Developments to the NHAIS System

(1)

Developments to the NHAIS System

FHS Day - 3

rd

March 2010

(2)

NHAIS and FHS Services

GP Payments

• Total payments for 07/08 of £7.2b

Cervical Cancer Screening

• 3.4m women called for screening

• Labs examined 3.7m samples

• Saving approx 1,300 lives per year and preventing up to 4,000 cancers

• UK service acknowledged as the best in the world

Breast Cancer Screening

• Over 2m women invited for screening

• Over 1.63m women screened

• Over 13,500 invasive cancers were detected

(3)

NHAIS and FHS Services

Registration

• 56.9m patient registration records managed across England and Wales per annum.

• 38,000 GP’s in 8,500 practices linked to NHAIS

• 12.3m transactions from GP practices per annum.

• 5.5m patient registrations

• 6.0m amendments

• 750,000 deductions (removal from GP list)

• Feeds PDS

• Advance search against PDS

National Blood Service

• Over 1m demographic updates provided to NBS in 2008

(4)

NHAIS Stakeholders

Developments are commissioned and managed by a variety of stakeholders

including:

• Department of Health

• NHS Connecting for Health

• NHS Information Centre

• National Cancer Screening programme

• Strategic Planning Group (SPG)

• Strategic Planning User Group (SPUG)

• Special Interest Groups (e.g. Ophthalmic Payments, Open Exeter etc)

• National Blood Service

(5)

Registration Developments

Primary Care Registration Migration

• Currently undergoing an ‘end of programme phase review’.

• The outcome of this review will impact on the scope and timescales of changes to the existing registration systems and processes as described below.

NHAIS/PDS Stage 4

• Developed and implemented over the next 2 years.

• NHAIS will receive demographic updates from other NHS Organisations via the PDS?

• Facilitate the closure of CHRIS as the National Back Office (NBO) migrate to the Demographic Spine Application (DSA)?

• FHS services will begin to migrate some business activities away from NHAIS and onto the PDS (e.g. Medical Record tracking)?

• Compliant GP systems will begin to drop the link to the local NHAIS system and carry out registrations directly on the PDS?

Demographic Spine Application (DSA)

• Already in use by the National Back Office.

(6)

GP Payments Developments

Planned Developments

• Changes for Tiered Contributions – implemented 1st _February.

• Input facility for DES/LES claims via Open Exeter – at pilot.

• Single Payment Phase 2 – migrates PMS payments into the New GMS applications – due to be implemented at the start of the new financial year.

• Microgen NHS Gateway service for BACS payments will close at the end of March.

• Improvement s to the security and audit of the UNIX download BACS option are in development.

Potential Developments

• Global Sum changes for the 2010/11 pay round.

(7)

Cancer Screening Developments

Breast Cancer Screening

• Higher Risk Surveillance. Introduction of a national surveillance programme for younger women who have been assessed as being at higher risk.

• Age Extension. The normal screening age is to be extended from 50-65 to 50-70. This will involve significant changes to the selection process and a new Vital Signs report (VSA09) to monitor progress towards full coverage.

• KC63 statutory returns will be amended to report on higher risk surveillance activity and age extension coverage.

Cervical Cancer Screening

• 14 day turnaround. A new Vital Signs report (VSA15) to monitor against the 14 day turnaround from the date of test to the date the result letter is received.

• HPV Sentinel software. Introduction of a new infection code of U (Unknown).

(8)

Cancer Screening Developments

Strategic Plans for a National Cancer Screening System

• The NHS Cancer Screening Programme team and NHS CFH are currently scoping a potential new National Cancer Screening system.

• The feasibility study has recommended a phased approach to future developments.

• The proposal represents a significant programme of IT and Business change, to be delivered over a 6-7 year period.

• The next step is to develop a Strategic Outline Case before the development of a full Business Case and procurement.

(9)

System Platform Developments

Multiple Database Environments

• The NHAIS system is currently limited to running a single database on a UNIX server.

• FHS Agencies could be running 6 or more separate databases.

• SSD are currently investigating the possibility of running more than one database on a single UNIX server.

• This could reduce hardware support costs.

• Outline project costs to be presented to the SPG for approval to proceed.

Hosting

• The SPG have requested SSD to investigate the options for providing a hosting service.

• This could provide the opportunity for NHAIS organisations to make savings on hardware ownership and maintenance costs.

(10)

Migration Plans for NHAIS Services

Primary Care Registration

• The migration strategy is currently under review.

• Before the review started, it was expected that the full migration of the registration process would not complete until 2013.

Cancer Screening

• A Strategic Outline Case is in production.

• A full Business Case and procurement process will be required.

• It is considered to be a series of IT and Business changes over a 6-7 year period.

GP Payments

• There are no migration plans for GP payments at this point in time.

(11)

Related Services

Primary Care Information System (PCIS)

• View and print basic Practice data in the form of ‘profiles’.

• Ability to combine Practice data with other related information.

• Chart the data for more detailed analysis.

• Facilitates production of the Medical Directory and the Medical Performers List.

• QOF Data populated to enable checking of practices performance by individual indicators

• GMC Registration status updates and reporting (Licence to Practice checks)

• Breast Screening and Cervical Cytology Screening data aggregated to practice/PCT/National levels

• Pharmacy payment data uploaded for Pharmacies for analysis

(12)

Related Services

Ophthalmic Payments System

• Currently in use at all but 7 PCTs

• Maintained to meet payment regulations.

• Produces required statistical returns.

• Provides Fraud Prevention and Detection tools.

• Electronic links established for GOS 1, 3, 4, 5 and 6

• Currently linked to 192 stores.

Open Exeter

• Provides controlled, authorised web browser access to NHAIS data.

• Full transaction recording for Caldicott Guardian audit.

(13)

Related Services

Secure File Transfer Service

• Provides a simple web-based interface enabling users to select a file, recipients and a password prior to uploading a file.

• Handle files up to one (1) GigaBytes (GB) in size, with the facility to accommodate larger files following testing and agreement with SSD.

• Only available over N3.

• Only permits files to be loaded where both the initiator and the intended recipients’ email address are verified as existing on the NHSmail directory.

Bowel Cancer Screening

• Aim to cut deaths by 15% in people aged between 60 and 70 (second biggest cancer killer).

• More than 4m test kits issued.

• More than 39,842 positive test results.

(14)

Questions?

For further information go to:

(15)

Contact Information

Saghir Akbar — Service Delivery Manager (London)

Tel: 0207 3918080 Mobile: 07810 552843 Email: [email protected]

Graham Ambrose — Service Delivery Manager (North West, North East and Yorkshire) Tel: 0191 402 8503 Mobile: 07775 584010 Email: [email protected]

Mark Hillman — Service Delivery Manager (Eastern)

Phil Moores — Service Delivery Manager (Southern, Wales)

Clare Westrop — Service Delivery Manager (West Midlands and Isle of Man) Tel: 0113 397 3278 Mobile: 07771 771963 Email: [email protected]