Jo Simpson MHMDS v4 - London Health Programmes

Mental Health CommissionersLondon Event, 12 Jan 2012Version 4 MHMDS

The Health and Social Care Information Centre willbecome the national repository for data acrosshealth care, public health and adult social care withlead responsibility for data collection andassuring the data quality of those returns.Liberating the NHS: An Information Revolution

Who we areThe NHS Information Centre is England’s nationalsource of health and social care information.We collect, process and share information in waysthat helps people make decisions about care• We collect data from the NHS and other careproviders• We process it safely and securely• We make it easily available in standard formats

MHMDS?

Today’s presentation• MHMDS dataset– What data/statistics are available now– What will be available from Q1 2011/12• What do commissioners need?

MHMDS – Key features of the dataset• Record level data submitted by 75 specialistmental health service providers, including smallnumber ISPs• Information from PAS systems, CPA systems,Mental Health Act systems• Reflects very different packages of care• Record covers that part of a care spell that tookplace within the reporting period (e.g. Quarter 42010/11 covers Jan- March 2011)• Very rich in demographic detail and service inputs(bed days, contacts), but, until now, nocomprehensive diagnosis or treatments• Version 3 flowed as flat file, one row per patientrecord, with many derived, aggregate counts

MHMDS – processing up to end 2010/11Analysis and data qualityreports published and fedback to trustsMental HealthProviderAssembledMHMDS XMLfile returned totrustAccessdatabasesubmittedInformationCentre(Leeds)MHMDS data sent to datacustomers (Commissioners,CQC)XML file processed toremove identifiers and sent toIC in a ‘fixed field lengthformat’Bureau Service(Exeter)

Uses of MHMDS data…• Publications mentioned above• By commissioners, for contract monitoring• By DH for service performance monitoring• By CQC for Quality and Risk Profiles and generalmonitoring• By DH for the service usage element of thecapitation weighted formula for the allocation ofbudget to PCTs (from 2011/12)• By researchers….

What information published for 2010/11Established reports:• Routine Quarterly MHMDS reports• Service Performance Indicators• Mental Health Activity• Organisation level data quality reports• Annual Mental Health Bulletin• National and org level data tables• Report• Data.gov file• MHMDS On-lineSpecial Feature on Clusterdata in MHMDS

Special Feature on Payment by Results, 1

Special Feature on Payment by Results, 2

Did you know…Commissioners could be using now…• Commissioner level data extracts – available onrequest• NHS commissioner level annual data tables, eg• rates of access to services per 100,000population• rates of access to inpatient care, per 100service users• Annual data.gov file, by provider, by commissioneractivity counts

Summary of changes to MHMDS – v4• Changes to dataset• more accurately reflect current service config• reduce burden of other collections (eg KP90)• provide detail required for PbR• Changes to way data is processed• full details of sequence and duration of events• submission via Open Exeter portal• Providers MUST submit in v4 format from Q12011/12 and MAY flow new data items• Providers MUST submit new data items, wherethey apply, from Q1 2012/13• Providers MUST flow MHCT from Q1 2011/12(some already do)

Summary of changes to MHMDS – v4Full details of changes here:http://www.ic.nhs.uk/services/spec• Data specification – input dataset• MHMDS Version 4 User Guidance andAppendices -• how the data is processed• extract specifications• new data quality reportsRECOMMENDED READING FOR YOURANALYSTS!

Data extracts from Q1 2011/12• Free extracts from Open Exeter portal(http://www.ic.nhs.uk/services/mental-health/accessing-the-data )

More about the extracts• Raw Primary and Refresh extract for eachsubmission period, eg:– Q1R (optional)– Q2 P (compulsory)– Refresh submissions are bulk updates per providerFor every MHMDS records where your Org Code is in theOrg Code Commissioner field• Further extract products available from NHS IC via(chargeable) Managed Extract Service

Managed Service Extracts from IC• Sensitive or non sensitive• National or sub-national• Provisional data (4 quarterly files per year)• Final data (4 quarterly files per year)• Compiled annual file• Chargeable and subject to IG conditionsbeing met.• Probably most useful for organisations /consortia without access to N3 or NHS orgcode

What next• Look at a sample file• IC’s quarterly releases – what simple countsshould be included (beyond ServicePerformance Indicators and Data QualityReports), eg –– cluster days by GP practice– Bed days, contacts, new clusters???• CONSULTATION this Spring.