Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, with reference to the Annual Report of the National Clinical Audit for Rheumatoid and Early Inflammatory Arthritis, published on 22 January 2016, what plans his Department has to improve systems for capturing, coding and integrating data from NHS outpatient clinics which will also enable coordinated patient-centred care.

National Clinical Audits are commissioned and managed on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP). The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis was published on 22 January 2016. The report identifies that although most services offer prompt educational support and agree targets for treatment with their patients, performance against criteria for referral and assessment could be improved. Since the audit, HQIP has reported that a number of trusts have successfully reconfigured their services in order to improve patient care.

In terms of plans to introduce national measurements for rheumatology services, NHS England’s National Indicators Group is reviewing service level metrics that could provide commissioners with assurance in this area. NHS England will also review whether a new best practice tariff in rheumatoid arthritis could be developed, subject to suitable data being available.

The Department is currently taking a number of steps to improve the systems for capturing, coding and integrating data from National Health Service outpatient clinics. For example, where trusts have identified local requirements for improving the capture of information, including for outpatient data, funds have been made available for improved electronic systems through the Integrated Digital Care Fund and the South Local Clinical Systems Programmes. This includes for improvements to patient administration, patient records, and document management systems which will help the recording and accessing of data at the point of care.

Going forward, through the work of the National Information Board, the Department is taking the following steps to improve the systems for capturing, coding and integrating data from NHS outpatient clinics:

- supporting providers to implement technology systems further in outpatient departments where they do not already exist, to collect better data and become paper free at the point of care. £1.4 billion of the recently announced investment of £4.2 billion in NHS technology over the next five years is intended for this purpose;

- examining the potential to move outpatient departments to capture activity in a standardised terminology (SNOMED CT) so it may be available elsewhere in the hospital and to support reporting and clinical audit. SNOMED CT includes representation of codes pertaining to rheumatoid and inflammatory arthritis that are generally well-developed; and

- In 2017/18, expanding the a current programme of work which is looking information exchange for inpatient transfers, to cover other care domains including the exchange of outpatient information between acute trusts and patients’ general practitioners.