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Health and Social Care Information Centre Board
Agenda: Part 1 (Public Session)
23 September 2015 – 10:15 to 12:30
Venue: Comfort Zone, 8th floor Bridgewater Place, Water Lane,
Leeds, LS11 5BZ
Ref No Agenda Item Time Presented By HSCIC 15 04 01
Chair’s Introduction and Apologies (oral)
10:15 – 10:20
Chair
HSCIC 15 04 02 Declaration of Interests and minutes
10:20 – 10:30
(a) Register of Interests (paper) – for information (b) Minutes
of Board Meeting on 15 July 2015 (paper) –
to ratify (c) Progress on Action Points (paper) – for
information
Chair
HSCIC 15 04 03 Business and Performance Reporting
10:30 – 11:00
(a) Board Performance Pack (paper) – for information i. Data
Quality Key Performance Indicator Plan
(paper) – for approval ii. Data Quality Strategy on a Page
(paper) – for
approval iii. Data Quality Policy (paper) – for approval iv.
Data Quality next steps (paper) – for approval
(b) Transformation Programme Mid-Year Report 2015-16
– for information (c) Board Overview and Pipeline of Investment
Decisions
– for comment
CEO
Interim Director of Information and
Analytics and Lead Clinician
Director of Human Resources and Transformation
Director of Finance
and Corporate Services
HSCIC 15 04 04 Supporting the Health and Social Care System
11:00 – 11:45
(a) Type 2 Objections Direction – for acceptance (b) Assuring
Transformation Direction Update – for
acceptance (c) E-med 3 Direction: Fit Note Aggregated Data –
for
acceptance (d) Female Genital Mutilation (FGM) Risk
Information
System (RIS) Direction - for acceptance
(e) HSCIC Information Governance Strategy – for approval
(f) Streamlining the Independent Information Governance
Advice to HSCIC – for information
Interim Director of Information and
Analytics and Lead Clinician (x 2 items)
Director of
Programmes (x 2 items)
Director of Operations and Assurance
Services
Interim Director of Information and
Analytics and Lead Clinician
Age
nda
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HSCIC 15 04 05 Transparency and Governance
11:45 – 12:25
(a) Committee Reports: i. Assurance and Risk Committee: 16
September
2015 (oral) ii. Assurance and Risk Committee Terms of
Reference - for approval iii. Information Assurance and Cyber
Security
Committee: 15 September 2015 (oral) iv. Remuneration Committee:
07August 2015 (oral) v. Remuneration Committee Terms of
Reference
2015-16 (paper) – for approval vi. Board Terms of Reference -
for approval
(b) Board Forward Business Schedule 2015-16 (paper) –
for information
Committee Chair
Committee Chair
Chair
Chair
Chair
HSCIC 15 04 06 Any other Business (subject to prior agreement
with Chair)
12:25 – 12:30 Chair
HSCIC 15 04 07 Background Paper(s) (for information)
(a) Forthcoming Statistical Publications (paper) – for
information
(b) Programme Definitions (paper) – for reference (c)
Correspondence from the UK Statistics Authority –
for information (d) Office for National Statistics Direction –
for
information (e) Request from NHS Scotland under section 255
Health and Social Care Act 2012 – for information
(f) Data Disseminations (paper) – for information
Date of next meeting 25 November 2015 - London
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Board meeting – Public session
Title of paper: HSCIC Board members Register of Interests
2015-16
Board meeting date: 23 September 2015
Agenda item no: HSCIC 15 04 02 (a)
Paper presented by:
Chair
Paper prepared by:
Annabelle McGuire, Secretary to the Board
Paper approved by: (Sponsor Director) N/A
Purpose of the paper: The HSCIC is required by its Standing
Orders to maintain a publically available Register of Members’
Interests.
The Register contains, as they become available, the
Declarations of Interest made by Board members.
Key risks and issues:
N/A
Patient/public interest:
Transparency and Openness
Actions required by the board: For information
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HSCIC Board Register of Interests 2015-16
Name
Declared Interest
Non-Executive Directors
Kingsley Manning - Chair
Director – Newchurch Limited (non-trading since 01 June
2013)
Director – Hennig UK Limited
Trustee and Board member - Royal Philharmonic Society
Director of Spectrum (General Partner) Limited, the investment
advisory board for the Rainbow Seed Fund, which is an investment
fund, funded by a number of the research councils.
Sir Ian Andrews - Non-Executive Director
Director of IMA Partners Ltd (formerly known as Abis Partnership
Ltd) provision of legal and management consultancy services to
government, academia (KCL1) and Transparency International UK
Consultancy advice to DH on aspects of governance of NHS
Transformation, renegotiation of Connecting for Health contracts
with CSC2, and oversight of Fujitsu Arbitration process
Other Offices:
Conservator of Wimbledon and Putney Commons
Trustee Chatham Historic Dockyard
Member of UK Defence Academy Academic Advisory Board
Sir John Chisholm - Non-Executive Director
Executive Chair – Genomics England Ltd.
Chair – Nesta (the charity)
Director – Historic Grand Prix Cars Association Ltd.
Professor Maria Goddard - Non-Executive Director
Member of Board of Directors for the York Health Economics
Consortium at the University of York.
Professor of Health Economics at the University of York and head
of department/director of the Centre for Health Economics at the
University of York
1 King's College London
2 Computer Sciences Corporation
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Name
Declared Interest
Sir Nick Partridge - Non-Executive Director
Other Offices:
Chair - Clinical Priorities Advisory Group, NHS England
Deputy Chair - UK Clinical Research Collaboration
Deputy Chair, Sexual Health Forum, DH
Dr Sarah Blackburn – Non-Executive Director
Director - The Wayside Network Limited
Director - IIA3 Inc
Independent member of the Management Board, RICS4
Non-Executive Partner, The Green Practice, Bristol
Employment (other than with the HSCIC): The Wayside Network
Limited
Other Offices:
Audit Committee member, RAC Pension Fund Trustee
Contracts held in last 2 years: The Wayside Network Limited
has:
a contract to supply GP and primary care nursing services to
Avon and Wiltshire NHS Partnership
a zero hours contract with the Chartered Institute of Internal
Auditors
Shareholdings:
50% of The Wayside Network Limited
Executive Directors
Andy Williams – CEO
None
Rachael Allsop - Executive Director of Human Resources
None
Rob Shaw - Executive Director of Operations and Assurance
Services
None
Carl Vincent - Executive Director of Finance and Corporate
Services
None
3 The Institute of Internal Auditors
4 Royal Institution of Chartered Surveyors
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Name
Declared Interest
Directors
Peter Counter - CTO5
Director at Canary Wharf College Limited
Tom Denwood - National Provider Support Director
British Computer Society (BCS) Health, Vice Chair Policy and
Strategy (a voluntary role at this registered charity)
Senior Responsible Owner (SRO) for Local Service Provider (LSP)
Programmes on behalf of Department of Health
James Hawkins - Director of Programme Delivery
Parent Governor at St Peters Church of England Primary School,
Harrogate
Isabel Hunt - Director of Customer Relations
Trustee, Thackray Medical Museum (Leeds)
Council Member, Leeds Minster
Director - Barry Wades Estates Ltd
Professor Martin Severs – Interim Director of Information and
Analytics, Caldicott Guardian and Lead Clinician
Trustee of Dunhill Medical Trust, a research charity
Consultant Geriatrician with Portsmouth Hospitals NHS Trust
Professor of Health Care for Older People with University of
Portsmouth
Other Offices:
Member of SoS6 Independent Information Governance Oversight
Panel
Other relevant interests:
Medical consultant and member of the Royal College of
Physicians, British Geriatrics Society and the Faculty of Public
Health Medicine
Director of Information and Analytics
Vacancy
Director of Strategy
Vacancy
5 Chief Technical Officer
6 Secretary of State
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Health and Social Care Information Centre
Minutes of Board Meeting – Wednesday 15 July 2015
Part 1 - Public Session
Present:
Chair Kingsley Manning
Non-Executive Director Sir Ian Andrews
Non-Executive Director Sir John Chisholm
Non-Executive Director Prof. Maria Goddard
Non-Executive Director (Vice Chair) Sir Nick Partridge
Chief Executive Officer Andy Williams Director of Operations and
Assurance Services Rob Shaw In attendance: Chief Technology Officer
Peter Counter National Provider Support Director Tom Denwood
Director of Programmes James Hawkins Director of Customer Relations
Isabel Hunt Interim Director of Information and Analytics and Lead
Clinician (Caldicott Guardian)
Prof. Martin Severs
Assistant Director for Strategy and Policy Linda Whalley
Secretary to the Board Annabelle McGuire
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1. Chair’s Introduction and Apologies (HSCIC 15 03 01)
1.1 The Chair convened a meeting of the HSCIC Board. He welcomed
the observers attending the
Board meeting. He expressed the Board’s thanks to the HSCIC
staff in Redditch for welcoming the Board, and the Board’s thanks
to those who had undertaken the organisation and administration of
the Board.
1.2 The Director of Human Resources and Transformation Rachael
Allsop, The Director of Finance and Corporate Services Carl Vincent
and Non-Executive Director Dr Sarah Blackburn had registered their
apologies.
2. Declaration of Interests and Minutes (HSCIC 15 03 02)
2.1 (a) Register of Interests (paper): HSCIC 15 03 02 (a) The
Board agreed the Register of Interests was correct.
2.2 (b) Minutes of Board meeting on 10 June 2015 (paper): HSCIC
15 03 02 (b)
The Board ratified the minutes of the meeting on 10 June 2015 as
correct.
2.3
(c) Progress on action points (paper): HSCIC 15 03 02 (c) The
Board noted the progress on action points resulting from the
previous meeting.
2.4 (d) Matters Arising: HSCIC 15 03 02 (d):
The Board noted that the HSCIC Annual Report and Accounts 2014-
15 would be laid before Parliament on Thursday 16 July.
Subsequently the HSCIC Annual Report and Accounts would be
published on the HSCIC web site and hard copies would be made
available.
The CEO informed the Board of the resignation of Andrew
MacLaren, Director of Information and Analytics.
The CEO informed the Board of the interim arrangements. Prof.
Martin Severs had been asked and had agreed to take up the role of
interim Director of Information and Analytics and Lead Clinician
(Caldicott Guardian). This was a temporary arrangement, which had
been announced internally. Where any conflict of interests existed
in respect to his role as Caldicott Guardian, Dr Alan Hassey would
act as the interim Caldicott Guardian. As interim Caldicott
Guardian Dr Hassey would have direct access to the Chair and CEO as
required.
The CEO briefed the Board on a number of changes to the
components of directorates. The details of the changes were being
elaborated.
3.
Transparency and Governance (HSCIC 15 03 03)
3.1 (a) Committee Reports: HSCIC 15 03 03 (a)
i. Assurance and Risk Committee (ARC) (oral): HSCIC 15 03 03 (a)
Non-Executive Director Sir Ian Andrews, representing the Chair of
the Assurance and Risk
Committee, reported that the Committee had convened via
teleconference with the National Audit Office (NAO) on 29 June to
discuss the final draft of the HSCIC Annual Report and Accounts
2014-15, which the Board had considered at its last meeting. The
Committee had agreed with the treatment of the unadjusted changes
and recommended that the CEO sign the HSCIC Annual Report and
Accounts. No other business had been discussed.
ii. Information Assurance and Cyber Security Committee (IACSC)
01 July 2015 (oral): HSCIC 15 03 03 (a) ii
The Chair of the IACSC, Non-Executive Director Sir Ian Andrews,
reported that the Committee had met on 01 July with Department of
Health (DH) representatives and colleagues from other government
departments. The Committee received a report on the first meeting
on 1 July of the DH Information Security Risk Board (ISRB) chaired
by Will Cavendish, DH SIRO and Director General of Innovation,
Growth and Technology and went on to discuss various current issues
concerning Information Security. He informed the Board that a
briefing for DH Non-Executive Directors on cyber and information
security had taken place on 14 July. This had been well received
and was likely to be repeated. There was recognition of the role
that NEDs had to play in
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holding executives to account and promoting the appropriate
culture and behaviours.
iii. Information Assurance and Cyber Security Committee (IACSC)
Terms of Reference (paper): HSCIC 15 03 03 (a) iii
The Chair of the IACSC, Non-Executive Director Sir Ian Andrews,
presented the revised terms of reference for the committee. Further
amendments were likely to clarify the respective roles of the IACSC
and the Assurance and Risk Committee and the Board approved the
terms of reference subject to these reconsiderations.
Action: Director of Operations and Assurance Services
3.2 (b) Board Forward Business Schedule 2015-16 (paper): HSCIC
15 03 03 (b) The Board noted the forward business schedule. The
Board considered that it would be of
potential benefit to take this item later on the agenda.
3.3 (c) Board Oversight of Investment Decisions: HSCIC 15 03 03
(c) The CEO presented this item. The purpose was to set out
proposals for Board oversight of
investment decisions. This was in response to interest expressed
previously by the Board. The Board considered that the inclusion of
a pipeline of Directions would be of benefit, for incorporation in
the same report. In addition, long-term continuing programmes
should also be included. These would be those above a sensible
level of overall cost. The full report would come to the Board for
information.
Action: Director of Finance and Corporate Services The Board
agreed it would be helpful to highlight the areas the executive
needed to bring to their attention. The Board noted the report.
4. Business and Performance Reporting (HSCIC 15 03 04)
4.1 (a) Board Performance Pack (paper): HSCIC 15 03 04 (a) The
CEO presented this item. The purpose was to provide the Board with
a summary of
performance in May. The reputation and data quality key
performance indicators were still be refined. The Board requested
highlighting in the narrative where there was an incident or issue
that occurred after the reporting period, the executive directors
noted this request. The Board received and noted the Board
Performance Pack.
4.2 (b) Data Release Review: Audit Status Report (paper): HSCIC
15 03 04 (b) The Director of Operations and Assurance Services
presented this item. The purpose was to brief
the Board on the status of the data sharing audits. He
summarised the position, and stated there had been no concerns to
date. If any arose the IACSC would consider identified concerns.
The Board noted and received the update.
4.3 (c) HSCIC Personal Development Review Report (paper): HSCIC
15 03 04 (c) The CEO presented this item. The purpose was to report
on the levels of performance and
development activity by each HSCIC directorate at the start of
the financial year. The Board discussed and endorsed organisational
talent management. The Board agreed that in future, where a
directorate did not a achieve 92.5% completion rate they would like
to be informed. The Board noted and received the update.
4.4 (d) National Audit Office (NAO) GP Extraction Service (GPES)
Report (paper): HSCIC 15 03 04 (d)
The Director of Programmes presented this item. The purpose was
to update the Board on the background to the NAO investigation, the
findings from the investigation and future plans for GPES. He
summarised the background, status and future plans. He confirmed
the identification of significant lessons, and the completion of an
internal report detailing the insights. The Board acknowledged that
this was an inherited issue from a precursor organisation. The
Board noted and received the update. The Board agreed the addition
of primary care systems to the list of programmes.
Action: Director of Programmes
4.5 (e) Electronic Referral Service Go-Live (paper): HSCIC 15 03
04 (e) The Director of Programmes presented this item. The purpose
was to update the Board on the
NHS E-Referral Service go live and early life. He briefed the
Board on some of the challenges
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post go-live. He stated that the end of July 2015 was the target
date to fully stabilise the service and fix the majority of
outstanding issues. The Board discussed the need to upgrade of
internet browsers across the health and social acre sector. The
Board requested that the IACSC look at the associated risks.
Action: Director of Operations and Assurance Services The Board
noted and received the update. The Director of Programmes said he
would present the lessons identified report at the 23 September
Board.
Action: Director of Programmes
5 Supporting the Health and Social Care System (HSCIC 15 03
05)
5.1 (a) i. Care.data Programme Update (Board Approvals and
Budget Position): HSCIC 15 03 05 (a) i ii. Care.data revised NHS
England Direction (paper): HSCIC 15 03 05 (a) ii
The Interim Director of Information and Analytics and Lead
Clinician presented this item. The purpose was to provide the
rationale behind the Directions to facilitate the collection,
analysis and dissemination of data from pathfinder practices, and
background information on the investment to deliver requirements.
The Board noted these Directions were a draft. The Board noted a
letter from med-Confidential, along with a briefing on it from Eve
Roodhouse, Programme Director care.data, and the letter of response
from Sir Malcolm Grant (Chair NHS England), none of which
constituted part of the Board pack. During Board discussion five
main points emerged:
The HSCIC Programme Team and the HSCIC Information Governance
team should have seen the Privacy Impact Assessment and endorsed
it, as the HSCIC is joint data controller with NHS England.
The Direction should explicitly state the HSCIC data controller
role or provide the Board with an agreed alternative mechanism for
the organisations role to be explicitly stated.
The Direction to be revised as stated, with the inclusion of
participating GPs and data set specification.
The Direction should explicitly reflect the publically stated
position on data dissemination referencing the listed
organisations, the use or not of a secure data facility and
explicit reference on whether the listed public bodies e.g. Public
Health England (PHE) can disseminate the data onward or provide the
Board with an agreed alternative mechanism for this to be made
explicit.
The Direction should have an end date or review date given it is
only applicable to the Pathfinder Stage.
The Interim Director of Information and Analytics and Lead
Clinician was asked to make NHS England aware of these
decisions.
Action: The Interim Director of Information and Analytics and
Lead Clinician
5.2 (b) UK Genetic Infrastructure Direction (paper): HSCIC 15 03
05 (b) The Interim Director of Information and Analytics and Lead
Clinician presented this item. The
purpose of the data collection is to gain information on the
access and provision to genetic testing provided by the UK Genetic
Testing Network (UKGTN). Non-Executive Director Sir John Chisholm
said he would like to speak to the Interim Director of Information
and Analytics and Lead Clinician outside the Board meeting. The
Board considered that the following two factors should be
considered during the consultation:
Seek specific views on whether the NHS number should be
routinely collected for all patients in England.
Seek specific views from the DH policy team who deal with
genetics. The Board being satisfied with the assurances provided
approved the Direction.
5.3 (c) Data Service for Commissioners Direction (paper): HSCIC
15 03 05 (c) The Interim Director of Information and Analytics and
Lead Clinician presented this item. The
revised Directions provided clarification that represents the
most up to date legal advice and as such, there was very little
risk in agreeing to accept the changes, which were to ensure
alignment to policy. The Board being satisfied with the assurances
provided approved the Direction.
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5.4 (d) Dementia Prevalence Direction (paper): HSCIC 15 03 05
(d)
The Interim Director of Information and Analytics and Lead
Clinician presented this item. The Board noted the executive
management team had reviewed the Directions. The Board being
satisfied with the assurances provided approved the Direction.
5.5 (e) NHS England Direction National Cancer Waiting Times
Monitoring (paper): HSCIC 15 03 05 (e)
The Director of Operations and Assurance Services presented this
item. The Direction provides a legal basis to continue to collect
the relevant data through an existing service provided to NHS
England. The Board being satisfied with the assurances provided
approved the Direction. The Interim Director of Information and
Analytics and Lead Clinician agreed to establish if the HSCIC
published a Register of Directions.
Action: Interim Director of Information and Analytics and Lead
Clinician
6 Any other Business (HSCIC 15 03 06) The Director of Programmes
informed the Board that the GPES Independent Advisory
Group (IAG) had ceased to exist on the 30 June 2015. The
Standardisation Committee for Care Information (SCCI) process and
the Independent Group Advising on the Release of Data (IGARD) had
replaced the GPES IAG. He thanked the members of the GPES IAG for
their work since 2012.
7. Background Papers (HSCIC 15 03 07)
7.1 (a) HSCIC Social Care Work Update (paper): HSCIC 15 03 07
(a) The Board noted this paper for information.
7.2 (b) Forthcoming Statistical Publications (paper): HSCIC 15
03 07 (b)
The Board noted this paper for information.
7.3 (c) Programme Definitions (paper): HSCIC 15 03 07 (c) 8.
The Board noted this paper for information.
8.1 The arranged date of the next public Board meeting was for
23 September 2015.
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Table of Actions:
Action Action Owner
The Chair of the IACSC, Non-Executive Director Sir Ian Andrews,
presented the revised terms of reference for the committee. Further
amendments were likely to clarify the respective roles of the IACSC
and the Assurance and Risk Committee and the Board approved the
terms of reference subject to these reconsiderations.
Director of Operations and Assurance Services
The purpose was to set out proposals for Board oversight of
investment decisions. This was in response to interest expressed
previously by the Board. The Board considered that the inclusion of
a pipeline of Directions would be of benefit, for incorporation in
the same report. In addition, long-term continuing programmes
should also be included. These would be those above a sensible
level of overall cost. The full report would come to the Board for
information.
Director of Finance and Corporate Services
The Board agreed the addition of primary care systems to the
list of programmes.
Director of Programmes
The Board discussed the upgrade of internet browsers across the
health and social care sector. The Board requested that the IACSC
look at the associated risks.
Director of Operations and Assurance Services
Electronic Referral Service: The Director of Programmes said he
would present the lessons identified report at the 23 September
Board.
Director of Programmes
During Board discussion five main points emerged:
The HSCIC Programme Team and the HSCIC Information Governance
team should have seen the Privacy Impact Assessment and endorsed
it, as the HSCIC is joint data controller with NHS England.
The Direction should explicitly state the HSCIC data controller
role or provide the Board with an agreed alternative mechanism for
the organisations role to be explicitly stated.
The Direction to be revised as stated, with the inclusion of
participating GPs and data set specification.
The Direction should explicitly reflect the publically stated
position on data dissemination referencing the listed
organisations, the use or not of a secure data facility and
explicit reference on whether the listed public bodies e.g. Public
Health England (PHE) can disseminate the data onward or provide the
Board with an agreed alternative mechanism for this to be made
explicit.
The Direction should have an end date or review date given it is
only applicable to the Pathfinder Stage.
The Interim Director of Information and Analytics and Lead
Clinician was asked to make NHS England aware of these
decisions.
The Interim Director of Information and Analytics and Lead
Clinician
The Interim Director of Information and Analytics and Lead
Clinician agreed to establish if the HSCIC published a Register of
Directions.
The Interim Director of Information and Analytics and Lead
Clinician
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Board meeting – Public session
Title of paper: Update on action points for the previous
meeting
Board meeting date: 23 September 2015
Agenda item no: HSCIC 15 04 02 (c)
Paper presented by: Chair
Paper prepared by: Annabelle McGuire, Secretary to the Board
Paper approved by: (Sponsor Director) Action Updates as
submitted by the relevant Executive Management Team director.
Purpose of the paper: To share an update on action points from
the previous meeting for information.
Key risks and issues: As stated in the action and commentary
Patient/public interest: Corporate Governance
Actions required by the board: To note for information
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of
Fin
an
ce
an
d
Co
rpo
rate
Serv
ices
Y
es
Th
e B
oard
ag
ree
d t
he a
dd
itio
n o
f prim
ary
ca
re s
yste
ms t
o t
he lis
t of
pro
gra
mm
es.
Th
ese u
pd
ate
s a
re inclu
ded
in a
re
fre
she
d r
epo
rt p
resente
d t
o t
he
Bo
ard
. D
ire
cto
r o
f P
rog
ram
mes
Y
es
c/f
Th
e B
oard
dis
cusse
d th
e u
pg
rade o
f in
tern
et b
row
se
rs a
cro
ss t
he h
ea
lth
an
d
so
cia
l ca
re s
ecto
r. T
he B
oard
req
ueste
d
that th
e I
AC
SC
lo
ok a
t th
e a
sso
cia
ted r
isks.
To b
e ta
ble
d a
t a
futu
re Info
rma
tion
A
ssu
ran
ce
an
d C
yb
er
Secu
rity
C
om
mitte
e m
eetin
g.
Dir
ec
tor
of
Op
era
tio
ns a
nd
A
ss
ura
nce
Se
rvic
es
Y
es
c/f
Ele
ctr
onic
Refe
rra
l S
erv
ice
: T
he D
ire
cto
r of
Pro
gra
mm
es s
aid
he w
ould
pre
sen
t th
e
lesson
s ide
ntifie
d r
epo
rt a
t th
e 2
3
Se
pte
mb
er
Bo
ard
.
Ora
l u
pd
ate
pro
vid
ed
to
th
e 2
S
epte
mb
er
Bo
ard
Bu
sin
ess
Me
etin
g,
with
th
e a
gre
em
ent of
the
Ch
air t
he f
inal re
port
will
co
me
to
th
e 2
5 N
ove
mb
er
Bo
ard
me
eting
.
Dir
ec
tor
of
Pro
gra
mm
es
Y
es
Page 14 of 299
-
Pag
e 3
of
4
Sta
tus
Su
mm
ary
of
Ac
tio
n
Co
mm
en
tary
R
esp
on
sib
le D
ire
cto
r F
or
Info
rma
tio
n O
nly
Du
ring
Bo
ard
dis
cussio
n f
ive
ma
in p
oin
ts
em
erg
ed:
T
he H
SC
IC P
rog
ram
me T
eam
and t
he
HS
CIC
Info
rma
tion
Go
ve
rna
nce te
am
sh
ou
ld h
ave
se
en
th
e P
riva
cy I
mp
act
Asse
ssm
ent
and e
nd
ors
ed it,
as th
e
HS
CIC
is jo
int d
ata
co
ntr
olle
r w
ith
NH
S
En
gla
nd
.
T
he D
ire
ction
sh
ou
ld e
xp
licitly
sta
te t
he
HS
CIC
data
co
ntr
olle
r ro
le o
r p
rovid
e t
he
Bo
ard
with
an
ag
ree
d a
lte
rna
tive
m
echa
nis
m f
or
the o
rga
nis
ation
s r
ole
to
b
e e
xp
licitly
sta
ted
.
T
he D
ire
ction
to
be r
evis
ed a
s s
tate
d,
with
th
e in
clu
sio
n o
f p
art
icip
atin
g G
Ps
and
da
ta s
et sp
ecific
atio
n.
T
he D
ire
ction
sh
ou
ld e
xp
licitly
refle
ct th
e
pub
lica
lly s
tate
d p
ositio
n o
n d
ata
d
isse
min
ation
refe
rencin
g t
he lis
ted
org
anis
ation
s, th
e u
se o
r n
ot of
a s
ecu
re
data
fa
cili
ty a
nd
exp
licit r
efe
ren
ce o
n
wh
eth
er
the lis
ted p
ub
lic b
od
ies e
.g.
Pu
blic
He
alth
En
gla
nd
(P
HE
) ca
n
dis
se
min
ate
th
e d
ata
onw
ard
or
pro
vid
e
the B
oard
with
an
ag
reed
alte
rnative
m
echa
nis
m f
or
this
to
be m
ade e
xp
licit.
T
he D
ire
ction
sh
ou
ld h
ave
an
end d
ate
or
revie
w d
ate
giv
en it
is o
nly
app
lica
ble
to
th
e P
ath
fin
de
r S
tag
e.
Th
e I
nte
rim
Dire
cto
r of
Info
rma
tion
an
d
An
aly
tics a
nd
Le
ad C
linic
ian w
as a
ske
d t
o
make
NH
S E
ng
land
aw
are
of th
ese
d
ecis
ions.
Actio
n c
om
ple
ted
. T
he I
nte
rim
Dir
ecto
r o
f In
form
ati
on
an
d A
naly
tic
s
an
d L
ead
Clin
icia
n
Ye
s
15 0
4 02
c -
Act
ion
upda
te s
umm
ary
Page 15 of 299
-
Pag
e 4
of
4
Sta
tus
Su
mm
ary
of
Ac
tio
n
Co
mm
en
tary
R
esp
on
sib
le D
ire
cto
r F
or
Info
rma
tio
n O
nly
c/f
Th
e I
nte
rim
Dire
cto
r of
Info
rma
tion
an
d
An
aly
tics a
nd
Le
ad C
linic
ian
agre
ed
to
esta
blis
h if
the H
SC
IC p
ublis
hed
a R
eg
iste
r of
Dire
ctio
ns.
Th
ere
is a
lre
ad
y a
pro
cess in
pla
ce
for
pub
lish
ing
directio
ns th
ou
gh it
is
an in
terim
arr
ang
em
ent. K
are
n
Da
vis
on t
o u
pd
ate
th
e E
xe
cutive
O
ffic
e w
ith
a m
ore
com
pre
he
nsiv
e
upd
ate
in d
ue c
ours
e.
Th
e I
nte
rim
Dir
ecto
r o
f In
form
ati
on
an
d A
naly
tic
s
an
d L
ead
Clin
icia
n
Ye
s
Page 16 of 299
-
Page 1 of 1
Board meeting – Public session
Title of paper:
EMT Performance Pack
Board meeting date:
23 September 2015
Agenda item no:
HSCIC 15 04 03 (a)
Paper presented by:
Carl Vincent, Director of Finance and Corporate Services
Paper prepared by:
John Willshere, Portfolio Director
Paper approved by: (Sponsor Director)
Carl Vincent, Director of Finance and Corporate Services
Purpose of the paper:
To provide the Board with a summary of financial data relating
to programme spend, information governance incidents and risk
management.
Justification for inclusion in private board:
The information on Programme spend is commercially
sensitive.
Key risks and issues:
The corporate performance framework monitors HSCIC performance
including risk management, information governance and security.
Patient/public interest:
The public interest is in ensuring the HSCIC manages its
business in an effective way.
Actions required by the board:
To note
P
ack
(cov
er s
heet
)15
04
03a
- B
oard
Per
form
ance
Page 16.1 of 299
-
Copyright ©
2015
, H
ealth a
nd S
ocia
l C
are
Info
rmation C
entr
e. A
ll R
ights
Reserv
ed
Bo
ard
Pe
rfo
rma
nc
e P
ac
k
Au
gu
st
2015
Da
ta
ww
w.h
scic
.go
v.u
k
e
nq
uir
ies@
hscic
.go
v.u
k
@
hscic
Pac
k15
04
03a
- B
oard
Per
form
ance
Page 16.2 of 299
-
Conte
nts
HS
CIC
Pe
rfo
rma
nc
e S
um
ma
ry3
Pro
gra
mm
e A
ch
ieve
me
nt
KP
I R
ep
ort
4
IT S
erv
ice
Pe
rfo
rma
nc
e K
PI R
ep
ort
5
Org
an
isa
tio
na
l H
ea
lth
KP
I R
ep
ort
6
Da
ta Q
ua
lity
KP
I R
ep
ort
7
Fin
an
cia
l M
an
ag
em
en
t (H
SC
IC)
KP
I R
ep
ort
8
Ap
pe
nd
ix 1
- M
an
ag
em
en
t A
cc
ou
nts
9 -
12
Ap
pe
nd
ix 2
- P
rog
ram
me
De
live
ry D
as
hb
oa
rd1
3 -
16
Page 16.3 of 299
-
Perf
orm
an
ce In
dic
ato
rO
wn
er
Cu
rre
nt
Pe
rio
d
Cu
rre
nt
Fo
rec
as
t
Pre
vio
us
Fo
rec
as
tS
ep
-14
Oct-
14
No
v-1
4D
ec
-14
Ja
n-1
5F
eb
-15
Ma
r-1
5A
pr-
15
Ma
y-1
5J
un
-15
Ju
l-1
5A
ug
-15
Pro
gra
mm
e A
ch
ievem
en
tJam
es H
aw
kin
sA
/GA
/GA
/GA
AA
AA
AA
/GA
/GA
/GA
/GA
/GA
/G
IT S
erv
ice P
erf
orm
an
ce
Ro
b S
ha
wA
GG
GG
AA
GA
GG
GG
GA
Org
an
isati
on
al H
ealt
hR
ac
ha
el A
lls
op
AG
GG
GG
GG
AA
AA
AA
A
Da
ta Q
ua
lity
Mart
in S
evers
GG
GG
GG
GG
AA
GG
GG
G
Fin
an
cia
l M
an
ag
em
en
t: H
SC
ICC
arl
Vin
ce
nt
GG
GA
RR
GG
GR
GG
GG
HS
CIC
Pe
rfo
rma
nc
e S
um
mary
Perf
orm
an
ce T
racker:
Ro
llin
g 1
2 m
on
ths
Perf
orm
an
ce T
his
Peri
od
Pro
gra
mm
e A
ch
ievem
en
t is
report
ed a
s A
MB
ER
/GR
EE
N for
the s
ixth
consecutive m
onth
, although o
vera
ll pro
gra
mm
e d
eliv
ery
confidence fell (
from
68.4
% t
o 6
6.7
%).
T
he g
ap b
etw
een a
ctu
al
and fore
cast
deliv
ery
co
nfid
en
ce
wid
en
ed
and
is n
ow
mo
re t
ha
n e
ight
perc
en
tage
poin
ts.
Acro
ss the
port
folio
only
one
pro
gra
mm
e is r
ate
d a
s R
ED
fo
r o
ve
rall
de
live
ry c
on
fid
en
ce
(H
ealth a
nd
So
cia
l C
are
Ne
two
rk).
IT
Se
rvic
e P
erf
orm
an
ce i
s r
epo
rted
as A
MB
ER
. T
his
ra
tin
g is m
ain
ly d
rive
n b
y t
he
fact th
at
3 s
erv
ice
s (
out
of 66
) d
id n
ot
ach
ieve
the
ir a
va
ilabili
ty t
arg
et
(the
perf
orm
ance
thre
sh
old
s f
or
this
KP
I a
re h
igh
). T
he
A
MB
ER
sta
tus a
lso
re
fle
cts
so
me
of th
e p
erf
orm
ance
issu
es r
ela
tin
g to e
RS
(se
e b
elo
w).
T
here
we
re 1
7 h
igh s
eve
rity
se
rvic
e in
cid
en
ts, 8
few
er
tha
n la
st m
onth
. A
ll o
f th
ese
(1
00
%)
we
re r
eso
lve
d w
ithin
the
ta
rget
fix tim
e.
88
% o
f se
rvic
es (
22 o
ut
of 25)
ach
ieve
d the
ir r
esp
on
se
tim
e ta
rget.
D
urin
g t
he
perio
d J
un
e-A
ug
ust
the
re h
ave
be
en
a n
um
ber
of pe
rform
ance
issu
es r
ela
tin
g to t
he
Ele
ctr
on
ic R
efe
rra
l S
erv
ice
(e
-RS
).
Th
ese
in
cid
en
ts a
re n
ot ye
t in
clu
de
d in
th
e r
outin
e s
erv
ice
pe
rform
ance
d
ata
beca
use
e-R
S is s
till
in its
De
plo
ym
ent
Ve
rifica
tio
n P
erio
d a
nd
not
tre
ate
d a
s a
fu
lly-f
led
ge
d liv
e s
erv
ice
. W
hen
e-R
S e
xits the
De
plo
ym
ent
Ve
rifica
tio
n P
erio
d it w
ill b
e in
clu
de
d in
th
e p
erf
orm
ance
data
re
po
rted
for
the I
T S
erv
ice
Pe
rform
ance
KP
I.
Org
an
isa
tio
na
l H
ealt
h i
s r
epo
rted
as A
MB
ER
. T
ime
take
n to r
ecru
it is s
till
abo
ve
targ
et, b
ut
has c
on
tin
ue
d to
re
du
ce
for
both
in
tern
al a
nd
exte
rnal a
pp
oin
tme
nt
and
is n
ow
within
5 d
ays o
f th
e t
arg
et.
Ove
rall
sic
kness a
bsence a
nd turn
over
rem
ain
belo
w t
arg
et
and r
easonably
sta
ble
. P
DR
com
ple
tion is a
t its h
ighest le
vel, a
nd f
ollo
win
g t
he P
DR
-genera
ted T
rain
ing N
eeds A
ssessm
ents
the tra
inin
g s
pend p
er
head
has c
on
tin
ue
d to
ris
e. E
nga
ge
men
t a
ctio
ns p
lan
s c
ontin
ue t
o b
e p
rogre
sse
d a
bo
ve
targ
et, w
ith 9
9%
of actio
ns n
ow
co
mp
lete
d o
n tim
e. P
rofe
ssio
na
l g
roup
me
mbe
rsh
ip h
as in
cre
ase
d h
ow
eve
r th
is r
equ
ires
furt
he
r im
pro
ve
men
t.
Da
ta Q
ua
lity
is r
epo
rted
as G
RE
EN
as a
ll of th
e d
ata
se
ts c
urr
ently in
sco
pe
m
eet th
e p
lan
ne
d r
equ
irem
ents
in
term
s o
f da
ta q
ua
lity m
eth
od
olo
gie
s a
nd a
sse
ssm
en
ts. N
ew
data
qua
lity K
PIs
are
pla
nne
d.
A
pap
er
describ
ing th
ose
pla
ns, a
nd
re
qu
estin
g B
oard
app
rova
l fo
r th
em
, is
in
clu
de
d in
to
da
y’s
se
t o
f da
ta q
ua
lity B
oa
rd p
ap
ers
. H
SC
IC F
ina
nc
ial
Ma
na
ge
me
nt
is r
epo
rted
as G
RE
EN
: th
e y
ear-
to-d
ate
outtu
rn a
t M
5 s
how
s a
n u
nd
ers
pe
nd
of
£3
.6m
(5
.5%
) a
ga
inst
bu
dg
ete
d s
pe
nd
of £6
5.7
m.
Th
e f
ull
-ye
ar
positio
n is fore
ca
stin
g a
n
unders
pend o
f £2m
(£158.6
m a
gain
st a b
udget
of £160.6
m)
2A0T
3 o
f 1
6
Pac
k15
04
03a
- B
oard
Per
form
ance
Page 16.4 of 299
-
A/G
A/G
A/G
Po
rtfo
lio
R
PA
Sc
ore
To
tal s
co
re -
su
bm
itte
d
Ex
tern
al D
elive
ry
Co
nfi
de
nc
e
La
st
Ga
te D
ate
Ne
xt
Ga
te
Da
te
P0050/0
0H
igh
18.5
Gre
en
11/0
2/2
015
30/0
9/2
015
P0238/0
0H
igh
18.2
Am
be
r\G
ree
n24/0
4/2
015
15/1
2/2
015
P0335/0
0M
ediu
m18
Gre
en
16/0
7/2
015
P0208/0
0H
igh
17.7
Am
be
r\G
ree
n22/0
4/2
015
31/0
5/2
016
P0406/0
0M
ediu
m17.5
P0325/0
0H
igh
17.5
P0190/0
0H
igh
17.1
Red
28/0
1/2
015
08/1
0/2
015
P0031/0
0H
igh
17
Red
02/0
4/2
015
P0196/0
0M
ediu
m16.5
Am
be
r\G
ree
n25/0
2/2
015
30/0
9/2
015
P0022/0
0H
igh
16
Am
be
r\R
ed
27/0
3/2
015
KP
IP
rog
ram
me A
ch
ieve
me
nt
Pre
vio
us
RA
G6
8.4
%
KP
I O
wn
er
Ja
me
s H
aw
kin
sC
urr
en
t R
AG
66
.7%
Su
bm
itte
d P
rio
tisati
on
(T
op
10)
Po
rtfo
lio
ite
m n
am
e
Spin
e 2
Fo
rec
as
t R
AG
73
.3%
CSC L
SP D
eliv
ery
Pro
gra
mm
e
NH
Sm
ail
2
BT L
SP (
London &
South
)
NH
S e
-Refe
rral Serv
ice
Pro
gra
mm
e
SU
S T
ransi
tion
GPSoC R
epla
cem
ent
Data
Serv
ice f
or
Com
mis
sioners
Cyber
Secu
rity
Pro
gra
mm
e (
CSP)
Health &
Soci
al Care
Netw
ork
(HSCN
)
Overa
ll D
eli
very
Co
nfi
den
ce
Overa
ll D
eliv
ery
Confide
nce a
cro
ss the p
ort
folio
is 6
6.7
%, a fall
from
68.4
% last
month
. T
he o
vera
ll R
AG
rating
rem
ain
s A
MB
ER
/ G
RE
EN
.
The fore
cast D
eliv
ery
Confide
nce for
July
was 7
4.8
%, 8.1
perc
enta
ge p
oin
ts a
bove
the a
ctu
al. T
his
suggests
an e
lem
ent of optim
ism
bia
s in p
rog
ram
me fore
casting
. T
welv
e p
rogra
mm
es a
nd p
roje
cts
faile
d to m
eet
their
fore
cast deliv
ery
confide
nce,
an incre
ase fro
m ten last m
onth
.
No
te:
A n
um
ber
of exte
rnal fa
cto
rs influence p
rogra
mm
e a
chie
vem
ent perf
orm
ance
(e.g
. appro
vals
). T
hro
ugh the n
ew
syste
m-w
ide g
overn
ance a
rrangem
ents
HS
CIC
w
ill s
eek to e
xert
str
onger
contr
ol over
exte
rnal fa
cto
rs.
Overa
ll D
eli
very
Co
nfi
den
ce:
Pro
gra
mm
es R
ate
d a
s R
ED
O
ne P
rogra
mm
e is r
ate
d a
s R
ED
: H
ealt
h a
nd
So
cia
l C
are
Netw
ork
(H
SC
N)
R
eso
urc
ing
: M
inis
terial appro
val re
ceiv
ed for
inte
rim
resourc
ing s
olu
tion b
ut th
e
Pro
gra
mm
e d
eliv
ery
confidence is in R
ED
until re
sourc
es a
re b
oard
ed
. P
rogra
mm
e
Directo
r le
ft the P
rogra
mm
e o
n 3
0th
June, causin
g a
dditio
nal re
sourc
e issues.
Ou
tlin
e B
usin
ess C
ase D
evelo
pm
en
t: O
BC
pro
duction h
as c
om
menced. T
he
dra
ft O
BC
will
be c
om
ple
ted b
y J
uly
2015. A
s this
date
is a
dela
y f
rom
the d
ate
in
the c
onditio
ns a
ttached to the P
BC
appro
val, the P
rogra
mm
e h
as a
dvis
ed C
abin
et
Off
ice a
nd IP
MB
of th
is s
lippage. H
M T
reasury
and C
abin
et O
ffic
e a
ppro
vals
for
the
OB
C a
re d
ue in O
cto
ber
2015.
Gate
way R
evie
ws
On
e G
ate
wa
y r
evie
w t
oo
k p
lace
in
Ju
ly: S
US
Tra
ns
itio
n. T
his
re
ce
ive
d a
GR
EE
N
Gate
way s
core
. In
the last 12 m
onth
s there
have b
een 2
3 g
ate
way r
evie
ws,
of w
hic
h
13 a
chie
ved a
n o
utc
om
e o
f A
MB
ER
or
bett
er
(57
%).
60.6
58.2
57.6
61.1
61.8
63.1
66.0
69.0
68.4
66.3
68.4
66.7
71.9
69.0
69.1
67.5
66.1
64.8
67.4
73.9
75.0
72.4
74.8
74.8
Pro
gra
mm
e A
ch
ievem
en
t: D
eli
very
Co
nfi
den
ce (
%)
Actu
al (t
his
month
)F
ore
cast (t
hre
e m
onth
s a
go)
0
33
50
57
50
44
50
43
52
52
55
57
Au
g-1
4S
ep-1
4O
ct-
14
No
v-1
4D
ec-1
4Ja
n-1
5F
eb
-15
Ma
r-1
5A
pr-
15
Ma
y-1
5Ju
n-1
5Ju
l-1
5
Perc
en
tag
e o
f G
ate
ways r
eceiv
ing
AM
BE
R o
r b
ett
er
4 o
f 16
Page 16.5 of 299
-
KP
I IT
Se
rvic
e P
erf
orm
an
ce
Pre
vio
us
RA
GG
KP
I O
wn
er
R
ob
Sh
aw
Cu
rre
nt
RA
GA
Fo
rec
as
t R
AG
G
Aug-1
4S
ep-1
4O
ct-
14
Nov-1
4D
ec-1
4Jan-1
5F
eb-1
5M
ar-
15
Apr-
15
May-1
5Jun-1
5Jul-15
68
61
60
63
68
66
68
66
65
67
74
63
10
14
02
00
00
13
00
00
00
00
00
00
69
61
61
67
68
68
68
66
65
67
75
66
23
19
19
24
25
26
25
24
23
23
24
22
02
11
10
11
11
11
11
21
11
11
11
22
24
22
22
26
27
27
27
26
25
25
27
25
35
27
26
37
28
32
34
12
15
14
25
17
35
27
23
33
24
29
34
11
14
14
22
17
100%
100%
88%
89%
86%
91%
100%
92%
93%
100%
88%
100%
% H
SS
Is a
chie
vin
g F
ix T
imes targ
et
Perf
orm
an
ce In
dic
ato
rs
No. of S
erv
ices a
chie
vin
g A
vaila
bili
ty targ
et
No. of S
erv
ices b
reachin
g A
vaila
bili
ty targ
et, b
ut not to
a c
ritical le
vel
No. of S
erv
ices b
reachin
g A
vaila
bili
ty targ
et at a c
ritical le
vel
Tota
l N
o. of S
erv
ices m
easure
d for
Availa
bili
ty P
erf
orm
ance >
>>
>
No. of S
erv
ices a
chie
vin
g R
esponse T
imes targ
et
No. of S
erv
ices b
reachin
g R
esponse T
imes targ
et, b
ut not to
a c
ritical le
vel
No. of S
erv
ices b
reachin
g R
esponse T
imes targ
et at a c
ritical le
vel
Tota
l N
o. of S
erv
ices m
easure
d for
Response T
imes P
erf
orm
ance >
>>
>
Tota
l num
ber
of H
igher
Severity
Serv
ice Incid
ents
(H
SS
Is)
Tota
l num
ber
of H
SS
Is a
chie
vin
g F
ix T
imes targ
et
Ava
ila
bil
ity
Ju
ly s
aw
th
e a
ve
rag
e A
va
ilab
ility
Ta
rge
t a
ch
ieve
d f
or
the
ma
jori
ty o
f se
rvic
es, w
ith
63
ou
t o
f 6
6 (
95
%)
se
rvic
es
achie
vin
g the a
vaila
bili
ty targ
et.
T
he
Ca
re I
de
ntity
Se
rvic
e (
CIS
) e
xp
eri
en
ce
d t
wo
ha
rdw
are
fa
ilure
s t
ha
t im
pa
cte
d t
he
se
rvic
e a
va
ilab
ility
fo
r P
ub
lic
Key I
nfr
astr
uctu
re (
PK
I) a
t a n
on
-cri
tical le
vel. A
num
ber
of m
itig
ating a
ctio
ns h
ave b
een id
entified a
nd
imple
mente
d to p
revent
furt
her
reoccurr
ence,
inclu
din
g c
onfigura
tion c
hange
s a
nd u
pdate
s t
o n
etw
ork
drivers
and
the
se
ssio
n m
an
ag
er
co
de
. F
urt
he
r m
itig
atin
g a
ctio
ns a
re p
lan
ne
d f
or
co
mp
letio
n in
Octo
be
r w
hic
h is a
n u
pd
ate
to
th
e inte
gra
ted lig
hts
out driver
(iLO
) w
hic
h w
ill r
equir
e a
site failo
ver
to im
ple
ment.
T
he a
ggre
gate
availa
bili
ty t
arg
et
for
CS
C N
ME
’s E
CS
/ A
mbula
nce s
erv
ice w
as b
reached in J
uly
, due to t
he
Yo
rksh
ire
Am
bu
lan
ce
Se
rvic
e in
sta
nce
fa
ilin
g a
t a
no
n-c
ritica
l le
ve
l. T
he
ro
ot
ca
use
of
this
is s
till
un
de
r in
ve
stig
atio
n.
Th
e E
lec
tro
nic
Re
ferr
al
Se
rvic
e (
e-R
S)
ex
pe
rie
nc
ed
a t
ota
l o
f 7
ho
urs
an
d
25
min
ute
s o
f s
erv
ice
u
navailab
ilit
y t
hro
ug
ho
ut
Ju
ly,
follo
win
g t
he s
erv
ice b
ein
g m
ad
e a
vailab
le t
o t
he N
HS
on
Mo
nd
ay 1
5th
Ju
ne.
Th
ese p
eri
od
s a
re s
um
mari
sed
belo
w a
nd
in
clu
de t
he d
ate
, d
ura
tio
n o
f serv
ice u
navailab
ilit
y a
nd
b
rie
f d
es
cri
pti
on
of
the
is
su
e.
It s
ho
uld
be
no
ted
th
at
e-R
S i
s c
urr
en
tly i
n t
he
D
ep
loym
en
t V
eri
fic
ati
on
P
eri
od
(D
VP
) w
hic
h m
ea
ns
th
at
this
pe
rfo
rma
nc
e w
ill n
ot
be
in
clu
de
d i
n t
he
S
erv
ice
Pe
rfo
rma
nc
e R
AG
sta
tus u
nti
l e-R
S
exit
s D
VP
. M
on
day 6
Ju
ly -
13:2
5 -
13:4
5 -
Serv
ice u
navailab
le f
or
mu
ltip
le u
sers
fo
llo
win
g r
ep
ort
s o
f severe
p
erf
orm
an
ce i
ssu
es r
eso
lved
wit
h a
data
base r
esta
rt.
Tu
es
da
y 7
Ju
ly -
13
:25
- 1
4:2
5 -
Se
rvic
e u
na
va
ila
ble
fo
r m
ult
iple
us
ers
ex
pe
rie
nc
ing
lo
g i
n e
rro
rs a
nd
slo
w
perf
orm
an
ce r
eso
lved
by a
co
nfi
gu
rati
on
ch
an
ge t
o t
he d
ata
base.
Th
urs
da
y 9
Ju
ly -
10
:55
- 1
7:0
0 -
Se
rvic
e u
na
va
ila
ble
fo
r m
ult
iple
us
ers
fo
llo
win
g r
ep
ort
s o
f s
eve
rely
d
eg
rad
ed
perf
orm
an
ce r
eso
lved
by s
om
e d
ata
base c
on
fig
ura
tio
n c
han
ges
.
Fix
Tim
es:
Hig
h S
everi
ty S
erv
ice I
ncid
en
ts (
HS
SIs
) T
here
were
17 H
SS
Is in J
uly
, a fall
of 8 fro
m t
he p
revio
us m
onth
. A
ll H
SS
Is w
ere
fix
ed w
ithin
the targ
et
tim
e, a
n e
xcelle
nt
ach
ievem
ent
and t
he 5
th tim
e in the last 12 m
onth
s w
hen 1
00%
of H
SS
Is h
ave b
een f
ixed w
ithin
targ
et.
3 S
ecurity
Incid
ents
were
logged to t
he S
erv
ice B
ridge a
s H
SS
Is a
nd 5
Clin
ical S
afe
ty incid
ents
were
rais
ed a
s H
SS
Is. 1
HS
SI h
ad b
oth
S
ecurity
and C
linic
al S
afe
ty im
plic
ations.
e-R
S e
xp
eri
en
ced
a n
um
ber
of
HS
SIs
th
at
were
rela
ted
to
th
e p
eri
od
s o
f serv
ice u
navailab
ilit
y d
eta
iled
in
th
e A
vaila
bilit
y s
ec
tio
n
an
d t
he
pe
rio
ds
of
po
or
pe
rfo
rman
ce r
efe
rre
d t
o i
n t
he
Re
sp
on
se
Tim
es
se
cti
on
. T
hes
e h
ave
no
t b
een
in
clu
de
d i
n t
he
R
AG
s
tatu
s d
ue t
o e
RS
cu
rre
ntl
y b
ein
g i
n t
he
De
plo
ym
en
t V
eri
fic
ati
on
Pe
rio
d.
Resp
on
se T
imes
Perf
orm
ance w
as g
ood f
or
the m
ajo
rity
of
serv
ices in J
uly
with 2
2 o
ut
of
25 (
88%
) serv
ices r
eport
ed a
gain
st
havin
g a
chie
ved o
r exceeded
their
Response T
imes t
arg
et. T
he t
hre
e s
erv
iecs n
ot
meeting t
heir
targ
et
were
: 1.
The C
alc
ula
tin
g Q
uali
ty R
ep
ort
ing
Serv
ice (
CQ
RS
) experienced r
epeat
failu
res a
t a c
ritical le
vel on M
essage T
ypes 2
and
7 a
nd
a
furt
her
critical le
vel fa
ilure
on T
ype 6
. G
DIT
have p
roposed a
num
be
r of
am
endm
ents
to t
he w
eb c
om
ponents
that
are
measure
d a
s p
art
of
the
Me
ssa
ge
Typ
e 2
me
tric
, th
e m
ajo
rity
of
wh
ich
ha
ve
be
en
acce
pte
d in
pri
ncip
le a
nd
GD
IT h
ave
su
bm
itte
d f
urt
he
r in
form
atio
n fo
r th
e
outs
tandin
g ite
ms. M
essage T
ype 7
failu
res o
n C
QR
S a
re a
ttribute
d t
o t
he r
eceip
t of
data
that
does n
ot,
at
the p
oin
t of
recei
pt,
require a
calc
ula
tion. G
DIT
are
still
investigating o
ptions t
o a
ddre
ss t
his
issue, how
ever
these o
ptions a
re s
till
not
fully
ela
bora
ted.
GD
IT c
ontinue t
o
imple
ment
monitori
ng a
round t
he r
etr
y q
ueue s
ize a
nd t
ake a
ction t
o a
dd
ress t
his
when r
equired.
A r
em
edia
tion p
lan h
as b
een
requeste
d a
nd H
SC
IC a
nd G
DIT
are
work
ing t
o d
ete
rmin
e c
onte
nt
and t
imescale
s o
f th
is p
lan.
Weekly
ch
eckp
oin
t m
ee
tin
gs a
re b
ein
g h
eld
to
pro
gre
ss t
he
pro
du
ctio
n o
f th
is p
lan
. T
he
are
as o
f fo
cu
s h
ave
be
en
id
en
tifie
d a
nd
GD
IT a
re
inve
stig
atin
g o
ptio
ns in
th
ese
are
as.
In a
dd
itio
n,
a r
evie
w o
f se
rvic
e le
ve
ls h
as b
ee
n c
om
ple
ted
an
d r
evis
ion
s a
re b
ein
g t
rialle
d f
or
a t
hre
e
month
period.
2.
CS
C N
ME
Lo
ren
zo
Response T
imes e
xperienced a
repeat
failu
re a
t a c
ritical le
vel in
July
again
st
Type 5
on t
he L
OR
502 insta
nce.
CS
C h
ave identified t
hat
follo
win
g t
he L
ore
nzo 2
.6 a
nd 2
.7 u
pgra
des t
here
should
have b
ee
n c
hanges t
o t
he t
ransaction t
ypes
that
are
bein
g m
easure
d.
3.
Response T
imes f
or
BT
Lo
nd
on
Healt
h R
iO f
aile
d a
t a n
on-c
ritical le
vel in
July
, due t
o a
num
be
r of
bre
aches a
cro
ss t
he d
iffe
rent
sta
ck
gro
up
s a
nd
Tru
sts
. T
he
fa
ilure
s h
ave
be
en
a
ttri
bu
ted
to
usa
ge
of
a p
art
icu
lar
se
arc
h w
hic
h is k
no
wn
to
be
re
so
urc
e h
ea
vy a
nd
sig
nific
an
t le
vels
of
exit a
ctivity.
e-R
S e
xp
eri
en
ced
a n
um
ber
of
Resp
on
se T
ime f
ailu
res w
ith
wid
esp
read
perf
orm
an
ce i
ssu
es b
ein
g r
ep
ort
ed
by t
he u
ser
co
mm
un
ity.
Th
es
e h
ave
no
t b
ee
n i
nc
lud
ed
in
th
e R
AG
sta
tus
du
e t
o e
RS
cu
rre
ntl
y b
ein
g i
n t
he
De
plo
ym
en
t V
eri
fic
ati
on
Pe
rio
d.
Inc
ide
nts
of
no
te o
uts
ide
th
e r
ep
ort
ing
pe
rio
d
Sin
ce
th
e r
ep
ort
ing
pe
rio
d o
f Ju
ly a
nd
th
e g
en
era
tio
n o
f th
is c
om
me
nta
ry (
7
Se
pte
mb
er)
th
e fo
llow
ing
HS
SIs
ha
ve
be
en
re
po
rte
d w
hic
h a
re w
ort
hy o
f n
ote
: 0
5/0
8/2
01
5 –
GD
IT –
CQ
RS
fa
iled
to
ge
ne
rate
pa
ym
en
t a
file
re
su
ltin
g in
no
pa
ym
en
ts b
ein
g g
en
era
ted
11/0
8/2
015 –
CS
C –
Lore
nzo 1
.9 u
navaila
ble
for
all
users
in m
ultip
le tru
sts
18/0
8/2
015 –
NH
S C
hoic
es –
All
users
receiv
ing a
n e
rror
page w
hen t
ryin
g to a
ccess N
HS
Choic
es
In a
dd
itio
n, e-R
S e
xp
eri
en
ce
d a
to
tal
of
6 S
eve
rity
2 H
SS
Is d
uri
ng
th
is p
eri
od
.
Fo
rec
as
t: I
t is
fo
reca
st th
at a
GR
EE
N R
AG
sta
tus w
ill b
e a
ch
ieve
d in
Au
gu
st.
5 o
f 1
6
Pac
k15
04
03a
- B
oard
Per
form
ance
Page 16.6 of 299
-
KP
I: O
rgan
isa
tio
n H
ealt
hP
revio
us R
AG
A
Ow
ner:
Rach
ael A
llso
pC
urr
en
t R
AG
A
Fo
recast
RA
GG
Overa
ll P
osit
ion
: A
MB
ER
ra
ted, a
lth
ou
gh
th
ere
has a
ga
in b
ee
n p
ositiv
e p
rogre
ss w
ith
seve
ral in
dic
ato
rs. O
vera
ll sic
kn
ess a
bsen
ce
and
tu
rnove
r re
ma
in b
elo
w ta
rget a
nd
re
asonably
sta
ble
. P
DR
com
ple
tion
co
ntin
ue
s a
t its h
igh
est le
ve
l, a
nd
fo
llow
ing
th
e P
DR
-ge
ne
rate
d T
rain
ing
Ne
ed
s A
sse
ssm
ents
th
e tra
inin
g s
pe
nd
pe
r h
ea
d h
as c
on
tin
ue
d to
ris
e a
nd
is n
ow
ove
r h
alfw
ay to
wa
rds its
an
nu
al ta
rge
t. E
ng
ag
em
en
t a
ctio
ns p
lan
s c
on
tin
ue
to
be p
rogre
ssed
abo
ve
ta
rget, w
ith
99%
of actio
ns n
ow
com
ple
ted o
n tim
e. P
rofe
ssio
na
l gro
up m
em
bers
hip
has in
cre
ased
how
eve
r th
is r
equire
s fu
rth
er
imp
rove
men
t, w
ith
wo
rk in
p
rogre
ss to
fo
rma
lise a
nd
auto
ma
te g
roup
allo
ca
tio
n. R
ecru
itm
ent d
eve
lop
me
nt contin
ue
s w
ith
th
e la
unch
of m
ulti-
cha
nn
el c
am
paig
ns a
nd
ta
rgete
d a
pp
roache
s to
pote
ntial can
did
ate
s, a
nd
positiv
e feed
ba
ck h
as
bee
n r
ece
ive
d fro
m th
e c
urr
ent in
tern
s. W
hils
t th
e tim
e ta
ke
n to
re
cru
it is s
till
above
ta
rget, it h
as c
on
tin
ue
d to
re
duce
fo
r b
oth
in
tern
al and e
xte
rnal a
pp
oin
tmen
t and is n
ow
with
in 5
days o
f th
e ta
rget.
Ne
t M
ove
me
nt
•T
o d
ate
, w
ithin
this
fin
ancia
l year
our
headcount has incre
ased b
y 1
23 n
et.
If th
is r
ate
of g
row
th c
ontinues, w
e w
ould
reach a
tota
l net in
cre
ase o
f 2
95
by t
he
en
d o
f M
arc
h.
Cu
rre
nt le
ve
ls o
f a
ctivity a
re u
nlik
ely
to
re
ach
th
e h
ea
dco
un
t in
cre
ase
fo
reca
st b
y f
ina
nce
.
Att
rac
tin
g a
nd
Gro
win
g T
ale
nt
A
mid
-term
evalu
ation o
f th
e inte
rnship
pro
gra
mm
e p
rovid
ed p
ositiv
e f
eedback fro
m the
inte
rns, sh
ow
ing
th
at in
div
idu
als
ha
ve
en
ga
ge
d w
ell
with
th
e o
rga
nis
atio
n. A
nu
mb
er
of th
e
inte
rns h
ave
exp
resse
d in
tere
st in
co
ntin
uin
g to
wo
rk f
or
the
org
an
isa
tio
n, o
r to
jo
in a
fte
r le
avin
g u
niv
ers
ity.
We a
re e
xplo
ring
the o
pport
unitie
s a
vaila
ble
to them
. A
n e
valu
ation o
f th
e
pro
gra
mm
e w
ith
lin
e m
an
ag
ers
will
ta
ke
pla
ce
in
Se
pte
mb
er.
A
recru
itm
ent cam
paig
n is b
ein
g p
lanned f
or
launch in S
epte
mber
for
a n
um
ber
of vacancie
s
with
in t
he
Co
mm
erc
ial a
nd
Pro
cu
rem
en
t te
am
s. T
his
ca
mp
aig
n w
ill b
e m
ulti-ch
an
ne
l a
nd
aim
ed a
t g
enera
ting
a larg
e a
mount of in
tere
st am
ong
st th
e p
rofe
ssio
n.
Tra
nsacti
on
al R
ecru
itm
en
t
•R
ecru
itm
ent activity h
as s
low
ed o
ver
the s
um
mer
period w
ith o
nly
48 f
ully
clo
sed r
ecru
itm
ent cam
paig
ns
com
pare
d w
ith 9
0 in J
uly
and 1
05 in J
une. H
ow
ever,
it is
expecte
d t
hat th
is w
ill incre
ase m
ovin
g into
Septe
mber.
•T
ime to h
ire c
ontinues its
dow
nw
ard
tre
nd. T
he low
fig
ure
in A
ug
ust has b
een influenced b
y t
he s
malle
r am
ount
of activity,
with t
he m
ajo
rity
of appoin
tments
bein
g inte
rnal. H
ow
ever
overa
ll w
e a
re s
eein
g s
hort
er
tim
escale
s
asso
cia
ted
with
re
cru
itm
en
t ca
mp
aig
ns.
•
Impro
vin
g o
ur
successfu
l appoin
tment ra
te c
ontinues to b
e a
focus o
f att
ention, w
ith t
he inte
ntion t
o s
tart
co
nta
ctin
g p
assiv
e c
an
did
ate
s v
ia s
ocia
l m
ed
ia f
or
ke
y v
aca
ncie
s.
Th
ere
ha
s b
ee
n in
itia
l te
stin
g o
f th
e a
pp
roa
ch
w
ith a
vie
w t
o im
ple
menting
fully
fro
m the e
nd o
f th
e m
onth
.
En
gag
em
en
t
•A
ll d
ire
cto
rate
s h
ave
no
w s
ub
mitte
d a
sta
ff s
urv
ey a
ctio
n p
lan
. O
ve
rall
co
mp
letion
of
actio
ns d
ue
ag
ain
st ta
rge
t d
ate
ha
s r
ise
n a
ga
in to
99
%, w
ith
1
00
% b
ein
g a
ch
ieve
d in
all
bu
t o
