Email: info@gettingitrightfirsttime.co.uk

National Consultant Information Programme (NCIP)

Introduction from Professor Sir Norman Williams

NCIP gives consultants a unique opportunity to review your whole NHS practice, helping improve patient safety and clinical quality, as well as supporting your learning and development. It’s a free online portal giving users a single point of access to locally and nationally benchmarked data covering activity and outcomes. 

NCIP also supports leadership and oversight as medical directors, responsible officers and specialty clinical leads can access data for all consultants they are responsible for – supporting your statutory responsibilities for ensuring clinical quality.

Because it’s been developed by clinicians, for clinicians, our dashboards have been designed to give you data that’s most insightful for your specialty. I hope you find NCIP useful in helping you reflect upon your personal practice, supporting your appraisal, aiding your application for a Clinical Impact Award, and identifying ways to improve, individually and as a team. 

Professor Sir Norman Williams,
Chair of NCIP
Emeritus Professor of Surgery
Former President of the College of Royal Surgeons

Join the thousands of consultants already using the NCIP portal

The NCIP portal is a free data platform that allows consultants to review their own data: improving clinical quality, patient safety and supporting career development. It provides consultants with data covering their NHS practice wherever it is performed with high-quality, specialty-specific dashboards at patient level. In time, our ambition is to add private patient data, to provide a single repository of whole practice.

 

It’s been developed by clinicians, for clinicians. Our clinical leads, other consultants and data experts work together to create dashboards that are accurate and meaningful for each featured specialty.  The portal is hosted on the Model Health System platform, allowing you to move between NCIP and Getting it Right First Time (GIRFT) data, and a wide range of other metrics. 

 

Read more in the sections below:

  • The benefits of NCIP
  • Who can use NCIP portal?
  • The data in NCIP
  • What do the procedure dashboards show?
  • How can you use the NCIP portal?
  • Latest news
  • Why was NCIP created? 

The benefits of NCIP

Patient safety: review your personal practice, identify areas of variation and support clinical governance.

Clinical quality: use in clinical audit and morbidity and mortality meetings. Use across teams for quality improvement and track the use of innovative procedures.

Learning and development: export data to use as high-quality evidence for appraisal and revalidation, for individual and team learning, and in research or applications for clinical impact awards. 

Leadership and oversight: embed at all levels of leadership, with enhanced access giving medical directors, responsible officers and specialty clinical leads oversight of all consultants they are responsible for.

Who can use the NCIP portal?

  • Consultants in each included specialty can see their own data benchmarked against local and national averages.
  • Clinical specialty leads can see data for all consultants that they are speciality lead for.
  • Responsible officers can see data for all consultants for included specialties that they are responsible for.
  • Medical directors and their delegates can see data for all consultants in their trust for included specialties.

 

All users can also see data at provider level, and how this compares to other provider. In time, we hope to expand NCIP to cover specialty (SAS) doctors so they can also see their own surgical outcomes data.

 

The NCIP portal is only accessible to consultants and is not available to any clinical or non-clinical NHS staff outside of these groups or the public.

 

Provider-level NCIP data is published on the Model Health System, included in the metrics for the specialty in question, and is available to NHS staff.

 

From time to time, we receive data access requests from researchers. These are always processed within relevant guidelines and no named consultant-level or patient-level data would ever be shared. 

 

Read more about how medical directors, responsible officers and clinical specialty leads can use NCIP here >

 

The data in NCIP

NCIP provides a single source of robust, nationally benchmarked data, which is updated every three months.  It covers a number of specialties, with more in development.

Currently, NCIP can be used for:  

  • General surgery: upper gastrointestinal (GI) and lower GI 
  • Orthopaedic surgery 
  • Paediatric surgery 
  • Spinal surgery 
  • Urology 
  • Vascular surgery

Specialties coming soon: 

  • Gynaecology 
  • Neurosurgery 
  • Oral and maxillofacial surgery (OFMS) 
  • Thoracic surgery 

Specialties in development:

  • Breast surgery
  • Cardiology and cardiac surgery 
  • Ear, nose and throat (ENT)
  • Plastic surgery and burns

What do the procedure dashboards show?

The metrics for key procedures have been carefully chosen by our NCIP clinical leads to reflect practice in each specialty.

  • Quality-based indicators such as length of stay, day case rates, conversion rates, readmissions, complication and revision rates and mortality.
  • Bespoke metrics that are clinically relevant to that procedure
  • Anonymised patient-level data, including diagnosis and procedure codes, allowing you to track mortality and readmissions across any trust in England.
  • Filters to view metrics for a specific diagnosis, procedure or surgical approach.
  • Demographic data such as co-morbidity scores, deprivation levels and ethnicity.
  • Activity across your whole NHS practice, including NHS activity delivered in the independent sector.

The dashboards are mostly based on hospital episode statistics (HES), combined with other sources including Office of National Statistics (ONS) mortality and deprivation data. There are also links to specialty registries and the Private Healthcare Information Network (PHIN). All the content is refreshed every quarter.

How can you use NCIP?

  • Compare individual clinician activity with their provider’s and national averages.
  • View quality-based indicators such as length of stay, day case rates, conversion rates, readmissions, complication and revision rates and mortality.
  • Drill down to the diagnoses and procedures for each patient and track mortality and readmissions across all trusts in England.
  • Apply filters to view a specific diagnosis, procedure or surgical approach. 
  • Look at demographic information such as co-morbidity scores, deprivation levels, age and ethnicity data, to identify contextual factors behind your data.
  • See provider-level data across England and compare outcomes to other providers.
  • Download all data in PDF or CSV format.

Why was NCIP created?

The NHS Long Term Plan and NHS Data Strategy set out a clear vision for using robust health data across the health and care system to drive transformation and continuous improvement in clinical quality. 

Harnessing the power of digital, data and technology is the key to meeting NHS priorities, including elective recovery, as well as addressing longer-term challenges, supporting innovation, and delivering services in new and more sustainable ways.  

NCIP is a critical part of the response to the Paterson Inquiry, which recommended there should be a single repository of the whole practice of consultants across England.  

The Paterson Inquiry highlighted that there is considerable variation in individual clinical practice which can remain invisible. By sharing high-quality outcome data, consultants, their appraisers and responsible officers can compare outcomes for their practice or use peer review to improve their performance in a way that is measurable and objective, leading to better safety and efficiency across the NHS.   

Clinically led, for clinicians

NCIP is developed by clinicians, for clinicians. Our clinical leads, other consultants and data experts work together to create dashboards that are accurate and meaningful for each featured specialty. These are beta-tested by other consultants before each new specialty section is launched.  

We work closely with relevant specialty associations when developing the dashboards, and don’t launch any new specialty sections without their endorsement. 

NCIP is supported by the Academy of Medical Royal Colleges, the Royal College of Surgeons and the Federation of Surgical Specialty Associations as a tool that can support consultant learning and development.

First time users: can email the team at: england.ncip@nhs.net  

NCIP can be used by:

  • consultants,
  • responsible officers,
  • medical directors (and their delegates)
  • specialty clinical leads for the included specialties 

Due to low number suppression, your data will show in NCIP once you have completed six or more of any procedure included in the dashboards.

Existing users:

log in at

https://ncip.model.nhs.uk 

You can contact the NCIP team at: england.ncip@nhs.net 

  • For help accessing and using the portal
  • To request a demo of NCIP for your team
  • With feedback to help improve the portal

NCIP now rolled out to upper and lower GI surgeons

Consultant surgeons carrying out upper and lower gastrointestinal surgery now have access to their personal data in NCIP portal, as part of a national rollout to all specialties. All upper and lower gastrointestinal surgeons and those carrying out GI procedures can log in to around 60 dashboards live in the NCIP tool. The dashboards are categorised into six sub-specialties, and cover procedures including hernia repair, colorectal surgery and bariatric surgery.

Details coming soon . . .

National Consultant Information Programme: orthopaedic surgery launch event

22nd February 2024

National Consultant Information Programme: paediatric surgery launch event

6th February 2024

National Consultant Information Programme: vascular surgery launch event

15th January 2024

National Consultant Information Programme: new look, new features

24th October 2023

"It is essential that surgeons audit their own performance so as to strive constantly to provide better care and to inform shared decision making with their patients, particularly in relation to surgical outcomes. The National Consultant Information Programme portal gives surgeons direct access to their own data, which also helps to support the appraisal and revalidation process."
Tim Mitchell
President of the Royal College of Surgeons of England
"The Academy and the Medical Royal Colleges fully support hospital consultants having access to meaningful information and outcomes data on which to compare themselves with national benchmarks to support their learning and development which will, in turn, improve patient care. We believe that understanding their data will assist clinicians in their natural drive to improve standards and the quality of care. Colleges have been involved in the development of NCIP from an early stage and support its continuing development."
Professor Dame
Carrie MacEwen
Former Chair of the Academy of Medical Royal Colleges
"It is every surgeon's responsibility to know, to really know, their results and outcomes. We need accurate data to see how we compare with our colleagues and national standards. In this way we can continuously refine surgery for our patients. The National Consultant Information Programme is a brilliant desktop aid, providing up to date and accurate information, which will help us to be an example when we do well, and recognise where we need to improve. The art and practice of surgery is all about life-long learning and that is not possible without good quality outcome data."
Professor Neil Mortensen
Past president of the Royal College of Surgeons of England