Health care commissioners need information about the treatment of patients to review and plan current and future healthcare services. To do this they need to be able to see information about the healthcare provided to patients which can include patient level data.
The law says commissioners are not allowed to access personal confidential data because they are not providing direct patient care. Therefore they need an intermediary service called Data Services for Commissioners Regional Office, that specialise in processing, analysing and packaging patient information within a secure environment into a format commissioners can legally use; anonymised patient level data.
Anonymised patient level data allows a patients 'events' to be linked without revealing the identity of that person.
Applications for the receipt of data are usually used to support three main areas of work:
- Risk stratification: is a process that uses personal data from healthcare services to identify and support patients with long term conditions and to help minimise unplanned hospital admissions.
- Invoice validation: is a process that uses personal data to make sure organisations providing care are paid correctly.
- Commissioning is a process using data coded to hide the identity of patients. It is used by organisations to plan and commission healthcare services.
NHS Digital, formally known as HSCIC, is able to disseminate data to commissioners under the Health and Social Care Act (2012). The act provides the powers for NHS Digital to collect, analyse and disseminate national data and statistical information. To access this data organisations must submit an application and demonstrate that they meet the appropriate governance and security requirements.
NHS Digital, through its Data Services for Commissioners Regional Offices, is permitted to collect, hold and process personal confidential data. This is for purposes beyond direct patient care to support NHS commissioning organisations and the commissioning functions within local authorities.
Data regarding healthcare treatment can only be shared with commissioning organisations where a formal Data Sharing Framework Contract is in place alongside a Data Sharing Agreement.
Data Sharing Agreements place a clear obligation on the receiving organisation to only use the supplied information for the agreed purposes. This data can not be shared with others unless specified within the Data Sharing Agreement.
If you would like any further information relating to this service please email us.
There are a number of datasets currently available to commissioners such as:
- SUS (Secondary Users Service) - includes the Emergency Care Dataset (ECDS)
- Mental Health Services Dataset MHSDS and bridging file
- MSDS (Maternity Services Dataset)
- Improving Access to Psychological Therapies (IAPT ) including IAPT Wave 1 and 2 and bridging file
- Community Services Dataset (CSDS)
- Cancer Waiting Times (CWT)
- Assuring Transformation (AT)
- Diagnostic Imaging Dataset (DIDS)
- Civil Registrations - Deaths
If you require any of the above datasets adding to your Data Sharing Agreement (DSA) we recommend you speak to your commissioning support unit (CSU) or Data Services for Commissioners Regional Office (DSCRO) about including additional datasets. Do this before you start a new application or start an amendment to your DSA via the Data Access Request Service (DARS) application.
The Data Protection Act requires organisations, including those in the NHS, to process personal data fairly and lawfully. NHS Digital cannot release patient level data to a commissioning organisation unless it has a data sharing framework contract and a data sharing agreement in place.
Why and how we process your data within Data Services for Commissioners Regional Offices, and your rights.
The Data Services for Commissioners (DSfC) safely provides anonymised patient-level data to commissioners for use in healthcare planning and payment within the NHS.