Julie Henderson (Head of Analytical Services - HSCIC) presented with Shaun Rowark (Technical Analyst, Quality Standards - NICE) at the recent "Commissioning in Healthcare show (CiH 2015) ". Areas covered include: · NICE quality standards: These are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. Derived from the best available evidence, they can enable commissioners to be confident that the services they are purchasing are high quality, cost effective and focused on driving up quality. · Real life examples of how quality standards are being used by commissioners, possible barriers to implementation and advice on how to overcome these · Data available from the HSCIC and how to use these to support the commissioning process

1. Commissioning for high quality care – How NICE quality
standards and HSCIC data can support you
Shaun Rowark – Technical Analyst: Quality Standards, NICE
Julie Henderson – Head of Analytical Services, HSCIC

2. Introduction
• NICE Quality Standards
– Quality standards introduction
– Quality standards in the commissioning process
– Quality standards case studies
• HSCIC
– NHS Outcomes Framework
– Clinical Commissioning Outcome Indicator Set
– Quality Outcomes Framework
– National Audits

3. NICE quality standards - definitions
• NICE quality standards are not guidelines, they sit alongside and complement
guidelines
• NICE quality standards are concise sets of prioritised statements designed to
drive measurable quality improvements within a particular area of health or
care. They are derived from the best available evidence such as NICE
guidance and other evidence sources accredited by NICE. They are
developed independently by NICE, in collaboration with health and social care
professionals, their partners and service users

4. NICE quality standards - concept
Guidance
Primary evidence
NICE
quality
standards
Primary evidence
Hundreds of references cited in NICE
guidance
Guidance containing systematically developed
recommendations based on the best available
evidence
Prostate cancer (2014) NICE guideline CG175
Referral guidelines for suspected cancer (2005)
NICE clinical guideline 27.
NICE quality standards containing 6-8
measurable, action-focussed statements
showing priority areas for quality
improvement with accompanying measures
Prostate Cancer (2015) NICE quality standard
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5. NICE quality standards - key principles
• 6-8 action focussed statements
• Primary audience is commissioners
• Implementable at local level
• Focus on priority areas for quality improvement
• Measurable
• Derived from NICE or NICE accredited guidance
• Do not replace guidance but sit alongside and form a package
• Robust development process

6. NICE quality standard topics – three interfaces

7. NICE quality standards – use in commissioning

8. • Stockport CCG and Stockport MBC – review of commissioning intentions and
strategy
• North Lincolnshire CCG and North Yorkshire and Humber CSU – systematic
approach to commissioning evidence based services: a commissioning
framework
• Liverpool CCG – developing meaningful CQUINs
• Oldham CCG - provider floor walks to gain assurance of service quality and to
inform quality improvement plans
NICE quality standards - case studies

9. HSCIC
Information and Analysis
presented by Julie Henderson

10. NHS Outcomes Framework
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Detailed information:
http://www.hscic.gov.uk/catalogue/PUB18117/nhs-out-fram-ind-aug-15-
dash.pdf

11. NHS OF: Experience of care for people at the
end of their lives
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12. NHS OF Incidence of healthcare associated
infections
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13. Clinical Commissioning Group Outcomes Indicator Set
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14. CCG OIS: Emergency Admissions for Alcohol Related Liver
Disease
Source: HES

15. Quality and Outcomes Framework
15http://www.qof.hscic.gov.uk/search/

16. National Diabetes Audit
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The audit measures performance and
outcomes against guidelines from the
National Institute for Health and Care
Excellence
Other areas audited include:
•Inpatient Care
•Footcare
•Diabetes in pregnancy

17. What data and information are available?
• Workforce
• Primary Care
• Secondary Care
• Mental Health
• Community Services
• Prescribing
• Population Health
• Adult Social Care
• Clinical Audit and Registries
• Clinical Indicators...etc
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18. Useful links
• Publications Calendar
http://www.hscic.gov.uk/pubs/calendar
• Data tools
http://www.hscic.gov.uk/article/1662/Tools
• Open Data
https://data.gov.uk/
Contact us at:
enquiries@hscic.gov.uk
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