NHS Digital Annual Report and Accounts 2018 to 2019
Total Page：16
File Type：pdf, Size：1020Kb
CCS0519287132 978-1-5286-1323-1 Health and Social Care Information Centre (HSCIC) Annual Report and Accounts 2018-19. The Health and Social Care Information Centre is an executive non-departmental public body created by statute, also known as NHS Digital. Presented to Parliament pursuant to Schedule 18, paragraph 12(2)(a) of the Health and Social Care Act 2012. Ordered by the House of Commons to be printed on 9 July 2019. HC 2333 © NHS Digital copyright 2019 The text of this document (this excludes, where present, the Royal Arms and all departmental or agency logos) may be reproduced free of charge in any format or medium, provided that it is reproduced accurately and not in a misleading context. The material must be acknowledged as NHS Digital copyright and the document title specified. Where third party material has been identified, permission from the respective copyright holder must be sought. Any enquiries related to this publication should be sent to us at [email protected] This publication is available at www.gov.uk/government/publications ISBN: 978-1-5286-1323-1 CCS0519287132 07/19 Printed on paper containing 75% recycled fibre content minimum. Printed in the UK by the APS Group on behalf of the Controller of Her Majesty’s Stationery Office. Contact us: NHS Digital 1 Trevelyan Square Boar Lane Leeds LS1 6AE T:0300 303 5678 E:[email protected] www.digital.nhs.uk Contents Chairman’s foreword 6 Performance report 8 Chief Executive’s introduction 8 What we do 12 Our delivery directorates 18 Product Development 20 Data, Insights and Statistics 44 Platforms and Infrastructure 60 Live Services and Cyber Security 70 Performance analysis 78 Financial analysis 79 Managing performance and risk 85 Accountability report 90 Salaries and pensions of senior management 92 Corporate governance report 110 Annual governance statement 116 Statement of the Board and Chief Executive’s responsibilities 128 The certificate and report of the Comptroller and Auditor General to the Houses of Parliament 129 Appendices 164 Appendix A – Sustainability report 164 Appendix B – Board members’ biographies and Register of Interests 168 Appendix C – Attendance at the Board and committees 176 Appendix D – Our regulatory and compliance framework 177 Introduction Chairman’s foreword At NHS Digital, we have continued the work we started with our ‘Fit for 2020’ capability review two years ago to transform ourselves into the trusted technology partner that the NHS needs to realise its technology vision and to deliver on the opportunities technology offers to clinicians and patients. Our workforce We have delivered significant NHS Digital is also the national new digital innovations for the custodian of critical health transformation plan NHS over the past 12 months, technology infrastructure. is equipping us with starting with the citizen-facing We design, build and run tools that underpin a more one of the most complex new skills, greater patient-centred model of care: messaging networks in the the NHS App, NHS 111 online, country and deliver outstanding organisational agility and the NHS login. Our responsiveness, reliability and and new ways of nationwide services, including speed. In October 2018 alone, electronic referrals, electronic the NHS Spine handled a record working to ensure prescriptions and the Summary one billion messages, about the the needs of Care Record have all been same as all of the transactions enhanced and extended. More on all gov.uk services over the clinicians, patients than 90% of first outpatient whole year. Messaging reliability and the public remain appointments in England are on the Spine has been constant now made electronically, at 100% for three years and at the heart of all compared to about 66% system response times are in March last year. about 15 times faster than we do. they were in 2014. We began to modernise clinicians’ and social care We are the custodians of the professionals’ access to patient nation’s patient data and have information, improving safety, a statutory duty to maintain and efficiency and outcomes. improve its quality, usefulness Initiatives such as GP Connect, and safety. We now produce Child Protection - Information indicators on more than 1,000 Sharing and the National Record different measures of NHS Locator are helping our digital performance, helping leaders services keep in step with the plan and manage the NHS’s reconfiguration of care settings services more efficiently and and care pathways. All these effectively, and last year we innovations signal a more launched eight new series of fundamental shift towards an statistics on contemporary integrated and open IT and trends, ranging from data environment across all of appointments in general our health and care platforms. practice to the mental health of children and young people in England. Over the past two years, In delivering this agenda, Our track record of delivering we have doubled the number we rely on continuously significant innovations this of data collections and begun earning public trust and year has marked a watershed delivery of our new Data confidence in our services; in our performance and shown Processing Services platform we do this by demonstrating we can rise to the challenge of which allows us to systematically transparency, openness and helping the NHS shape, at pace, combine datasets within a single integrity in all we do. We will a new operating model. Patients data architecture. These new also invest in nurturing new have begun to see the benefit information streams give and stronger partnerships in that digital tools can bring to medical researchers, small and the NHS family and across our managing their conditions. medium-sized enterprises in wider ecosystem, including our Clinicians, social care providers healthtech and the life sciences, new partnership with Health and the people who run NHS commissioners and service Data Research UK in support our vital services have begun managers the rich insight they of the Life Sciences Industrial to see more efficient and need to continuously improve Strategy and with our new effective technology solutions. services and create new technology partner, NHSX. The people who lead and possibilities in health and care. manage the NHS have begun My responsibility to see the power of information In the coming year, we will to improve the planning and focus sharply on implementing as Chairman, and the management of one of the the digital ambitions of the NHS most complex health and Long Term Plan. This vision for stewardship role of care organisations in the world. health and care in England the Board, is to envisages better use of data I am immensely proud of and technology in hospitals, ensure NHS Digital the contribution our people in social care, across integrated delivers on its have made to this profoundly care settings, through online important mission and I would channels and as tools in the promises and like to thank them all for their hands of the NHS workforce. extraordinary efforts during commitments to all a year of significant change our stakeholders and for our organisation and to help build a digital for the NHS. workforce of the future that the NHS can be proud of. Noel Gordon Chairman NHS Digital 7 Performance report Chief Executive’s introduction It is a privilege to serve the NHS at this unique moment in history, when advances in biology and technology are aligning to create phenomenal new opportunities to deliver transformational products and services. We are inspired and energised by the impact that we know these will have on patients, clinicians and medical research, as well as our many other stakeholder communities across the health and care system, in industry and in the third sector. This has been an We run more than 80 core Our NHS 111 online service has national systems, and we now been used more than 1 extremely rewarding continue to operate these at million times and the NHS and an extremely extraordinarily high levels of e-Referrals Service currently availability and performance. handles over 70,000 referrals demanding year. Our most critical services ran at every working day, up from an average of 99.95% 40,000 at the start of 2018. Through the intense availability over the year. Given Our Electronic Prescription hard work and the scale of the NHS, Service handled more than it is no surprise that we manage 690 million prescription items commitment of more traffic than some of the in 2018-19 and, from February, staff across our major national credit card we included schedule 2 and 3 systems and we operate, as far controlled drugs in the system. organisation, and as we can ascertain, one of the largest email systems in Europe. We delivered new services the continuing for our colleagues working delivery of world We are also incredibly excited in medical research, in particular about the new products and in support of large-scale clinical class products and services that we have delivered trials. We commenced a new services, we have and the impact that they have partnership with Great Ormond had. More than 200,000 people Street Hospital focused on strengthened our have downloaded the NHS App addressing long-standing since it went live on New Year’s digitisation gaps through reputation and Eve, 45,000 of whom have smart use of data analytics extended our impact proven their identity and and commodity technology. obtained an NHS login that We worked with GPs and across the system. they will be able to use to colleagues in NHS England access multiple services to reshape the market in in future. primary care IT services. 8 NHS Digital Annual Report and Accounts 2018-19 In addition to the publication of These achievements We have also completed the many large-scale open data sets, first wave of our organisational we disseminated data to over are exciting because transformation program this 450 customers in support of of the incredible year.