NHS Digital explained

Type:Non-departmental public body
Preceding1:NHS Connecting for Health
Preceding2:NHS Information Centre
Superseding1:NHS England
Jurisdiction:England
Headquarters:Leeds, England
Region Code:GB
Motto:Information and technology for better health and care
Employees:6000
Chief1 Name:Simon Bolton
Chief1 Position:Chief Executive (interim)
Chief2 Name:Laura Wade-Gery
Chief2 Position:Chair
Parent Department:Department of Health and Social Care
Agency Name:NHS Digital

NHS Digital was the trading name of the Health and Social Care Information Centre, which was the national provider of information, data and IT systems for commissioners, analysts and clinicians in health and social care in England, particularly those involved with the National Health Service of England. The organisation was an executive non-departmental public body of the Department of Health and Social Care.[1]

Role

NHS Digital provides digital services for the NHS and social care, including the management of large health informatics programmes.[2] They deliver national systems through in-house teams, and by contracting private suppliers. These services include managing patient data including the Spine, which allows the secure sharing of information between different parts of the NHS, and forms the basis of the Electronic Prescription Service, Summary Care Record and Electronic Referral Service.[3]

NHS Digital is also the national collator of information about health and social care, and publishes over 260 statistical publications each year, including Official Statistics and National Statistics.[4] It also runs "The NHS Website" (www.nhs.uk, formerly NHS Choices), which is the national website for the NHS in England.

NHS Digital has taken on the roles of a number of predecessor bodies including the NHS Information Centre, NHS Connecting for Health, and parts of NHS Direct. The organisation produces more than 260 official and national statistical publications. This includes national comparative data for secondary uses, developed from the long-running Hospital Episode Statistics which can help local decision makers to improve the quality and efficiency of frontline care.

History

The organisation was created as a special health authority on 1 April 2005 by a merger of the National Programme for IT, part of the Department of Health, the NHS Information Authority, and the Prescribing Support Unit.

Following the Health and Social Care Act 2012, the HSCIC changed from a special health authority to an executive non-departmental public body on 1 April 2013. Effective at this time, HSCIC took over parts of the troubled NHS National Programme for IT from the agency NHS Connecting for Health (CfH) which ceased to exist.[5] It also runs the Health Survey for England.

On 20 April 2016, it was announced that HSCIC would be rebranding, changing its name to NHS Digital in July 2016.[6] [2]

NHSX, created in February 2019, has oversight of digital strategy and policy in NHS England. As a budget-holder, NHSX commissions projects from NHS Digital.[7]

On 22 November 2021 it was announced that NHS Digital would be merged with NHSX and incorporated into NHS England.[8] The merger was completed on 1 February 2023.[9]

Business areas

Handling patient data

NHS Digital ran the Spine service for the NHS, which is a central, secure system for patient data in England.[3] This enables a number of services for patients, including:

As the HSCIC, the organisation ran the care.data programme, which was cancelled in 2016.

NHS Digital collected the national 'Hospital Episode Statistics' (HES), which is a record of every 'episode' of admitted patient care (counted by completing care with a consultant, meaning that more than one episode can be associated with a single stay in hospital[14]) delivered by the NHS in England, including those done under contract by private providers. This involves the tracking of around 16 million 'episodes' of care every year.[15] This information is used for a range of statistical analysis, as well as for determining payments to providers. In addition to admitted patient care, HES also provides data for outpatient and emergency care encounters. The Emergency Care Data Set has been created to replace HES A&E data and provide better data on emergency care encounters.[16]

In November 2019 it launched the National Record Locator, which spans different health economies and is intended to enable paramedics, community mental health nurses, children’s health teams and maternity services to access the records of mental health patients across England.[17]

In August 2020 it launched a pilot electronic prescription service in three hospital trusts, where hospital prescriptions were sent electronically to the patient’s community pharmacy, as during the COVID-19 pandemic in England most outpatient consultations were held remotely. [18]

Central technology team

A troubleshooting operation was established in 2018 to help NHS trusts when major IT deployments go wrong. Eight trusts needed emergency assistance in 2018 after a deployment led to severe service disruptions. Funding of £2 million a year for the service has been allocated and expansion is expected.[19]

Statistics and data

NHS Digital compiles national data about the NHS and social care, with over 260 publications every year.[2] In addition, they provide data analysis, and access to data and clinical indicators.

Public-facing services

The NHS website www.nhs.uk, formerly NHS Choices, is the public website for the NHS Services in England, and is run by a team at NHS Digital, mandated by DOH with input from Public Health England. In November 2022 it had been visited more than one billion times in the previous 12 months.[20]

Key people

Simon Bolton, formerly chief information officer at Jaguar Land Rover and NHS Test and Trace, was appointed as interim chief executive officer in June 2021.[21] He replaced Sarah Wilkinson, CEO from August 2017 until she decided to step down in March 2021.[22]

See also

External links

Notes and References

  1. Book: Annual Report 2016/17. NHS Digital.
  2. Web site: Department of Health. HSCIC changing its name to NHS Digital.
  3. Web site: NHS Digital. Spine.
  4. Web site: UK Statistics Authority. List of National Statistics.
  5. Web site: The Health and Social Care Information Centre Annual Report and Accounts 2011/12. 19 April 2014.
  6. News: HSCIC renamed NHS Digital and new chair hired . Charlotte . Santry . . 20 April 2016.
  7. Web site: Digital Health News confirms new NHSX unit to oversee digital transformation. Crouch. Hannah. 2019-02-19. Digital Health. en-GB. 2020-05-19.
  8. Web site: NHS Digital to merge with NHS England in major tech overhaul. Rapson. Jasmine. 2021-11-22. Health Service Journal. en-GB. 2021-12-05.
  9. Web site: Evenstad . Lis . Goodbye NHS Digital – a new era of NHS technology is upon us Computer Weekly . ComputerWeekly.com . 20 April 2023 . en.
  10. Web site: NHS Digital. Electronic Prescription Service.
  11. Web site: NHS Digital. Summary Care Records.
  12. Web site: NHS Digital. NHS e-referral Service.
  13. Web site: Child Protection - Information Sharing. NHS Digital.
  14. Web site: Hospital Episode Statistics (HES). National Clinical Analysis and Specialised Applications Team. 24 March 2015.
  15. Web site: Hospital Episode Statistics. Health and Social Care Information Centre. 24 March 2015.
  16. Web site: Emergency Care Data Set (ECDS). NHS Digital. 31 March 2019.
  17. News: National sharing of patient records enabled in first-of-kind initiative . 8 December 2019 . Health Service Journal . 28 October 2019.
  18. News: Three hospital trusts trial electronic prescription service during COVID-19 pandemic . 11 October 2020 . Pharmaceutical Journal . 26 August 2020.
  19. News: New tech team to clean up trust IT fiascos . 1 December 2018 . Health Service Journal . 24 October 2018.
  20. News: NHS website tops one billion visits . 10 November 2022 . National Health Executive . 8 November 2022.
  21. Web site: Simon Bolton. 2021-08-03. NHS Digital. en.
  22. Web site: Downey. Andrea. 2021-03-26. Sarah Wilkinson to step down as NHS Digital chief executive. 2021-03-29. Digital Health. en-GB.