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Providing the evidence…..linking social care, housing support and health data Gillian Barclay & Ellen Lynch Scottish Government. Summary. Areas of Research Project Governance Privacy Impact Assessment Overview of the Data Linking Process. Areas of Research.
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Providing the evidence…..linking social care, housing support and health dataGillian Barclay &Ellen LynchScottish Government
Summary • Areas of Research • Project Governance • Privacy Impact Assessment • Overview of the Data Linking Process
Areas of Research • Improve our understanding of whether those who have had multiple unplanned admissions to hospital have a social care package in place • Improving the information on people with dementia • Tracking people with dementia over time to provide evidence of how their support packages change and if this impacts on emergency admissions. • Improving the information on people who have a mental health problem and on those who have died by probable suicide to see if and what support packages were in place.
Project governance (1) Ministerial Strategic Group for Health & Community Care Data Linking Steering Group Health & Community Care Delivery Group Linking Social Care, Housing & Health Data Governance Group Linking Social Care, Housing & Health Data Operating Group Linking Social Care, Housing & Health Data Reference Group
Project governance (2) • Permission from the data controllers including data sharing agreements. • Support from the Information Commissioner’s Office. • Ethical approval (if deemed ‘research’ as opposed to ‘audit’ or ‘service evaluation’). • Approval from the CHI Advisory Group. • Approval from the Privacy Advisory Committee.
Who are/will be involved in developing the project? • Scottish Government – statisticians, data protection officers & policy • ISD Scotland/SHIP – analysts, data linking specialists, IT specialists, Caldicott Guardians • National Records of Scotland – Analysts • COSLA & ADSW representatives • Other local authority representatives – analysts, IT, data protection officers • Health board representatives • Social care & health service users
Privacy Impact Assessment (PIA) • The Scottish Government is committed to using Privacy Impact Assessments to identify and address the potential privacy impacts of all new policy proposals, projects and programmes. • Identity Management and Privacy Principles • http://www.scotland.gov.uk/Publications/2010/12/PrivacyPrinciples • Linking social care, housing support & health data PIA • http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Datalinking/HealthSocialCareandHousin/HSCHPIA • Any comments on the PIA from local authorities to be received by 21st Oct, prior to Privacy Advisory Committee application. • Local authorities to confirm interest to participate by 21st Oct.
How we will link data? • Utilise the Scottish Health Informatics Programme (SHIP)/ISD Scotland • http://www.scot-ship.ac.uk/ • Utilise Scotxed Unit, SG • Already collect the social care data from LAs for national statistical publications • This same social care data will be used in the data linking project • https://www.scotxed.net/default.aspx
Data linking process overview (Stage 1) SMR01 Personal identifiers, Unique ID Home care Personal identifiers, Unique ID ISD’s Data Indexing Team Prescribing Personal identifiers, Unique ID
Data linking process overview (Stage 2) SMR01 (UniqueID, Encrypted Linkage ID, Project Code) Data Controller (ISD) ISD’s Data Indexing Team Home care (UniqueID, Encrypted Linkage ID, Project Code) Data Controller (LA) Prescribing (UniqueID, Encrypted Linkage ID, Project Code) Data Controller (ISD) Linkage Key (used to decrypt Linkage ID)
Data linking process overview (Stage 3) SMR01 (Project Code, Encrypted Linkage ID, Attribute Data) Data Controller (ISD) Home Care (Unique ID, Project Code, Encrypted Linkage ID) Home Care (Project Code, Encrypted Linkage ID, Attribute Data) ScotXed Unit, SG Data Controller (LA) Prescribing (Project Code, Encrypted Linkage ID, Attribute Data) Data Controller (ISD)
Data linking process overview (Stage 3 cont...) SMR01 (Project Code, Encrypted Linkage ID, Attribute Data) Linking ISD’s Linking Team LinkageAgent Home Care (Project Code, Encrypted Linkage ID, Attribute Data) Linking Area Prescribing (Project Code, Encrypted Linkage ID, Attribute Data) Linkage Key (Used to decrypt Linkage ID)
Data linking process overview (Stage 4) Linking ISD’s Linking Team Linkage Agent Linking Area Safe Haven Secure access area Statistical Disclosure Control SMR01 (Project Code, Linkage ID, Attribute data) Report Analyst Home Care (Project Code, Linkage ID, Attribute data) Prescribing (Project Code, Linkage ID, Attribute data)
Further information • http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Datalinking/HealthSocialCareandHousin • Ellen Lynch, Health Analytical Services, Scottish Government • SWStat@scotland.gsi.gov.uk • 0131 244 4093