Regional Health and Social Care ISA

Category: RegISA Introduction

The Agreement

Every health and social care organisation in the country is identifying substantial requirements to share and use personal confidential data in order to achieve planned improvements in care delivery and in financial efficiency.

It is also the case that many opportunities to improve care are delayed or lost due to the challenges associated with designing and agreeing information sharing agreements on a project by project basis.

The regional Information Governance Steering Group (IGSG) which is chaired by the Chairman of the Berkshire Local Medical Committee at the time of writing manages the agreement and the membership of the agreement on behalf of the members. The Administrator (Frimley Health NHS Foundation Trust at the time of writing) maintains and publishes the agreement documentation and supporting schedules and registers on behalf of the member organisations and IGSG.

This agreement has been reviewed by Queens Counsel and in his opinion it is both lawful and fit for its purpose. A summary of the QCs opinion is attached below.

This agreement builds on the success of the similarly structured prior agreements for the sharing of information for the provision of care and for secondary uses agreements in use since 2013 and replaces the current 2023 version of the provision of care and secondary uses agreements. The aims of the agreement are:

1. To provide a clear framework for the secure sharing of personal confidential data for the delivery of care and for the management of the health and social care system;
2. To accelerate the pace with which regional and local sharing requirements can be agreed; and
3. To reduce the costs of developing and agreeing individual sharing requirements.

Very specifically, this latest iteration of the agreement is designed to better support the development of:

1. Federated working and networks;
2. Integrated working and care delivery models;
3. Real time risk stratification at the point of care for patients with the most complex needs; and
4. Latest guidance on data controllership resulting from the implementation of GDPR.

Each organisation remains responsible for the control and use of personal confidential data within the organisation as required by the legislation.

Structure of the Agreement

The Regional Health and Social Care Information Sharing Agreement is executed as a subscription agreement. This form of agreement allows controlled processing and sharing to begin as soon as two controllers have signed their sharing documentation. Unlike the traditional multi-party agreement models, processing and sharing does not need to wait until all parties have executed the agreement.

Organisations become members of the agreement by signing up to the master agreement that sets out the scope and terms of membership for the agreement as well as the roles of IGSG, Lead Controllers and the Administrator. The Administrator accepts the new member’s signed master agreement on behalf of the members as a whole.

Implementation

Implementation of the agreement is as follows:

1. Every member of the framework needs to sign the master agreement;
2. The agreement is currently and will in future be presented through an electronic signature process as a single document;
3. Data controller organisations that contribute data to the shared pool as a data flow or information asset are presented with one or more additional documents describing each specific processing and sharing arrangement the controller is expected to contribute to;
4. Where the master agreement and one or more individual processing and sharing arrangement(s) are executed contemporaneously all documents are presented through an electronic signature process as a single document … with signatures required for each item requiring approval; and
5. Where subsequent individual processing and sharing arrangements are executed non-simultaneously the documents are presented individually through an electronic signature process for approval.

 

Some supporting documents are presented below.

Public, Patient and Service User Facing Resources

Category: Public, Patient and Service User related documents

To support data controllers with the joint processing and sharing arrangements several documents have been prepared.

The documents attached below include:

1. Materials to support referrals to Multi-Disciplinary Teams (MDTs) and Integrated Care Teams (ICTs).
2. Materials to support more general referrals.
3. Posters that can be displayed in public areas.
4. Leaflets that can be given to members of the public, patients and service users. 
5. An example display screen message that can be displayed in public areas.

Earlier public engagement activity

Earlier public engagement activity takes two forms:

1. Members of the public (as represented by local healthwatch and public and patient engagement forums) are invited to and generally attend regular programme boards as well as assembly, council and members meetings where information governance matters and sharing arrangements are discussed.
2. Around a dozen events involving the public have been held across the various health and social care economies covered by the sharing framework since 2016 in respect of the major interoperability and sharing proposals of the partner organisations.

Recent and planned public, patient and service user communications activity

Please see below a summary of the future (potentially annual) public, patient and service user communications activity:

1. Mailing to all addresses including of a leaflet as part of the spring Council Tax mailings

2. Emailing all NHS staff through organisation distribution lists

3. Emailing all Local Authority staff through organisation distribution lists

4. General Practice attendees
   1. The provision of posters and leaflets for GP surgeries
   2. Inclusion of message on waiting room screen

5. A&E attendees and admissions
   1. Posters and leaflets on display
   2. Statements in discharge letters
   3. Articles in Trust magazines

6. Posters in Secondary Schools

7. Opportunistic public contact with the inclusion of a standard paragraph on all outgoing mail, signposting website for further information

Websites

Every data controller will have their own website for public, patient and service user communications.  Examples of how joint processing and sharing arrangements are supported are provided by the following websites

1. https://www.fhft.nhs.uk/your-visit/privacy-policy-how-we-use-your-information/patient-information/
2. https://www.berkshirehealthcare.nhs.uk/protecting-your-data-privacy-notice/
3. https://your-data-matters.service.nhs.uk/privacynotice

 

Direct Care processing and sharing arrangements

Category: Processing and Sharing Specifications

The attachments below present the Direct Care processing and sharing specifications in place and in development for the Regional Information Sharing Agreement.

These are presented within the Schedule C Register of Direct Care sharing arrangements and two examples are also attached.

The first example is for General Practice data processed and shared using Connected Care.

The second example relates to General Practice joint processing and sharing arrangements in respect of Federated Working for Extended Hours.

 

Schedule C - Register of Direct Care processing and sharing agreements

 

Other (Secondary) Uses processing and sharing specifications

Category: Processing and Sharing Specifications

The attachments below present the Other (Secondary) Uses processing and sharing specifications in place and in development for the Regional Information Sharing Agreement.

These are presented within the Schedule D Register of Other (Secondary) Uses sharing arrangements and an example is also attached.

The example is for General Practice data processed and shared using Connected Care.

 

Schedule D - Register of Other (Secondary) Uses processing and sharing specifications

Schedule P - Data Protection Impact Assessments

Category: Data Protection Impact Assessments

Page last updated on: Monday, 18 October 2021 (09:11)

Schedule P - Data Protection Impact Assessments

This schedule to the Regional Health and Social Care Information Sharing Agreement sets out the Data Protection Impact Assessments (DPIAs) relating to the joint processing and sharing specifications in place and in development for the Regional Information Sharing Agreement.

 

Where available, links are provided to PDF versions of the DPIAs. (Please note that for security reasons some DPIAs are not published.)

 

This schedule was prepared on the date at the top of the page and does not reflect additions and changes to the registers and schedules thereafter.

 

Data Protection Impact Assessments

 

ID	Name	Status	Review Date	Review Comment
DPIA0001	Connected Care Clinical Platform	DPIA0001:Current	April 2023	Current
DPIA0002	Connected Care Analytics Platform	DPIA0002:Current	April 2023	Current
DPIA0003	GP Extended Hours	DPIA0003:Current	n/a
DPIA0004	Thames Hospice with Berkshire practices via EMIS	DPIA0004:Current	April 2023	Current
DPIA0005	SCAS Activity Data	DPIA0005:Current	n/a
DPIA0006	Connected Care Personal Health Record (PHR)	DPIA0006:Current	April 2023	Current
DPIA0007	PCN Analytics	DPIA0007:Current	April 2023	Current
DPIA0008	Unscheduled Care Notifications	DPIA0008:Current	April 2023	Current
DPIA0009	Connected Care Clinical Document Sharing (NHS Trusts)	DPIA0009:In development	n/a
DPIA0010	Connected Care Clinical Document Sharing (practices)	DPIA0010:In development	n/a
DPIA0011	Integrated Care and Multidisciplinary Care	DPIA0011:Current	n/a
DPIA0012	Integrated Decisions Recording in Connected Care	DPIA0012:Current	April 2023	Current
DPIA0013	Child Health (CHIS) extract via Connected Care	DPIA0013:Current	March 2022	Current
DPIA0014	Connected Care Childrens Social Care	DPIA0014:In development	n/a
DPIA0015	Patient Alerts in Connected Care (BHFT)	DPIA0015:In development	n/a
DPIA0016	Patient Contacts in Connected Care (BHFT)	DPIA0016:In development	n/a
DPIA0017	SUS Risk Stratification Data	DPIA0017:In development	n/a
DPIA0018	SCAS GP Encounter Data	DPIA0018:Current	April 2023	Current
DPIA0019	SCAS 111 Direct Booking with GP Connect	DPIA0019:Current	April 2023	Current
DPIA0021	Frimley ICS Community Services EMIS	DPIA0021:Current	April 2023	Current
DPIA0022	Connected Care and BSPS Diagnostic Requests and Results	DPIA0022:Current	April 2023	Current
DPIA0023	Emergency Response Volunteers	DPIA0023:Policy	March 2021	Current - Review due soon
DPIA0024	Emergency Response Staff Secondments	DPIA0024:Policy	March 2021	Current - Review due soon
DPIA0025	ORCHA Signposting to Accredited Apps	DPIA0025:Current	April 2023	Current
DPIA0027	OOH Activity and Encounter Data	DPIA0027:Current	April 2023	Current
DPIA0028	CMHTP/MHICS for Surrey and Frimley ICS	DPIA0028:Current	April 2023	Current
DPIA0029	Care Homes Nursing and Connected Care	DPIA0029:In development	n/a
DPIA0030	Connected Care and Thames Valley and Surrey LHCR	DPIA0030:Current	April 2023	Current
DPIA0031	COVID-19 Anti-body Testing Solution	DPIA0031:Current	n/a
DPIA0032	Post-Discharge Case Finding and Analysis	DPIA0032:In development	n/a
DPIA0033	External Organisation Access to BHFT RIO	DPIA0033:Current	December 2022	Current
DPIA0034	FHFT Discharge Planning	DPIA0034:In development	n/a
DPIA0035	MHICS for Frimley ICS (East Berkshire)	DPIA0035:Current	April 2023	Current
DPIA0036	BSPS Diagnostic Requests and Results	DPIA0036:Current	December 2022	Current
DPIA0037	Serology Data and Connected Care	DPIA0037:Current	n/a
DPIA0038	Test and Trace Data and Connected Care	DPIA0038:Current	December 2022	Current
DPIA0039	Healthy IO Minuteful Kidney Testing	DPIA0039:In development	May 2022	Current
DPIA0040	Living With COVID Recovery	DPIA0040:Active	October 2022	Current
DPIA0041	SABP and Connected Care	DPIA0041:Active	April 2023	Current
DPIA0042	PHMDP in the Frimley ICS	DPIA0042:Active	April 2022	Current
DPIA0043	National Integration Index in Frimley ICS	DPIA0043:Active	April 2022	Current
DPIA0044	Connected Care Community Data (Virgin Care)	DPIA0044:In development	April 2023	Current
DPIA0045	GP COPD Risk Strat in the Frimley ICS	DPIA0045:Active	April 2023	Current
DPIA0046	Waiting Lists DNAs Cancellations and Connected Care	DPIA0046:Active	April 2023	Current

The master documents are managed by the Administrator and can be viewed online at www.regisa.uk .

 

See also:

• Mapping of Schedules C, D and E by Agreement
• Mapping of Schedules C, D and E by Organisation
• Mapping of Schedules C, D and E and Information Assets by Organisation

 

End of Schedule P

Master Agreement

Category: Master Agreement Documents

We have compiled an example Master Agreement and its associated annexes and schedules into the document attached below.

The Master Agreement comprises the core membership agreement document that defines the

1. Scope of the agreement
2. Agreement principles and policies
3. Terms and conditions 
4. Operational commitments made between members
5. Administration arrangements 

The core agreement terms need to be signed and accepted by members.

The Master Agreement also includes three annexes

1. Information Governance Steering Group terms of reference
2. Joint control arrangements – Lead Controller terms of reference
3. Notification and reporting arrangements applying to all members of the agreement

The Master Agreement also includes:

Schedule A – Risk Sharing and Indemnity Arrangements (where a signature is also required)

Schedule B – Qualifying Standard (where a signed statement confirming the prospective members compliance with the Qualifying Standard is required)

 

• The Queen's Counsel's Opinion regarding the fitness for purpose and the lawfulness of the agreement

 

Attached below you will find an example of an email to go out in advance of the agreement and an example of a second email cover note to go out when we distribute the agreement for signature.

• Current membership of the Regional Health and Social Care Information Sharing Agreement (Schedule E)