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We have the technology... ...we need the projects Routine data + Health Outcomes Group

We have the technology... ...we need the projects Routine data + Health Outcomes Group. Simon de Lusignan St. George’s – University of London slusigna@sgul.ac.uk. Opportunity. We have the most complete health data in the world We have the capacity & capability

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We have the technology... ...we need the projects Routine data + Health Outcomes Group

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  1. We have the technology... ...we need the projectsRoutine data + Health Outcomes Group Simon de Lusignan St. George’s – University of London slusigna@sgul.ac.uk

  2. Opportunity • We have the most complete health data in the world • We have the capacity & capability • To measure health outcomes along complex care pathways • Link data without knowing patients’ identities • Growth in A&E use provides an opportunity • Pilots so far of interventions: • Before • In A&E • After... • Maybe a need for more robust evaluation?

  3. Readily available routine health data • Among the best primary care data in the world! • CONDUIT study internationally recognised output • Secondary care data • Standard format available through “SUS” • Most cases and major outcomes managed within NHS • “Ad hoc” clinic data • Other non-SUS clinical data (e.g. Diabetic clinic)

  4. Capacity & capability: • Capacity: • Current largest study: QICKD trial • Cluster randomised trial of quality improvement interventions in chronic kidney disease (CKD) • 1.3 million patients – 137 practices in a 3 year study • Over 6,000 variables • Largest ever study 2.4 million patients • Capability: • Evaluation of impact of introducing IAPT in pilot sites • Pseudonymise & link data from hospital – GPs – IAPT clinic • (IAPT clinics have no NHS number) • Case-control study: IAPT less hospital utilisation

  5. Data linkage capability:

  6. Health outcomes group – general approach to evaluation Intervention Health Care Problem Outcome

  7. Workshop No1: Pilot interventions to control admissions • Intervention • Pre- • During • Post Growth in A+E admission Outcome Relentless rise??? Do we know if they work?

  8. Summary • Excellent local data... • Unique population & potential collaborators • Capacity and capability to harness that data to measure the impact of new interventions • A&E may be the right place to start?

  9. ....Thanks for listening Simon de Lusignan Email: slusigna@sgul.ac.uk

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