The pressure on the NHS and Adult Social Care is a daily feature of the news in the United Kingdom. Wait lists to go into hospital, excess bed nights in hospital and wait lists for care after discharge from hospital are topics with which we are all very familiar with. The pressures only multiply when we think of our ageing population and there is no doubt that after being discharged from hospital allowing elderly people to recover in their home environment gives them the best chance of getting better. Hospital to Home (H2H) was a response to these pressures. H2H digitises the discharge to assess process allowing one single version of truth for a person's discharge journey from hospital through to them being assessed at home. If you are a person on pathway 1, 2 or 3 then the home assessment is the start of the next journey of your care which is usually a six-week package involving commissioned providers, adult social care and community and voluntary organisations. The first stage of this project will extend the functionality of H2H to include the four pathways of intermediate care: * Reablement * Crisis Response * Home Based * Bed Based For elderly people, care packages need to be put in place quickly and delivered efficiently however the process is beset by inefficiencies and delays because the number of people involved across multiple organisations is complex. If this is being managed on spreadsheets, emails, telephone calls and manual processes, it is no wonder that delays are common place. The effects of these delays are exampled by this report on the BBC website; [Social care crisis: Woman, 92, waited four months to be discharged.][0] H2H would have identified that this woman was awaiting her care package and displayed her delay prominently on a dashboard so that all involved have a constant reminder of who is needing care and the delays they are experiencing. People do not get lost in administrative processes when they are waiting for care packages. The second phase of the project will address the problem of interoperability. Interoperability is a key requirement of our customers and this project will develop an interoperability platform for H2H which will allow the solution to interoperate without favour. This will allow H2H to be the missing link between hospital Electronic Patient Records and Adult Social Care solutions. [0]: https://www.bbc.co.uk/news/uk-wales-59010673

During this Covid-19 crisis period we have seen the need for the sharing of data at an unprecedented pace in order to provide organisations with the critical information they need to respond to the crisis. This has been with regard to health and population data to facilitate research and critical decision making. The responsible way to assess these data sharing requests is to undertake a DPIA. However, there is a lack of consistency between organisations, often leaving a DPIA as a blocker to moving at pace rather than an enabler of good/safe practice. This project will develop the UK's first cross sector Digital DPIA platform which will guide the user through the completion of the assessment and make data sharing (both in 'normal conditions' as well as in a crisis situation) easier and more robust, providing assurance that risks have been assessed and recorded in a consistent, and controlled fashion. It will also enable responsible bodies to reuse good examples created by other public bodies on a similar topic - significantly shortening the time to complete a robust and appropriate DPIA. As an example of inconsistency, during this phase we have seen a number of 'mini' DPIA templates being created in response to the crisis to enable the DPIA process to be undertaken in a more responsive manner. Results have been sketchy and corners will have been cut in the pursuit of expediency. A digital solution that can be responsive to a crisis situation that provides a unified approach to this would ensure that users were working consistently and in a controlled fashion. Given the nature of the data that is being shared, this is of paramount importance. The DHSC issued a Notice under Regulation 3(4) of the Health Service Control of Patient Information Regulations 2002 which requires certain organisations to process confidential patient information in the manner detailed in the notice for purposes set out in Regulation 3(1) of COPI. As part of this notice it states that 'A record should be kept of all data processed under this Notice.' The way to do this is by undertaking a DPIA. This project brings together Greater Manchester Combined Authority (GMCA) along with Norfolk CC, Uni of Nottingham, LOTI and supported by ICO, NHSX - all coordinated by CC2i and to deliver a platform that will transform this important aspect of work during the Covid-19 pandemic.