Source · Select Committees · Public Accounts Committee

Recommendation 9

9

The list of medical conditions that the chief medical officers developed to define clinically extremely...

Conclusion
The list of medical conditions that the chief medical officers developed to define clinically extremely vulnerable people was shared with NHS Digital on 18 March 2020. DHSC tasked NHS Digital to use patient data to identify those affected and create a list of people to be advised to shield (the shielded patient list – or the list).16 NHS Digital held or had easy access to some patient data but GP data were held within GP IT systems, which were not immediately accessible to NHS Digital.17
Government Response Not Addressed
HM Government Not Addressed
2.2 Whilst the government agrees with the Committee’s recommendation, it does not agree with the conclusion that DHSC and NHS Digital took too long to identify all clinically extremely vulnerable people. Given the data available at the time, and the novelty of shielding policy, NHS Digital, DHSC, and frontline clinicians worked as quickly as possible to identify CEV people at the start of the pandemic. However, the government is committed to learning the lessons from this process to improve how national data is used to identify at risk groups in the future. 2.3 Work is already underway on this. NHS Digital has developed a strategic national GP dataset alongside the profession. This will allow faster access to GP information that will be more regularly updated and more complete than current data sources. NHSX and NHS Digital are also working together on plans to digitise the health service and to deliver comprehensive shared care records. 2.4 The above developments will be set out in a data strategy for health and social care that the government will shortly publish in draft. The strategy will contain a number of additional commitments reducing or removing structural, technical and cultural barriers, to enable quick and secure access to patient data where appropriate.