42801_NHS-sign.jpgOLIVER RUDKIN/UCF / REX FEATURES He says using traditional technology – deploying servers and developing a BI front-end – would take months. With
Mucklow gives an example of correlating two NHS data sets – one with one billion rows and 1,000 columns of NHS activities, the other all published prescription data for the past few years (2.2bn items) – to show a link between a class of anti-ulcer drugs and pneumonia admission to hospital.
"We can show that in an hour that it reduces the cost by a factor of 100," said Mucklow.
The system currently has 1,800 users at NHS England, which spends around £100bn a year on health care.
The executive management team of the commissioning board can now drill down from a national to a local view of healthcare delivery in a commissioning group. It means that the chief executive Sir
But, says Mucklow, working with data on this scale has proven to be highly problematic in the past.
As a result, anomalies that should have automatically provoked urgent management attention – such as high mortality rates and anomalous trends in care provision – were not acted upon in time. The NHS England commissioning board decided it needed a "single version of the truth" that presents measures of success in a consistent and easy-to-use manner.
Under the government's G cloud framework, the board put the work out to tender, culminating in a "code off" with short-listed suppliers. This took place in
Teams were given a data set and scenario on a Thursday morning for delivery, of a dashboard, by Friday afternoon.
They won the work and delivered the full system, which uses
The three-month project included weekly user-input sessions to get input and feedback from clinical and non-clinical users across the commissioning board. Another element was frequent releases of software which allowed users to see what the tool looked like and provide feedback.
The tool brings together 100 measures of success from over 15 different sources, covering NHS England and including A&E waiting times and mortality rates.
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