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Whole Systems Data Project

Project summary

The Whole Systems Data Project (WSDP) aims to:

  • Establish an integrated health, social care and wider determinants of health dataset across Tower Hamlets that allows effective risk stratification and needs-based resource allocation for the local population based on evidence.
  • Establish a secure and legal framework with Section 251 approval for Tower Hamlets local authority, Tower Hamlets Clinical Commissioning Group and partners to link and manage a truly integrated health and social care dataset for the local population.
  • Quantitatively investigate the association between the socio-demographic determinants, health status and service usage that will enable identification of health inequalities and need in the borough.
  • Inform local strategic development and target resource allocation based on the needs of populations under the principles of proportionate universalism. This will explain the variance in expenditure in the current capitated budget groups based on an ‘additive costs by socio-demographic characteristics’ model.
  • Establish a secure, controlled and trusted framework for data access and data management across the Tower Hamlets Together Partnership.

Project population

All residents with a Tower Hamlets address.

Project cohort

All patients.

Project criteria

General: Closed
  • Site ID/name
  • NHS number
  • Full address/postcode
  • Gender
  • Date of birth
  • Date of registration with current GP
  • GP code
  • QOF code
  • QOF assignment date
  • Ethnicity
  • Allergies
  • Date of death
Number of general practice contacts: Closed
  • Attendance
  • Telephone calls
  • Letters
  • Current prescriptions
  • Flu jabs
  • QRisk
QOF indicator: Closed
  • Asthma
  • Atrial fibrilation
  • Cancer
  • Secondary prevention of coronary heart disease
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease
  • Dementia
  • Depression (18+)
  • Diabetes mellitus (17+)
  • Epilepsy (18+)
  • Heart failure
  • Hypertension
  • Learning disabilities
  • Mental health
  • Osteoprosis - secondary prevention of fragility fractures (50+)
  • Palliative care
  • Peripheral arterial disease
  • Rheumatoid arthritis (16+)
  • Stroke and transient ischaemic attack
Current public health: Closed
  • Blood pressure (45+)
  • Cardiovascular disease - primary prevention (30-74)
  • Obesity (16+)- [BMI]
  • Smoking (15+)
  • Current height/weight measures
  • Contraception (<55)
  • Cervical screening (25-64)
Immunisations and date supplied: Closed
  • 5-in-1 vaccine
  • Pneumococcal or pneumo jab (PCV)
  • Rotavirus vaccine
  • Men B vaccine (NEW vaccine)
  • Hib/Men C (booster)
  • MMR vaccine
  • Children's flu vaccine
  • 4-in-1 pre-school booster
  • HPV vaccine (girls only)
  • 3-in-1 teenage booster
  • Men ACWY vaccine
  • Chickenpox vaccination (varicella)
  • BCG (tuberculosis) vaccination
  • Flu vaccination
  • Hepatitis B vaccination
Adults: Closed
  • Flu jab for pregnant women
  • Whooping cough vaccine for pregnant women
  • Flu vaccine for people with long-term health conditions
NHS travel vaccines: Closed
  • Hepatitis A vaccine
  • Typhoid vaccine
  • Cholera vaccine

Data state

Patient identifiable and anonymised.

For more details see www.towerhamletstogether.com/our-work/whole-systems-dataset-project and www.instituteofhealthequity.org/resources-reports/guide-to-the-creation-of-a-whole-systems-data-set-tower-hamlets-together

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