LAPH Standard Extract
Cambridgeshire County Council · Local Authority
In term In term in the September 2026 edition: the latest version runs to 30 September 2026.
- Reference
- DARS-NIC-07763-M5K6S
- Current version
- v9.8
- Term of current version
- 1 November 2024 to 30 September 2026
- Start date
- Before 1 April 2019
- Data controller
- Sole Data Controller
- Commercial purposes
- No
- Sublicensing
- No
- Files released to date
- 532
Why the data was released
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local Authority in fulfilment of its public health function, specifically to support and improve:
1. the local responsiveness, targeting and value for money of commissioned public health services;
2. the statutory ‘core offer’ public health advice and support provided to local NHS commissioners;
3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;
4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits
5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:
a) the incidence and prevalence of disease and risks to public health;
b) demand for and access to treatment and preventative care services;
c) variations in health outcomes between groups in the population;
d) the level of integration between local health and care services; and
e) the local associations between causal risk factors and health status and outcomes.
The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:
1. Statutory public health duties that the data will be used to support
a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Integrated Care Board (ICB)- led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;
d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the National Child Measurement Programme, and open access sexual health services;
e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;
f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;
g) Public Health responses on behalf of the Local Authority to licensing applications and other statutory Local Authority functions requiring public health input: Analyses of the data will be used by the Director of Public Health to support their duty under Part 3 of the National Health Services Act 2006 (as amended by Section 30 of the Health and Social Care Act 2012) to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003, as amended by the Health and Social Care Act 2012 Schedule 5 – Part 1) to licensing applications.
2. Wider public health responsibilities supported by analysis of the data
a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understanding of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
i. bespoke local geographies (based on the non-standard aggregation of LSOAs);
ii. specific demographic, geographic, ethnic and socio-economic groups in the population;
iii. inequalities in health status, access to treatment and treatment outcomes;
c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;
d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.
These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.
No Identifiable data is requested under this agreement. The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities) pseudo ID to enable admissions to be linked over time.
Legal Basis - Common Law Duty of Confidentiality:
The Data disseminated under this agreement is not considered confidential under the Health and Social Care Act 2012 and therefore is not owed a duty of confidence.
Legal Basis for Processing Data:
Article 6(1)(e)
(processing is necessary for the performance of a task in the public interest or in the exercise of official authority vested in the controller)
Public Authority: The Data Protection Act 2018 s7(1)(a) defines ‘public bodies’ for the purpose of the GDPR as “a public authority as defined by the Freedom of Information Act 2000”.
The FOI Act 2000 Part 1, section 3 (1)(a)(i) specifies that a public authority means any body which is listed in Schedule 1.
Schedule 1 of the FOI Act 2000 lists Local authorities within the meaning of the Local Government Act 1972 as public authorities.
‘Public Task’
Local Authorities have a legal responsibility under Section (1)(2)(3)(4)(5)(6)(7) of the Care Act 2014 to conduct tasks that are in the public interest to:
(1) Promoting individual well-being
(2) Preventing needs for care and support
(3) Promoting integration of care and support with health services etc.
(4) Providing information and advice
(5) Promoting diversity and quality in provision of services
(6) Co-operating generally
(7) Co-operating in specific cases
(8) Duty to meet needs for care and support
The task(s) are necessary (but are by no means an exhaustive list), but provides an indication of the many tasks required under Part 1 of the Care Act 2014 as the council has an obligation to the public to deliver services that are a necessity to the local population - from whom funding is provided to deliver these services/tasks in the form of Council Tax.
Local Authorities have a duty under Section 74 (1)(2)(3)(4) of the NHS Act 2006 to supply goods and services:
(1) In the Local Authorities (Goods and Services) Act 1970 (c. 39) the expression “public body” includes—
(a) any Strategic Health Authority, Special Health Authority or Primary Care Trust, and
(b) so far as relates to his functions under this Act, the Secretary of State.
(2) Subsection (1) has effect as if made by an order under section 1(5) of the Local Authorities (Goods and Services) Act 1970 and may be varied or revoked by such an order.
(3) Each local authority must make services available to each NHS body acting in its area, so far as is reasonably necessary and practicable to enable the NHS body to discharge its functions under this Act.
(4) “Services” means the services of persons employed by the local authority for the purposes of its functions under the Local Authority Social Services Act 1970 (c. 42).
As part of the application process, the requirement for the data requested has been assessed and NHS England is content that it is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement.
‘Necessity’: Throughout the application process, the necessity of the processing for the performance of the task has been assessed. This included but was not limited to ensuring appropriate minimisation of the data to ensure that only the minimum amount of data required are processed. During the application process it has been considered whether the information that the processing aims to determine is already available from other sources or whether the task could be performed using publicly available data or data from alternative sources than NHS England. Consideration has been given to whether the volume of data being requested is proportionate to the expected benefit and, through examination of the expected benefits consideration has been given to whether the task is itself necessary.
Therefore, we are satisfied that this request is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement and that there is no other reasonable means for the data processor to achieve their purpose that is less intrusive to the data subjects.
Article 9(2)(h)
(processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3)
• The data are required for the purpose of commissioning.
• The data required by the data controllers is the least intrusive to the data subject possible to be able to conduct their functions.
• The data required for commissioning purposes is pseudonymised by NHS England to minimise the risk of identification.
As part of the standard Data Access Request Service application process:
• the applicant’s technical and organisational measures to safeguard the data have been assessed and meets NHS England’s acceptance criteria;
• the requested data has been assessed as proportionate to the aim pursued;
• respect to the essence of the right to data protection has been assessed (e.g. security assurance, data retention, controls and processing activities, etc.);
• measures to protect the rights and freedoms of data subjects have been assessed including transparency (fair processing) publishing subject’s rights to withdraw consent and/or have their data erased or rectified, etc.
Article 9(3)
(Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies.)
Processing activities
The Pseudonymised HES Extract Service will enable the Local Authority to undertake a wide range of locally-determined and locally-specific analyses to support the effective and efficient discharge of its statutory duties in relation to health, and wider public health responsibilities.
Access to the data is provided to the Local Authority only, and will only be used for the health purposes outlined above. The data will only be processed by Local Authority employees in fulfilment of their public health function, and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function. Such organisations may include Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not).
The Local Authority will use the data to produce a range of quantitative measures (counts, crude and standardised rates and ratios) that will form the basis for a range of statistical analyses of the fields contained in the supplied data. Typical uses will include:
1. Analyses of disease incidence, prevalence and trends: The age, sex, LSOA, ethnic group, Indices of Deprivation and diagnosis fields typically will be used to produce directly standardised coronary heart disease admission rates for the Local Authority, and for appropriate benchmark and comparator areas. Confidence intervals will then be produced for these rates, and the rates analysed using statistical process control methods, to determine whether there are any significant variations in the prevalence of heart disease with the Local Authority. The data will also be used to analyse changes over time in the prevalence of heart disease. The results of these analyses will then be used to inform the production of local health profiles, JSNAs and JHWSs; support the ‘core offer’ public health advice provided by the Director of Public Health to NHS commissioners; and advise any enquiries into health inequalities requested by the Health and Wellbeing Board.
2. Analyses of hospital admission rates: The data will also be used, for example, to produce comparative and longitudinal hospital admission rates among children and young people, particularly for injury and self-harm, to support the overarching responsibility of the Local Authority to safeguard and promote the health and welfare of all children and young people under the 1989 and 2004 Children Acts. Statistics based on these analyses will be used by the Director of Public Health to advise the Director of Children’s Services and Lead Member for Children’s Services, and inform and guide the provision of safeguarding services by the Local Authority.
Conditions of supply and controls on use
In addition to those outlined elsewhere within this application, the Local Authorities will:
1. only use the HES/ECDS data for the purposes as outlined in this agreement;
2. comply with the requirements of the Code of Practice on Confidential Information, the Caldicott Principles and other relevant statutory requirements and guidance to protect confidentiality;
3. not attempt any record-level linkage of HES/ECDS data with other data sets held by the Local Authority, or attempt to identify any individuals from the HES/ECDS data;
4. not transfer and disseminate record-level HES/ECDS data to anyone outside the Local Authority;
5. not publish the results of any analyses of the HES/ECDS data unless safely de-identified in line with the anonymisation standard; and
6. comply with the guidelines set out in the HES/ECDS Analysis Guide;
7. ensure role-based control access is in place to manage access to the HES data within the Local Authority.
The Director of Public Health will be the Information Asset Owner for the HES/ECDS data and be responsible on behalf of the Local Authority to NHS England for ensuring that the data supplied is only used in fulfilment of the approved public health purposes as set out in this application. The Local Authority confirms that the Director of Public Health is a contracted employee to the permanent role within the Local Authority, accountable to the Chief Executive.
Data retention
A maximum of ten years data will be retained at any point, such that as each new data year is received, the oldest year will be deleted (i.e. at any point in time only ten historic years of data plus the current year may be held). The Local Authority will securely destroy the year’s data within six weeks of receiving the latest annual dataset and provide a data destruction certificate to NHS England.
The historic data will be used by the Local Authority in fulfilment of its public health function, and specifically to:
a) recognise and monitor trends in disease incidence and prevalence and other risks to public health;
b) recognise and monitor trends in treatment patterns, particularly hospital readmissions, and outcomes;
c) recognise and monitor trends in access to treatment and care between demographic, geographic, ethnic and socio-economic groups in the population; and
d) recognise and monitor trends in the association between the wider social, economic and environmental determinants of health and health outcomes for the purpose of informing the planning, commissioning and provision of effective health and care services at a local level.
Data is stored and managed by Cambridgeshire County Council. Analysis of the data takes place at Cambridgeshire County Council offices, or via remote access using password encrypted laptop computers.
Expected output
The results of the analyses of the data will be used by the Local Authority to support the discharge of its statutory duties in relation to public health, and wider public health responsibilities. Outputs will include (but not be limited to) the routine and ad hoc production of:
a) Joint Strategic Needs Assessments;
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) responses to licensing applications and other statutory Local Authority functions requiring public health input;
h) local health profiles;
i) health impact assessments and equity audits; and, among other outputs
j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, the UK Health Security Agency (UKHSA) and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide
Expected measurable benefits
Access to the data will enable the Local Authority to undertake locally-focused and locally-responsive analyses of health status and health outcomes. For example, the data will be used to produce analyses of health inequalities for non-standard geographies and for specific social or ethnic groups in the local population to help ensure that the health challenges facing the local population – particularly the most disadvantaged – have been identified and responded to appropriately by the Local Authority and its partners.
It is recognised that in fulfilling its public health duties using HES data, the Local Authority will deliver significant benefits. The Local Authority therefore commits in any renewal request to providing additional detail on benefits that relate to their local use of the data.
Benefits reported so far
The disruption caused by the COVID-19 pandemic meant that routine and ad-hoc analysis work in Cambridgeshire and Peterborough’s PHI team was paused for a considerable time. Technical difficulties around file download and storage have also hampered the team’s ability to process the data, though these are now resolved and the public health team look forward to making better use of this valuable resource. Since February 2021 the data has been used to assess mental health admissions.
Datasets on the current version
Legal basis for provision: Health and Social Care Act 2012 – s261(2)(a)
| Dataset | Type of data | Sensitivity | Frequency | Confidential data |
|---|---|---|---|---|
| Emergency Care Data Set (ECDS) | Anonymised - ICO Code Compliant | Sensitive | Ongoing | Does not include the flow of confidential data |
| HES-ID to MPS-ID HES Admitted Patient Care | Anonymised - ICO Code Compliant | Non-Sensitive | One-Off | Does not include the flow of confidential data |
| HES-ID to MPS-ID HES Outpatients | Anonymised - ICO Code Compliant | Non-Sensitive | One-Off | Does not include the flow of confidential data |
| Hospital Episode Statistics Accident and Emergency (HES A and E) | Anonymised - ICO Code Compliant | Non-Sensitive | One-Off | Does not include the flow of confidential data |
| Hospital Episode Statistics Admitted Patient Care (HES APC) | Anonymised - ICO Code Compliant | Non-Sensitive | Ongoing | Does not include the flow of confidential data |
| Hospital Episode Statistics Critical Care (HES Critical Care) | Anonymised - ICO Code Compliant | Non-Sensitive | Ongoing | Does not include the flow of confidential data |
| Hospital Episode Statistics Outpatients (HES OP) | Anonymised - ICO Code Compliant | Non-Sensitive | Ongoing | Does not include the flow of confidential data |
Files released
Files released counts only files released externally by DARS. Access granted in NHS England's own systems, such as its Secure Data Environment, is not included.
Patient opt-outs were not applied to any of the 532 files released under this agreement, across every version. About opt-outs
Files released against version 9.8 of this agreement, summarised by dataset.
| Dataset | Files | First released | Last released | Opt-outs applied |
|---|---|---|---|---|
| Hospital Episode Statistics Admitted Patient Care (HES APC) | 23 | November 2024 | August 2026 | No |
| Hospital Episode Statistics Critical Care (HES Critical Care) | 23 | November 2024 | August 2026 | No |
| Hospital Episode Statistics Outpatients (HES OP) | 23 | November 2024 | August 2026 | No |
| Emergency Care Data Set (ECDS) | 17 | December 2024 | May 2026 | No |
Version history
The register lists each renewal of this agreement as a separate row. This site has 5 versions — earlier versions existed before this site's records begin.
DARS-NIC-07763-M5K6S-v9.8 1 November 2024 to 30 September 2026
- Title
- LAPH Standard Extract
- Commercial
- No
- Sublicensing
- No
- Datasets
- 7
- Files released
- 86
Datasets: Emergency Care Data Set (ECDS); HES-ID to MPS-ID HES Admitted Patient Care; HES-ID to MPS-ID HES Outpatients; Hospital Episode Statistics Accident and Emergency (HES A and E); Hospital Episode Statistics Admitted Patient Care (HES APC); Hospital Episode Statistics Critical Care (HES Critical Care); Hospital Episode Statistics Outpatients (HES OP)
What changed from DARS-NIC-07763-M5K6S-v8.17
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2024-11-01 | |
| Hospital Episode Statistics Critical Care (HES Critical Care): legal basis | Not stated |
Processing activities
[22 paragraphs unchanged]
Data is stored and managed by Cambridgeshire County
Council. Analysis of the data takes place at Cambridgeshire County
Council
and Peterborough City Council. IT staff and infrastructure is shared across the two councils with all data stored on servers at Peterborough City Council.
offices, or via remote access using password encrypted laptop computers.
Analysis of the data takes place at Cambridgeshire County Council and Peterborough City Council, or via remote access using password encrypted laptop computers.
The data is backed up on servers belonging to West Northamptonshire Council.
Unchanged: Objective for processing, Expected output, Expected measurable benefits, Benefits reported.
DARS-NIC-07763-M5K6S-v8.17 1 October 2023 to 30 September 2026
- Title
- LAPH Standard Extract
- Commercial
- No
- Sublicensing
- No
- Datasets
- 7
- Files released
- 63
Datasets: Emergency Care Data Set (ECDS); HES-ID to MPS-ID HES Admitted Patient Care; HES-ID to MPS-ID HES Outpatients; Hospital Episode Statistics Accident and Emergency (HES A and E); Hospital Episode Statistics Admitted Patient Care (HES APC); Hospital Episode Statistics Critical Care (HES Critical Care); Hospital Episode Statistics Outpatients (HES OP)
What changed from DARS-NIC-07763-M5K6S-v7.4
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2023-10-01 | |
| End date | 2026-09-30 | |
| Emergency Care Data Set (ECDS): legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| HES-ID to MPS-ID HES Admitted Patient Care: legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| HES-ID to MPS-ID HES Outpatients: legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| Hospital Episode Statistics Accident and Emergency (HES A and E): legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| Hospital Episode Statistics Admitted Patient Care (HES APC): legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| Hospital Episode Statistics Critical Care (HES Critical Care): legal basis | Health and Social Care Act 2012 – s261(2)(a) | |
| Hospital Episode Statistics Outpatients (HES OP): legal basis | Health and Social Care Act 2012 – s261(2)(a) |
Datasets:
− HES-ID to MPS-ID HES Accident and Emergency
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local
Authorities
Authority
in fulfilment of its public health function, specifically to support and improve:
[5 paragraphs unchanged]
a.
a)
the incidence and prevalence of disease and risks to public health;
b.
b)
demand for and access to treatment and preventative care services;
c.
c)
variations in health outcomes between groups in the population;
d.
d)
the level of integration between local health and care services; and
e.
e)
the local associations between causal risk factors and health status and outcomes.
[3 paragraphs unchanged]
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the
Clinical Commissioning Group (CCG)-led
Integrated Care Board (ICB)- led
Health and Wellbeing Board under Section 194 of the 2012 Act to
[32 words unchanged]
under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
[7 paragraphs unchanged]
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve
understand
understanding
of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
[6 paragraphs unchanged]
No
sensitive
Identifiable
data is requested under this
application.
agreement.
The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities)
pseudoHESID
pseudo ID
to enable admissions to be linked over time.
Legal Basis - Common Law Duty of Confidentiality:
The Data disseminated under this agreement is not considered confidential under the Health and Social Care Act 2012 and therefore is not owed a duty of confidence.
Legal Basis for Processing Data:
Article 6(1)(e)
(processing is necessary for the performance of a task in the public interest or in the exercise of official authority vested in the controller)
Public Authority: The Data Protection Act 2018 s7(1)(a) defines ‘public bodies’ for the purpose of the GDPR as “a public authority as defined by the Freedom of Information Act 2000”.
The FOI Act 2000 Part 1, section 3 (1)(a)(i) specifies that a public authority means any body which is listed in Schedule 1.
Schedule 1 of the FOI Act 2000 lists Local authorities within the meaning of the Local Government Act 1972 as public authorities.
‘Public Task’
Local Authorities have a legal responsibility under Section (1)(2)(3)(4)(5)(6)(7) of the Care Act 2014 to conduct tasks that are in the public interest to:
(1) Promoting individual well-being
(2) Preventing needs for care and support
(3) Promoting integration of care and support with health services etc.
(4) Providing information and advice
(5) Promoting diversity and quality in provision of services
(6) Co-operating generally
(7) Co-operating in specific cases
(8) Duty to meet needs for care and support
The task(s) are necessary (but are by no means an exhaustive list), but provides an indication of the many tasks required under Part 1 of the Care Act 2014 as the council has an obligation to the public to deliver services that are a necessity to the local population - from whom funding is provided to deliver these services/tasks in the form of Council Tax.
Local Authorities have a duty under Section 74 (1)(2)(3)(4) of the NHS Act 2006 to supply goods and services:
(1) In the Local Authorities (Goods and Services) Act 1970 (c. 39) the expression “public body” includes—
(a) any Strategic Health Authority, Special Health Authority or Primary Care Trust, and
(b) so far as relates to his functions under this Act, the Secretary of State.
(2) Subsection (1) has effect as if made by an order under section 1(5) of the Local Authorities (Goods and Services) Act 1970 and may be varied or revoked by such an order.
(3) Each local authority must make services available to each NHS body acting in its area, so far as is reasonably necessary and practicable to enable the NHS body to discharge its functions under this Act.
(4) “Services” means the services of persons employed by the local authority for the purposes of its functions under the Local Authority Social Services Act 1970 (c. 42).
As part of the application process, the requirement for the data requested has been assessed and NHS England is content that it is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement.
‘Necessity’: Throughout the application process, the necessity of the processing for the performance of the task has been assessed. This included but was not limited to ensuring appropriate minimisation of the data to ensure that only the minimum amount of data required are processed. During the application process it has been considered whether the information that the processing aims to determine is already available from other sources or whether the task could be performed using publicly available data or data from alternative sources than NHS England. Consideration has been given to whether the volume of data being requested is proportionate to the expected benefit and, through examination of the expected benefits consideration has been given to whether the task is itself necessary.
Therefore, we are satisfied that this request is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement and that there is no other reasonable means for the data processor to achieve their purpose that is less intrusive to the data subjects.
Article 9(2)(h)
(processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3)
• The data are required for the purpose of commissioning.
• The data required by the data controllers is the least intrusive to the data subject possible to be able to conduct their functions.
• The data required for commissioning purposes is pseudonymised by NHS England to minimise the risk of identification.
As part of the standard Data Access Request Service application process:
• the applicant’s technical and organisational measures to safeguard the data have been assessed and meets NHS England’s acceptance criteria;
• the requested data has been assessed as proportionate to the aim pursued;
• respect to the essence of the right to data protection has been assessed (e.g. security assurance, data retention, controls and processing activities, etc.);
• measures to protect the rights and freedoms of data subjects have been assessed including transparency (fair processing) publishing subject’s rights to withdraw consent and/or have their data erased or rectified, etc.
Article 9(3)
(Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies.)
Processing activities
Data is stored and managed by LGSS. LGSS is a shared service wholly owned by Cambridgeshire, North Northamptonshire Council, West Northamptonshire Council and Milton Keynes Councils.
The Pseudonymised HES Extract Service will enable the Local Authority to undertake a wide range of locally-determined and locally-specific analyses to support the effective and efficient discharge of its statutory duties in relation to health, and wider public health responsibilities.
IT staff are employed by all 3 councils and work across partners and customers. All data and systems are segregated.
Access to the data is provided to the Local Authority only, and will only be used for the health purposes outlined above. The data will only be processed by Local Authority employees in fulfilment of their public health function, and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function. Such organisations may include Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not).
The servers are located in Northampton and Cambridge at County Hall and Shire Hall respectively. Data is virtualised and segregated but stored within the same physical data centres.
Analysis of the relevant data takes place at Cambridgeshire County Council.
All three stakeholder councils are PSN and N3 accredited.
The Pseudonymised HES Extract Service will enable the Local Authority to undertake a wide range of locally-determined and locally-specific analyses to support the effective and efficient discharge of its statutory duties in relation to public health, and wider public health responsibilities.
Access to the data is provided to the Local Authority only, and will only be used for the public health purposes outlined above. The data will only be processed by Local Authority employees in fulfillment of their public health function, and will not be transferred or otherwise made available to any third party, including Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not) to / or on behalf of the Local Authority.
[4 paragraphs unchanged]
The Director of Public Health will be the Information Asset Owner for the HES data and be responsible on behalf of the Local Authority to NHS Digital for ensuring that the data supplied is only used in fulfillment of the approved public health purposes as set out in this application. The Local Authority confirms that the Director of Public Health is a contracted employee to the permanent role within the Local Authority, accountable to the Chief Executive.
[1 paragraph unchanged]
1. only use the
HES
HES/ECDS
data for the purposes as outlined in this agreement;
2. comply with the requirements of the
NHS Digital
Code of Practice on Confidential Information, the Caldicott Principles and other relevant statutory requirements and guidance to protect confidentiality;
3. not attempt any record-level linkage of
HES
HES/ECDS
data with other data sets held by the Local Authority, or attempt to identify any individuals from the
HES
HES/ECDS
data;
4. not transfer and disseminate record-level
HES
HES/ECDS
data to anyone outside the Local Authority;
5. not publish the results of any analyses of the
HES
HES/ECDS
data unless safely de-identified in line with the anonymisation standard; and
6. comply with the guidelines set out in the
HES
HES/ECDS
Analysis Guide;
[1 paragraph unchanged]
The Director of Public Health will be the Information Asset Owner for the
HES
HES/ECDS
data and be responsible on behalf of the Local Authority to NHS
Digital
England
for ensuring that the data supplied is only used in fulfilment of
[26 words unchanged]
the permanent role within the Local Authority, accountable to the Chief Executive.
[1 paragraph unchanged]
A maximum of ten years data will be retained at any point,
[48 words unchanged]
the latest annual dataset and provide a data destruction certificate to NHS
Digital.
England.
[5 paragraphs unchanged]
Data is stored and managed by Cambridgeshire County Council and Peterborough City Council. IT staff and infrastructure is shared across the two councils with all data stored on servers at Peterborough City Council.
Analysis of the data takes place at Cambridgeshire County Council and Peterborough City Council, or via remote access using password encrypted laptop computers.
The data is backed up on servers belonging to West Northamptonshire Council.
Expected output
The results of the analyses of the data will be used by
[9 words unchanged]
statutory duties in relation to public health, and wider public health responsibilities.
Particular focus over this and coming years will be the effect of the Covid-19 pandemic on the local authority and its residents and these data allow the organisation to review the impact of Covid-19 and assist in formulating the response to and recovery from the pandemic.
Outputs will include (but not be limited to) the routine and ad hoc production of:
[10 paragraphs unchanged]
k) Analysis in relation to Covid-19, including its impact on the population and modelling to assist the local authority response/recovery plan.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, the UK Health Security Agency (UKHSA) and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.
Expected measurable benefits
Access to the data will enable the Local Authority to undertake locally-focused and locally-responsive analyses of health status and health
outcomes, including response to the Covid-19 pandemic.
outcomes.
For example, the data will be used to produce analyses of health
[34 words unchanged]
identified and responded to appropriately by the Local Authority and its partners.
[1 paragraph unchanged]
Benefits reported
*FEB 2021*
The disruption caused by the COVID-19 pandemic meant that routine and ad-hoc analysis work in Cambridgeshire and Peterborough’s PHI team was paused for a considerable time. Technical difficulties around file download and storage have also hampered the team’s ability to process the data, though these are now resolved and the public health team look forward to making better use of this valuable resource. Since February 2021 the data has been used to assess mental health admissions.
START DATE 31/12/2023
The Covid-19 pandemic has prevented planned 'deep dive' uses of data through this agreement, although it is anticipated that the tool will be used in future in relation to analysis of both the impact of and recovery from the Covid-19 pandemic.
Specifically Cambridgeshire County Council have used and will continue to use the data to support the following areas as necessary, albeit with greater focus on Covid-19 over this past year:
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- Admission rates for CHD and stroke - median age at first admission
- NHS commissioners in monitoring the impact of transforming cancer care
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
- Analysis in relation to Covid-19 - its effects on the population and support in surveillance and recovery modelling. Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
Support to local suicide prevention prevention and mental health commissioning via provision of data covering deliberate self-harm.
Support to Cambridgeshire Health and Wellbeing Board's review of the local Health and Wellbeing Strategy and provision of a new, joint Health and Wellbeing Strategy for Cambridgeshire and Peterborough.
HES and A&E data used in Cambridgeshire, Peterborough and a Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets to provide a compendium of local data on health and wellbeing and utilisation of healthcare services. See http://cambridgeshireinsight.org.uk/jsna/coredataset.
Use of HES and A&E data to illustrate local health inequalities and access to healthcare services, including in cardiac related conditions and treatments.
Healthcare commissioning support to the local CCG covering: stroke and AF, diabetes, sepsis, cancer length of stay to support the implementation of community based cancer services, benchmarking activity levels to England and/or comparator areas.
Early years commissioning strategy - A&E attendances in under 5 year olds.
Supporting NHS commissioners with development of clinical policy
Falls and FNOF - hospital admissions data for falls and older people's dashboards.
Primary care network data packs.
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local Authority in fulfilment of its public health function, specifically to support and improve:
1. the local responsiveness, targeting and value for money of commissioned public health services;
2. the statutory ‘core offer’ public health advice and support provided to local NHS commissioners;
3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;
4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits
5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:
a) the incidence and prevalence of disease and risks to public health;
b) demand for and access to treatment and preventative care services;
c) variations in health outcomes between groups in the population;
d) the level of integration between local health and care services; and
e) the local associations between causal risk factors and health status and outcomes.
The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:
1. Statutory public health duties that the data will be used to support
a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Integrated Care Board (ICB)- led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;
d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the National Child Measurement Programme, and open access sexual health services;
e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;
f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;
g) Public Health responses on behalf of the Local Authority to licensing applications and other statutory Local Authority functions requiring public health input: Analyses of the data will be used by the Director of Public Health to support their duty under Part 3 of the National Health Services Act 2006 (as amended by Section 30 of the Health and Social Care Act 2012) to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003, as amended by the Health and Social Care Act 2012 Schedule 5 – Part 1) to licensing applications.
2. Wider public health responsibilities supported by analysis of the data
a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understanding of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
i. bespoke local geographies (based on the non-standard aggregation of LSOAs);
ii. specific demographic, geographic, ethnic and socio-economic groups in the population;
iii. inequalities in health status, access to treatment and treatment outcomes;
c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;
d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.
These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.
No Identifiable data is requested under this agreement. The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities) pseudo ID to enable admissions to be linked over time.
Legal Basis - Common Law Duty of Confidentiality:
The Data disseminated under this agreement is not considered confidential under the Health and Social Care Act 2012 and therefore is not owed a duty of confidence.
Legal Basis for Processing Data:
Article 6(1)(e)
(processing is necessary for the performance of a task in the public interest or in the exercise of official authority vested in the controller)
Public Authority: The Data Protection Act 2018 s7(1)(a) defines ‘public bodies’ for the purpose of the GDPR as “a public authority as defined by the Freedom of Information Act 2000”.
The FOI Act 2000 Part 1, section 3 (1)(a)(i) specifies that a public authority means any body which is listed in Schedule 1.
Schedule 1 of the FOI Act 2000 lists Local authorities within the meaning of the Local Government Act 1972 as public authorities.
‘Public Task’
Local Authorities have a legal responsibility under Section (1)(2)(3)(4)(5)(6)(7) of the Care Act 2014 to conduct tasks that are in the public interest to:
(1) Promoting individual well-being
(2) Preventing needs for care and support
(3) Promoting integration of care and support with health services etc.
(4) Providing information and advice
(5) Promoting diversity and quality in provision of services
(6) Co-operating generally
(7) Co-operating in specific cases
(8) Duty to meet needs for care and support
The task(s) are necessary (but are by no means an exhaustive list), but provides an indication of the many tasks required under Part 1 of the Care Act 2014 as the council has an obligation to the public to deliver services that are a necessity to the local population - from whom funding is provided to deliver these services/tasks in the form of Council Tax.
Local Authorities have a duty under Section 74 (1)(2)(3)(4) of the NHS Act 2006 to supply goods and services:
(1) In the Local Authorities (Goods and Services) Act 1970 (c. 39) the expression “public body” includes—
(a) any Strategic Health Authority, Special Health Authority or Primary Care Trust, and
(b) so far as relates to his functions under this Act, the Secretary of State.
(2) Subsection (1) has effect as if made by an order under section 1(5) of the Local Authorities (Goods and Services) Act 1970 and may be varied or revoked by such an order.
(3) Each local authority must make services available to each NHS body acting in its area, so far as is reasonably necessary and practicable to enable the NHS body to discharge its functions under this Act.
(4) “Services” means the services of persons employed by the local authority for the purposes of its functions under the Local Authority Social Services Act 1970 (c. 42).
As part of the application process, the requirement for the data requested has been assessed and NHS England is content that it is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement.
‘Necessity’: Throughout the application process, the necessity of the processing for the performance of the task has been assessed. This included but was not limited to ensuring appropriate minimisation of the data to ensure that only the minimum amount of data required are processed. During the application process it has been considered whether the information that the processing aims to determine is already available from other sources or whether the task could be performed using publicly available data or data from alternative sources than NHS England. Consideration has been given to whether the volume of data being requested is proportionate to the expected benefit and, through examination of the expected benefits consideration has been given to whether the task is itself necessary.
Therefore, we are satisfied that this request is appropriate, necessary and proportionate for the performance of the task described in the Purpose statement and that there is no other reasonable means for the data processor to achieve their purpose that is less intrusive to the data subjects.
Article 9(2)(h)
(processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3)
• The data are required for the purpose of commissioning.
• The data required by the data controllers is the least intrusive to the data subject possible to be able to conduct their functions.
• The data required for commissioning purposes is pseudonymised by NHS England to minimise the risk of identification.
As part of the standard Data Access Request Service application process:
• the applicant’s technical and organisational measures to safeguard the data have been assessed and meets NHS England’s acceptance criteria;
• the requested data has been assessed as proportionate to the aim pursued;
• respect to the essence of the right to data protection has been assessed (e.g. security assurance, data retention, controls and processing activities, etc.);
• measures to protect the rights and freedoms of data subjects have been assessed including transparency (fair processing) publishing subject’s rights to withdraw consent and/or have their data erased or rectified, etc.
Article 9(3)
(Personal data referred to in paragraph 1 may be processed for the purposes referred to in point (h) of paragraph 2 when those data are processed by or under the responsibility of a professional subject to the obligation of professional secrecy under Union or Member State law or rules established by national competent bodies or by another person also subject to an obligation of secrecy under Union or Member State law or rules established by national competent bodies.)
Expected output
The results of the analyses of the data will be used by the Local Authority to support the discharge of its statutory duties in relation to public health, and wider public health responsibilities. Outputs will include (but not be limited to) the routine and ad hoc production of:
a) Joint Strategic Needs Assessments;
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) responses to licensing applications and other statutory Local Authority functions requiring public health input;
h) local health profiles;
i) health impact assessments and equity audits; and, among other outputs
j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, the UK Health Security Agency (UKHSA) and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide
Benefits reported
The disruption caused by the COVID-19 pandemic meant that routine and ad-hoc analysis work in Cambridgeshire and Peterborough’s PHI team was paused for a considerable time. Technical difficulties around file download and storage have also hampered the team’s ability to process the data, though these are now resolved and the public health team look forward to making better use of this valuable resource. Since February 2021 the data has been used to assess mental health admissions.
DARS-NIC-07763-M5K6S-v7.4 1 April 2021 to 31 May 2023
- Title
- LAPH Standard Extract
- Commercial
- No
- Sublicensing
- No
- Datasets
- 8
- Files released
- 205
Datasets: Emergency Care Data Set (ECDS); HES-ID to MPS-ID HES Accident and Emergency; HES-ID to MPS-ID HES Admitted Patient Care; HES-ID to MPS-ID HES Outpatients; Hospital Episode Statistics Accident and Emergency (HES A and E); Hospital Episode Statistics Admitted Patient Care (HES APC); Hospital Episode Statistics Critical Care (HES Critical Care); Hospital Episode Statistics Outpatients (HES OP)
What changed from DARS-NIC-07763-M5K6S-v6.2
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2021-04-01 | |
| End date | 2023-05-31 | |
| Hospital Episode Statistics Outpatients (HES OP): legal basis | Health and Social Care Act 2012 - s261 - 'Other dissemination of information' |
Datasets: + HES-ID to MPS-ID HES Accident and Emergency; + HES-ID to MPS-ID HES Admitted Patient Care; + HES-ID to MPS-ID HES Outpatients
Processing activities
Data is stored and managed by LGSS. LGSS is a shared service wholly owned by Cambridgeshire, North Northamptonshire Council, West Northamptonshire Council and Milton Keynes Councils. [27 paragraphs unchanged]
Expected output
The results of the analyses of the data will be used by
[9 words unchanged]
statutory duties in relation to public health, and wider public health responsibilities.
Particular focus over this and coming years will be the effect of the Covid-19 pandemic on the local authority and its residents and these data allow the organisation to review the impact of Covid-19 and assist in formulating the response to and recovery from the pandemic.
Outputs will include (but not be limited to) the routine and ad hoc production of:
[10 paragraphs unchanged]
k) Analysis in relation to Covid-19, including its impact on the population and modelling to assist the local authority response/recovery plan.
[2 paragraphs unchanged]
Specifically we have used and will continue to use the data to support the following areas as necessary (target dates are not provided as these are a combination of analyses in 2018/19 and into 2019/20):
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- Admission rates for CHD and stroke - median age at first admission
- NHS commissioners in monitoring the impact of transforming cancer care
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
Expected measurable benefits
Access to the data will enable the Local Authority to undertake locally-focused and locally-responsive analyses of health status and health
outcomes.
outcomes, including response to the Covid-19 pandemic.
For example, the data will be used to produce analyses of health
[34 words unchanged]
identified and responded to appropriately by the Local Authority and its partners.
[1 paragraph unchanged]
Benefits reported
Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
*FEB 2021*
START DATE 31/12/2023
The Covid-19 pandemic has prevented planned 'deep dive' uses of data through this agreement, although it is anticipated that the tool will be used in future in relation to analysis of both the impact of and recovery from the Covid-19 pandemic.
Specifically Cambridgeshire County Council have used and will continue to use the data to support the following areas as necessary, albeit with greater focus on Covid-19 over this past year:
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- Admission rates for CHD and stroke - median age at first admission
- NHS commissioners in monitoring the impact of transforming cancer care
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
- Analysis in relation to Covid-19 - its effects on the population and support in surveillance and recovery modelling. Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
[1 paragraph unchanged]
Support to Cambridgeshire Health and Wellbeing Board's review of the local Health and Wellbeing
Srategy.
Strategy and provision of a new, joint Health and Wellbeing Strategy for Cambridgeshire and Peterborough.
[7 paragraphs unchanged]
Unchanged: Objective for processing.
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local Authorities in fulfilment of its public health function, specifically to support and improve:
1. the local responsiveness, targeting and value for money of commissioned public health services;
2. the statutory ‘core offer’ public health advice and support provided to local NHS commissioners;
3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;
4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits
5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:
a. the incidence and prevalence of disease and risks to public health;
b. demand for and access to treatment and preventative care services;
c. variations in health outcomes between groups in the population;
d. the level of integration between local health and care services; and
e. the local associations between causal risk factors and health status and outcomes.
The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:
1. Statutory public health duties that the data will be used to support
a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Clinical Commissioning Group (CCG)-led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;
d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the National Child Measurement Programme, and open access sexual health services;
e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;
f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;
g) Public Health responses on behalf of the Local Authority to licensing applications and other statutory Local Authority functions requiring public health input: Analyses of the data will be used by the Director of Public Health to support their duty under Part 3 of the National Health Services Act 2006 (as amended by Section 30 of the Health and Social Care Act 2012) to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003, as amended by the Health and Social Care Act 2012 Schedule 5 – Part 1) to licensing applications.
2. Wider public health responsibilities supported by analysis of the data
a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understand of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
i. bespoke local geographies (based on the non-standard aggregation of LSOAs);
ii. specific demographic, geographic, ethnic and socio-economic groups in the population;
iii. inequalities in health status, access to treatment and treatment outcomes;
c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;
d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.
These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.
No sensitive data is requested under this application. The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities) pseudoHESID to enable admissions to be linked over time.
Expected output
The results of the analyses of the data will be used by the Local Authority to support the discharge of its statutory duties in relation to public health, and wider public health responsibilities. Particular focus over this and coming years will be the effect of the Covid-19 pandemic on the local authority and its residents and these data allow the organisation to review the impact of Covid-19 and assist in formulating the response to and recovery from the pandemic. Outputs will include (but not be limited to) the routine and ad hoc production of:
a) Joint Strategic Needs Assessments;
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) responses to licensing applications and other statutory Local Authority functions requiring public health input;
h) local health profiles;
i) health impact assessments and equity audits; and, among other outputs
j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
k) Analysis in relation to Covid-19, including its impact on the population and modelling to assist the local authority response/recovery plan.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.
Benefits reported
*FEB 2021*
START DATE 31/12/2023
The Covid-19 pandemic has prevented planned 'deep dive' uses of data through this agreement, although it is anticipated that the tool will be used in future in relation to analysis of both the impact of and recovery from the Covid-19 pandemic.
Specifically Cambridgeshire County Council have used and will continue to use the data to support the following areas as necessary, albeit with greater focus on Covid-19 over this past year:
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- Admission rates for CHD and stroke - median age at first admission
- NHS commissioners in monitoring the impact of transforming cancer care
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
- Analysis in relation to Covid-19 - its effects on the population and support in surveillance and recovery modelling. Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
Support to local suicide prevention prevention and mental health commissioning via provision of data covering deliberate self-harm.
Support to Cambridgeshire Health and Wellbeing Board's review of the local Health and Wellbeing Strategy and provision of a new, joint Health and Wellbeing Strategy for Cambridgeshire and Peterborough.
HES and A&E data used in Cambridgeshire, Peterborough and a Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets to provide a compendium of local data on health and wellbeing and utilisation of healthcare services. See http://cambridgeshireinsight.org.uk/jsna/coredataset.
Use of HES and A&E data to illustrate local health inequalities and access to healthcare services, including in cardiac related conditions and treatments.
Healthcare commissioning support to the local CCG covering: stroke and AF, diabetes, sepsis, cancer length of stay to support the implementation of community based cancer services, benchmarking activity levels to England and/or comparator areas.
Early years commissioning strategy - A&E attendances in under 5 year olds.
Supporting NHS commissioners with development of clinical policy
Falls and FNOF - hospital admissions data for falls and older people's dashboards.
Primary care network data packs.
DARS-NIC-07763-M5K6S-v6.2 1 April 2020 to 31 March 2021
- Title
- LAPH Standard Extract
- Commercial
- No
- Sublicensing
- No
- Datasets
- 5
- Files released
- 80
Datasets: Emergency Care Data Set (ECDS); Hospital Episode Statistics Accident and Emergency (HES A and E); Hospital Episode Statistics Admitted Patient Care (HES APC); Hospital Episode Statistics Critical Care (HES Critical Care); Hospital Episode Statistics Outpatients (HES OP)
What changed from DARS-NIC-07763-M5K6S-v5.2
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2020-04-01 | |
| End date | 2021-03-31 |
Datasets: + Emergency Care Data Set (ECDS)
Expected output
[14 paragraphs unchanged]
- NHS commissioners with work on their stroke, diabetes and cardiovascular disease pathway.
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- NHS commissioners in monitoring the impact of transforming cancer care.
- Admission rates for CHD and stroke - median age at first admission
- Safeguarding Board support - related hospital admissions.
- NHS commissioners in monitoring the impact of transforming cancer care
[2 paragraphs unchanged]
- Local sexual health commissioning pilot - admissions for sexual health related conditions.
[3 paragraphs unchanged]
- Analysis of alcohol related
admissions.
admissions
- Support to crisis care concordat - analysis of emergency admissions.
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
- Support to NHS commissioners - Ratios of ordinary to day case elective inpatient admissions for the CCG and comparators.
- Inpatient hospital admissions for sepsis for the CCG and comparators.
- Ageing Well Strategy - Top 10 causes of emergency admissions in people aged 65+, Cambridgeshire and Peterborough CCG.
- Falls and FNOF - hospital admissions data for falls dashboard.
Benefits reported
Support to local Cambridgeshire and Peterborough Safeguarding Board via provision of data covering deliberate self-harm.
[4 paragraphs unchanged]
The Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets is being used by the new Combined Authority to look at health, wellbeing and patterns of service access locally.
[2 paragraphs unchanged]
Support to local sexual health commissioning pilot - admissions data.
[1 paragraph unchanged]
Supporting NHS commissioners with development of clinical policy
- admissions due to cataracts for local area and comparator group.
Support to NHS commissioners - Ratios of ordinary to day case elective inpatient admissions for the CCG and comparators.
Falls and FNOF - hospital admissions data for falls and older people's dashboards.
Ageing Well Strategy - Top 10 causes of emergency admissions in people aged 65+, Cambridgeshire and Peterborough CCG.
Primary care network data packs.
Falls and FNOF - hospital admissions data for falls dashboard.
Unchanged: Objective for processing, Processing activities, Expected measurable benefits.
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local Authorities in fulfilment of its public health function, specifically to support and improve:
1. the local responsiveness, targeting and value for money of commissioned public health services;
2. the statutory ‘core offer’ public health advice and support provided to local NHS commissioners;
3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;
4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits
5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:
a. the incidence and prevalence of disease and risks to public health;
b. demand for and access to treatment and preventative care services;
c. variations in health outcomes between groups in the population;
d. the level of integration between local health and care services; and
e. the local associations between causal risk factors and health status and outcomes.
The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:
1. Statutory public health duties that the data will be used to support
a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Clinical Commissioning Group (CCG)-led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;
d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the National Child Measurement Programme, and open access sexual health services;
e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;
f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;
g) Public Health responses on behalf of the Local Authority to licensing applications and other statutory Local Authority functions requiring public health input: Analyses of the data will be used by the Director of Public Health to support their duty under Part 3 of the National Health Services Act 2006 (as amended by Section 30 of the Health and Social Care Act 2012) to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003, as amended by the Health and Social Care Act 2012 Schedule 5 – Part 1) to licensing applications.
2. Wider public health responsibilities supported by analysis of the data
a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understand of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
i. bespoke local geographies (based on the non-standard aggregation of LSOAs);
ii. specific demographic, geographic, ethnic and socio-economic groups in the population;
iii. inequalities in health status, access to treatment and treatment outcomes;
c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;
d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.
These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.
No sensitive data is requested under this application. The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities) pseudoHESID to enable admissions to be linked over time.
Expected output
The results of the analyses of the data will be used by the Local Authority to support the discharge of its statutory duties in relation to public health, and wider public health responsibilities. Outputs will include (but not be limited to) the routine and ad hoc production of:
a) Joint Strategic Needs Assessments;
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) responses to licensing applications and other statutory Local Authority functions requiring public health input;
h) local health profiles;
i) health impact assessments and equity audits; and, among other outputs
j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.
Specifically we have used and will continue to use the data to support the following areas as necessary (target dates are not provided as these are a combination of analyses in 2018/19 and into 2019/20):
- NHS commissioners and the local Systems Transformation Partnership for admission rates for primary care network data packs.
- Admission rates for CHD and stroke - median age at first admission
- NHS commissioners in monitoring the impact of transforming cancer care
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions
- Falls and FNOF - hospital admissions data for falls dashboard and older people's dashboard.
Benefits reported
Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
Support to local suicide prevention prevention and mental health commissioning via provision of data covering deliberate self-harm.
Support to Cambridgeshire Health and Wellbeing Board's review of the local Health and Wellbeing Srategy.
HES and A&E data used in Cambridgeshire, Peterborough and a Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets to provide a compendium of local data on health and wellbeing and utilisation of healthcare services. See http://cambridgeshireinsight.org.uk/jsna/coredataset.
Use of HES and A&E data to illustrate local health inequalities and access to healthcare services, including in cardiac related conditions and treatments.
Healthcare commissioning support to the local CCG covering: stroke and AF, diabetes, sepsis, cancer length of stay to support the implementation of community based cancer services, benchmarking activity levels to England and/or comparator areas.
Early years commissioning strategy - A&E attendances in under 5 year olds.
Supporting NHS commissioners with development of clinical policy
Falls and FNOF - hospital admissions data for falls and older people's dashboards.
Primary care network data packs.
DARS-NIC-07763-M5K6S-v5.2 1 April 2019 to 31 March 2020
- Title
- LAPH Standard Extract
- Commercial
- No
- Sublicensing
- No
- Datasets
- 4
- Files released
- 98
Datasets: Hospital Episode Statistics Accident and Emergency (HES A and E); Hospital Episode Statistics Admitted Patient Care (HES APC); Hospital Episode Statistics Critical Care (HES Critical Care); Hospital Episode Statistics Outpatients (HES OP)
Objective for processing
The data provided by the Pseudonymised HES Extract Service will be used by the Local Authorities in fulfilment of its public health function, specifically to support and improve:
1. the local responsiveness, targeting and value for money of commissioned public health services;
2. the statutory ‘core offer’ public health advice and support provided to local NHS commissioners;
3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;
4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits
5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:
a. the incidence and prevalence of disease and risks to public health;
b. demand for and access to treatment and preventative care services;
c. variations in health outcomes between groups in the population;
d. the level of integration between local health and care services; and
e. the local associations between causal risk factors and health status and outcomes.
The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:
1. Statutory public health duties that the data will be used to support
a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;
b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Clinical Commissioning Group (CCG)-led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;
c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;
d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the National Child Measurement Programme, and open access sexual health services;
e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;
f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;
g) Public Health responses on behalf of the Local Authority to licensing applications and other statutory Local Authority functions requiring public health input: Analyses of the data will be used by the Director of Public Health to support their duty under Part 3 of the National Health Services Act 2006 (as amended by Section 30 of the Health and Social Care Act 2012) to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003, as amended by the Health and Social Care Act 2012 Schedule 5 – Part 1) to licensing applications.
2. Wider public health responsibilities supported by analysis of the data
a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;
b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understand of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:
i. bespoke local geographies (based on the non-standard aggregation of LSOAs);
ii. specific demographic, geographic, ethnic and socio-economic groups in the population;
iii. inequalities in health status, access to treatment and treatment outcomes;
c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;
d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.
These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.
No sensitive data is requested under this application. The data provided would include derived demographic and geographic fields, the standard non-sensitive HES diagnostic and operative fields, and a common (across all Local Authorities) pseudoHESID to enable admissions to be linked over time.
Expected output
The results of the analyses of the data will be used by the Local Authority to support the discharge of its statutory duties in relation to public health, and wider public health responsibilities. Outputs will include (but not be limited to) the routine and ad hoc production of:
a) Joint Strategic Needs Assessments;
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) responses to licensing applications and other statutory Local Authority functions requiring public health input;
h) local health profiles;
i) health impact assessments and equity audits; and, among other outputs
j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content of and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.
Specifically we have used and will continue to use the data to support the following areas as necessary (target dates are not provided as these are a combination of analyses in 2018/19 and into 2019/20):
- NHS commissioners with work on their stroke, diabetes and cardiovascular disease pathway.
- NHS commissioners in monitoring the impact of transforming cancer care.
- Safeguarding Board support - related hospital admissions.
- Analysis of deliberate self harm admissions for local authority and NHS commissioners.
- Local authority district analysis of admissions for NHS commissioners
- Local sexual health commissioning pilot - admissions for sexual health related conditions.
- Early years commissioning strategy - A&E attendances in under 5 year olds.
- A&E and admissions data for JSNA core dataset.
- Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
- Analysis of alcohol related admissions.
- Support to crisis care concordat - analysis of emergency admissions.
- Support to NHS commissioners - Ratios of ordinary to day case elective inpatient admissions for the CCG and comparators.
- Inpatient hospital admissions for sepsis for the CCG and comparators.
- Ageing Well Strategy - Top 10 causes of emergency admissions in people aged 65+, Cambridgeshire and Peterborough CCG.
- Falls and FNOF - hospital admissions data for falls dashboard.
Benefits reported
Support to local Cambridgeshire and Peterborough Safeguarding Board via provision of data covering deliberate self-harm.
Support to local Peterborough Public Health Board via provision of data covering deliberate self-harm and all emergency admissions.
Support to local suicide prevention prevention and mental health commissioning via provision of data covering deliberate self-harm.
Support to Cambridgeshire Health and Wellbeing Board's review of the local Health and Wellbeing Srategy.
HES and A&E data used in Cambridgeshire, Peterborough and a Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets to provide a compendium of local data on health and wellbeing and utilisation of healthcare services. See http://cambridgeshireinsight.org.uk/jsna/coredataset.
The Cambridgeshire and Peterborough combined Joint Strategic Needs Assessment Core Datasets is being used by the new Combined Authority to look at health, wellbeing and patterns of service access locally.
Use of HES and A&E data to illustrate local health inequalities and access to healthcare services, including in cardiac related conditions and treatments.
Healthcare commissioning support to the local CCG covering: stroke and AF, diabetes, sepsis, cancer length of stay to support the implementation of community based cancer services, benchmarking activity levels to England and/or comparator areas.
Support to local sexual health commissioning pilot - admissions data.
Early years commissioning strategy - A&E attendances in under 5 year olds.
Supporting NHS commissioners with development of clinical policy - admissions due to cataracts for local area and comparator group.
Support to NHS commissioners - Ratios of ordinary to day case elective inpatient admissions for the CCG and comparators.
Ageing Well Strategy - Top 10 causes of emergency admissions in people aged 65+, Cambridgeshire and Peterborough CCG.
Falls and FNOF - hospital admissions data for falls dashboard.
Register history
When this agreement appeared in, or was edited in, each monthly edition of the register. Built by comparing every edition this site holds, the earliest of which is July 2021.
-
July 2021 —
already listed in the earliest edition this site holds, so it may be older. 3 versions: DARS-NIC-07763-M5K6S-v5.2, DARS-NIC-07763-M5K6S-v6.2, DARS-NIC-07763-M5K6S-v7.4
-
October 2021
Amended DARS-NIC-07763-M5K6S-v7.4
- Datasets: + HES-ID to MPS-ID HES Accident and Emergency; + HES-ID to MPS-ID HES Admitted Patient Care; + HES-ID to MPS-ID HES Outpatients
-
December 2022
Register-wide edit DARS-NIC-07763-M5K6S-v5.2, DARS-NIC-07763-M5K6S-v6.2, DARS-NIC-07763-M5K6S-v7.4 — Datasets: legal basis: “
s261(1) and” taken out. Made to 639 agreements in this edition, so it is reported once, on the changes page, and not counted as an amendment of this agreement. -
November 2023
1 version added: DARS-NIC-07763-M5K6S-v8.17
-
December 2024
1 version added: DARS-NIC-07763-M5K6S-v9.8
"Amended in place" means NHS England changed the record without issuing a new version number. The register publishes no changelog for those edits; this site infers them by comparing editions. An edit is attributed to the edition it first appears in, not to the date it was made.
Cite this page
NHS England (2026) Data Uses Register, September 2026 edition, agreement DARS-NIC-07763-M5K6S, “LAPH Standard Extract”. Read via NHS Data Access Explorer (unofficial), https://healthdatauses.uk/agreements/dars-nic-07763-m5k6s/ (accessed [date]).
This address stays the same, but the page is rebuilt with each monthly edition, so the citation names the edition it shows. Every edition's data is kept in the facts store.
Source: datausesregister_september2026.xlsx, September 2026 edition of the NHS England Data Uses Register. Search that workbook for DARS-NIC-07763-M5K6S to see the original rows.