Proposal for ROCR Approval 1. Record Type? New 2. Unique Number R01068 3. Title Digital Maturity dataset 4. Collection Type National 5. Other Reference Digital Maturity dataset 6. Description Recent national guidance has underlined the importance of digital technology to improve and enhance patient care; Safer Hospitals, Safer Wards (NHS England 2013), The Future's Digital (Mental Health Confederation 2014), The Future of Mental Health (Mental Health Network 2014), Personalised Health and Care 2020: A Framework for Action (NHS England 2014). NHS England has also established an Integrated Digital Care Fund (IDCF) to provide resources for all health and social care organisations to move toward greater digital maturity. Current products to measure digital maturity are able to identify if a Trust has or is using electronic systems, but not how well these are utilised or how they are benefitting patients. In order to offer a meaningful measure of systematic capability; to demonstrate how technical systems are enhancing patient care across health and social care, the Digital Maturity Programme aims to establish a digital maturity framework. The digital maturity framework will be developed by NHS England in collaboration with the Academic Health Science Networks, health and social care service providers and commissioners, professional bodes, HSCIC, CQC, NHS Choices and others. The dataset will offer a set of indicators that display how far local health and care economies in England have Proposal for ROCR Approval progressed in terms of delivering digital capabilities. Built upon open repositories, it will allow analysis and profiling and will support commissioners to track progress over time. The Digital Maturity Programme framework will allow organisations to identify where strengths and areas for further development lie, using the tool to hold conversations with local commissioners and consider bidding for additional support from the IDCF if necessary. NHS England will also be able to track progress toward the objectives outlined in Personalised Health and Care 2020: A Framework for Action. Organisations using the framework may also share, compare and monitor results across local and regional areas to develop their weaker areas or share good practice. 7. State Submitted to Panel Group 8. ROCR Reference No 9. Start Date 03/11/2015 10. End Date 02/03/2020 11. FT Collection Type VOLUNTARY 12. Collection Type VOLUNTARY 13. Owning Organisation NHS England 14. Owning Department Patient and Information directorate 15. Owner Name: Julian Tomlins Proposal for ROCR Approval Name and Contact Details Email: j.tomlins@nhs.net Tel No: 07786 665938 Location: NHS England, Skipton House 16. Senior Supporting Official Name Rob Parker 17. Senior Supporting Official Contact Details Title: Digital Maturity Programme Lead Tel No: 07918 368535 Email: robparker@nhs.net Location: Quarry House, Leeds 18. Data Provider Burden Days 836.4 18. Data Provider Burden £ £ 221521.03 18. Frequency Annual 18. Source Organisations (Number of orgs) Acute Foundation Trust (100) , Mental Health Foundation Trust (43) , Clinical Commissioning Group (CCG) (0) , Ambulance Foundation Trust (5) , Local Authorities (0) , Acute Non Foundation Trust (55) , Ambulance Non Foundation Trust (5) , Mental Health Non Foundation Trust (13) , Care Non Foundation Trust (6) , Care Foundation Trust (3) , Social Enterprises (16) 19. Set Up £0 Proposal for ROCR Approval Costs 20. Other Costs £ 30000 21. Total Costs £ 251521.03 22. Please explain the reason for any increase or decrease in burden and provide details of the any other costs figure provided in Q20 The Digital Maturity Framework will apply to acute, mental health and Ambulance Foundation Trusts and Primary Care. 23. Benefits to Patients and the NHS The annual report will consider and include new developments every year. This will ensure the tool not only measures progress, but remains relevant and responsive to changes in patient care, new technology and feedback from service providers and patients. Patient benefits; The framework will demonstrate progress toward digital maturity. Greater digital maturity offers patients greater management of their care and of the health record. Patients may have the opportunity to interact with healthcare professionals, input into the medical record, utilise a messaging facility to professionals and receive reminders/appointments electronically. It is well documented that reliance on manual documentation is high risk as information may be missed or illegible. Digitally mature systems are able to interface with a range of patient information systems and identify errors early. This results in less transcribing errors and prevents clinical incidents to enhance patient safety. Proposal for ROCR Approval When sophisticated systems interact patients are not asked to repeat information as this is transferred across systems with the patient. For healthcare professionals this equates to greater access at the point of care which presents a joined up and collaborative approach. With the knowledge of which service providers offer the best quality service available patients are able to make an informed choice. The programme will therefore support other external initiatives such as NHS Choices, My-NHS and quality regulators such as CQC, TDA and Monitor. For organisations the framework allows the measurement of digital maturity which may support a bid for additional resources. Organisations may also use the framework to demonstrate areas of strength in digital maturity to commissioners and patients. Communication with patients may be enhanced through using technology, giving patients a greater platform to interact and deliver feedback on services. For the organisation generally there are benefits in terms of reduced reliance on paper systems, reduced transcribing errors. A more digitally mature organisation benefits from greater time efficiency, access to medical records for community based staff as well as internally based staff and information sharing across organisational boundaries to enhance care delivery. 24. Financial benefits to running this collection The framework will facilitate a measure of which organisations can be supported to improve digital maturity. The progression toward digital maturity will support organisations to greater efficiency as digitally mature systems will facilitate greater interoperability; systems will manage and share data and information at the point of care. Organisations will be able to manage and view asset information, making this information visible to commissioners who will be keen to measure levels of digital maturity, expected service delivery and compare peer organisations. Proposal for ROCR Approval 25. Publication methods NHS England website My NHS 26. Publication Links Not known at this stage, possibly NHS Choices, CQC, MyNHS. 27. Requesting Organisation NHS England 28. Collection Method Web based collection 29. NHS Mandate Commitment Safer Hospitals, Safer Wards (NHS England 2013), The future's Digital (Mental Health Confed 2014), The future of Mental Health (Mental Health Network 2014), Personalised Health and Care: A Framework for Action (NHS England 2014). 30. Changes since last assessment 31. Data in operational systems No 32. Plans for collecting this data from operational systems 33. If the data was not collected, what would NHS England would be unable to measure progress toward the vision for digital maturity, unable to deliver the objectives outlined in the formal document; Personalised Health and Care: A Framework for Action Proposal for ROCR Approval the consequences be (NHS England 2014). The inability to progress the programme would result in an inability to capture the progressive and maturing baseline of digital maturity and transform business processes; NHS England would be unable to support widening the adoption of lessons learned/best practice. NHS England would be unable to demonstrate NHS progress to deliver new business models enabled by advancing technology which could render the current programme to be viewed as a ‘sideline’ rather than a critical enabler. The inability to develop digital maturity would impact on patient safety and communication through technological means. The reliance on manual records presents significant challenges in terms of transcribing and prescribing errors. The inability to create, store and share information between patients and care providers and across organisational borders would not be possible if the digital maturity programme is not developed. 34. Is there an impact assessment or business case for this collection? If so please attach Yes 35. Process required for others to go through to obtain the data The data will be largely held by the organisational informatics team - most of the data is concerned with current IT system functionality. However, they will need to approach the HR team for further detail such as the number of staff that are employed by the organisation. This could reasonably be addressed by email and added to the dataset by a single individual once all information is received. 36. Keywords Digital, Technology, Maturity Proposal for ROCR Approval 37. National / Official statistic NA 38. Method used to store the data The data would be owned by NHS England but stored by UCL Partners AHSN (on a UK-based server) 39. Why sampling is not used NHS England is responsible for the delivery, administration and governance of the IDCF, Nursing Technology Funds and the facilitation of the development and adoption of digital capabilities aimed to benefit patients and clinicians. It is therefore vital that NHS England secures an overview of all provider organisations to facilitate an overall measure of progression toward digital maturity. Comparisons will be built to enable organisations to compare their areas of best practice/areas for development with peer organisations. The analysis will also support organisations to develop their strategy toward the digital maturity roadmap and to discuss this with local commissioners. 40. Details of any pilots Design groups have been used to develop the datasets. These groups include specific expertise from external agencies such as Academic Health Science Networks (AHSNs), NHS Choices, HSCIC, CQC and others where expertise is critical. (Such as Big White Wall, My Health Locker for mental health expertise). Endorsement groups have reviewed the work completed by design groups before taking the dataset to pilot sites. Pilot sites have been asked to complete the dataset providing specific comments on usability, function of the dataset and relevance/inclusion with relation to the questions. Following pilot site feedback a further event to draw together Chief Information Officers (CIOs) was held. Comments and feedback were recorded and incorporated into the framework before the final version was completed. Two stakeholder workshops were held at the end of June Proposal for ROCR Approval (one in London and one in Leeds) for valued feedback and opinion on the question set. A small pilot by UCL Partners at the end of August to test the new question set and survey tool has been received favourably; and a further larger pilot is anticipated shortly before launch in November. 41. Equalities dimensions used in the collection 42. Policy that the collection supports The collection is being used to measure progress toward existing policies and strategies published by NHS England. Personalised Health and Care: A Framework for Action (NHS England 2014). 43. IG Data type Business confidential