Análisis crítico del árbol de objetivos

1.30 The measures in this document –

radical transparency, excellence in leadership, clarity of accountability, consequences for failure and rewards for the very best – will together put in place the measures needed to help revitalise the culture of the NHS around a consistent focus on the needs of the patients it serves. But to do so, leaders need time to lead and staff need time to care, unconstrained by a culture of bureaucratic compliance with national regulations. In a busier NHS, we will ensure that paperwork, box ticking and duplicatory regulation and information burdens are reduced by at least one third. With a single version of the truth in the Chief Inspector’s balanced scorecard and assessment, there will be a single national portal – the Health and Social

Care Information Centre – for collecting information, and it will have a duty to seek to reduce the information burden on the service year on year.

1.31 To support this, the NHS

Confederation is undertaking a review of bureaucratic burdens on NHS providers. The initial focus of the review is to consider how to reduce the burden of inspection and data collection on the providers of care so that they can focus more on the delivery of safe, effective compassionate care. The review will report in full in September 2013 and Government will look carefully at how best to act on its findings.

1.32 The Health and Social Care Information

Centre (HSCIC) collects and publishes comparable data on health and care to ensure that appropriate data standards are applied to that information. New provisions in the Health and Social Care Act 2012, coming into effect this April require that organisations across the health and care system must have regard to advice and guidance the HSCIC gives on data collection and the associated administrative burdens. Where an organisation does not comply, it must make public its reasons for not doing so. These arrangements will be strengthened to require organisations in the health and care system, including the NHS Commissioning Board, Monitor, the Care Quality Commission, Clinical Commissioning Groups and others, to comply with the HSCIC advice or guidance in certain circumstances. This may include, for example, where an organisation is seeking to carry out a new information collection itself, rather than draw on the resources already available to the system.

1.33 The Informatics Services

Commissioning Group (ISCG), chaired by the NHS Commissioning Board on behalf of the health and care system, will ensure that the HSCIC becomes the focal point for data

collected at the national level, so the HSCIC becomes the ‘gateway’ for those seeking to collect new data. The ISCG will support the HSCIC in its duty to ensure that the burden on front-line services from data collection is significantly reduced.

1.34 Busy leaders and busy staff need to

be freed up to build cultures of care and to care for patients. National and local bodies that impact on providers and staff will in

future need to think hard and argue hard about why they need more information and consider its impact on direct care for patients. When information is collected, the technology needs to be in place to make it easy for organisations to provide and easy for frontline staff to collect, so they can concentrate on the patients that they serve.

1.35 The Government will implement in full

the findings of the Fundamental Review of NHS Confederation Review of Bureaucratic Burdens on NHS Providers:

Interim Report Recommendations

1. Immediately implementing the Fundamental Review of Data Returns.

2. Developing an agreed single data set for all providers aligned around a single definition of quality that is appropriately balanced across the five outcome domains and has proper emphasis on the patient and public and frontline staff view of quality.

3. Placing requirements on regulators, commissioners, and providers themselves to use this as the single source of data to support multiple uses for regulation, inspection, licensing, quality surveillance and risk assessment, commissioning and benchmarking, quality reporting by organisations, and in time, research. This could include introducing powers to restrict organisations collecting their own data.

4. Establishing the new Health and Social Care Information Centre as a world-class data hub for all health and social care information and the single major collection point.

5. Creating a system of governance at the new Health and Social Care Information Centre that engages all the key stakeholder bodies (including representation from the NHS and patient groups) and establishes a robust process of continuous challenge about what is collected.

6. Requiring the new Health and Social Care Information Centre to consult and publish annually on the scope and volume of its required returns.

7. Creating incentives on all organisations in the NHS to minimise locally driven

information collections, subject to the proper management and assessment of risk.

8. Increasing and facilitating information sharing across all organisations concerned with NHS and social care to minimise duplication of data collection and underpin a safer process of integrated care for patients.

9. Creating an effective and transparent system of earned autonomy to guide the volume and frequency of external assurance and inspection activity by regulators.

10. Committing wholeheartedly to the roll-out of digital technology to reduce the burden on frontline staff collecting information by incentivising procurement and deployment of digital collection systems.

Chapter One – Preventing Problems 35

Data Returns, carried out by Department of Health and the HSCIC in partnership with key organisations who generate or use NHS data. Fifty-eight data returns have already been suspended and work will start immediately with the owners of data returns to discontinue any remaining redundant data returns. This will deliver a 25% reduction in the number of data returns that NHS organisations are required to send to the Department of Health and its arms length bodies, freeing up time for hospital boards and staff to focus on providing high quality, compassionate care.

1.36 Drawing on the HSCIC, the NHS

Commissioning Board is leading work to

build a modern data service, care.data, in health and social care, to provide timely and accurate data derived from information collected as part of the care process and linked along care pathways.

Safety in the DNA of the NHS –