Based Commissioning
(PbC). In particular, it gives examples of reports that address information needs as
described on page 6 of the DoH guidance ‘Practice based commissioning: achieving
universal coverage’ document released late Jan ’06.
5.2. TIS would welcome any feedback or other examples where users have used, or would like
to use the TIS analyser to support PbC. We are always keen to gather user’s data and
functionality requirements to further develop the TIS Analyser. Please forward your
suggestions or comments to tis.feedback@gmsha.nhs.uk.
6. What is PbC?
6.1. The introduction of Practice Based Commissioning (PbC) supports some long-standing
aims of NHS reform principally:

Engagement of primary and community care clinicians in commissioning

Creating an environment for innovation

Supporting the shift of care from secondary to primary

Empowering clinicians to develop services and care packages that meet the needs of the
individual and communities

PCTs are encouraged to maximise the benefits of PbC in partnership with their
practices.
7. What information is required to make PbC work well?
7.1. The PbC guidance describes the information needs to implement PbC, please refer to
point 8.
7.2. The guidance goes on to say that PCTs should provide practices with information “that will
allow them to understand the implications of their clinical decisions. They will be provided
with information about historical referral patterns, historical spend and how these compare
with other practices both in the PCT and with the national average.”
7.3. Practices will require quick access to relevant, good quality information; such as demand
of a service, capacity information, activity data, public health needs analyses and financial
information to support discussions to enable services changes.
8. Does TIS have all the data required to support PbC?
8.1. TIS collates data sources, enables users to perform analysis, and is available to all NHS
professionals including Practice managers, PCT managers, consultants etc.
8.2. TIS are and shall continue to work with the information sources and health community to
ensure your information needs are met. Below is a table identifying information needs on
the policy, which can be currently met by the TIS Analyser.
8.3. TIS is aware of the gaps of data required through the patient pathway and are currently
seeking and working to obtain holistic set of data.
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Point in DoH
guidance
Activity data
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Description
Currently in TIS
7/12/2
Planned for future
development
Elective activity - inpatient and day case Yes
Non elective admissions, including length Yes
of stay
First outpatient appointments, and follow Yes
up appointments
Use of diagnostic tests and procedures
Consultant to consultant referrals
Prescribing
Community and mental health services
Diagnostics Central
Return & GM data set in
discussion
If recorded in CaB.
Mental Health Minimum Data
Set
Primary care including essential and
enhanced PMS and GMS services
Accident and emergency attendances
Benchmarking data
25
Referral rates
Admission rates
First outpatient attendances
Follow up rates
26
Public health needs
27
21
In discussion
Yes
Community PAS data
and Mental Health
individually
commissioned care
packages
In discussion
Emergency admissions data
Yes
Yes
Yes
Yes
Yes
Disease prevalence from QOF,
referral and activity data by
speciality / HRG / procedure,
mortality data, standardised
population and geographical
mapping.
Health Demands
Referrals, outpatient and
admissions
Demographics of the local population
Standardise the information
Yes
By age, deprivation and sex
Historical referral patterns
Historical spend
Yes
Based on PbR tariffs
Community services and
ambulance call data in
discussion.
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TIS suggestions
Currently in TIS
7/12/2
Planned for future
development
Geographical mapping
Yes
Ability to group practices activity together Yes
Provider peers activity
Admissions data available
nationally
Ability for users to drill down to patient
identifiable level data.
Working with social care information
Improving data quality.
Budget monitoring
Readmission rates
First outpatient appointment discharges
Total wait time
Yes
Working with the health
community
In discussion
Working with the health
community
In discussion
Yes
Yes
Yes
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9. A sample of reports
The screenshots below demonstrate how the TIS analyser can meet the information needs documented in the PbC guidance. Please note
organisations are shown only to illustrate the functionality of the TIS Analyser. Data may have been updated since these screenshots were taken.
9.1. Elective activity over time
This report shows the number of spells
 between April to December ’05
 for patients registered with a Greater
Manchester practice
 treated at a Greater Manchester
provider
 who were admitted Electively
 classified as a day case or inpatient.
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Elective activity for GM Inpatient and Day case patients by specialty
This report shows:
 the number of year to date
spells for patients registered
with a Greater Manchester
practice
 that were treated at a Greater
Manchester Trust
 admitted as an elective patient,
as a day case or inpatient.
The bar chart displays the top five
specialties split by inpatient and day
case.
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Non –Elective admissions Length of Stay by time
This report shows:
 the number of year to date spells
for patients registered with a
Greater Manchester practice
 admitted as an emergency
admission
 for general surgery
 across Greater Manchester NHS
provider trust.
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Non- Elective by source of admission
This report shows:
 The places from which
patients came
 when they were
admitted as an
emergency
 April – December ‘05
 for patients registered
with a Greater
Manchester practice
 that were treated at a
Greater Manchester
Trust
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1st and follow up outpatient appointments over time
This report above shows:
 year to date outpatient
appointments that
have been made for
 Registered GM
patients
 between April –
September 2005.
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1st Outpatient appointments attendances and their outcome
This report above shows:
 outpatient
appointments by
outcome
 for registered GM
patients
 between April –
September 2005
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Outpatient indicative spending
This report above shows:
 outpatient
appointments by
PbR tariff
 for registered GM
patients
 between April –
September 2005
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Mental heath data set
This report above shows:
 The number of
patients registered
with each GM
specialist mental
health service
within quarter 4
04/05.
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Referral rates
This report shows:
 the number of
referrals per 1000
registered
patients by PCT
for January 2005.
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Admission rates
This report shows:
 The year to date
number of spells
per 1000
 registered GM
patients
 by PCT
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Benchmarking providers
This report shows:
 Central
Manchester Trust
average length of
stay
 of inpatients
 by month
compared to their
provider peers.
(Apr- Dec ’03).
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GP practice referral rates
This report shows:
 the referral rate for
Jan ’06
 by Greater
Manchester GP
practices.
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Geographical mapping of register CHD prevalence
This report shows:
 the unadjusted
chronic heart
disease
prevalence
 Of QOF
participating GM
practices
registered patients
 for 04/05.
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Estimated average patient journey time for general surgery by providers.
This report shows:
 An estimated
average time of
patients’ referral to
treatment by
following a set of
rules.
 Start the time from
the GP referral
found in
outpatients then
search for
discharge in APC.
For further details
logon to the TIS
analyser.
 For GM registered
patients
 Treated at a GM
provider
 between April –
Sep ‘05
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3 SHAs Geographical mapping of register COPD unadjusted prevalence
This report shows:
 the Chronic Obstructive
Pulmonary Disease
unadjusted prevalence
 of C&L, C&M and GM
SHA.
 Of QOF participating
GM practices registered
patients for 04/05
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North, Central and South Manchester PCT, year to date Medical and Surgical spells with and OS map.
This report shows:
 Year to date number of
medical and surgical
spells
 for patients registered
with North, Central and
South Manchester PCT
general practice.
 with an overlay of GM
Ordnance Survey map
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Release 5_ Data Sources Map V5.1
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