Running a Regional HES Service for London Neeraj Malhotra
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Transcript Running a Regional HES Service for London Neeraj Malhotra
Running a Regional HES Service for
London
Neeraj Malhotra, Data Specialist
Justine Fitzpatrick, Lead Analyst
www.lho.org.uk
What is HES?
• HES is a database of all in-patient hospital activity in
NHS hospitals across England. It includes daycare,
inpatient, maternity and mental health episodes. It
does not (yet) include outpatients, A&E and private
hospital episodes. The unit of measurement is a
Finished Consultant Episode (FCE). The PHOs can
hold ten years’ worth of data.
• For London, each year’s worth of data is
approximately 2 million records.
What is a regional HES Service?
1 Being a Safe Haven for HES data:
• The extract we receive has more fields, including
sensitive data items such as postcode.
• Access is granted to certain LHO staff to the national
HES data sets, but not for sensitive data items.
• Access is granted to quarterly data – with a caveat
2 More resources are available to provide analyses for
London and to run an ad hoc enquiry service
At what stage is the LHO?
• Established presence on national PHO HES
technical group and HES management group.
• Made progress on the HES IT Strategy
• Made progress on the HES Data Strategy
• Developing the HES Analytical Strategy
Who is in the team at the LHO?
• Justine Fitzpatrick – Lead analyst, HES programme
director
• Neeraj Malhotra – Data Specialist, HES Project
Manager for Data Management and Access
• David Hofman, Information Analyst, HES Project
Manager for Analytical Strategy
• Joseph Callanan – Enquiries Officer – will receive
HES enquiries
LHO draft analytical strategy
Three categories of analysis:
• A - Analyses of national relevance
• B - Analyses important to London and
agreed with London’s stakeholders
• C - Ad hoc requests for data
B – London’s analytical strategy
Two strands:
• Basic indicator work e.g. admission rates for
specific procedures or diagnoses by age, sex,
geography, ethnicity, deprivation categories.
• Complex analysis and methodology
development e.g. inequalities in
revascularisation including private sector data, a
methodology for analysing variations in
avoidable admissions.
Questions
• Would you welcome basic indicator work as well
as more complex analysis?
• Do you think the indicators listed in Annex 1 are
useful and do you have any further suggestions?
• Do you think that more complex analysis and
methodology development is useful and do you
have any suggestions for what is needed?
• How do you think this work should be
prioritised?
• Do you have any thoughts on dissemination of
HES data?