Creating and using linked data sets in WELC: All dressed up …. nowhere to go ?

The WELC System

A snapshot of the health needs in WELC:• Deprivation is twice as high as the national average.• Half of the population belong to Black, Asian, and minority ethnic

communities.• 30% of the population changes annually. The population is

expected to grow twice as fast as the national average. • The number of people over 65 is projected to increase by seven

per cent by 2016.• Birth rates are 40% higher than the national average.• Hospital stays for alcohol and substance misuse are up to 50%

higher than the national average.• Newham and Tower Hamlets have the second and third highest

levels of emergency admissions for psychosis in London.

We want to deliver at scale and pace to achieve radical

transformation across WELC

By shaping the local health economy around the patientBy changing behaviours across the system By developing the provider landscape

Linked data sets: The evolutionary approach

• GP data collected and shared for over 20 years in East London

• 2009 GP networks formed in Tower Hamlets • 2010 virtual wards across the patch – risk

stratification work began• 2011 IG framework agreed with NIGB and

GMC • 2012 integrated care programme and

Health and social care act• 2013 integrated care metrics go into

CQUINs• Data cubes to make life easier … ?• 2014 data challenge day and capitated

budgets work• 2015 Health Foundation• 2016 ? Routine use of link data …

maybe/maybe not

Data linkage for risk stratification

Governance

Sometimes life hits you in the head with a brick. Don't lose faith.

Steve Jobs

More data than we know what to do with

Skills and capacity issues to use new data sets

Struggling to interpret new data sets

Health Foundation• Part of the Pioneer programme• Protocol and methodology for matched

control– Identification and matching of controls– Analytics and interpretation

• Local support for continuation – Academic– Operational

Capitated budgets

12 Months of “simulation” before we get to shadow budgets in 16/17.

Start to resolve data quality issues

I have a dream….!

But for now …