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APPENDIX 3
SPECIFICATION
Overall Requirement
To undertake data analyses for the National Lung Cancer Audit Annual
Report
1.
Background
The National Lung Cancer Audit produces an annual report on the data
collected by NHS trusts in England, Wales and Scotland. To produce this
report the data from the Lung Cancer Database (LUCADA), from the Welsh
database (CANISC), along with data in excel format from Northern Ireland
and the Channel Islands, (data from Scotland is pre-analysed by the Scottish
teams) to produce tables, graphs and case-mix adjusted analyses for
inclusion within a comprehensive annual report published by the Information
Centre (IC) in partnership with the Royal College of Physicians. The basic
analyses for the NLCA will be undertaken by the NHS IC using SQL
programming developed in house.
2.
Service Requirements
To produce analyses for an annual report on lung cancer from the data
collected by the English Lung Cancer Database (LUCADA), the Welsh
database (CANISC), data from Northern Ireland, and the Channel Islands
along with analysed data collected from Scotland.
These databases contain details of approximately 150,000 lung cancer care
spells, with approximately 115 data items per care spell. These databases are
mostly provided in CSV or Excel format, and over 95% the data cleaning will
have been undertaken by the NHS IC.
These databases need to be analysed to produce tables, graphs and casemix adjusted outcomes for inclusion within a comprehensive annual report .
For examples of previous reports, please refer to the link below.
http://www.ic.nhs.uk/services/national-clinical-audit-support-programmencasp/audit-reports/lung-cancer
The data will cover England, Wales, Northern Ireland, Channel Islands.
The purpose of the analysis is to allow comparison of performance between
Hospital Trusts and between Cancer Networks
3.
Deliverables
The supplier for the National Lung Cancer Audit Analysis will deliver the
following analyses, advice and outputs:
1) Case-mix adjusted outputs for patients first seen in 2010. The following
outputs should be case mix adjusted by age, sex, socioeconomic status
performance status. co-morbidity and disease stage:
a) Histological diagnosis rate
b) Active treatment rate (surgery, radiotherapy, brachytherapy and
chemotherapy)
c) Proportion of patients with non small cell lung cancer (NSCLC) undergoing
surgery
d) Proportion of patients with histologically confirmed NSCLC undergoing
surgery
e) Proportion of patients with small cell lung cancer undergoing chemotherapy
f) Median survival
The analyses listed above needs to allow comparison between Hospital
Trusts and between Cancer Networks
2) Provide methodological advice through face to face meetings on and
analysis for survival for patients recorded on the LUCADA system since its
initiation
3) Provide advice on and analyses to try and demonstrate a relationship
between the outputs described in Deliverable 1 and improved outcome /
survival
4) Study trends over time for a variety of outputs as agreed
5) Provide advice on and analysis to demonstrate whether improvements
seen over time are consequence of or independent to improved data
completeness.
6) Complete ad hoc analysis as required and agreed which is in addition to
the analyses in deliverablel1.
7) Provide availability to support ad hoc queries from the Lung Cancer
Project Team until 12 months from the date that the analysis is completed
8) All analyses need to be delivered in both CSV and Excel format.
9) Details of any data cleaning/modifications and the methodology used to
complete any analyses must be documented and approved by the NHS IC
Project Manager.
4.
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Additional requirements
Data supplied will be patient level data, with trust codes allocated.
Trust to Network mapping will be provided
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5.
It may be necessary to substitute the postcode provided in the raw data
with a suitable socio-economic scale output prior to case-mix
adjustment.
Liaison with the NHS IC Audit Manager must occur at all stages to
ensure that report definitions are correct and analyses relevant to the
report requirements.
The successful supplier will be required to work with the NHS IC
project manager to establish a data sharing agreement and to agree
arrangements for data transfer with in 4 weeks of signing the contract.
Attendance by the lead statistician is required at ad hoc team
meetings via invite to discuss outputs, progress and issues.
The supplier must provide a data security policy that is acceptable to
the NHSIC's IG team and be prepared to sign a data sharing
agreement and to agree arrangements for data transfer.
Timescale for delivery
The deliverables to be completed in accordance with the timetable below:
Activity
Period
Owner
Data sent to contractor for
analysis (subject to
completion of a signed
Data Sharing agreement)
No later than end of July Project Manager
2011
Analysis Completed and
delivered to the NHS IC.
15th September 2011
Supplier
Any changes to the above timetable will be discussed and agreed with all
parties concerned.
6.
Reporting requirements
NHS IC Project Manager to be notified by email should there be any risk of
any of the deliverables not being met.
7.
Acceptance Criteria
Payments will be awarded following receipt of the final, completed analyses
8. Checklist for Responses
Suppliers must provide the following:
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A statement of suitability on how the requirements, as set out in the
specification, will be met, including a summary of your organisations
previous experience, if any, of providing a similar service.

A proposed implementation plan showing how the deliverables will be
met by the required deadline. Please detail any assumptions and
dependencies on the NHS IC time-table and any assumptions been
made to ensure delivery to plan
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A fully completed Pricing Schedule
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A copy of your proposed data quality policy
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A signed copy of Appendix 1 Canvassing Certificate
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A signed copy of Appendix 2 Non Collusive Tendering
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A signed statement accepting the NHS IC Terms and Conditions
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Any other relevant information