The ADAPt public consultation ran from 19th February 2020 to 22nd May 2020 on the NHS Digital consultation hub. The consultation sought feedback on proposals to change the way in which private healthcare data is collected, processed, reported and disseminated, specifically proposing that information about private healthcare Admitted Patient Care (APC) activity be reported to NHS Digital alongside information about NHS funded patients, using common data standards. The consultation proposed three pilots:
1. Piloting the flow of private healthcare APC data from the Private Healthcare Information Network (PHIN) to NHS Digital
2. Piloting the flow of private healthcare APC data collected from NHS Private Patient Units (PPUs) by NHS Digital to PHIN
3. Piloting the supply to PHIN of private APC data from independent providers to NHS Digital
The consultation was public, seeking feedback from key stakeholder groups, providers, clinicians and members of the public. Thirty responses from across the stakeholder spectrum, including private providers, NHS PPU, national bodies, professional bodies and representative organisations as well as individuals.
The responses to the consultation were broadly positive and supportive of the changes envisaged by the programme and the associated pilot activity, in fact no response was wholly against the proposal. Pilots are due to start in April 2021.
30 March 2020: Update: Closing date extended to 22 May 2020
Historically, private healthcare providers in the UK have been excluded from the majority of national quality and safety reporting systems. This has resulted in the measurement of private care being largely invisible to the public and not comparable with NHS hospitals due to the absence of a common set of data standards.
Set against the backdrop of increasing overlap between private and NHS healthcare together with some well publicised recent incidents of private clinical malpractice, there is a clear need for greater transparency in clinical oversight, regulation, and patient choice.
The Acute Data Alignment Programme (ADAPt) has been initiated between NHS Digital and the Private Healthcare Information Network (PHIN) to explore how data collected by PHIN from UK private healthcare providers could be aligned to NHS data standards and integrated into relevant NHS quality and safety reporting systems.
These proposals will also support one of the key recommendations of the Independent Inquiry into the Issues raised by Paterson, namely the creation of a single repository of the whole practice of consultants across England.
This consultation and its associated survey relate to the first set of changes required to support the objectives of the Programme and are described in more detail in the attached Change Proposal document. We expect this survey will take no more than 20 minutes to complete but will vary depending on the level of detail in your response.
We are proposing to make changes in how and with whom private healthcare data is collected and shared. This will involve trialling the suitability of existing NHS systems for the collection of private healthcare data and bringing it into line with the standards, processes and systems used for NHS funded care.
These proposed changes are based on feedback the ADAPt programme has already received from a wide range of stakeholders. Wider insight from private and NHS healthcare providers, clinicians, the public and other key stakeholders is now welcomed as part of this consultation to ensure that we address any significant issues and concerns which could prevent the successful implementation of these changes.
These proposed changes are based on feedback the ADAPt programme has already received from a wide range of stakeholders.
Wider insight from private and NHS healthcare providers, clinicians, the public and other key stakeholders which we expect to receive as part of this consultation will be used to ensure that we address any significant issues and concerns which could prevent the successful implementation of these changes.
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