IAPT Data Standard. Frequently Asked Questions

Save this PDF as:

Size: px
Start display at page:

Download "IAPT Data Standard. Frequently Asked Questions"

Transcription

1 IAPT Data Standard Frequently Asked Questions Version 1.0 March 2012 IAPT FAQs

2 Contents Section 1: About the IAPT Data Standard.. 3 Section 2: Who is responsible for doing what?. 5 Section 3: How the IT works.7 Section 4: Patients. 9 Section 5: Data items...11 Section 6: Glossary of terms.. 14 IAPT FAQs

3 Section 1: About the Data Standard 1. Q: Why do we need an IAPT Data Standard? A: Information underpins the IAPT programme. Patients need information to make decisions about their treatment, clinicians need it for safe delivery of treatment and to monitor change, managers need it for planning, evaluation and service improvement. The IAPT Data Standard describes a common set of data items that all IAPT services are required to capture. It provides a mechanism for central data return and processing. It gives us a consistent framework for evaluation and performance monitoring against IAPT quality standards and facilitates standardised national reporting. 2. Q: Who has approved the Data Standard? A: The IAPT Data Standard has been approved by the Information Standards Board for Health and Social Care (ISB), the National Information Governance Board (NIGB) and Review of Central Returns (RoCR). The ISB is the national body responsible for appraising and approving all information standards for use in the NHS and social care, ensuring they are fit for purpose and secure. It is a representative body bringing together expertise from a cross-section of organisations. The NIGB is an independent statutory body established to promote, improve and monitor information governance in health and social care, so helping to ensure patient confidentiality. It is concerned with the ethical use of patient information and provides advice on the appropriate use, sharing and protection of patient information. The RoCR process is concerned with the Government s policy to reduce the burden of data collections in the NHS. They ensure collections align with ministerial priorities, avoids duplication and can be can be returned with the least burden to patient services. 3. Q: How will the data help my service? A: Following each submission a provider and commissioner data set can be downloaded from the Bureau Service Portal. This contains all the activity recorded in the reporting period including some derived data items, such as first and last PHQ-9 scores. Service providers are able to retrieve a patient identifiable data set showing details of all patients referred to the service. This is in addition to reports produced locally by local IT administrators. Commissioners are able to retrieve a pseudonymised data set showing the patients for whom they have commissioned a service. This will be useful for local analysis and reporting against locally agreed key performance indicators. Details of these can be found at The NHS Information Centre (IC) will receive a national pseudonymised data set. This data set will be used to develop data quality reports, IAPT programme KPI s and further indepth analysis. These reports will be accessible via the IC website. An annual report will also be made available. IAPT FAQs

4 4. Q: How will changes to the Data Standard be managed? A: The IAPT Outcomes and Informatics Board will oversee the change request process. Membership includes representation from Clinicians, IAPT Service Providers, Department of Health, NHS Information Centre, Information Governance and a Service User organisation. A change request log will be maintained centrally, the Board will review change requests at 6 monthly intervals. Any changes agreed by the Board will be taken through the ISB appraisal process. This process will include wider consultation and field testing. Changes to the IAPT minimum data set can be requested via IAPT FAQs

5 Section 2: Who is responsible for doing what? 5. Q: What information should be returned? A: The Information Standards Notice (ISN) together with the IAPT specification document give details of all the required data items along with their descriptions. Both documents can be downloaded from: Three additional documents have been prepared to advise you on how and when to submit data. The IAPT User Guide provides further detail on preparing data for submission. Inclusion rules are also available and describe what data should be included in each monthly submission. Also, the schedule for central data return throughout 2012/13 has now been published. These documents can be downloaded from: 6. Q: How often do we need to submit data to the central reporting system? A: Data should be submitted on a monthly basis. A submission schedule can be downloaded from 7. Q: Can services collect additional data that is not included in the Data Standard? A: Yes. The Data Standard is an output data set, it represents the minimum data required to be returned centrally for secondary uses. Locally, you may need to collect additional data to support local practice. Where this is the case, you should discuss your needs with your IT staff in the first instance. 8. Q: When do services have to start supplying data? A: All services must start providing data from 1 st April Q: Will IT system suppliers submit our data to the central system? A: No, they may provide data extraction reports that will help you to populate the intermediate database (IDB) but you will need to register on the Bureau Service Portal to submit data and manage any data quality issues. 10. Q: Who is responsible for central data returns? A: The IAPT service provider is responsible for returning a data extract of its activity each month. Data should be extracted from local systems to populate the IAPT intermediate database (IDB). The IDB is a Microsoft Access database. When populated this should be uploaded via the Bureau Service Portal. Access to the portal is controlled and requires a username and password. Your Caldicot Guardian will need to register with the Portal. The person responsible for uploading data will need to register separately. Registration can be initiated at: IAPT FAQs

6 The registration process involves two stages: 1.Complete Caldicott Guardian Registration Certificate and submit Link called Download the Caldicott Guardian Certificate Please Note: If your organisation has already registered with Open Exeter this step will not be required. Any queries relating to this should be addressed to the Open Exeter helpdesk via the contact details given at the link above. One week or more after the Caldicott Guardian registration is submitted: 2. Complete Data User Certification form and submit Link called Download the Bureau Service Portal Data User Certificate The Caldicott Guardian registration must occur first. Allow one week or more before submitting the Data User Certification Form. If you have a query about your registration or the process for registration you will need to contact the Open Exeter helpdesk via the contact details given at the link above. 11. Q: What if system suppliers do not change systems to reflect the Information Standards Notice? A: In the first instance you should check the detail of your local contract. It is likely to stipulate that system suppliers are required to comply with ISN changes. If this is the case you should expect to get a compliance notice from your system supplier which will detail the implementation timetable. If you are in any doubt you should contact your supplier directly to ascertain their position. 12. Q: What would be the consequence if a service is unable to supply the IAPT dataset by the 1st April 2012? A: Local information schedules held in service contracts stipulate that data should be collected and reported in line with ISNs. Non-compliance could result in payments being delayed or witheld. However, if your service or system supplier is having difficulty in complying with the ISN let us know by contacting as we may be able to offer assistance. We will also need to acknowledge the omission in national reports. IAPT FAQs

7 Section 3: How the IT works 13. Q: Should we include referrals that have no activity? A: Yes you should include referrals open in the reporting period with no activity. Inclusion rules can be downloaded from Q: How will follow-up appointments be recorded? A: The Appointment type field includes the option Follow-up appointment after treatment end. You should use this field to report activity related to follow-up. All IT systems should include this option as it is included in the Data Standard. You should talk to your IT system supplier to understand how your system manages this. 15. Q: Our Trust provides services for a number of commissioners. Can we make one submission that includes all our activity? A: Yes, but it is important that the commissioner code is populated for all records (i.e. for each patient s case or episode of care) otherwise we will not be able to differentiate between commissioned services when reporting. 16. Q: Our IAPT service is made up of a partnership of a number of service providers. Does each organisation need to make a separate submission or can we make one submission that includes all activity? A: A lead provider may make a single submission that includes all the activity carried out by all partners in the commissioned IAPT services. However the central system will only accept one provider code per submission and all feedback will go to the lead provider. More information can be found in the IAPT user guide at Q: Does our organisation need an N3 connection in order to transfer data to the central reporting system? A: Yes, the central system can only accept data via N3. Where multiple services work in partnership it may be possible for one organisation to submit multiple extracts on behalf of the partnership. It is important that local IG rules are adhered to. 18. Q: How much does an N3 connections cost? A: An entry level N3 service is a product called N3 Business DSL with a catalogue reference N The indicative costs are as follows N3 Service Description Business DSL single broadband circuit Entry level N3 (excludes BT PSTN line) N3 Catalogue Install set-up Reference cost N ,216 (excluding VAT) Monthly Rental 22 (excluding VAT) IAPT FAQs

8 This is a basic service installed by the user and is based on a single connection. This will meet the needs of the IAPT submission however services may wish to review other available products which may better meet their organisations needs. For further information contact: IAPT FAQs

9 Section 4: Patients 19. Q: Is the IAPT Data Standard designed to track patients that move between services and/or commissioners? A: Yes. A pseudonymised identifier is created to allow tracking of patients. Pseudonymisation is a procedure by which identifiable data is de-identified by allocating a pseudonym (or alias). During the pseudonymisation process identifiable data items such as NHS number, date of birth and postcode are used to create a pseudonym. This enables matching of records for the same patient and accurate reporting to take place. This removed the need to use patient identifiable data when tracking someone across time or services. Data quality and completeness is very important in creating the pseudonymised identifier. Services should be vigilent in checking that data extracts are complete and of good quality. 20. Q: Do we need to ask for explicit consent from patients to flow data centrally. A: The NIGB has given the IAPT Programme permission to process patient identifiable data in order to create a pseudonymised patient identifier for use by commissioners and in national aggregate reporting to monitor against IAPT quality standards. Patient identifiable data is collected extensively across all areas of health for both clinical and management purposes. The NIGB has produced the Care Record Guarantee 1 which describes the commitment that NHS organisations and those providing care on behalf of the NHS will use records in ways that respect patient rights and promote your health and wellbeing. The Guarantee says that it is good practice to explain to patients what information will be collected and how this will be used. Also that generally, patients retain the right not to disclose information and to explicitly decline from allowing their information to be used for management or secondary purposes. This principle is true across all national data collections including the IAPT minimum data set, the Mental Health Minimum Data Set (MHMDS), commissioning datasets and all other national data standards. Under the conditions set out by the NIGB IAPT services are not required to obtain consent from their patients to use data for secondary purposes. However the patient rights highlighted above still stand, therefore, if a patient explicitly says that they do not want their information to be shared then local services need to put in place mechanisms to manage their data appropriately. If a patient explicitly declined then their data would not be included in the IAPT intermediate database and so would not be available for use in analysis. It is important to point out that the IAPT Data Standard is typical of other data standards in other areas of health. The data collected will help us to understand how services operate, the treatments they provide and the outcomes they achieve. Services should take time to explain these wider benefits and reassure patients that data will be processed in a secure way in accordance with the strict rules set out in the Data Protection Act. A patient information leaflet explaining the collection and use of patient data is contained with the IAPT Data Handbook (appendix H) IAPT FAQs

10 21. Q: Patients have the right to stop personal data being used for secondary purposes such as national reports. How can national reports be generated based on imperfect data returns? A: Patients do have the right to dissent from allowing their information to be used for secondary uses, this is the case across all NHS data collections. Local services should take time to reassure patients that their data will be managed in a safe way and that is subject to strict rules of confidentiality as laid down by Acts of Parliament, including the Data Protection Act 1998 and Health and Social Care Act Services should explain what data will be used for and how this will help to improve service delivery and inform patient choice. We expect the number of people who exercise this right to be low and unlikely to impact significantly on national reporting. Where service managers are concerned about significant numbers of patient opt-outs please contact us via as we may be able to offer advice. IAPT FAQs

11 Section 5: Data Items 22. Q: What is the Service request ID data item? A: The Service request ID is an identifier which allows linkage between referral and activity. This will normally be the referral identifier and is often automatically generated by you local IT system. This will always be unique to the patient (otherwise the file will be rejected). 23. Q: Our service does not have an Organisation code, do we need one? If so, how do we get this? A: Yes. Apply for a code via the Organisation Data Service (ODS) service at Any organisation can request a code, an N3 connection is not a pre-requisite to the request. 24. Q: Some of our patients do not have or do not know their NHS number. Others may not be registered with a GP practice. Will we still be able to include these people in our submission? A: The GP practice code is useful in helping compile reports even when the NHS number is missing. You should therefore take care to include the NHS number when available or the GP practice code if this is known. However, if the GP practice code is not known you should record one of the following default codes: GP Practice Code not applicable V81998 GP Practice Code not known V81999 No Registered GP Practice V81997 Validation checks are undertaken on the data set. If an NHS number is unknown the field should be submitted as a null (empty) data item. Do not guess or return a partial code as this will cause your submission to be rejected. 25. Q: The employment status data item only allows one option to be selected but a person could be receiving a benefit but also working. How do we record this? A: The IAPT ISN introduced changes to the Employment Status data item. This data item now incorporates a benefits option, consequently the separate data item Receiving Benefits has been removed. This change was introduced to bring IAPT in line with the NHS Data Dictionary definition used across other Mental Health services. This is a step in the right direction but it is recognise that further changes may be required to ensure it meets our reporting requirements. The IAPT Programme is working with colleagues in DWP to improve this data item and any changes will be covered in future guidance. In the interim, guidance has been issued to derive KPIs which can be downloaded from: Q: When recording the primary role of the staff member treating a patient how do we record where the staff member has more than roles in the service, or if more than one clinician is present? A: The therapists role is recorded against each appointment, therefore you should record the capacity they are acting in for that particular appointment. If more than one clinician is present you should record the role of the lead clinician at that particulcar session. IAPT FAQs

12 27. Q: How can we record work carried out by IAPT staff that are not identified in the primary role in IAPT service data item, for example, trainees, Employment Co-ordinators or Advisors, and STR workers? A: Following feedback from sites the Primary role in the IAPT service will be expanded to include trainees and employment coordinators in the next iteration of the Data Standard. We will also consider what other staff roles should be included. In the interim you should map to permissible values where possible, otherwise leave as null. If the treatment is carried out by a trainee then the activity should be recorded in the usual way but this field should be left null. This will not stop your submission flowing. 28. Q: Will we continue to measure recovery rates based on people who have had at least two treatments? A: Recovery is measured using scores from outcome measures which are taken at every session. We need at least 2 scores to be able to measure change. For this reason we only include people who have had two treatment sessions in recovery figures. However the new central system will be able to measure the number of people who only have one assessment or treatment session and the reason they left the service. 29. Q: Are Anxiety Disorder Specific Measures (ADSMs) used to measure recovery? A: Recovery is currently measured by counting all patients who have completed treatment that at the start of treatment were above caseness on either PHQ-9 or GAD7 and who at the end of treatment were below caseness on both PHQ-9 and GAD7. Current guidance also notes that ADSMs are of critical importance for the treatment of a range of anxiety disorders and should be used where appropriate. From April 2012 ADSMs will also be used to measure recover were appropriate. The PHQ-9 and GAD7 should be taken at the first assessment. The practitioner should then decide if it is appropriate to use an ADSM. If so the ADSM measure should be collected sessionally or as appropriate and will be used as an alternative to GAD7 in the calculatation of recovery. A document titled Clarification of use of anxiety disorder specific measures provides additional information and can be found at Q: Is the discharge date the date the patient was last seen? A: In the majority of cases the discharge date is the date of the last appointment where the patient and practitioner agree that treatment is completed. In some cases there may be a lapse between the last therapeutic session and the date the patient is discharged from the service. For example, some people will finish treatment but their case is kept open because employment support continues for a short time. If this is the case the discharge date should be the date the employment support finishes. Local processes should be in place to manage patients who do not attend their appointment (DNA). Some services allow the case to remain open for a short period of time in order to allow the patient to re-engage with the service. This is acceptable but should not exceed 60 days. If the patient returns to treatment within this time activity should be recorded in the usual way. If they do not then they should be discharged from the service, in this case the discharge date would be 60 days after the DNA appointment date. You should record the date the patient is actually discharged from the service on your IT system in order that we can report accurately. IAPT FAQs

13 31. Q: Our service does not routinely close cases; do we need to? A: It is important that cases are closed in a timely manner as the central system will only report recovery for the cases that have been closed. If you adopt this service model it is recommended that cases should be closed after 60 days of inactivity. This could be achieved by building functionality into IT systems or by regular audit. IAPT FAQs

14 Section 6: Glossary of Terms Bureau Service Portal The IAPT central data collection and processing system has been developed by the Systems and Service Delivery (SSD) team at Connecting for Health. The Bureau Service Portal (BSP) is the web portal used to submit monthly extracts to SSD. Caldicott Guardian - a senior person responsible for protecting the confidentiality of patient and service-user information and enabling appropriate information sharing. The Guardian plays a key role in ensuring that the NHS, Local Authority Councils with Social Services responsibilities, and partner organisations satisfy the highest practicable standards for handling patient identifiable information. Information Standards Notice -. All new information standards are required to issue an Information Standard Notice (ISN). This provides a high level description of the data standard and informs services and system suppliers what they need to do to comply with the standard. All CfH contracts require IT system supplier to adhere to ISNs. Intermediate Database (IDB) - The data set is submitted using the IAPT Intermediate Database (IDB). The IDB is a Microsoft Access database which contains four data tables as specified in the data set specification. The Standard Specification gives more details on the structure and use of the IDB. Pseudonymisation - Pseudonymisation is a procedure by which identifiable data is deidentified. To undertake this a pseudonym (or alias) is created in a consistent manner, which allows the required reporting (such as identifying different referrals for the same patient) to be undertaken. This removes the need to use patient identifiable data, so allowing patient confidentiality to be maintained. IAPT FAQs

IAPT Data Set. Summary of validations undertaken upon receipt of data set by Bureau Service Portal. Version 1.2

IAPT Data Set. Summary of validations undertaken upon receipt of data set by Bureau Service Portal. Version 1.2 IAPT Data Set Summary of validations undertaken upon receipt of data set by Bureau Service Portal Version 1.2 Version History Version Date Issued Brief Summary of Change Owner s Name 1.0 21/07/2011 First

More information

D-CRIS Information Governance Assurance

D-CRIS Information Governance Assurance D-CRIS Information Governance Assurance Date: 05 08 2013 Version: 1.0 Author: Murat Soncul Contents 1. Introduction... 3 2. CRIS Security Model... 3 3. SLaM Information Governance Framework... 4 4. Roles

More information

Health and Social Care Information Centre

Health and Social Care Information Centre Health and Social Care Information Centre Information Governance Assessment Customer: Clinical Audit Support Unit of the Health and Social Care Information Centre under contract to the Royal College of

More information

A Question of Balance

A Question of Balance A Question of Balance Independent Assurance of Information Governance Returns Audit Requirement Sheets Contents Scope 4 How to use the audit requirement sheets 4 Evidence 5 Sources of assurance 5 What

More information

Information Governance and Risk Stratification: Advice and Options for CCGs and GPs

Information Governance and Risk Stratification: Advice and Options for CCGs and GPs Information Governance and Risk Stratification: Advice and Options for CCGs and GPs 1 NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning

More information

De-identification of Data using Pseudonyms (Pseudonymisation) Policy

De-identification of Data using Pseudonyms (Pseudonymisation) Policy De-identification of Data using Pseudonyms (Pseudonymisation) Policy Version: 2.0 Page 1 of 7 Partners in Care This is a controlled document. It should not be altered in any way without the express permission

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy ID IG02 Version: V1 Date ratified by Governing Body 27/09/13 Author South Commissioning Support Unit Date issued: 21/10/13 Last review date: N/A Next review date: September

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Information Governance Policy Version: 5 Reference Number: CO44 Keywords: Information Governance Supersedes Supersedes: Version 4 Description of Amendment(s):

More information

Information Sharing Protocol

Information Sharing Protocol Information Sharing Protocol South Central PCTs, General Practices and Tribal Consulting Limited Commissioning Enablement Service (Analytics) Document Control Date Version Author Comment 08/02/10 0.1 A.

More information

General Practice Extraction Service (GPES)

General Practice Extraction Service (GPES) General Practice Extraction Service (GPES) Customer: Health and Social Care Information Centre (HSCIC) Requirement: Patient Objections Management (POM) Customer Requirement Reference Number: NIC-228038-V5Z0L

More information

Emergency Care Weekly Situation Report Standard Specification

Emergency Care Weekly Situation Report Standard Specification Title Emergency Care Weekly Situation Report Specification Document ID ISB 1607 Specification Sponsor Sarah Butler, DH Status FINAL Developer Paul Steele Version 1.0 Author Paul Steele Version Date 19/03/2014

More information

A Guide to Clinical Coding Audit Best Practice 2015-16

A Guide to Clinical Coding Audit Best Practice 2015-16 A Guide to Clinical Coding Audit Best Practice 2015-16 Authors: Clinical Classifications Service Contents 1 Introduction 3 1.1 Purpose of Document 3 1.2 Audience 3 1.3 Background 3 1.3.1 Information Governance

More information

How is RBAC used in SUS?

How is RBAC used in SUS? Role Based Access Control What is RBAC? SUS is a part of the NHS Care Record Service (NCRS) application from the National Programme for IT (NPfIT) and is accessed from the NHS national data network, the

More information

INFORMATION SHARING AGREEMENT. Multi-Disciplinary Team (MDT): Service Information Sharing

INFORMATION SHARING AGREEMENT. Multi-Disciplinary Team (MDT): Service Information Sharing INFORMATION SHARING AGREEMENT Multi-Disciplinary Team (MDT): Service Information Sharing SCOPE NAME OF LEAD Multi-Disciplinary Team (MDT) for high risk people: this agreement is for the patient and management

More information

Appendix 3 INDIVIDUAL PATIENT DRUG TREATMENT. POLICY AND PROCESS FOR DECISION MAKING September 2007

Appendix 3 INDIVIDUAL PATIENT DRUG TREATMENT. POLICY AND PROCESS FOR DECISION MAKING September 2007 Appendix 3 INDIVIDUAL PATIENT DRUG TREATMENT POLICY AND PROCESS FOR DECISION MAKING September 2007 Approved by Board: 6 th September 2007 Date Implemented: 1 st October 2007 Review Date: September 2008

More information

Guidance for Sponsors & Registration Agents on the Granting of SUS RBAC Activities

Guidance for Sponsors & Registration Agents on the Granting of SUS RBAC Activities Programme NPFIT Document Record ID Key Sub-Prog / Project Secondary Uses Service Prog. Director J Thorp Version 5.1 Owner Status Author Craig Watson Version Oct- 12 Date Secondary Uses Service Guidance

More information

Policy: D9 Data Quality Policy

Policy: D9 Data Quality Policy Policy: D9 Data Quality Policy Version: D9/02 Ratified by: Trust Management Team Date ratified: 16 th October 2013 Title of Author: Head of Knowledge Management Title of responsible Director Director of

More information

Data Quality: Review of Arrangements at the Velindre Cancer Centre Velindre NHS Trust

Data Quality: Review of Arrangements at the Velindre Cancer Centre Velindre NHS Trust Data Quality: Review of Arrangements at the Velindre Cancer Centre Velindre NHS Audit year: 2010-11 Issued: August 2012 Document reference: 358A2012 Status of report This document has been prepared for

More information

BOARD PAPER - NHS ENGLAND. Title: Publication of Directions to Health and Social Care Information Centre for the collection of primary care data

BOARD PAPER - NHS ENGLAND. Title: Publication of Directions to Health and Social Care Information Centre for the collection of primary care data Paper NHSE130903 BOARD PAPER - NHS ENGLAND Title: Publication of Directions to Health and Social Care Information Centre for the collection of primary care data Clearance: Tim Kelsey, Director of Patients

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST POLICY DATA QUALITY FAST FIND: For information on the Trust s Data Quality standards, see Section 7. For information on the Trust s computer systems,

More information

Data Quality Policy SH NCP 2. Version: 5. Summary:

Data Quality Policy SH NCP 2. Version: 5. Summary: SH NCP 2 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: The Trust provides a framework to ensure all data that is recorded by the Trust is accurate and complies to

More information

Health and social care staff members: What you should know about Information Governance

Health and social care staff members: What you should know about Information Governance Health and social care staff members: What you should know about Information Governance p2 Information Governance What is Information Governance? You have probably heard of Clinical or Social Care Governance,

More information

HOW WE USE YOUR PERSONAL INFORMATION

HOW WE USE YOUR PERSONAL INFORMATION HOW WE USE YOUR PERSONAL INFORMATION Information Leaflet Your Health. Our Priority. Page 2 of 9 Introduction This Leaflet explains why the NHS collects information about you and how it is used, your right

More information

WSIC Integrated Care Record FAQs

WSIC Integrated Care Record FAQs WSIC Integrated Care Record FAQs How your information is shared now Today, all the places where you receive care keep records about you. They can usually only share information from your records by letter,

More information

Information Governance Strategy. Version No 2.0

Information Governance Strategy. Version No 2.0 Plymouth Community Healthcare CIC Information Governance Strategy Version No 2.0 Notice to staff using a paper copy of this guidance. The policies and procedures page of PCH Intranet holds the most recent

More information

MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY

MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY MOORLAND SURGICAL SUPPLIES LTD INFORMATION GOVERNANCE POLICY Moorland is committed to ensuring that, as far as it is reasonably practicable, the way we provide services to the public and the way we treat

More information

Policy Document Control Page

Policy Document Control Page Policy Document Control Page Title Title: Data Protection Policy Version: 3 Reference Number: CO59 Keywords: Data, access, principles, protection, Act. Data Subject, Information Supersedes Supersedes:

More information

Remote Data Extraction Policy and Procedure

Remote Data Extraction Policy and Procedure Remote Data Extraction Policy and Procedure Prepared by PRIMIS June 2015 The University of Nottingham. All rights reserved. Contents 1. Introduction... 3 2. Purpose and scope... 3 3. Policy Statement...

More information

NHS Business Partners miniguide. Introductory guidance for NHS-commissioned healthcare providers from the independent and third sectors

NHS Business Partners miniguide. Introductory guidance for NHS-commissioned healthcare providers from the independent and third sectors NHS Business Partners Introductory guidance for NHS-commissioned healthcare Introductory guidance for NHS-commissioned healthcare NHS Business Partners Contents Section Description Page 1 Introduction

More information

Information Governance Strategy and Policy. OFFICIAL Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2.

Information Governance Strategy and Policy. OFFICIAL Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2. Information Governance Strategy and Policy Ownership: Information Governance Group Date Issued: 15/01/2015 Version: 2.0 Status: Final Revision and Signoff Sheet Change Record Date Author Version Comments

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy Document Status Draft Version: V2.1 DOCUMENT CHANGE HISTORY Initiated by Date Author Information Governance Requirements September 2007 Information Governance Group Version

More information

Information Governance Policy

Information Governance Policy Author: Susan Hall, Information Governance Manager Owner: Fiona Jamieson, Assistant Director of Healthcare Governance Publisher: Compliance Unit Date of first issue: February 2005 Version: 5 Date of version

More information

PC-MIS. IAPT Intermediate Database Creation Procedure. Patient Case Management Information System

PC-MIS. IAPT Intermediate Database Creation Procedure. Patient Case Management Information System PC-MIS Patient Case Management Information System IAPT Intermediate Database Creation Procedure Patient Case Management Information System PC-MIS v.4.6.0 Document Control Document Information Title IAPT

More information

Governance. Information. Bulletin. Welcome to the nineteenth edition of the information governance bulletin

Governance. Information. Bulletin. Welcome to the nineteenth edition of the information governance bulletin Welcome to the nineteenth edition of the information governance bulletin Our regular bulletin about information governance and the work of the IG transition programme Publication Gateway Reference: 02465

More information

GP Patient Survey Your Doctor, Your Experience, Your Say

GP Patient Survey Your Doctor, Your Experience, Your Say To: GP Practices Chief Executives of Primary Care Trusts Dear Colleague GP Patient Survey Your Doctor, Your Experience, Your Say This letter confirms arrangements for delivery of the 2008 GP Patient Survey.

More information

Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols

Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols Shropshire Community Health Service NHS Trust Policies, Procedures, Guidelines and Protocols Title Trust Ref No 1340-29497 Local Ref (optional) Main points the document covers Who is the document aimed

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Reference: Information Governance Policy Date Approved: April 2013 Approving Body: Board of Trustees Implementation Date: April 2013 Version: 6 Supersedes: 5 Stakeholder groups

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Version: 4 Bodies consulted: Caldicott Guardian, IM&T Directors Approved by: MT Date Approved: 27/10/2015 Lead Manager: Governance Manager Responsible Director: SIRO Date

More information

Data quality checks performed on SUS and HES data

Data quality checks performed on SUS and HES data Data quality checks performed on SUS and HES data Author: HES Data Quality Team Date: 24 th February 2014 1 Copyright 2013, Health and Social Care Information Centre. Version Control Version Date Author

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Version: 3.2 Authorisation Committee: Date of Authorisation: May 2014 Ratification Committee Level 1 documents): Date of Ratification Level 1 documents): Signature of ratifying

More information

Electronic Palliative Care Co-Ordination Systems: Information Governance Guidance

Electronic Palliative Care Co-Ordination Systems: Information Governance Guidance QIPP Digital Technology Electronic Palliative Care Co-Ordination Systems: Information Governance Guidance Author: Adam Hatherly Date: 26 th March 2013 Version: 1.1 Crown Copyright 2013 Page 1 of 19 Amendment

More information

Code of Conduct. Property of UKAPA 20/11/2009 1

Code of Conduct. Property of UKAPA 20/11/2009 1 Code of Conduct A Physician Assistant (now associate) (PA) is defined as someone who is: a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy To whom this document applies: All Trust staff, including agency and contractors Procedural Documents Approval Committee Issue Date: January 2010 Version 1 Document reference:

More information

NHS Commissioning Board: Information governance policy

NHS Commissioning Board: Information governance policy NHS Commissioning Board: Information governance policy DOCUMENT STATUS: To be approved / Approved DOCUMENT RATIFIED BY: DATE ISSUED: October 2012 DATE TO BE REVIEWED: April 2013 2 AMENDMENT HISTORY: VERSION

More information

AVOIDING UNPLANNED ADMISSIONS ENHANCED SERVICE: PROACTIVE CASE FINDING AND CARE REVIEW FOR VULNERABLE PEOPLE GUIDANCE AND AUDIT REQUIREMENTS

AVOIDING UNPLANNED ADMISSIONS ENHANCED SERVICE: PROACTIVE CASE FINDING AND CARE REVIEW FOR VULNERABLE PEOPLE GUIDANCE AND AUDIT REQUIREMENTS April 2014 AVOIDING UNPLANNED ADMISSIONS ENHANCED SERVICE: PROACTIVE CASE FINDING AND CARE REVIEW FOR VULNERABLE PEOPLE GUIDANCE AND AUDIT REQUIREMENTS A programme of action for general practice and clinical

More information

SCCI Development Framework

SCCI Development Framework Document filename: SCCI Development Framework Directorate / Programme SCCI Project Development Support Service Document Reference Project Manager [Manager] Status Approved Interim Owner Gwen Smith

More information

Standard Operating Procedure for the role of the. Named Nurse within. Adult Mental Health Inpatient Services

Standard Operating Procedure for the role of the. Named Nurse within. Adult Mental Health Inpatient Services Standard Operating Procedure for the role of the Named Nurse within Adult Mental Health Inpatient Services DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date ratified:

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Version Version 1 Ratified By Date Ratified PROPOSED FOR APPROVAL 15/11/12 Author(s) Responsible Committee / Officers Date Issue November 2012 Review Date November 2013 Intended

More information

Information Governance Policy

Information Governance Policy Information Governance Policy UNIQUE REF NUMBER: AC/IG/013/V1.2 DOCUMENT STATUS: Approved by Audit Committee 19 June 2013 DATE ISSUED: June 2013 DATE TO BE REVIEWED: June 2014 1 P age AMENDMENT HISTORY

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Name of Policy Author: Name of Review/Development Body: Ratification Body: Ruth Drewett Information Governance Steering Group Committee Trust Board : April 2015 Review date:

More information

Information Governance and Management Standards for the Health Identifiers Operator in Ireland

Information Governance and Management Standards for the Health Identifiers Operator in Ireland Information Governance and Management Standards for the Health Identifiers Operator in Ireland 30 July 2015 About the The (the Authority or HIQA) is the independent Authority established to drive high

More information

NATIONAL HEALTH SERVICE, ENGLAND

NATIONAL HEALTH SERVICE, ENGLAND D I R E C T I O N S NATIONAL HEALTH SERVICE, ENGLAND The Health and Social Care Information Centre (Establishment of Information Systems for NHS Services: Collection and Analysis of Primary Care Data)

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Policy Summary This policy outlines the organisation s approach to the management of Information Governance and information handling. It explains the accountability and reporting

More information

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK

INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK INFORMATION GOVERNANCE OPERATING POLICY & FRAMEWORK Log / Control Sheet Responsible Officer: Chief Finance Officer Clinical Lead: Dr J Parker, Caldicott Guardian Author: Associate IG Specialist, Yorkshire

More information

University of Limerick Data Protection Compliance Regulations June 2015

University of Limerick Data Protection Compliance Regulations June 2015 University of Limerick Data Protection Compliance Regulations June 2015 1. Purpose of Data Protection Compliance Regulations 1.1 The purpose of these Compliance Regulations is to assist University of Limerick

More information

Information Governance. and what it means for you

Information Governance. and what it means for you Information Governance and what it means for you 1 Content Introduction 3 Who are we? 4 What is Information Governance? 4 Purpose of Holding Information 5 Confidentiality and Security 5 Accuracy of Information

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Primary Intranet Location Information Management & Governance Version Number Next Review Year Next Review Month 7.0 2018 January Current Author Phil Cottis Author s Job Title

More information

Information Governance Policy

Information Governance Policy Information Governance Policy REFERENCE NUMBER IG 101 / 0v3 May 2012 VERSION V1.0 APPROVING COMMITTEE & DATE Clinical Executive 4.9.12 REVIEW DUE DATE May 2015 West Lancashire CCG is committed to ensuring

More information

Information Governance Strategy

Information Governance Strategy Information Governance Strategy ONCE PRINTED OFF, THIS IS AN UNCONTROLLED DOCUMENT. PLEASE CHECK THE INTRANET FOR THE MOST UP TO DATE COPY Target Audience: All staff employed or working on behalf of the

More information

Information Governance Policy

Information Governance Policy BEXLEY CARE TRUST MANAGEMENT MANUAL Title: INFORMATION GOVERNANCE POLICY Originating Department: IT DEPARTMENT Authorised by: Risk Management Committee June 2008 Reference no: CA12 Date of Issue: JANUARY

More information

Standard Operating Procedures for Supporting Research Studies

Standard Operating Procedures for Supporting Research Studies Standard Operating Procedures for Supporting Research Studies February 2011 SOP Supporting Research Studies Page 1 of 13 1 Document Revision History Date Version Description Compiled by 31/01/11 0.1 First

More information

Trust Informatics Policy. Information Governance. Information Governance Policy

Trust Informatics Policy. Information Governance. Information Governance Policy Trust Informatics Policy Information Governance Policy Reference: TIP/IG/IGP I:\IG\IGM\IGT\March 2011\Document Library\Policies\Approved/ - 1 Document Control Policy Title Author/Contact Document Reference

More information

Community Learning and Mental Health pilots Applicant Information Session. Welcome

Community Learning and Mental Health pilots Applicant Information Session. Welcome Community Learning and Mental Health pilots Applicant Information Session Welcome Agenda Outline of event - Policy context background and objectives - Procurement process - Service requirements - Funding

More information

NHS Lanarkshire Information Governance Committee

NHS Lanarkshire Information Governance Committee INFORMATION GOVERNANCE COMMITTEE DRAFT TERMS OF REFERENCE Name Purpose NHS Lanarkshire Information Governance Committee To provide direction of and oversee the development of NHS Lanarkshire Information

More information

GP Patient Survey Your doctor, your experience, your say

GP Patient Survey Your doctor, your experience, your say GP Patient Survey Your doctor, your experience, your say Guidance 2007/08 for strategic health authorities, primary care trusts and GP practices Introduction 1. This document provides guidance on this

More information

Comprehensive Spending Review 2007 covering the period 2008-2011

Comprehensive Spending Review 2007 covering the period 2008-2011 MEASURING UP HOW GOOD ARE THE GOVERNMENT S DATA SYSTEMS FOR MONITORING PERFORMANCE AGAINST PUBLIC SERVICE AGREEMENTS? JUNE 2010 Comprehensive Spending Review 2007 covering the period 2008-2011 Review of

More information

Information Governance Strategy. Version No 2.1

Information Governance Strategy. Version No 2.1 Livewell Southwest Information Governance Strategy Version No 2.1 Notice to staff using a paper copy of this guidance. The policies and procedures page of LSW Intranet holds the most recent version of

More information

Specifically, the group is asked to agree (with any caveats it would like to introduce) and endorse:

Specifically, the group is asked to agree (with any caveats it would like to introduce) and endorse: Joining Up Your Information project (JUYI Gloucestershire s Shared Care Record) Proposed Model for Patient Consent to Share Data in Gloucestershire 10 th March 2015 Executive Summary This paper is to request

More information

IAPT OUTLINE SERVICE SPECIFICATION

IAPT OUTLINE SERVICE SPECIFICATION IAPT OUTLINE SERVICE SPECIFICATION Improving Access to Psychological Therapies Programme (IAPT) The IAPT Programme is a Department of Health initiative to improve access to psychological therapies. It

More information

INFORMATION GOVERNANCE STRATEGY

INFORMATION GOVERNANCE STRATEGY INFORMATION GOVERNANCE STRATEGY Page 1 of 10 Strategy Owner Valerie Penn, Head of Governance Strategy Author Caroline Law, Information Governance Project Manager Directorate Corporate Governance Ratifying

More information

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid.

All CCG staff. This policy is due for review on the latest date shown above. After this date, policy and process documents may become invalid. Policy Type Information Governance Corporate Standing Operating Procedure Human Resources X Policy Name CCG IG03 Information Governance & Information Risk Policy Status Committee approved by Final Governance,

More information

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation

Version Number Date Issued Review Date V1 25/01/2013 25/01/2013 25/01/2014. NHS North of Tyne Information Governance Manager Consultation Northumberland, Newcastle North and East, Newcastle West, Gateshead, South Tyneside, Sunderland, North Durham, Durham Dales, Easington and Sedgefield, Darlington, Hartlepool and Stockton on Tees and South

More information

The Care Record Guarantee Our Guarantee for NHS Care Records in England

The Care Record Guarantee Our Guarantee for NHS Care Records in England The Care Record Guarantee Our Guarantee for NHS Care Records in England January 2011, version 5 Introduction In the National Health Service in England, we aim to provide you with the highest quality of

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY Directorate of Performance Assurance INFORMATION GOVERNANCE POLICY Reference: DCP074 Version: 2.5 This version issued: 27/03/15 Result of last review: Minor changes Date approved by owner (if applicable):

More information

INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER

INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER INFORMATION GOVERNANCE AND SECURITY 1 POLICY DRAFTED BY: INFORMATION GOVERNANCE LEAD 2 ACCOUNTABLE DIRECTOR: SENIOR INFORMATION RISK OWNER 3 APPLIES TO: ALL STAFF 4 COMMITTEE & DATE APPROVED: AUDIT COMMITTEE

More information

Information Governance Framework and Strategy. November 2014

Information Governance Framework and Strategy. November 2014 November 2014 Authorship : Committee Approved : Chris Wallace Information Governance Manager CCG Senior Management Team and Joint Trade Union Partnership Forum Approved Date : November 2014 Review Date

More information

INFORMATION GOVERNANCE POLICY & FRAMEWORK

INFORMATION GOVERNANCE POLICY & FRAMEWORK INFORMATION GOVERNANCE POLICY & FRAMEWORK Version 1.2 Committee Approved by Audit Committee Date Approved 5 March 2015 Author: Responsible Lead: Associate IG Specialist, YHCS Corporate & Governance Manger

More information

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16

NHS Newcastle Gateshead Clinical Commissioning Group. Information Governance Strategy 2015/16 NHS Newcastle Gateshead Clinical Commissioning Group Information Governance Strategy 2015/16 Document Status Equality Impact Assessment Document Ratified/Approved By Approved No impact NHS Quality, Safety

More information

Information Governance Strategy & Policy

Information Governance Strategy & Policy Information Governance Strategy & Policy March 2014 CONTENT Page 1 Introduction 1 2 Strategic Aims 1 3 Policy 2 4 Responsibilities 3 5 Information Governance Reporting Structure 4 6 Managing Information

More information

INFORMATION GOVERNANCE REVIEW EVIDENCE GATHERING: COMMISSIONING

INFORMATION GOVERNANCE REVIEW EVIDENCE GATHERING: COMMISSIONING INFORMATION GOVERNANCE REVIEW EVIDENCE GATHERING: COMMISSIONING Introduction In producing these questions, the Information Governance Review Panel has reviewed the legal and statutory basis for the processing

More information

SHIP Guiding Principles and Best Practices

SHIP Guiding Principles and Best Practices A document of the SHIP Information Governance Working Group The objectives of this document This document is a statement of agreed guiding principles for governance and instances of best practice arising

More information

Information Management for Medical Revalidation in England

Information Management for Medical Revalidation in England Information Management for Medical Revalidation in England www.revalidationsupport.nhs.uk Contents Page 1. Introduction 3 2. Information flows 4 The doctor 5 The appraiser 5 The responsible officer 6 New

More information

The right information, in the right place, at the right time

The right information, in the right place, at the right time National study The right information, in the right place, at the right time A study of how healthcare organisations manage personal data September 2009 About the Care Quality Commission The Care Quality

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Information Governance Policy_v2.0_060913_LP Page 1 of 14 Information Reader Box Directorate Purpose Document Purpose Document Name Author Corporate Governance Guidance Policy

More information

Information Governance Strategy 2015/16

Information Governance Strategy 2015/16 Information Governance Strategy 2015/16 Ratified Governing Body (November 2015) Status Final Issued November 2015 Approved By Executive Committee (August 2015) Consultation Equality Impact Assessment Internal

More information

Information Governance in NHSScotland: A Competency Framework. 2 nd Edition December 2011

Information Governance in NHSScotland: A Competency Framework. 2 nd Edition December 2011 Information Governance in NHSScotland: A Competency Framework 2 nd Edition December 2011 Contents Foreword 1 by Malcolm Wright, NHS Education for Scotland Executive Summary 2 Chapter 1. Why? Information

More information

NHS Information Standards Board

NHS Information Standards Board NHS Information Standards Board DSC Notice: 08/2001* Date of Issue: March 2001 Subject: Inclusion of Nurse Activity in Admitted Patient Care CDSs/HES. Implementation date: 01 April 2002 DATA SET CHANGE

More information

www.gov.uk/monitor The maternity pathway payment system: Supplementary guidance

www.gov.uk/monitor The maternity pathway payment system: Supplementary guidance www.gov.uk/monitor The maternity pathway payment system: Supplementary guidance Contents Introduction... 3 Inclusions and exclusions from the pathway payments... 4 Early pregnancy unit and emergency gynaecology

More information

1 Beyond Network CRM (Quotation)

1 Beyond Network CRM (Quotation) 1 Beyond Network CRM (Quotation) Invitation to Quote DESIGN, DEVELOPMENT AND IMPLEMENTATION OF A CRM SYSTEM FOR THE BEYOND NETWORK (A BUSINESS SUPPORT PROGRAMME) 2 Beyond Network CRM (Quotation) PART 1:

More information

Educational Psychology Funded Training (EPFT) Scheme. Applicant Handbook 2016 entry

Educational Psychology Funded Training (EPFT) Scheme. Applicant Handbook 2016 entry Educational Psychology Funded Training (EPFT) Scheme Applicant Handbook 2016 entry Contents 1. Introduction... 4 What you need to know before you start... 4 Top tips for making a successful application...

More information

Data Quality Management Strategy 2013-16

Data Quality Management Strategy 2013-16 Data Quality Management Strategy 2013-16 Document Information Board Library Reference Document Type Strategy Document Subject Data Quality Original Document Author Head of Information & Performance Management

More information

RECORDS MANAGEMENT POLICY

RECORDS MANAGEMENT POLICY RECORDS MANAGEMENT POLICY Version 8.0 Purpose: For use by: This document is compliant with /supports compliance with: To outline the lifecycle of a record and to provide guidance on retention and disposal

More information

CHILDREN AND ADULTS SERVICE RESEARCH APPROVAL GROUP

CHILDREN AND ADULTS SERVICE RESEARCH APPROVAL GROUP DURHAM COUNTY COUNCIL CHILDREN AND ADULTS SERVICE RESEARCH APPROVAL GROUP INFORMATION PACK Children and Adults Service Version 4 October 2015 Children and Adults Service Research Approval Group Page 1

More information

Data Quality Policy. DOCUMENT CONTROL: Version: 4.0

Data Quality Policy. DOCUMENT CONTROL: Version: 4.0 Data Quality Policy DOCUMENT CONTROL: Version: 4.0 Ratified By: Risk Management Sub Group Date Ratified 27 August 2013 Name of Originator/Author: Head of Information Services Name of Responsible Risk Management

More information

TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT

TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT TERMS OF REFERENCE: REVIEW OF THE INFORMATION GOVERNANCE TOOLKIT The Information Governance Professional Leadership Group hosted by the NHS Commissioning Board is committed to conducting a strategic review

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Information Governance Policy Issue Date: June 2014 Document Number: POL_1008 Prepared by: Information Governance Senior Manager Insert heading depending on Insert line heading

More information

Please see the LUCADA data manual v3.1.3, available in the downloads section

Please see the LUCADA data manual v3.1.3, available in the downloads section National Lung Cancer Audit Frequently Asked Questions What dataset should be used? Please see the LUCADA data manual v3.1.3, available in the downloads section What does LUCADA stand for? LUCADA stands

More information

Information Governance Policy

Information Governance Policy Information Governance Policy Version: Revised: Consultation: Ratified by: 1.0 Information Governance Committee Governance Committee Date ratified: 19 March 2008 Name of originator/author: David McGrath

More information

INFORMATION GOVERNANCE AND DATA PROTECTION POLICY

INFORMATION GOVERNANCE AND DATA PROTECTION POLICY INFORMATION GOVERNANCE AND DATA PROTECTION POLICY WN CCG Information Governance & Data Protection Policy July 2013 1 Document Control Sheet Name of Document: Information Governance & Data Protection Policy

More information

Standards of Physical Therapy Practice

Standards of Physical Therapy Practice Standards of Physical Therapy Practice The World Confederation for Physical Therapy (WCPT) aims to improve the quality of global healthcare by encouraging high standards of physical therapy education and

More information