Proposal for ROCR Approval 1. Record Type? New 2. Unique Number R00428 3. Title Care data Primary Care Extract 4. Collection Type National 5. Other Reference 6. Description The HSCIC has been commissioned by NHS England Patients & Information Directorate to deliver the data aspects of its care.data programme. Care.data requires the HSCIC to collect more data and provide more data routinely linked together to support the care.data vision. As part of the care.data initiative and under the powers of the HSCA 2012, NHS England has directed the HSCIC to collect and process a linkage of primary care data with Hospital Episode Statistics. The data will be extracted as a set of patient records that meet the extract specification criteria i.e. where particular event types have been recorded in a specified period and the record is not in the exclusions criteria. 7. State Submitted to ROCR 8. ROCR Reference No 9. Start Date 13/04/2015 10. End Date 13/04/2019 Proposal for ROCR Approval 11. FT Collection Type NOT REQUIRED 12. Collection Type VOLUNTARY 13. Owning Organisation Health and Social Care Information Centre 14. Owning Department care.data programme 15. Owner Name and Contact Details Name: Alex Brown Email: alexander.brown3@hscic.gov.uk Location: HSCIC, Bridgewater Place, Leeds 16. Senior Supporting Official Name Tim Kelsey 17. Senior Supporting Official Contact Details Title: National Director for Patients and Information Tel No: N/A Email: N/A Location: NHS England 18. Data Provider Burden Days 21.2 18. Data Provider Burden £ £ 10515.41 Proposal for ROCR Approval 18. Frequency Monthly 18. Source Organisations (Number of orgs) GP Practice (265) 19. Set Up Costs £0 20. Other Costs £ 4571439.0 21. Total Costs £ 4581954.41 22. Please explain the reason for any increase or decrease in burden and provide details of the any other costs figure provided in Q20 This will be a new extraction, so no increase or decrease in burden. Data is to be extracted using GPES. Burden is: GPs have to review terms and agree to sending the extract. This can be reduced by using browser settings to always allow extract. GPs can view/download extracted data as a .csv file and have another opportunity to give/remove consent for data to flow. 23. Benefits to Patients and the NHS "Benefits identified by care.data Monitoring outcomes e.g. measuring the effects of intervention Monitoring care pathway at a CCG or Practice level e.g. activity and cost for a specific type of pathway. Benchmarking e.g. comparative data on GP Practice performance Improving Data Quality Improved performance monitoring e.g. identifying A&E trends or referral rates across practices Increase accountability in the health service by making data more widely available Possible other benefits Reduction in local collections and Proposal for ROCR Approval reporting for national data collections Applying national Risk Stratification Scoring" Benefits Planning Analyst has identified the following benefits: Improved service design and delivery with commissioning that is responsive to local health requirements Improved collaboration for whole health communities in the design and delivery of services and supported by responsive commissioning Improved continuity of care Improved patient and carer confidence that the clinical intervention they receive is responsive to their individual needs Improved patient and carer confidence that the clinical intervention they receive is based upon an agreed, clinically endorsed care pathway Improved patient and health related outcome measures that are based upon complete pathways of care Improved confidence in background health information used clinical assessment and consultation 24. Financial benefits to running this collection Pathfinders is an exploratory phase of care.data primary care extractions. The benefits have been outlined above, and these may be realised as financial benefits to the NHS. 25. Publication methods Waiting for resources to publish. 26. Publication Links There will be no publications initially but publications are part of the HSCIC strategy for the primary care function being established. We won’t know any timescales until the primary care function gets up and running. 27. Requesting Organisation Health and Social Care Information Centre 28. Collection Method Extract from existing NHS systems, Database extract Proposal for ROCR Approval 29. NHS Mandate Commitment "Care.data is part of Offer 4: Better data, informed commissioning, driving improved outcomes in everyone counts. http://www.england.nhs.uk/wpcontent/uploads/2012/12/everyonecountsplanning.pdf" 30. Changes since last assessment 31. Data in operational systems Yes 32. Plans for collecting this data from operational systems 33. If the data was not collected, what would the consequences be We would not meet our public commitment made to Secretary of State. 34. Is there an impact assessment or business case for this collection? If so please attach No 35. Process required for "Data will be applied for through the Data Linkage and Extract Service, who have strict application and Proposal for ROCR Approval others to go through to obtain the data governance processes. http://www.hscic.gov.uk/dles" 36. Keywords Care.Data, Primary care, Linkage 37. National / Official statistic 38. Method used to store the data Data is received into a secure and dedicated area on the DME File share. The DME Filestore is located in Plymouth. 39. Why sampling is not used The Pathfinders phase of the programme is an exploratory phase, and an extract will be taken from a maximum of 265 GP practices across 4 CCGs (Leeds combined, Blackburn with Darwen, West Hampshire and Somerset) 40. Details of any pilots Through the Pathfinder engagement we will be communicating with the GP practices about the data extract. We will have a set of products including a GP toolkit and GP FAQs which will provide general information regards using the GPES tool for data extraction, what data will be extracted, the frequency of the extraction and in the toolkit we’ve included a bit more detail in terms of accessing GPES, the data downloader and about the preferences settings with a pointer out to the GPES guidance for more detailed instructions. When we are closer to the point where we know we are ready to go ahead with extraction i.e. all the necessary approvals are in place we will contact each GP practice that has agreed to participate to make sure they are aware that they will be receiving the Stage 1 notification and the timescales they will have for this stage and the stage 2 process Proposal for ROCR Approval 41. Equalities dimensions used in the collection Age/Date of Birth, Gender, Ethnicity (NHS standard 16 + 1) 42. Policy that the collection supports This extraction has not been completed yet. 43. IG Data type Patient identifiable, Record level, Pseudonymised, Anonymised