digital.nhs.uk · Web viewBackground. From 4 April to 27 June 2016 we consulted on a number of proposals for changes over the next three years which will help …

Copyright © 2016 Health and Social Care Information Centre.The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.

Consultation on changes to NHS Digital Statistics 2016/17 - 2018/19Published 30 September 2016

Consultation on changes to NHS Digital Statistics 2016/17 - 2018/19

ContentsSummary 3

Background 3Consultation responses 3Key changes following this consultation 4Next steps 5Getting in touch 6

Annex A: Statistical products which could be affected by the proposal to change how we publish 7Annex B: Statistical products which could be affected by the proposal to change scope 22Annex C: Statistical products which could be affected by the proposal to change frequency of publication 25Annex D: Statistical products which we propose to stop 29Annex E: Statistical products which are not included in this consultation

32Annex F: List of organisations who responded 33

Copyright © 2016 Health and Social Care Information Centre. 2


SummaryBackgroundFrom 4 April to 27 June 2016 we consulted on a number of proposals for changes over the next three years which will help us to better prioritise resources and develop our statistical products to better meet the needs of our users. We proposed to change our publications in one of four ways and asked for views on these proposals:

A. Changing how we publish our statistics, including merging some existing publications, reducing commentary about some statistics and/or disseminating data tables in different ways

B. Reducing the scope of some of our collections and the related published statistics

C. Publishing some of our statistics less frequently

D. Stopping production of some statistics altogether

For completeness, we also asked for comments on our statistics where we were making no proposals for changes at this time.

The consultation can be found at http://content.digital.nhs.uk/article/7041/Consultation-on-changes-to-HSCIC-Statistics-201617---201819-Now-Closed

Consultation responsesWe had 257 responses to the consultation from a range of stakeholder organisations and individuals across national/local government, the NHS, academia and the voluntary sector. The feedback provided helps us to understand how our statistical outputs are used and has been invaluable in helping us decide where we need to make changes in order to better meet user needs. Thank you to all respondents for their time and contributions.

We considered the overall level of impact which users had rated against each proposal but also looked at what users said about the suggested changes. We also worked with the Office for National Statistics, the Department of Health and other bodies producing official statistics on health and social care to consider the wider impact of our changes across the system.

Feedback received across all proposals highlighted a number of key themes which are outlined below. Annexes A to D contain responses for each individual proposal looking at the proposals made, what our stakeholders said, and what we plan to do as a result. Annex E contains updates on those statistics where we were not making any further proposals for changes. Alongside this document we have published ‘all consultation responses’ as a csv.

We have made the changes necessary to enable us to produce high quality statistics suited to support a modern health and care system and help Britain make better decisions.

Feedback on the consultation processWe asked respondents “Overall, how satisfied were you with our consultation process? 75% (142) of respondents to this question said they were either “very satisfied” or “satisfied” with the consultation, with 6% (12) saying they were “dissatisfied”.


http://content.digital.nhs.uk/article/7041/Consultation-on-changes-to-HSCIC-Statistics-201617---201819-Now-Closed

http://content.digital.nhs.uk/article/7041/Consultation-on-changes-to-HSCIC-Statistics-201617---201819-Now-Closed


Respondents satisfaction with consultation

Very dissatisfied

Dissatisfied

Neither

Satisfied

Very satisfied

0% 10% 20% 30% 40% 50% 60%

Many respondents said that the Word document was useful for submitting collaborative responses, because it is easier to share with their colleagues. We will ensure we continue to provide this option in future alongside an online alternative.

Whilst many users found the survey took a long time to complete most were happy that the full scope of changes was available to all users. Consideration will be given to how to balance these needs in any similar future exercise.

Key changes following this consultationMost of the proposed changes to our products and services received user support and will be implemented. In particular:

Respondents were generally content with proposals to reduce the level of commentary and include more infographic presentation.

Many respondents asked for lower level data, particularly at Local Authority level. We will review on an ongoing basis whether more granular data can be published, but in almost all cases we already publish underlying data at the lowest level we can without identifying individuals.

We have already started to make some of these changes. On 1 August 2016 NHS Digital became the new name for the Health and Social Care Information Centre. As part of the launch, and in reaction to feedback from the consultation, our publications now provide a very high level summary and key stories on the front page of each publication to help users better understand the key messages from our statistics.

There were some proposals where user feedback clearly demonstrated strong need and we have decided not to implement these proposals or to amend them to reduce any adverse impact. Our detailed response in Annex A to D outlines each proposal and the decisions we have taken. In summary:

We will continue to publish Numbers of Patients registered at a GP practice and not stop this quarterly publication.

We will continue to publish Provisional Accident and Emergency Quality Indicators.

Will we continue to collect the Registered Blind and Partially Sighted People data on a triennial basis.



This year we will produce a more concise Personal Social Services: Staff of Social Services Departments publication, and explore a range of options for the continuation of this publication in some form going forward.

We will not be implementing most of the NHS Outcomes Framework and CCG Outcomes Indicator Set proposals but will look to make some efficiencies, particularly with better collaboration across other health and care organisations.

We will discontinue the HES-DID linkage publication but will make summary statistics available on our website, separately to the monthly Hospital Episode Statistics (HES) publication.

We will maintain the general ophthalmic services workforce and activity statistics as separate publications, rather than merging them.

We will continue to produce the Statistics on NHS Stop Smoking Services on a quarterly basis during 2016/17.

We will continue to publish Practice Level Prescribing Data on a monthly basis.

Next stepsThe timescales for implementing changes have been outlined with each proposal. We will keep users informed of the progress of this work.

We are continuing to consider how we better focus on customer priorities, be more efficient, and get better value, in particular by working better across the health and care system. We will have an increased focus on collaborative work across health and care including Department of Health, NHS England, Public Health England, and Office for National Statistics. This work will have a particular focus on aligning our products across a range of health topics, so is likely to lead to further changes, including combining some similar outputs produced by different organisations into a single publications. The feedback received has been useful to help us identify where more collaboration with voluntary organisations would be of benefit. This consultation will also feed into work the UK Statistics Authority is leading to enhance English health and care system statistics (https://www.statisticsauthority.gov.uk/monitoring-and-assessment/monitoring/monitoring-work-programme/health-and-care-interventions/).

We are engaged with the review of the Code of Practice for Official Statistics which the UK Statistics Authority are leading (https://www.statisticsauthority.gov.uk/monitoring-and-assessment/code-of-practice/code-of-practice-stock-take-latest-news/). We will update our products in line with this work including which of our outputs will constitute official statistics under the revised code.

We have had a strong message from the customers and users of our publications that they support our direction of travel, which is to look to ensure that statistics and publications that we use are up-to-date and relevant and that we are able to concentrate our efforts on providing information that adds value to them. We will therefore continue to review and develop our products in line with those principles and will engage with users as we look to continually enhance our service offering.

As funding pressures increase, we may be forced to review or reprioritise our statistics in the future. We will reuse the wealth of user feedback provided as part of this consultation to help us do this and we will consult users further if and when this is necessary.


https://www.statisticsauthority.gov.uk/monitoring-and-assessment/code-of-practice/code-of-practice-stock-take-latest-news/

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https://www.statisticsauthority.gov.uk/monitoring-and-assessment/monitoring/monitoring-work-programme/health-and-care-interventions/


Getting in touchIf you have any queries or comments about the consultation process, please email [email protected] with the subject heading stating ‘Changes to NHS Digital Statistics Consultation’, or call 0300 303 5678.

You can also write to us at the following address: Statistical Services, NHS Digital, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE.


mailto:[email protected]


Annex A: Statistical products which could be affected by the proposal to change how we publishRef Product Proposal Details Link You said Action

A1 Estates Return Information Collection (ERIC)

We will split the publication into two stages – an initial release of the base data with a short summary, followed by a more detailed public-facing publication some weeks later. Therefore data will be in the public domain at the earliest possible opportunity – probably some six weeks sooner that it would be.

Estates Return Information Collection (ERIC)

The majority of respondents support the proposal to have an earlier release of the base ERIC data with a short summary followed by a more detailed publication later. Some comments were made about the interpretation of the definitions and guidance notes for the data collection.

A number of organisations requested information at geographical areas currently not published. At the present time all estates data collected is published and information is currently not available at the requested additional areas.

We will introduce an initial release of the base ERIC data with a short summary, followed by a more detailed public–facing publication some weeks later. This will be implemented in 2017 when we publish the 2016/17 results.

It should be noted that the release of the base data will be the final data as opposed to provisional data, therefore it should not impact on estates planning, and that the detailed publication would include more analysis of the data at national level.

The definitions and guidance notes are under continual review and to help address this further, a data quality workshop for data providers is being run in the autumn to review the current definitions.

A2 NHS Outcomes Framework

We will reduce commentary, develop the dashboard and publish information in one location.

Also see ref B1 and C1.

NHS Outcomes Framework

There was a mixed response from users. In conjunction with the responses received for C1, we will continue to publish some commentary alongside the quarterly release of data but this will have a reduced scope and won’t provide detailed commentary for each indicator each quarter. The continued publication of the dashboard will help provide an overview of all indicators for users. Further consideration will be given to the scope of this work given user feedback.

A3 Health Survey for England

Annual report (volume 1) has previously covered a mix of regular and infrequent topics depending on the survey content each year. This report will be shorter and report on

Health Survey for England

Many responses were received from a range of organisations and individuals with around half saying the reduction would have a medium or high impact. Respondents indicated the value of having regular data on topics like obesity, alcohol, smoking, physical activity and social care and the

In addition to this consultation exercise, NHS Digital also sought feedback from HSE users through of the UK Data Service and the Health Statistics Users Group and LARIA websites. The HSE proposals were also presented at the Health Surveys User


http://content.digital.nhs.uk/catalogue/PUB19295


http://content.digital.nhs.uk/nhsof







Ref Product Proposal Details Link You said Action

fewer topics in detail. There may be fewer tables on regular topics such as social care, obesity, alcohol and smoking in some years in future: maybe a small number of core tables each year with some additional tables that vary over the years.

Population estimates tables and trend tables are unaffected. Commentary about trends will continue. The underlying dataset would still be made available via the UK Data Service archive.

Also see ref B3.

Health Survey for England: Trend Tables

value of the trends tables. Conference in July 2016 and feedback from those attending was recorded.

NHS Digital is currently analysing the combined data from all these sources and will publish a full report and response to the consultation by early November. This will be available through the following link on the NHS Digital webpage: http://content.digital.nhs.uk/article/7041/

A4 Breast Screening Programme, England (Annual)

We will reduce commentary and increase use of infographic type presentation. Data tables unaffected.

Breast Screening Programme

The responses received highlighted good support for the proposal. In particular, a move to presenting the information in a more visual way was supported, as was the need to retain the annual data tables as these are regarded as essential for performance monitoring, benchmarking and trend analysis.

We will reduce commentary and increase the use of infographic type presentation for the 2015/16 reports onwards. This is likely to be achieved through adopting a phased approach and collaborative working with colleagues within the breast screening programme / cervical screening programme at Public Health England and other key stakeholders. We will also continue working with colleagues from the screening programme to explore ways of making more frequent and timely screening data at CCG/GP practice level available in the public domain. In doing so, regular timely data releases will provide users with a more immediate source for local oversight and commissioning of breast and cervical screening services, and will also help those involved in managing the screening programmes make better informed and considered decisions.

A5 Cervical screening programme, England (Annual)


Cervical screening programme

The responses received showed very good support for the proposal. In particular, the majority of respondents were in favour of moving towards an increase use of infographic type presentation as long as the underlying methodologies that are used in the data analysis are made available as a technical annex. The responses also highlighted the need to retain the annual data tables as these are regarded as crucial for performance monitoring, benchmarking and trend analysis, as well as contributing to JSNA updates. Some responses also highlighted the need to publish timely data at a more granular level, i.e. CCG/GP Practice level, in addition to LA level, as this will


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support the needs of commissioners.

A6 National Child Measurement Programme, England

We will reduce commentary and publish in a PowerPoint format using infographics. Data tables unaffected.

National Child Measurement Programme

The responses showed general support for the proposal. There was some concern expressed around what the end product would look like and whether there would be scope for the results to be misinterpreted if commentary was reduced. There was also concern that some of the more technical parts of the current report such as information on methodologies would be lost.

There was also a request to see information linking the measurements taken in year 6 with those taken previously for the same children in reception year.

We will consider reducing the commentary and using more infographics for the 2015/16 report onwards. This may be a phased approach with some changes made for the 2015/16 report and more changes made in later years. There will be a separate document containing technical information published with the report to ensure no methodological details are lost.

We will work with our existing contacts in Public Health England and Department of Health to reformat the report and ensure results cannot be misinterpreted. We will seek feedback from those who have expressed an interest in this consultation in working with us to reformat the reports. We would also like to hear from anyone who would like to comment on more specific proposals as they arise. If you would like to be involved then please email [email protected] stating “NCMP Report Feedback” as the email subject.

We will look to report on linked year 6 and reception year measurements from 2019/20 onwards as sufficient information to allow linkage was only collected from 2013/14 onwards.

Since starting the consultation we have reformatted our obesity compendia reports which uses data taken from the NCMP report. The following link provides an example of how some of the slides in the reformatted NCMP report will look and we would welcome feedback. Slides 13-18 from “Statistics on Obesity,

Physical Activity and Diet, England, 2016” at



http://content.digital.nhs.uk/ncmp





http://digital.nhs.uk/catalogue/PUB20562

A7 Sexual and Reproductive Health Services, England


Sexual and Reproductive Health Services


We will consider reducing the commentary and using more infographics for the 2015/16 report onwards. This will be a phased approach with some small changes made for the 2015/16 report and more changes made in later years. There will be a separate document containing technical information published with the report to ensure no methodological details are lost.

We will work with our existing steering groups to reformat the report and ensure results cannot be misinterpreted. We would also like to hear from anyone who would like to comment on more specific proposals generated by this group. If you would like to be involved then please email [email protected] stating “SRH Report Feedback” as the email subject.

Since starting the consultation we have reformatted some of our compendia reports and although they don’t actually use any data from the Sexual and Reproductive Health Services report, they do provide an example of how some of the slides in the reformatted report will look and we would welcome feedback. Please see: “Statistics on Obesity, Physical Activity

and Diet, England, 2016” at http://digital.nhs.uk/catalogue/PUB20562

“Statistics on Smoking, England, 2016” at http://digital.nhs.uk/catalogue/PUB20781

“Statistics on Alcohol, England, 2016” at http://digital.nhs.uk/catalogue/PUB20999

“Statistics on Drug Misuse, 2016” at http://www.hscic.gov.uk/pubs/statdrugs16

A8 Smoking, Drinking and

We will reduce commentary and publish in a PowerPoint

Smoking, Drinking and

There was quite a lot of support for this proposal but also concern expressed around what the end

We will replace the text report for 2016 with a PowerPoint report which uses infographics


http://www.hscic.gov.uk/pubs/sdd14


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Drug Use Among Young People in England

format using infographics. Data tables unaffected.

Also see ref C4.

Drug Use Among Young People

product would look like and whether there would be scope for the results to be misinterpreted if commentary was reduced. There was also concern that some of the more technical parts of the current report such as information on methodologies would be lost.

There were also some requests for more localised information.

and reduced commentary. There will be an annex containing the methodological details for the survey to ensure no details are lost.

We will work with our SDD steering group to reformat the report and ensure results cannot be misinterpreted. We would also like to hear from anyone who would like to comment on more specific proposals around reporting generated by this group. If you would like to be involved then please email [email protected] stating “SDD Feedback” as the email subject.

Unfortunately, no estimates can be produced below regional level as the sample size is not big enough.

Since starting the consultation we have reformatted some of our compendia reports which use data taken from the SDD report. The following links provide an example of how some of the slides in the reformatted SDD report will look and we would welcome feedback by emailing [email protected] and quoting “Feedback on Lifestyles Reports” in the subject heading. Slides 16, 18 and 19 from “Statistics on

Smoking, England, 2016” at http://digital.nhs.uk/catalogue/PUB20781

Slides 24-28 from “Statistics on Alcohol, England, 2016” at http://digital.nhs.uk/catalogue/PUB20999

Slides 23, 24 and 27 from “Statistics on Drug Misuse, 2016” at http://www.hscic.gov.uk/pubs/statdrugs16

A9 Statistics on Women's Smoking Status at time

We will reduce commentary and publish in a PowerPoint format using infographics.

Year-end: Smoking Status at

The responses showed general support for the proposal. There was some concern expressed around what the end product would look like and whether there would be scope for the results to be

We will consider reducing the commentary and using more infographics for the 2016/17 reports onwards. This may be a phased approach with some changes made for the












of delivery, England

Data tables unaffected. delivery

Quarterly: Smoking Status at delivery

misinterpreted if commentary was reduced. There was also concern that some of the more technical parts of the current report such as information on methodologies would be lost.

2016/17 Q1 report and further changes made to later reports. There will be a separate document containing technical information published with the report to ensure no methodological details are lost.

We will work with our existing contacts in Public Health England and Department of Health to reformat the report and ensure results cannot be misinterpreted. We would also like to hear from anyone who would like to comment on more specific proposals as they arise. If you would like to be involved then please email [email protected] stating “SATOD Report Feedback” as the email subject.

Since starting the consultation we have reformatted our smoking compendium report which uses data taken from the SATOD report. Slide 13 from “Statistics on Smoking, England, 2016” (http://digital.nhs.uk/catalogue/PUB20781) provides an example of how some of the slides in the reformatted SATOD report will look and we would welcome feedback.

A10 Statistics on NHS Stop Smoking Services in England


Also see ref C3.

Year-end: NHS Stop Smoking Services

Quarterly: NHS Stop Smoking Services


There was also interest expressed on working with us to reformat the reports.

We will consider reducing the commentary and using more infographics for the 2016/17 reports onwards. This may be a phased approach with some changes made for the 2016/17 Q1 report and further changes made to later reports. There will be a separate document containing technical information published with the report to ensure no methodological details are lost.

We will work with our existing contacts in Public Health England and Department of Health to reformat the report and ensure results cannot be misinterpreted. We will seek feedback from those who have
















expressed an interest in this consultation in working with us to reformat the reports. We would also like to hear from anyone who would like to comment on more specific proposals as they arise. If you would like to be involved then please email [email protected] stating “SSS Report Feedback” as the email subject.

Since starting the consultation we have reformatted our smoking compendium report which uses data taken from the SSS report. Slide 27 from “Statistics on Smoking, England, 2016” (http://digital.nhs.uk/catalogue/PUB20781) provides an example of how some of the slides in the reformatted SSS report will look and we would welcome feedback.

A11 NHS Immunisation Statistics, England (Annual)


NHS Immunisation Statistics

The responses showed a high level of support for this proposal, particularly for the increased use of infographics as an innovative means of presenting the key information and findings visually. Furthermore, the responses showed an overwhelming support to reduce commentary and retain the data tables as these are used for performance monitoring, peer comparator and trend analysis, as well as contributing towards Health Needs Assessment for service delivery.

There was also support to make coverage data available at a more granular level, i.e. GP Practice and/or CCG split by ethnicity and deprivation to understand differences/highlight inequalities across local areas.

We will continue to work collaboratively with key stakeholders such as Public Health England and Department of Health to make the changes proposed. The latest annual publication used more visual presentation of the data and included an interactive Excel dashboard, as a means of disseminating regional and local level data on the routine childhood vaccinations. See: http://content.digital.nhs.uk/catalogue/PUB21651

We are undertaking exploratory analysis on the Immunisations and Vaccinations data captured in the Children and Young People's Health Services (CYPHS) data set. The CYPHS data set is a record level source, and will provide greater flexibility in the types of value added data analysis and intelligence we can incorporate into the annual NHS Immunisations Statistics in the future. Not only will we be able to report statistics at any




http://www.hscic.gov.uk/pubs/immstats1415







geographical level (including GP Practice and/or CCG), but we’ll also be able to use additional patient demographic data items such as gender, ethnicity, safeguarding vulnerability factors and IMD scores in our reporting to determine and understand key underlying factors that may influence/ impact coverage for childhood vaccinations within areas of interest.

A12 Female Genital Mutilation

We will review the content and format of outputs after the first year. These are currently Experimental statistics including quarterly and annual PDF report, supporting tables, CCG level tables and Open Data.

Female Genital Mutilation

The responses showed that there is a need for data to be available at different reporting levels, including Local Authority and CCG.

Responses requested that data is reported in such a way that there is less suppression in the published material.

The annual report published on 21 July included CCG, LA and Trust level data, which we will continue to produce.

There is a desire for further detailed breakdowns which we will investigate the feasibility of.

We have changed the method of suppression to reduce its impact, but there are many small numbers, particularly at the levels of reporting requested; so suppression will continue to be an issue. Better data quality and fuller completeness may improve this position and improve the accuracy of the data overall. This is an area that has already been identified as a priority for the second year of collection. The status of the publications as Experimental Statistics with regards to this will be reviewed after the second year of collection.

A13 General Ophthalmic Services activity statistics (Annual)

We will merge these activity statistics with the General Ophthalmic services workforce statistics.

Also see ref C6 and A14.

General Ophthalmic Services activity statistics

The responses showed that there is a requirement for Ophthalmic information with the majority of responses positive about the proposal to merge the workforce and activity publications provided that there is no loss of data.

A number of organisations requested information at geographical areas currently not published.

We will maintain the current publications as two separate publications.

We will review the data items collected and investigate if it is possible to collect data to enable statistics to be produced at local authority and other geographical areas.

We will also investigate the option of having an England only workforce section within the

A14 General Ophthalmic services

We will merge these workforce statistics with the General Ophthalmic services activity

General Ophthalmic Services,







http://www.hscic.gov.uk/fgm





workforce statistics (Annual)

statistics, once the new ophthalmic payment system is introduced and running (from 2017).

Also see ref A13.

Workforce Statistics

activity report.

Unfortunately the activity report is only able to produce information for England, workforce publications currently provides information for both England and Wales. The Welsh information is critical and required for users of the workforce publication and cannot be combined and included in the NHS Digital activity publication.

All data are currently published at the level of geography at which they are collected and therefore we are unable to produce information at different geographical levels.

A15 Hospital Episode Statistics, Admitted Patient Care - England

We will reduce commentary in the Summary Report and merge the separate data quality notes into one. The name will be changed to be consistent with other HES annual publications.

Annual HES Admitted Patient Care

The responses showed the proposal to reduce the amount of commentary in the Summary Report was generally supported. A small number of responses highlighted the usefulness of the written summaries.

In addition, the proposal to merge the data quality notes received support where it was commented on.

The name change proposal received minimal response; however some responders stated they did not understand what was meant by this. To clarify, it simply means changing the name of the publication itself to better reflect the content and introduce more consistency for all annual publications using HES as a the data source.

Some respondents also would like to see more granular HES data available open to all, to allow more targeted analysis.

We will: Reduce the commentary in the summary

report; however we will still focus on pulling out the key figures and trends and provide important context and interpretation where appropriate.

Merge the data quality notes for annual and monthly HES for all HES datasets into one document.

Change the name of the annual HES publications from November 2016:- Hospital Episode Statistics, Admitted

Patient Care – Englandbecomes: Hospital Inpatient Activity

- NHS Maternity Statistics - England becomes: Hospital Maternity Activity

- Hospital Outpatient ActivityNo change

- Accident and Emergency Attendances in Englandbecomes: Hospital Accident & Emergency Activity

- Adult Critical Care Data in England becomes: Hospital Adult Critical Care

A16 Hospital Outpatient Activity


Annual HES Outpatients

A17 Accident and Emergency Attendances in England


Annual HES A&E

A18 NHS Maternity Statistics - England

We will reduce commentary in the Summary Report and merge the separate data

Annual HES Maternity


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quality notes into one. The name will be changed to be consistent with other HES annual publications.

Activity

Give further consideration to specific additional suggestions made such as publishing aggregated data at Local Authority level, or conduct condition-specific analysis and data quality improvements.

We are broadly supportive of the publication of more granular HES data and are giving this due consideration; however this is a complex, long term development and no further details or timescales can be given at present.

A19 Adult Critical Care Data in England

We will reduce commentary in the Summary Report. The name will be changed to be consistent with other HES annual publications.

Annual HES Critical Care

A20 Summary Hospital-level Mortality Indicator

We will publish the PDF report annually instead of quarterly. The quarterly publication would still include the underlying indicator, with data tables and key findings.

Summary Hospital-level Mortality Indicator

The responses showed that reducing the frequency of the SHMI PDF report would not have a high impact on the way in which the SHMI publication resources are used by the majority of respondents. It is clear that the majority of respondents mainly use the data tables, which are unaffected by this proposal and will continue to be published on a quarterly basis.

We will reduce the frequency of the PDF report and release this on an annual basis. We will publish the annual report alongside the data which relates to the financial year. Further consideration will be given to the frequency of the report depending on user feedback.

The data tables, one page summary and background quality report are unaffected by this change and will continue to be published on a quarterly basis.

A21 Mental Capacity Act 2005, Deprivation of Liberty Safeguards Assessments (England)

We will reduce commentary, increase the efficiency and utility of tables, and investigate other methods of presenting data.

Mental Capacity Act 2005, DoLS

The responses showed support for our proposal, building on the recent changes made to the report. Due to the sensitive nature of the data, we cannot release analysable data files, but can reassure users that there are no plans to remove the publication of statistics by local authority, and although commentary will be reduced, context and aiding user interpretations will always be key priorities.

We will continue to develop the report and accompanying statistics to ensure we best meet user needs. We will commit to producing more dashboards exploring the data by local authority, and produce commentary and visualisations that sufficiently explain the context around the statistics. Whilst it has been reduced, due to the current developments in this policy area, the 2015-16 report contains commentary that aims to describe the impact of the 2014 Supreme Court judgement far as possible.

A22 Measures We will reduce commentary Measures The responses showed that most users supported We will decommission both the ASCOF


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from the Adult Social Care Outcomes Framework (ASCOF), England

and produce a high-level summary of key findings together with interactive dashboards and csv files. This will replace the existing pdf report, tables and charts annex, NASCIS OLAP, NASCIS standard reports and the current ASCOF website.

from the Adult Social Care Outcomes Framework

the proposals to reduce commentary whilst creating more flexible and interactive products. Respondents indicated that the proposals would have limited impact, as long as the data continue to be made available in accessible forms.

website and NASCIS. In parallel with these actions, we will continue to explore options around surfacing data in flexible and interactive ways, as well as working with stakeholders to incrementally develop content. Further consideration will be given to reviewing:• options available to align with corporate

data dissemination plans (and including a review of Public Health England Fingertips and other similar, potentially overlapping products);

• the measures and dimensions that should be prioritized for early delivery;

• the types of visualizations that users will find most helpful;

• options around structuring the data so it can be reviewed offline as required;

• ensuring that data are easy to find and are linked to related outputs; and

• ensuring meta data are available to support data discovery

A23 Community Care Statistics: Social Services Activity, England

We will reduce commentary, increase the efficiency and utility of tables, and investigate other methods of presenting data.

Community Care Statistics: Social Services Activity, England

The responses showed that the proposal was largely considered acceptable as long as it is done in a balanced way and the data resources are genuinely useful. There were mixed responses regarding the usability of the csv file. A number of respondents requested more useful data formats and tools.

We will reduce the commentary in our report considerably and move the more static components of the report (those that do not relate to a specific year) to a separate document.

We will investigate ways of making the csv file easier to use.

We will also explore other approaches to making the data easy to use, including enhancing the provision of data using a ‘dashboard’ approach.

We will work with our stakeholder group to make tabulated data annexes, and other









ways of presenting data, as useful as possible.

A24 Personal Social Services Survey of Adult Carers in England (SACE)

We will reduce commentary and produce a high-level summary of key findings together with interactive dashboards and csv files. This will replace the existing pdf report.

Personal Social Services Survey of Adult Carers in England

The responses showed that most users supported the proposals to reduce commentary whilst creating more flexible and interactive products. Respondents indicated that the proposals would have limited impact, as long as the data continue to be made available in accessible forms.

We will therefore continue to explore options around surfacing data in flexible and interactive ways, as well as working with stakeholders to incrementally develop content. Further consideration will be given to reviewing:• options available to align with other data

dissemination tools in NHS Digital and beyond (eg Public Health England’s Fingertips and other similar, potentially overlapping products);

• the measures and dimensions that should be prioritised for early delivery;





A25 Safeguarding Adults

We will reduce commentary and alter the way the data is displayed to account for changes in the underlying data source.

Safeguarding Adults

The responses showed support for our proposal, building on the recent changes made to the report.

We will continue to develop the report and accompanying data to ensure we best meet user needs. We will commit to producing more dashboards exploring the data by local authority, continue to make data available in open, machine readable formats, and produce commentary and visualisations that sufficiently explain the context around the statistics.

We can reassure users that there are no plans to remove the dissemination of data by local authority, and although commentary will be reduced, context and aiding user


http://www.hscic.gov.uk/pubs/sa1415

http://www.hscic.gov.uk/pubs/sa1415

http://www.hscic.gov.uk/pubs/psscarersurvey1415





interpretations will always be key priorities.

A26 Personal Social Services: Expenditure and Unit Costs, England

.We will reduce commentary and the number of tables to a single machine readable file of all data, one spreadsheet of summary tables, and a comparator tool.

Personal Social Services: Expenditure and Unit Costs, England

The responses showed that respondents were receptive to the changes in general. Concerns raised were that any changes should not reduce the volume or utility of the data available, and that commentary should not be reduced to the extent that incorrect assumptions could be made. Overall the proposed changes were welcomed as improvements, and should improve utility of the data.

We will implement these changes. Commentary in the report will be reduced where appropriate, with a focus on context to aid interpretation. The data outputs will be presented as described as a machine readable file, reference data tables and a comparator tool. The focus in providing this data will be on utility, to aid users of the data. Further consideration will be given to appropriate meta data to support this information.

A27 Personal Social Services Adult Social Care Survey (ASCS), England

We will reduce commentary and produce a high-level summary of key findings together with interactive dashboards and csv files. This will replace the existing pdf report.

Also see ref C8.

Personal Social Services Adult Social Care Survey, England

The responses showed that most users supported the proposals to reduce commentary whilst creating more flexible and interactive products. Respondents indicated that the proposals would have limited impact, as long as the data continue to be made available in accessible forms.

We will continue to explore options around surfacing data in flexible and interactive ways, as well as working with stakeholders to incrementally develop content. Further consideration will be given to reviewing:• options available to align with other data







A28 Guardianship under the Mental Health Act, 1983

We will reduce commentary, increase the efficiency and utility of tables, and investigate other methods of presenting

Guardianship under the Mental Health

The responses showed clear support for this proposal. NHS Digital will build on the redesign of the 2015-16 report to further ensure that it meets user needs, and we commit to continuing to

We will continue to develop the report and accompanying data to ensure we best meet user needs. We will continue to make data available in open, machine readable formats,




http://www.hscic.gov.uk/pubs/adusoccaresurv1415



http://www.hscic.gov.uk/pubs/pssexpcosts1415final





data.

Also see ref C9.

Act 1983 produce information at both national and local authority levels.

and produce commentary and visualisations that sufficiently explain the context around the statistics.

This proposal links to C9, which will see the Guardianship data move to a biennial reporting period and also see the cessation of collection of information on amendments to cases that had already been submitted in previous reporting periods.

We will work to design new guidance, data templates and collection systems to ensure that data submitters are able to provide the highest quality data possible, given the change in the collection process.

A29 Maternity Services Monthly Statistics

We will reduce the number of supporting reference data tables as more measures are made available via the new iViewPlus system. This is an Experimental Statistic from the new Maternity Services Data Set which began flowing in April 2015.

Maternity Services Monthly Statistics

Most respondents supported these proposals but required further information on how to access iViewPlus and how they might use the data. A number of respondents enquired about Local Authority information and breastfeeding.

We have no plans to remove the current data tables however for additional areas within the dataset iViewPlus will be the main public dissemination tool. In addition the main publication will include ad-hoc special features on key topic areas. For example the August provided further analysis of data submitted from the Maternity Services Dataset (MSDS) and Hospital Episode Statistics (HES) data for the same period. This is available at http://www.hscic.gov.uk/pubs/msmsmar16exp . At a future date this will include a special feature relating to the breastfeeding information in the dataset.

Some Local Authority information is available via iViewPlus and more will be available in the future.

iViewPlus enables free to use interactive data visualisations. New users need to register for a NHS Digital account via https://iviewplus.hscic.gov.uk/ and can then request access to the Maternity Booking


https://iviewplus.hscic.gov.uk/

http://www.hscic.gov.uk/pubs/msmsmar16exp

http://www.hscic.gov.uk/pubs/msmsmar16exp

http://www.hscic.gov.uk/pubs/msmssep15exp






Appointment Data Cube by emailing [email protected] - please quote ‘Maternity iViewPlus Data Access’ in the subject line.

A30 Prescribing for Diabetes annual publication

We will reduce commentary. Prescribing for Diabetes annual publication

The responses showed that the proposal will have a low impact on most users. Collaboration with stakeholders and production of information at local level were key themes in the comments.

We will accept this proposal. We will look to reduce the written commentary whilst maintaining availability of data and taking into account user needs identified in this consultation, particularly maintaining CCG level data and trends. We will look to do more signposting in the report to other sources of information and investigate whether collaboration with Public Health England will allow us to combine the information in this publication with other diabetes specific reports. If CCG level data becomes available in the Prescriptions dispensed in the community publication we will investigate if the diabetes publication can be subsumed into it, without losing key information.

A31 Prescriptions Dispensed in the Community

We will reduce commentary and the range of analyses and produce more factsheets.Some 10 year trends could be dropped.

Prescriptions Dispensed in the Community

The responses showed that the proposal will have a low impact on most users. The need to maintain time series and information on high cost drugs was highlighted in the comments.

We will accept this proposal. We will look to reduce the written commentary whilst maintaining availability of data and taking into account user needs identified in this consultation particularly maintaining information on trends and high cost items.


http://www.hscic.gov.uk/pubs/presdisp0414



http://www.hscic.gov.uk/pubs/presdiab0515




Annex B: Statistical products which could be affected by the proposal to change scopeRef Product Proposal Link You said Action

B1 NHS Outcomes Framework

We will:

stop re-publishing indicators which are already published by other organisations;

Set limit on time series of data to 5 or 10 years;

Remove sub national breakdowns (eg local authority level) and other non-standard aggregations;

Remove quarterly data periods from annual publications.

Also see ref A2 and C1.

NHS Outcomes Framework

With regards to stopping re-publishing indicators which are already published by other organisations the responses showed a mixed response from users.With regards to setting a limit on time series of data to 5 or 10 years the responses showed a preference for maintaining as long a time series as possible.

With regards to removing sub national breakdowns (eg local authority level) the responses showed a preference for keeping these and demonstrated the usefulness of local authority level data in the NHS Outcome Framework.

With regards to removing quarterly data periods from annual publications the responses showed there was user interest in this quarterly data.

We will: look to improve sign posting to the original

source of data and further consideration will be given to how the NHS Outcome Framework data could be used in other dissemination tools.

keep full time series in published indicators but further consideration will be given, on a case by case basis, on how to apply this if there is a methodological change to an indicator and how feasible or robust it is to backdate such a change.

continue to publish sub national breakdowns but further consideration will be given to which breakdowns are published if the Department of Health commission alternate geographies.

continue to publish the quarterly breakdowns.

B2 CCG Outcomes Indicator Set

We will stop re-publishing indicators which are already published by other organisations, and set limit on time series of data to 5 or 10 years.

Also see ref C2.

CCG Outcomes Indicator Set

With regards to stopping re-publishing indicators which are already published by other organisations the responses showed a mixed response from users.

With regards to setting a limit on time series of data to 5 or 10 years the responses showed a preference for maintaining as long a time series as possible.

We will look to improve sign posting to the original source of data and further consideration will be given to how the CCG Outcomes Indicator Set data could be used in other dissemination tools.

We will keep full time series in published indicators but further consideration will be given, on a case by case basis, on how to apply this if there is a methodological change to an indicator and how feasible or robust it is to backdate such a change.

B3 Health Survey for England

We will reduce sample size for nurse visits by offering the

Health Survey for

Many responses were received from a range of organisations and individuals with around half

See response in A3: A full response taking into account feedback from several activities




http://content.digital.nhs.uk/ccgois







Ref Product Proposal Link You said Action

(HSE) nurse visit in 80% rather than 100% of households where HSE interviews are achieved.

The Child nurse visit will be dropped in some survey years.

There will be some cuts to the interview content of HSE, the details of which will be determined with advice from the HSE Steering Group. The Steering Group includes various stakeholders including the Department of Health, Public Health England and NHS England.

Also see ref A3.

England (HSE)

saying the reduction would have a medium or high impact. Some requested more detail about the proposed changes. Some commented that the regular collection of child saliva cotinine samples via the nurse visit provides useful data on children’s exposure to second-hand smoke and that there is not another England source for this.

will available by early November.

B4 General Pharmaceutical Services in England

We will change the scope of this publication to ensure it better meets users’ needs. The current publication does not report on all services and the contract for community pharmacists is under negotiation.

General Pharmaceutical Services in England

The responses showed that the proposal will have a low impact on most users. The need to maintain time series was highlighted in the comments.

We will implement this proposal. The current publication does not fully meet user need. We will maintain time series in the existing publication and look to automate the production of a more concise report. We will work with stakeholders to identify needs and where needed investigate collection of additional data to meet these needs.

B5 NHS Dental Statistics for England, (three quarterly and one annual)

For the quarterly publication we will shorten the report to a one page highlight.

For all the annual publication we will shorten the PDF report, and publish time series data.

Quarterly: NHS Dental Statistics

Annual: NHS Dental Statistics

Responses were in favour of a one page highlight for the quarterly report.

We will implement this proposal. We have already shown stakeholders some examples. We will look to progress these. All data tables will remain in the excel version so there will be no loss of data.

B6 NHS Continuing Healthcare Activity (quarterly)

We will shorten the PDF report to one page.

NHS Continuing Healthcare Activity Statistics

Predominantly responses supported a one page report. There was some concern that vital information on methodology and data caveats would no longer be available.

Report will be shortened during the 2016/17 publication year. Methodology, background information and data quality sections will be produced in a separate static document which will be published each quarter.

B7 Provisional We will stop routine production Provisional The responses showed the proposal has a low We will:


http://content.digital.nhs.uk/hesdata










http://www.hscic.gov.uk/pubs/genphasernov15







Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data

of HES special topics. Topic-specific analysis are likely to be incorporated into ad hoc special reports instead.

We will incorporate the content of the Monthly HES-DID Linkage publication into Provisional Monthly HES publication, and discontinue the HES-DID Linkage publication series.

Also see ref D4.

Monthly HES

Monthly HES-DID Linkage

impact overall. Some responders highlighted the usefulness of previous special topics.

The proposal to incorporate information about HES-DID linked data into the monthly HES publication received little comment; however one responder was not in favour as the current (separate) publication has the advantage of ease of reference.

Some responses made more general points about the importance of the existing ability to analysis monthly HES data at a more granular level – this will not be impacted by this proposal.

Other more general comments were received around DIDS data collection, patient objections and delayed transfers of care – these are not in scope of this consultation.

No longer routinely produce HES special topics alongside the Provisional Monthly HES publications; however they may still continue to be released where they are already in plan or where there is a recognised need. Instead, NHS Digital will review the content and programme of special topics across all its publications.

Continue to release HES-DID linkage information separately ie we will not incorporate this into the monthly HES publication (see also question D4).

Give further consideration to publishing additional data on specific suggestions made (eg Local Authority, condition- specific analysis, type of admissions)

B8 Patient Reported Outcome Measures (PROMs) in England

We will stop routine production of PROMs special topics. Topic-specific analysis likely to be incorporated into ad hoc special reports instead.

Also see ref C7.

Patient Reported Outcome Measures

The majority of the responses were supportive of the proposals to cease the production of regular quarterly PROMs special topics. Many respondents stated that as long as the regular quarterly publications are not affected and the data files continue to be produced, then this will not adversely affect their work.

Some respondents commented that whilst the special topics were not essential to their work, they nevertheless provided welcome background and context to the data. Others stated that topics should continue on an ad-hoc basis and asked whether there will be a process for requesting these.

We will stop the regular production of PROMs special topics; however they may still continue to be released where they are already in plan or where there is a recognised need. Instead, NHS Digital will review the content and programme of special topics across all its publications.


http://www.hscic.gov.uk/proms



http://content.digital.nhs.uk/hesdid



http://content.digital.nhs.uk/hesdata


Annex C: Statistical products which could be affected by the proposal to change frequency of publicationRef Product Proposal Link You said Action

C1 NHS Outcomes Framework - commentary

We will reduce the frequency of commentary from quarterly to biannual. One indicator on patient safety will be published annually instead of biannually. Also see ref A2 and B1.

NHS Outcomes Framework - commentary

With regards to reducing the frequency of publication commentary the responses showed a mixed response from users.

With regards to reducing the frequency of the patient safety indicator the responses showed this would have little impact on users.

In line with the responses received for A2, we will continue to publish some commentary alongside the quarterly release of data but this will have a reduced scope and won’t provide detailed commentary for each indicator each quarter. Further consideration will be given to the scope of this work given user feedback.

With regards to the patient safety indicator, the source data will continue to be available from the National Reporting and Learning System so we will reduce the frequency of this indicator to annual.

C2 CCG Outcomes Indicator Set

We will reduce the frequency of commentary from quarterly to biannual. A number of indicators will be published annually instead of quarterly (using final data only instead of provisional data).

Also see ref B2.

CCG Outcomes Indicator Set

With regards to reducing the frequency of publication commentary the responses showed a mixed response from users.

With regards to producing some indicators annually instead of quarterly the responses showed a mixed response from users.

We will continue to publish some commentary alongside the quarterly release of data but this will have a reduced scope focussing on new or changed indicators. Further consideration will be given to the scope of this work given user feedback.

We will reduce the frequency of some indicators as proposed. These indicators were published as rolling 12 months based on provisional data so the impact on users will be minimal.

C3 Statistics on NHS Stop Smoking Services in England

We will reduce the frequency of this publication from quarterly to annual.

Also see ref A10.

Year-end: NHS Stop Smoking Services

Quarterly: NHS Stop Smoking Services

The responses showed minimal support for the proposal. A lot of respondents said they currently used the data on a quarterly basis. Others expressed concern that moving to an annual report could create an impression that the importance of the Stop Smoking Services collection has been reduced which could lead to some Local Authorities no longer providing data.

We will continue to produce the report on a quarterly basis during 2016/17.








http://www.hscic.gov.uk/catalogue/PUB19278/ccg-ind-dec-15-comm.pdf



http://www.hscic.gov.uk/catalogue/PUB20090/nhs-out-fram-ind-feb-16-comm.pdf





C4 Smoking, Drinking and Drug Use Among Young People in England

We will reduce the minimum frequency of this publication from annual to biennial. Surveys are currently planned for 2016 and 2018. There could be surveys in intervening years if externally funded.

Also see ref A8.

Smoking, Drinking and Drug Use Among Young People

The responses showed little support for the proposal. A lot of respondents said they were concerned that reducing the frequency of the survey would lead to it taking longer to identify changes in existing trends or the emergence of new trends.

There were also some requests for more localised information.

We will continue to commit to funding the survey on a biennial basis and will continue to try to secure funding from other departments to run the survey in the intervening years. This situation is unaltered from previous years. The feedback from this consultation will be used as evidence for other departments to consider when deciding if they can fund the survey to run in the intervening years.

Unfortunately, no estimates can be produced below regional level as the sample size is not big enough.

For the 2016 SDD survey NHS Digital has been piloting a new design with a much larger sample size. This new design allows the in-depth drugs focussed questions and the alcohol/smoking focussed questions, which used to run in alternate years, to be covered in the same survey year. The survey’s subject matter coverage will therefore be maintained and the frequency of information from questions which only used to be asked in alternate years will be unaffected by this proposal. However information from those questions which were core questions and asked each year will only be available on a biennial basis.

C5 Practice level prescribing data release

We will reduce frequency from monthly to quarterly reporting.

Practice level prescribing data release

Responses were clear that timely and granular data is needed.

We will reject this proposal. We will look to make improvements to the publication systems and internal process to achieve efficiencies in the production of this data release.

C6 General Ophthalmic Services activity statistics,

We will reduce the frequency from biannual to annual publication only.

Also see ref A13.

General Ophthalmic Services activity statistics,

Responses were mainly favourable of only an annual publication.

We will produce this publication on an annual basis.

Tables will remain largely unchanged; there will be no loss of data.




http://content.digital.nhs.uk/gpprescribingdata








selected statistics (half year publication)

selected statistics

C7 Provisional Monthly Patient Reported Outcome Measures (PROMs) in England

We will stop monthly publication of PROMs and instead publish on a quarterly and annual basis only.

Also see ref B8.

Patient Reported Outcome Measures

The bulk of the responses stated that the proposal to cease production of the monthly PROMs publication would have a minimal impact for users of the data given that the monthly publications are national summaries only and contain no data at patient or organisation level.

A small number of respondents had concerns that this would affect the availability of the underlying data routinely made available to hospital providers and to customers of our data services. For clarification, these services will be unaffected, the scope of the changes are to the summary information published monthly on the NHS Digital website only.

We will discontinue the routine publication of the monthly PROMs national summary. However, PROMs data will continue to be collected, processed and made available to customers on a monthly basis.

C8 Personal Social Services Adult Social Care Survey, England

We will reduce the frequency of the survey to run every two years. This would allow it to run alternately with Personal Social Services Survey of Adult Carers in England (SACE). Also see ref A27.

Personal Social Services Adult Social Care Survey

The responses showed a lot of support for retaining this as an annual collection, although this was balanced against some respondents who were happy to see this change implemented to reduce the collective burden of the surveys.

We will continue to work with Department of Health to determine whether it is possible to retain the survey as an annual collection/ publication.

C9 Guardianship under the Mental Health Act, 1983

We will move to biennial collecting and reporting, and reduce the scope of the data so that it only covers activity in the current year.

Also see ref A28.

Guardianship under the Mental Health Act 1983

The responses showed clear support for this proposal.

NHS Digital will seek to move to biennial reporting, with the 2015-16 report being the last annual edition. We will also cease the collection of amendments to previously submitted data. These moves will reduce the burden of submitters of Guardianship data whilst allowing NHS Digital to still provide a service that meets the needs of our users.

We will next collect Guardianship data for the 2016-18 reporting period, with the next data submission period occurring early in the 2018-19 financial year. NHS Digital will work















to design new guidance, data templates and collection systems to ensure that data submitters are able to provide the highest quality data possible, given the change in the collection process.

This proposal links to A28, which will see us continue to develop Guardianship National Statistics report and accompanying data to ensure we best meet user needs. We will continue to make data available in open, machine readable formats, and produce commentary and visualisations that sufficiently explain the context around the statistics.

C10 Assuring Transformation Collection – Monthly and quarterly release

We will stop the quarterly publication and move all additional elements of the quarterly publication into the monthly. This may mean that the monthly publication takes longer to produce.

Assuring Transformation Collection

The responses to this consultation showed clear support for stopping the quarterly Assuring Transformation publication. Over 90% of both individual and organisation respondents stated this would have a low or medium impact on their work.

The Assuring Transformation data is also published on a monthly basis and feedback suggests that this more timely release is the one the majority of users are accessing regularly. Some of the content in the quarterly publication is valued by customers and feedback recommends starting to publish this information in the monthly Assuring Transformation publication.

Specific feedback on the interactive spreadsheet published in Tableau suggested this had limited use for key users. This is supported by NHS Digital website monitoring which suggests very few users access this product each quarter.

We will be suspending the quarterly Assuring Transformation publication with immediate effect. We have submitted forms to the UK Statistics Authority to formally stop these releases.

It is acknowledged that the quarterly publication contains information and data that is valued by customers. Therefore, the monthly publication will be expanded to include the information on distance to treatment, cross tabulations and an easy read of version of the publication. These changes will have an impact on the time taken to produce the monthly publication. Therefore, from October 2016, the monthly publication will be released within 20 working days after the end of the reporting period, rather than the current 15 working days.

The Tableau based interactive spreadsheet will be discontinued with immediate effect.


http://www.hscic.gov.uk/assuringtransformation




Annex D: Statistical products which we propose to stopRef Product Proposal Link You said Action

D1 Registered Blind and Partially Sighted People

We propose to stop the triennial collection due as the data is held by local authorities and used by a limited stakeholder base. If it continues, we propose that it is included in the Community Care Statistics: Social Services Activity report.

Registered Blind and Partially Sighted People

The data are considered a very valuable resource and there is no known alternative source. The data are not only used in their published form but are used in other products, one example being that the data are incorporated into a national tool having thousands of downloads (and it is suggested that this may cause a reduction in the number of downloads from the NHS Digital website). The responses showed that stopping the publication of these data would be extremely unwelcome. It was also suggested that the data be published annually instead of triennially. The plan announced last year, of collecting the data as part the Short and Long Term Support (SALT) collection, was thought by some to be a reasonable compromise.

We will continue to collect the data on a triennial basis. We will consider how best to publish the data in future, including whether this should continue to be a standalone output.

D2 Personal Social Services: Staff of Social Services Departments, England

We propose that this publication will cease. This is due to limitations of the current data, in that it only covers staff employed (directly and indirectly) by adult social services departments in England.

Personal Social Services: Staff of Social Services Departments, England

The responses showed that there were mixed views on the continued provision of this publication / dataset. Whilst the need for a focused output that covers the council-based adult social care workforce exists, change is required as the scope of this collection in its current form doesn’t appear to cover the needs of all users.

This year we will produce a more concise publication. Going forwards we will explore a range of options for the continuation of this publication in some form. This may be achieved by: the inclusion of deeper analysis of the council-based workforce within Skills for Care outputs (to cover the data released previously by NHS Digital); through a streamlined provision of existing data flows (essentially no change); via the creation of a more focused data collection on this subject by NHS Digital; or by exploring whether this particular requirement could fit as part of the wider Workforce data collection, analysis and publication activities of NHS Digital.

Further consideration will be given to understanding stakeholder needs, in conjunction with Skills for Care and the NHS Workforce team, as part of this exploration exercise.


http://www.hscic.gov.uk/pubs/pssstaffsept15



http://digital.nhs.uk/pubs/blindpartiallysighted14





D3 Dissemination of Adult Social Care statistics through the National Adult Social Care Intelligence Service (NASCIS)

We will no longer disseminate Adult Social Care statistics through the National Adult Social Care Intelligence Service (NASCIS). Data would be disseminated instead through other channels.

National Adult Social Care Intelligence Service (NASCIS)

The responses showed that most users supported the proposals with respondents indicating that the proposals would have limited impact, as long as the data continue to be made available in accessible forms.

We will decommission NASCIS. In parallel we will also explore options around surfacing data in flexible and interactive ways, as well as working with stakeholders to incrementally develop content. Further consideration will be given to reviewing:• options available to align with other data




• options around structuring the data so it can be reviewed offline as required; and

• the integration of content from across Social Care (and other relevant sources) create a more interactive and cross functional tool for topic-focused analysis than perhaps NASCIS was previously, although still supporting collection-focused analysis

• ensuring meta-data are available to support data discovery

D4 HES-DID Data Linkage Report - Provisional Summary Statistics, (Experimental)

We will incorporate the content of this publication into Provisional Monthly HES publication, and discontinue the HES-DID Linkage publication series.

Also see ref B7.

Monthly HES-DID Linkage

The responses were generally supportive of the proposals and indicated they would have a low impact.

Some respondents commented that it was unclear whether the underlying data would continue to be available. To clarify, the proposals do not affect the availability of the underlying HES-DID linkage data.

Some respondents had reservations about incorporating linkage statistics into the monthly

We will discontinue the HES-DID linkage publication. We will make summary statistics available on the NHS Digital website instead of incorporating this information into the monthly HES publication. This information will include the data tables that are currently included in the HES-DID linkage publication and it will be updated on a monthly basis.




http://www.hscic.gov.uk/nascis





HES publication. It was suggested that the resulting savings would not be significant and that linkage information was not relevant to HES monthly customers. The different reporting periods between monthly HES and HES-DID linkage was thought to be potentially confusing.

Concerns were also raised over whether the proposals affect the future development of the Diagnostic Imaging Dataset (DID). To confirm that the proposals do not have any impact on the DID and only cover HES-DID linkage.

D5 Numbers of Patients registered at a GP practice

We will stop this quarterly publication. Some information will continue to be available at national level via Quality Outcomes Framework (QOF) Recorded Dementia Diagnoses.

Numbers of Patients registered at a GP practice

The responses showed overwhelming opposition for this proposal. The majority of respondents said it would have a high impact on them and their work, prohibiting them from performing their statutory function or completing crucial research. The data is used as a basic building block for various analyses and also as rough estimates of population. Alternative sources were cited as not suitable or fit for purpose.

We will commit to continue producing and publishing these statistics. The feedback from this consultation will be used as evidence for the wide-ranging uses various organisations and academics have for this data.

D6 Provisional Accident and Emergency Quality Indicators - England

We will stop this monthly publication due to unclear need.

Monthly A&E Quality Indicators

The feedback received provided clarity on the need for these statistics. The Accident and Emergency Quality indicators are widely used as balancing measures in local systems, and are relied on by commissioners and providers locally. They are also used nationally to provide supporting context for press releases and speeches.

Although the responses overall showed a majority reported low impact, in line with the above several responses highlighted the essential nature of these statistics in terms of providing valuable and important information to assist with managing A&E performance.

Alongside this we are aware that new A&E measures are in development as part of the Urgent and Emergency Care Review.

We will continue with the production and publication of these indicators until a replacement has been developed as part of the Urgent and Emergency Care Review.


http://www.hscic.gov.uk/pubs/aequalindnov15



http://www.hscic.gov.uk/pubs/numpatgpjul16




Annex E: Statistical products which are not included in this consultationThis annex includes specific updates on statistical products where we made no proposals for change in the consultation such as series which were undergoing changes following separate consultation exercises as well as new series which are in early stages of development. Comments are provided below on those series where there has been an update since the original consultation in April.

E8: NHS Safety Thermometer. A separate consultation will be undertaken in October on whether this is to remain as an Official Statistic.

E9-E12: Lifestyles Compendia Reports. The lifestyle “Statistics On…” series which covers Obesity, Smoking, Alcohol and Drugs were subject to a National Statistics consultation earlier this year. The previous National Statistics consultation supported reformatting these reports by reducing the commentary and publishing in a PowerPoint format using infographics. The consultation also supported continuing to publish these reports on an annual basis. We are currently liaising with other organisations who publish reports on these subjects to see if any efficiencies can be made.

E9. Statistics on Smoking, England. The new report can be seen at http://www.hscic.gov.uk/catalogue/PUB20781 and we would welcome feedback by emailing [email protected] and quoting “Feedback on Statistics on Smoking” in the subject heading.

E10. Statistics on Alcohol, England. The new report can be seen at http://www.hscic.gov.uk/catalogue/PUB20999 and we would welcome feedback by emailing [email protected] and quoting “Feedback on Statistics on Alcohol” in the subject heading.

E11. Statistics on Drug Misuse, England. The new report can be seen at http://www.hscic.gov.uk/pubs/statdrugs16 and we would welcome feedback by emailing [email protected] and quoting “Feedback on Statistics on Drug Misuse” in the subject heading.

E12. Statistics on Obesity, Physical Activity and Diet, England. The new report can be seen at http://www.hscic.gov.uk/catalogue/PUB20562 and we would welcome feedback by emailing [email protected] and quoting “Feedback on Statistics on Obesity” in the subject heading.

E17: Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing, England. We are planning a consultation exercise by 1 November 2016 to obtain feedback from users on the APMS publication and statistics. The consultation will inform the design, content and reporting of any future survey.


http://content.digital.nhs.uk/pubs/apmsurvey14





http://content.digital.nhs.uk/article/6770/Consultation-on-Lifestyles-Compendia-Reports

http://www.hscic.gov.uk/thermometer


Annex F: List of organisations who respondedThis annex lists all organisational respondents to the consultation. An additional 100 individuals also responded.

Action on Smoking and HealthAlcohol Concern Alcohol Health AllianceAnalytical Services OIC at NHS EnglandArthritis Research UKAs Public Health Analyst in Public Health, Rotherham CouncilAssociation of Directors of Adult Social ServicesAssociation of Respiratory Nurse SpecialistsBalance - The North East Alcohol OfficeBarnsley MBCBerkshire Healthcare NHS Foundation trustBerkshire Public Health (6 LAs in Berkshire)Birmingham and Solihull Mental Health Foundation TrustBirmingham City Council (Public Health)Birmingham CrossCity CCGBlackburn with Darwen Borough Council, Public Health DepartmentBlind Veterans UKBMA (British Medical Association)British Society for Population StudiesBritish Thoracic SocietyBury CouncilC&C GroupCalderdale CouncilCambridge Breastfeeding AllianceCancer Research UKCannabis Skunk Sense (Drug Prevention Charity)Central Bedfordshire Council Centre for Health Economics, University of YorkCheshire EastCheshire West and Chester councilChildren and Young People's Mental Health CoalitionCHKS, part of Capita Health PartnersColchester Hospital University NHS Foundation TrustConvaTec LtdCQC Intelligence directorateDental & Eye Care Analytical Team, NHS EnglandDepartment of HealthDepartment of Primary Care & Public Health, Imperial College LondonDerbyshire County CouncilDevon County CouncilDr FosterDudley MBC Public Health Intelligence TeamEast Riding of Yorkshire CouncilEast Sussex County CouncileMBED Health ConsortiumEmergency Care Intensive Support Team (part of NHS Improvement)Enfield



Epilepsy SocietyFaculty of Public Health Francis Clark LLPFresh Smoke Free North EastFusion48 LimitedGlaxoSmithKline UK LtdGP Access LtdGPrX Data LtdGreater Manchester Health & Social Care Partnership (NHS England's Greater Manchester Office)Halton Borough CouncilHealthcare Analysis & ForecastingHealthier FuturesHSUG (Health Statistics User Group) Hull City Council (Public Health)Knowsley CouncilLa Leche League GBLambeth & Southwark Public HealthLancashire County CouncilLarking GowenLawrence Moulin ConsultingLB NewhamLeicester City CouncilLocal Government AssociationLondon ADPH (Association of Directors of Public Health)London borough of HackneyLondon Borough of RedbridgeLondon Borough of Richmond upon ThamesManchester City CouncilMidlands and Lancashire Commissioning Support UnitMoorfields Eye Hospital NHS Foundation TrustNational Centre for Smoking Cessation and Training (NCSCT)NCTNHS East and North Hertfordshire CCCNHS EnglandNHS England - Yorkshire and the HumberNHS England Analytical ServiceNHS England OIC South Region – Mental HealthNHS Lambeth CCGNHS South, Central and West Commissioning Support UnitNHS Wigan Borough CCGNorfolk County Council Public HealthNorth East Lincolnshire Council Public Health IntelligenceNorthumbria HealthcareNottinghamshire County Council Public HealthNuffield TrustOffice for National Statistics (ONS)Old MillOpinion Research ServicesOptical ConfederationOxfordshire County Council (includes input from Public Health (intelligence analyst), Corporate Services (Research & Intelligence Officer), Social & Community Services (Performance and Information)



PHE; CKO directorate; Public Health Data Science; Fingertips toolsPortsmouth City CouncilPSSRU Kent, University of KentPublic Health Action Support Team (PHAST)Public Health EnglandPublic Health, Northumberland County CouncilQuit 51Rickard Luckin LtdRNIBRoyal Borough of Windsor and MaidenheadRoyal College of General PractitionersRoyal College of MidwivesRoyal College of Paediatrics and Child HealthSalford City CouncilScreening and Immunisations Team, Cumbria and the North East (NHS England & Public Health England)Sefton CouncilSefton Council Public HealthSheffield CCGSkills for CareSocial Care response, from London Borough of Richmond Upon Thames Somerset County Council (Public Health)South Gloucestershire CouncilSouth London Public Health Intelligence NetworkSouth West AHSNSouth West Yorkshire Partnership NHS Foundation TrustSouth West Yorkshire Partnership NHS TrustSouthwark CouncilSuffolk County CouncilSurrey County Council – Public Health Swindon Borough CouncilTameside Hospital Foundation TrustTees Valley Combined AuthorityTees, Esk & Wear Valleys NHS Foundation TrustThe Acorns Public Health Research Unit, Hatfield – Public Health IntelligenceThe College of OptometristsThe Institute of Alcohol StudiesThe King’s FundThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Clinical Governance dept.The Royal College of OphthalmologistsVISION 2020 UK & Association of Directors of Adult Social Services (ADASS) physical and sensory impairment and HIV/AIDS network.Cambridge Centre for Health Services ResearchThomas Pocklington Trust Thurrock CouncilTudor Healthcare Accountants LLPUEC Programme Team led by Keith Willett and Pauline Philip - NHS EnglandUK Centre for Tobacco and Alcohol StudiesUK Data ServiceUnicef UKUniversity Hospitals Birmingham NHS Foundation TrustVisionary



Wales Eye Care Steering Board (WECSB)Waltham Forest CCGWarwickshire Stop Smoking ServiceWest Midlands Research Network - Primary CareWirral Council


Documents

digital.nhs.uk · Web viewBackground. From 4 April to 27 June 2016 we consulted on a number of proposals for changes over the next three years which will help …