2021-01-12T07:00:00+00:00 An HSJ roundtable explored how patient pathways can be improved and silos addressed – and the underpinning role of data in tackling these challenges As chief information officer of Yorkshire Ambulance Service Trust, Simon Marsh is used to serious restrictions in his and his colleagues’ ability to access data. “When we transport somebody to a hospital we have been responsible for their healthcare from the initial call all the way up to dropping them off at the hospital,” says Mr Marsh. “But we haven’t got a clue what happens to those individuals once they’ve been through the hospital system. We don’t know if somebody’s in there for an hour, two hours, what the eventual outcome was, because of the data protection and the information governance issues that exist between the various NHS environments.”