NHS Digital Data Release Register - reformatted

Vanguard - Moorfields Eye Hospital NHS Foundation Trust projects

Project 1

10 data files in total were disseminated unsafely (information about files used safely is missing for TRE/"system access" projects).

Project 1 — DARS-NIC-15281-W8L6H

Opt outs honoured: N

Legal basis: Health and Social Care Act 2012

Purposes: ()

Sensitive: Non Sensitive

When:2016.12 — 2017.02. breached contract — audit report.

Access method: One-Off

Data-controller type:

Sublicensing allowed:

Datasets:

Hospital Episode Statistics Outpatients
Hospital Episode Statistics Admitted Patient Care

Type of data:

Objectives:

Nationally there are over 700,000 ophthalmology hospital episodes and over 7 million ophthalmology outpatient appointments each year across England. Moorfields Eye Hospital NHS Foundation Trust (Moorfields) is at the leading edge of treatments in ophthalmology and provides care for patients with eye conditions across London and SE England, and provides specialist services for patients from across the UK.

To inform the Trust’s knowledge, on an ongoing basis, of the patterns of ophthalmic care, patient flows and activity, to direct strategic planning and to ensure capacity meets demand, the Trust wishes to understand at a detailed level information about patient flows for ophthalmology services at a local, regional and national level.
Moorfields is the largest ophthalmic provider in England and provides more than one-third of all ophthalmic outpatient and hospital care in London (22 sites across London). The analysis will enable the Trust to understand patient flows to and between these sites, and to other sites in London, to inform future planning. Moorfields also provides specialist care for patients from across England and the analysis will inform the Trust’s planning for these services.

Within NHS England's New Care Models Programme (www.england.nhs.uk/ourwork/futurenhs/new-care-models)
there are 13 acute care collaboration vanguards which will link together local hospitals to improve their clinical and financial viability. This programme which has been set up to focus on the acceleration of the design and implementation of new models of care in the NHS. Moorfields is one of these vanguard sites (https://www.england.nhs.uk/ourwork/futurenhs/new-care-models/acute-care-collaboration/#42).

Expected Benefits:

This analysis will enable the senior clinicians and managers at Moorfields to target its clinical expertise to further improve ophthalmic care in London, across the South East and across England as a whole. Moorfields will use the analysis to:
- improve ophthalmology care by ensuring that the right capacity and expertise is in the right places to meet current and future demand.
- Identify gaps in service provision where patients don’t have sufficient access to specialist ophthalmic care, and to plan to meet those gaps
- Identify the locations where specialists from Moorfields should most appropriately work with local hospitals to provide local access to ophthalmic treatments
- ensure where necessary that the most specialist eye services are centralised into centres where sufficient volumes of activity are undertaken to maintain the highest standards of quality

The toolkit is designed to be used by other NHS organisations to help them consider whether networked care is the right solution for sustaining single speciality care locally. If a service is unsustainable (cost of specialist, other corporate priorities, investment priorities affecting purchase up to date, very expensive eye equipment) then it has the potential to not be treated as a priority which has implications for the quality of patient care, good diagnosis etc. Also many District General Hospitals may lack the population/activity to justify a comprehensive local service which leads to a lack of continuity of care when patients are referred on. A network keeps patients within one governance structure so there is continuity of care and the potential to bring more specialist services locally, reducing patient travel time and better local diagnosis. The toolkit will have examined and will evidence the learning about these issues and how a network may help – plus it will offer organisations a way to work through the issues without having to do all the leg-work themselves or employing expensive consultants and reduce staff time in terms of planning as it will also provide practical tools that organisations can use to accelerate their decision making and to accelerate the mobilisation of service.

Outputs:

A report describing activity and patient flows in ophthalmology, and how this is changing over time, will be completed by the end of 2016 and will be made available to the NHS England's New Care Models Programme. The report will also be shared with senior clinical and managerial leaders within Moorfields.

Moorfields are gathering evidence from national and international healthcare networks and non-network smaller hospitals to develop an e-learning toolkit (target date March 2017) which will provide practical support to the strategic decision-making process and practical guidance and tools to set up a network model. The toolkit will also help other NHS organisations to consider whether to develop a service level network. The toolkit will be owned by NHS England and used by the wider NHS free of charge. Moorfields gains no commercial income from this toolkit.

All outputs will contain only aggregated data (with small numbers suppressed in line with the HES Analysis Guide).

Processing:

Data will be processed by NHS South, Central and West Commissioning Support Unit (CSU). The CSU have been asked to undertake this analysis on behalf of the Trust as the CSU has specialist expertise in analysis of large data sets, of creating maps to illustrate the data and trends, and of building analytical tools that is not available in house. Only substantive employees of NHS South, Central and West CSU will process the data.

The data will be imported into a database tool where lookups will be applied to the data which will then be aggregated into a series of cohorts (e.g. general/complex activity, non-elective/elective activity, local/regional/national level activity). The data will not be linked with any other data.

Aggregated data will then be imported into a spreadsheet to analyse and create a series of tables, charts and maps to illustrate trends in the changes of market share for different cohorts of ophthalmic activity as described above. Only aggregated data will be included in the outputs and any small numbers will be suppressed in line with HES guidance.

The aggregated outputs (tables/maps/graphs) will be transferred from NHS South, Central and West CSU to Moorfields Eye Hospital.NHS Foundation Trust (Moorfields).

Moorfields are requesting 5 years data as they are refreshing a similar piece of data analyses which they last carried out in 2010 for a previous organisational strategy refresh and which will ensure that they have a clear audit trail for accuracy and relevance.