Proposal for ROCR Approval 1. Record Type? New 2. Unique Number R01069 3. Title AKI and Sepsis CQUIN 4. Collection Type National 5. Other Reference N/A 6. Description We propose to collect an aggregated figures on provider compliance with the proposed Acute Kidney Injury and Sepsis CQUINs from each provider involved in the scheme, quarterly for 2015/16, via Unify2. The objective of this collection is so we can understand national level compliance with this CQUIN to inform expectation of in-year funding for providers, policy evaluation and development in both patient safety and provider incentive policy areas going forward. 7. State Submitted to ROCR 8. ROCR Reference No SCCI2089 9. Start Date 30/06/2015 10. End Date 13/05/2016 11. FT Collection Type MANDATORY 12. Collection MANDATORY Proposal for ROCR Approval Type 13. Owning Organisation NHS England 14. Owning Department Nursing Directorate and Medical Directorate (Patient Safety) 15. Owner Name and Contact Details Name: Celia Ingham-Clark (AKI) and Richard Fluck (Sepsis) Email: celia.inghamclark@nhs.net (AKI) and richard.fluck@nhs.net (Sepsis) Tel No: Celia Ingham-Clark - 0113 825 1407 and Richard Fluck - 0113 2789344 Location: Skipton House 16. Senior Supporting Official Name Dr Mike Durkin (AKI) and Sir Bruce Keogh (Sepsis) 17. Senior Supporting Official Contact Details Title: Dr Mike Durkin (AKI) and Sir Bruce Keogh (Sepsis) Email: mike.durkin@nhs.net (AKI) and Bruce.keogh@nhs.net (Sepsis) Location: Skipton House 18. Data Provider Burden Days 37.87 18. Data Provider Burden £ £ 12007.39 Proposal for ROCR Approval 18. Frequency Quarterly 18. Source Organisations (Number of orgs) Acute Non Foundation Trust (61) , Acute Foundation Trust (81) 19. Set Up Costs £0 20. Other Costs £ 7000 21. Total Costs £ 19007.39 22. Please explain the reason for any increase or decrease in burden and provide details of the any other costs figure provided in Q20 As set out in the application, we do not expect any set up costs to be incurred as this will simply be an additional line to upload to Unify collection which the trusts concerned are already using for other collections. The only additional cost will be small amount of additional staff time to upload the extra lines. This is accounted for in the application. I would estimate £7k for the collection for staff costs and that publication costs will be be zero as it will be webbased. This is not an additional burden to the service as it will be met internally by NHS England. Although your figures show that there are currently 64 Acute Non-Foundation Trusts and 100 Acute Foundation Trusts the reduced number of 61 Acute NonFoundation Trusts and 81 Acute Foundation Trusts that we have stated that we intend to collect from reflects our decision that the collection is not to be applied to specialist trusts 23. Benefits to Patients and the NHS Information on the national compliance with the AKI and Sepsis CQUIN will ensure we can understand expected funding flows for providers in 2015/16 as well as enable policy evaluation and development in Proposal for ROCR Approval patient safety and provider incentive policy areas. For example, it will help us understand if the there is provider and CCG level variation in meeting the AKI standards, whether or not the policy has been effective in improving AKI discharge summaries and Sepsis screening and whether financial incentives are working or if another policy tool is required. Without national information we will be unable to asses if the policy is having the desired effect and likely to lead to improvements in patient outcomes and how providers are responding to financial incentives. 24. Financial benefits to running this collection This information supports national financial modelling and evaluation of the effectiveness of financial incentives which should inform our policy development in this area going forward. 25. Publication methods NHS England website 26. Publication Links 27. Requesting Organisation NHS England 28. Collection Method Unify2 29. NHS Mandate Commitment Domain 5 of NHS Outcomes Framework 30. Changes since last assessment Proposal for ROCR Approval 31. Data in operational systems Yes 32. Plans for collecting this data from operational systems N/A 33. If the data was not collected, what would the consequences be We would not have information on overall national compliance with the CQUINs. This would mean we had no information on the national flow of funding for these CQUINs. It would also undermine policy evaluation and future policy development in these areas which could have financial and service quality implications in the future. 34. Is there an impact assessment or business case for this collection? If so please attach No 35. Process required for others to go through to obtain the data We presume this means for external users, if so it will be available on the NHS England website, and also on Unify 36. Keywords Sepsis, Kidney, Safety 37. National / Official statistic NA Proposal for ROCR Approval 38. Method used to store the data The data will be stored in the Unify2 data warehouse. This is an Oracle based database that sits on N3. 39. Why sampling is not used We want to understand the full national picture across all providers 40. Details of any pilots The proposal to collect aggregate figures from providers via Unify2 has been informed by the existing process and the fact that providers are already using this process for other data submission and therefore the marginal burden of the additional lines we are seeking is expected to be minimal. As the application form sets out this data will be collected locally and shared between providers and CCGs. This does not require a BAAS approval and will be subject the 3 yearly review of local collections. This application is simply seeking approval for this data flow, which will be occurring anyway, to be uploaded via Unify so we can access national level data. There will be no duplication. 41. Equalities dimensions used in the collection 42. Policy that the collection supports N/A 43. IG Data type Aggregate