New coding arrangements for Healthcare Science

Transcription

1 New coding arrangements for Healthcare Science February 5 th 2014 Presented by Nick Armitage, Health and Social Care Information Centre 1

2 New coding arrangements for Healthcare Science Why are we making these changes? The Modernising Scientific Careers team estimate that Healthcare Science staff represent about 5% of the total NHS workforce in England and Wales...but they influence about 80% of all diagnostic decisions They regard the current information on the Healthcare Science workforce as being inadequate for workforce planning and in need of updating Key amongst this is that many of the 50+ scientific specialisms are not currently catered for satisfactorily within the NWD and hence the ESR The HSCIC saw this as an opportunity to road test updating workforce data standards more widely Where are we now?

3 Modernising Scientific Careers Qualified HCS headcount by age Data Source NHSIC Census Under to to to to to to to to & over Renal dialysis Maxillofacial Other Physical Sc Rehabilita on Eng Radiotherapy Physics Nuclear Medicine Haematology (incl. Transfusion) Microbiology Clinical Biochemistry Cyto/Histopathology Other Life Sc Gene cs Cardiology Audiology Respiratory physiology Neurophysiology Other Physiology Perfusion Equipment Management

4 Modernising Scientific Careers Support staff to HCS headcount by age Data Source NHSIC Census About 16,000 headcount (~30% of HCS workforce) Under to to to to to to to to & over Haematology incl Trans Other Life Sc Microbiology Clinical Biochemistry Cardiology Audiology Equipment Management Other Physiological Sc Nucl Med Other Physical Sc Genetics Renal Dialysis Respiratory Radiotherapy Physics Neurophysiology Rehab Engineering Maxillofacial Prosthetics

5 New coding arrangements for Healthcare Science What have we done? A project with multiple stakeholders, the piloting of values and now In October 2013 published the updated NWD2.6 Specification here and Occupation Code Manual Version 12 here including the new HCS values and extensive guidance notes. In November and December 2014 published an Indicative Job Title Coding Guidance Document, followed by a more detailed HCS Guidance document here, updates planned incorporating feedback. All guidance materials are living documents and comments are welcomed workforce.standards@hscic.gov.uk In addition the ESR Central team have issued UN1828 notifying users of the changes and providing links to further information. Further detail in slides used in recent data quality roadshows

6 New coding arrangements for Healthcare Science The new HCS values were implemented in ESR release 21 in late December 2013 organisations had been preparing the information on the existing HCS workforce for these updates, and this process continues updated existing records should be made effective from 01/01/2014 wherever possible The old T Occupation Codes and Job Roles have been closed and no longer available for new positions switch to new U Occ Codes, new Job Roles and updated AoW values. Some issues have been highlighted and are being dealt with (closed but selectable Job Roles / Job Roles which need to be closed or the guidance updated) Enhancements to the ESR interface have paved the way for the mass-update facility for updating existing records once checked and confirmed by individual organisations. More detail on the precise information required and the template to use etc. in the ESR User Notice: UN1828 Significant communications are on-going, targeted at different levels and through different mechanisms plan to get senior buy-in and provide sufficient detail to ensure that the changes are interpreted consistently What do the new values look like?

7 Changes to the workforce classifications for Healthcare Scientists and how it will be handled in the NWD and ESR; Add screen shots of U Matrix, AoW suggestions and list of Job Role values for HCS

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9 New coding arrangements for Healthcare Science The changed HCS values for Staff Group / Job Role include deletions, additions and one value which has not changed: Healthcare Scientists Clinical Scientist Consultant Healthcare Scientist Biomedical Scientist (inc Advanced Practitioner Biomedical Scientific Officer) Technician Therapist Manager Specialist Healthcare Scientist Healthcare Scientist Specialist Healthcare Science Practitioner Healthcare Science Practitioner Additional Clinical Services Healthcare Science Associate Healthcare Science Assistant Trainee Healthcare Scientist Trainee Healthcare Science Practitioner Trainee Healthcare Science Associate All values need to be considered to ensure that the data held is correct and that any previous data quality issues are not replicated in the data going forward also positions not currently coded as HCS which should be Some existing Job Roles remain within the Additional Clinical Services Staff Group e.g. Phlebotomist, Medical Laboratory Assistant and these need to be handled. Further updates to the guidance and (potentially) the data standard are planned. Closed Job Roles should not be chosen for new positions.

10 New coding arrangements for Healthcare Science Mass Update facility Previous facility allowed updates to Job Role recently enhanced to enable changes to Occ Code and Area of Work Process: Trust raises Service Request (SR) ESR Interface Team supplies template Trust returns completed details (HR and Scientists working together) Changes are applied to Positions Details included in User Notice 1828 Trusts may need to split some existing Positions into two or more Positions where new values and associated data cleanse introduce differences HR teams will rely upon Science managers to support them in this. Can choose to proceed manually rather than use the Mass Update facility no problem still needs input from HR and Scientists working together. To handle existing positions only, new positions must be created manually need processes in place to ensure sufficient detail is provided by Science managers to HR teams to make the right choices when coding new posts.

11 New coding arrangements for Healthcare Science What next??? Communications & guidance out throughout 2013/14 Implemented in ESR late December 2013 ESR Administrators / HR and Workforce leads to be supported by local Healthcare Science managers HSCIC begin monitoring uptake of new values in March 2014 Data verification exercise from July 2014 New data to appear in 2014 Workforce Census Existing positions to be set effective from 01/01/2014 when updated to new values create a clean cut-off (where possible) Not just positions with T HCS Occupation Codes whole workforce Importance of Area of Work for capture of HCS Specialism new focus on this element of the data going forward

12 New coding arrangements for Healthcare Science Data in monthly / quarterly publications through 2014? Enhanced data quality exercises through WOVEN / BI reporting? Decommissioning old values? Scientific networks available for points of reference fiona.carragher@nhs.net (England) christine.morrell@wales.gsi.gov.uk (Wales) First change of this scale and type welcome feedback and suggestions for improvements Guidance to be living documents, to be updated regularly and innovative elements to be applied to guidance focused on other aspects of the workforce Two-way process success depends on HR/Workforce and Scientific colleagues working together!

13 Q&A