England. Identifying unwarranted variation across specialised services

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Alison Blankenship
5 years ago
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1 England Identifying unwarranted variation across specialised services

The introduction of Sustainability and Transformation Plans (STPs) has outlined a new approach to ensure that health and care services are built around the needs of local populations.

improved NHS efficiency. As a fundamental enabler for change, accurate data and intelligent analytics are critical to the success of STPs.

of Specialised Services and ensure planning is joined up throughout the STP footprint.

2 The introduction of Sustainability and Transformation Plans (STPs) has outlined a new approach to ensure that health and care services are built around the needs of local populations. Bringing health and care organisations together creates a unique set of challenges that will have to be overcome to deliver the Five Year Forward View vision of better health, better patient care and improved NHS efficiency. As a fundamental enabler for change, accurate data and intelligent analytics are critical to the success of STPs. The National Commissioning Data Repository (NCDR) portal is a web based application developed by Arden & GEM (on behalf of NHS England) to empower CCGs in order to collaborate for the commissioning of Specialised Services and ensure planning is joined up throughout the STP footprint. The NCDR utilises national Aggregate Contract Monitoring (ACM) information (submitted by providers) in relation to specialised service commissioned activities. By accessing this data and intelligence, Clinical Commissioning Groups (CCG) and STPs are provided with a more comprehensive view of their landscape. This allows for fully informed planning based on a more comprehensive understanding of the needs of their population. CCG health data STP view STP Local Authority social care data Specialised service data STP view

The NCDR portal With over 25 unique dashboards and reports developed collaboratively with NHS England, CCGs and STPs, the NCDR

Analytics include: STP Spend Dashboard: Analyse all the measures for spend, spend per population (weighted and unweighted) by

View trends over time to understand the full picture.

3 The NCDR portal With over 25 unique dashboards and reports developed collaboratively with NHS England, CCGs and STPs, the NCDR portal delivers impactful intelligence to support collaborative commissioning. Analytics include: STP Spend Dashboard: Analyse all the measures for spend, spend per population (weighted and unweighted) by STP, provider, Point Of Delivery data (POD), programme of care and service category. View trends over time to understand the full picture. Provider Activity & Finance Dashboard: Analyse provider activity and spend as well as comparing different provider types. Compare activity and spend simultaneously to highlight unexplained variations. Easily identify outliers in spend and activity and drill down for more detailed analysis.

4 STP Clusters & Associated CCGs Dashboard: Analyse individual providers or CCGs to establish performance against plan. View variance from plan by HRG, programme of care, service line and easily identify the top performing areas. Highlight CCG performance outliers within an STP and benchmark against their peers. CCG Service Line Dashboard: Create transparency around the key service lines that are driving high spend within individual CCGs. Benchmark CCGs against their STP peers for individual programmes of care to highlight outliers in terms of spend and spend per population. CCG Benchmarking: Analyse the key programmes of care for individual CCGs and compare against the STP group. Quickly establish areas of concern and identify cost effective care that can deliver best practice learning. CCG Geographic & Summary Analysis: Analyse variations in CCG spend across overarching STP geographies utilising both heat maps and data. Filter by CCG or service lines whilst analysing spend and spend per head of population (weighted and unweighted). We are constantly investing in the development of the NCDR to ensure information and insight evolves to meet the changing needs of CCGs and collaborative commissioning landscapes. The input of our user groups and partners ensures we focus on the data and intelligence required to deliver efficiency and improvements in patient care.

5 The benefits Access to the NCDR will give you: Access to specialised services data and analysis to complete your overview of your commissioning landscape. The ability to take a system wide view and therefore better plan at an STP level. Accurate and timely identification of unwarranted variation between providers. Financial diagnostics that highlight inefficiencies and present opportunities for tangible savings. Tailored intelligence to highlight unwarranted variation in clinical indicators that can be used to improve patient experience and outcomes. A simple and intuitive portal that provides the ability to customise and save views in order to deliver against your individual requirements. Self-service capabilities and access to raw data. Comprehensive training, resources and support available to ensure your organisation gains the maximum value from the portal. Why the NCDR? Arden & GEM currently provides business intelligence and data management services to over 40 CCGs and Data Service for Commissioners Regional Office (DSCRO) support for over 70 CCGs. We deliver effective, seamless commissioning intelligence that provides both expertise and best practice. To ensure that the NCDR meets the evolving requirements of collaborative commissioning, the portal has been co-produced with NHS England, CCGs and STPs. This partnership approach has delivered a portal that provides the data and intelligence on specialised services required to make holistic planning decisions. With a growing user base the NCDR is currently being accessed by an increasing number of CCGs and STPs. The value of the portal has also attracted the interest of multiple STP leads and national directors of commissioning. Contact us to find out more about the NCDR portal, we would welcome the opportunity to support you.

6 For details about our full range of services, please contact us: website: If you require this brochure in an alternative format please contact us at Please note that there may be a small charge for some formats such as braille and alternative languages. Copyright 2016 NHS Arden & GEM Commissioning Support Unit. 2

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