LAPH HES via NHS Digital Portal

Suffolk County Council · Local Authority

In term In term in the September 2026 edition: the latest version runs to 9 May 2027.

Reference: DARS-NIC-10932-H7Y6B
Current version: v11.6
Term of current version: 10 May 2024 to 9 May 2027
Start date: Before 1 April 2019
Data controller: Sole Data Controller
Commercial purposes: No
Sublicensing: No
Files released to date: 0

Why the data was released

Objective for processing

The Health Episode Statistics (HES) Data accessed through the NHS England Portal 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 can be accessed through the NHS England Portal. The data provided would include, the standard non-sensitive HES fields, and a common (across all Local Authorities) pseudo TokenID to enable admissions to be linked over time.

Processing activities

Access to the Pseudonymised HES 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.

This application/agreement is for online access to the record level HES database via the NHS England Portal. The system is hosted and audited by NHS England meaning that large transfers of data to on-site servers is reduced and NHS England has the ability to audit the use and access to the data.

The NHS England Portal is a secure method giving access to datasets and associated analytical tools. It is accessed via a secure authentication method to named users. Users are only able to access the datasets detailed within this agreement. Users log onto the portal and are presented with analysis tools which allow them to access the relevant data sets and reference data tables so that they can return appropriate descriptions to the coded data. The access and use of the system is fully auditable and all users must comply with the use of the data as specified in this agreement.

Users can produce outputs from the system in a number of formats. The system can produce row level extracts for local analysis in local analysis software

Any record level data extracted from the system will not be processed outside of the Knowledge and Intelligence team. Only registered NHS England Portal users will have access to record level data downloaded from the system. Following completion of the analysis the record level data will be securely destroyed.

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 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 data for the purposes as outlined in this agreement;

2. comply with the requirements of NHS England 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 data with other data sets held by the Local Authority, or attempt to identify any individuals from the HES data;

4. not transfer and disseminate record-level HES data to anyone outside the Local Authority;

5. not publish the results of any analyses of the HES data unless safely de-identified in line with the anonymisation standard; and

6. comply with the guidelines set out in the HES 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 data and be responsible on behalf of the Local Authority to NHS England for ensuring that the data 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 full years data will be accessed through the NHS England Portal at any point, such that as each new data year is available, access to the oldest year will be suppressed i.e. at any point in time only ten historic years of data plus the current year is available. The Local Authority will securely destroy any record level data downloaded for the year’s data within six weeks of receiving access to 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.

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, as well as other reporting and analysis produced as part of the overall JSNA (such as topic papers, dashboards, the State of Suffolk, Suffolk +20);

b) Joint Local Health and Wellbeing Strategies;

c) the annual report of the Director of Public Health;

d) reports commissioned by the Health and Wellbeing Board;

e) reports and analysis requested by local NHS ICBs

f) Place Based Needs Assessments

g) public health and wider Local Authority health and wellbeing commissioning strategies and plans;

h) public health advice to NHS commissioners;

i) responses to licensing applications and other statutory Local Authority functions requiring public health input;

j) local health profiles;

k) health impact assessments and equity audits; and, among other outputs;

l) 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 Office for Health Improvement and Disparities and others as appropriate, for example, on the timetable for publishing refreshed JSNAs.

All outputs shared outside of the Knowledge, Intelligence and Evidence Team will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.

Previous outputs include those noted above.

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

All analyses and outputs will inform public health interventions to improve health in Suffolk or inform improvements to the management of health services in the county.

Public health in Suffolk County Council has produced the following analyses of HES data from the NHS England Portal:

• A&E attendance numbers split by year, Trust, month and residence (Suffolk v non-Suffolk), 2017/18 to 2019/20

• Number of hospital admissions for stroke among residents of each ICB within the SNEE ICS, by age group (<45, 45-54, 55-64, 65-74, 75-84, 85+) and discharge outcome, 2020/21

• Number of emergency admissions for self harm, aged 6-18, in Suffolk County, 2018/19 to 2020/21

• Number of emergency admissions for self harm / substance misuse among CYP in Suffolk County, 2020/21

• Number of emergency admissions for sleep disturbance / accidents among CYP in Suffolk County, 2015/16 to 2020/21

• Monthly admissions and discharges for residents of IESCCG aged 65+ for selected ICD-10 codes split by acute hospitals and community hospitals and elective and A&E admissions/discharges, 2017 to 2021

• Emergency admissions of children and young people by age band in 2019/20 and 2020/21 by external cause code on admission, 2019/20 to 2020/21

• Admitted patients/A&E attendances associated with fire (burns/smoke inhalation) by Suffolk geographies for fire risk modelling, 2018/19 to 2021/22

• Hospital admissions for dental caries in Suffolk residents aged 0-5, 2018/19 to 2020/21

• Investigation into admissions for self harm in young people in Suffolk, and also emergency admissions for unintentional/deliberate injuries in children aged 0-14 years, 2020/21

• Data on acquired brain injuries, 2020/21 and 2021/22

• Data for demand model for SCC ACS services (dementia, falls, fractures in elderly patients), 2018-2022

• Data for topic paper on Chronic Fatigue Syndrome/ME/MUS

• Local figures for miscarriage in hospital (ICD-10 code 003, 000 ectopic pregnancy and 036 intrauterine death). Hospital admissions, Suffolk residents, 2018-20, 2019-21, 2020-22

• Total hospital admissions & average length of stays for Suffolk residents in order to project future demand, 2021

• Number of admissions for violent injury, Suffolk County (Y85 to Y09), 2018-22

• Hospital spells by year, SNEE hospitals. Suffolk & NEE residents. Split by delivery or general episode type, 2018 onwards

• Update hospital episode data for Cumulative Impact Areas (alcohol licensing)

• Number of elective and emergency admissions by LSOA, age group (0-17, 18-64, 65-84, 85+) and ICD-10 code for inclusion in updated Place Based Needs Assessments, 2019/20, 2020/21 and 2021/22

• Emergency demand for cardiovascular diseases in Suffolk - UTLA level, 2016-2022

• Numbers of admissions for falls and hip fractures in Suffolk residents by SUSHRG code (for costing purposes), 2019/20 to 2021/22

• J45 & J46 (asthma) admissions for CYP 0-9, 10-18 in past 5 years by sex, ethnicity, IMD, 2016-2022

• Numbers of emergency admissions for falls and hip fractures in Suffolk residents to inform the updated Place Based Needs Assessments, 2016/17 to 2021/22

• Part a) A&E admissions by week for SNEE by cause by adults and children; Part b) APC admissions for SNEE by week by cause, 2020/21 to 2022/23

• Hospital admissions for asthma in children in Suffolk, by LSOA, financial year, sex, ethnicity and age groups (0-9, 10-18 and 19 and above), 2017/18 to 2021/22

• Hospital admissions for drugs and alcohol by a) hospital site and b) districts. B) also by demographic characteristics, 2017/18 to 2021/22

• Admissions for necrotising fasciitis (M72.6) following two deaths noted at Colchester Hospital in last 6 months, 2017/18 to 2022/23

• Numbers of admissions for falls and hip fractures in Waveney residents by SUSHRG code (for costing purposes), 2019/20 to 2021/22

• Emergency admissions rates for respiratory diseases over the winters of 2019/20 to 2022/23 by demographic characteristics, geographic areas and IMD deciles to inform future planning within the Suffolk and North East Essex ICB

• Paracetamol overdoses in in young people,

• All admissions for females aged 15+ by LSOA in Suffolk from all causes, also for ICB areas in SNEE, primary diagnosis code. Ethnicity for project relating to national Women’s Health Strategy, 2019 to 2022

• Total admissions by specialty and year, as well as future projections, 2019/20 to 2022/23

Datasets on the current version

Legal basis for provision: Health and Social Care Act 2012 - s261 - 'Other dissemination of information'

Datasets approved under DARS-NIC-10932-H7Y6B-v11.6
Dataset	Type of data	Sensitivity	Frequency	Confidential data
Emergency Care Data Set (ECDS)	Anonymised - ICO Code Compliant	Sensitive	System Access	Does not include the flow of confidential data
Hospital Episode Statistics Accident and Emergency (HES A and E)	Anonymised - ICO Code Compliant	Non-Sensitive	System Access	Does not include the flow of confidential data
Hospital Episode Statistics Admitted Patient Care (HES APC)	Anonymised - ICO Code Compliant	Non-Sensitive	System Access	Does not include the flow of confidential data
Hospital Episode Statistics Critical Care (HES Critical Care)	Anonymised - ICO Code Compliant	Non-Sensitive	System Access	Does not include the flow of confidential data
Hospital Episode Statistics Outpatients (HES OP)	Anonymised - ICO Code Compliant	Non-Sensitive	System Access	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.

No files recorded as released under this agreement.

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-10932-H7Y6B-v11.6 10 May 2024 to 9 May 2027

Title: LAPH HES via NHS Digital Portal
Commercial: No
Sublicensing: No
Datasets: 5
Files released: 0

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-10932-H7Y6B-v10.2

Text removed is ~~struck through~~; text added is underlined. Unchanged paragraphs are summarised rather than repeated.

Fields changed from DARS-NIC-10932-H7Y6B-v10.2
Field	Was	Became
Start date	~~2021-04-01~~	2024-05-10
End date	~~2024-03-31~~	2027-05-09

Objective for processing

The Health Episode Statistics (HES) Data accessed through the NHS ~~Digital~~ England Portal will be used by the Local Authorities in fulfilment of its public health function, specifically to support and improve: [28 paragraphs unchanged] No sensitive data can be accessed through the NHS ~~Digital~~ England Portal. The data provided would include, the standard non-sensitive HES fields, and a common (across all Local Authorities) pseudo TokenID to enable admissions to be linked over time.

Processing activities

[1 paragraph unchanged] This application/agreement is for online access to the record level HES database via the NHS ~~Digital~~ England Portal. The system is hosted and audited by NHS ~~Digital~~ England meaning that large transfers of data to on-site servers is reduced and NHS ~~Digital~~ England has the ability to audit the use and access to the data. The NHS ~~Digital~~ England Portal is a secure method giving access to datasets and associated analytical [73 words unchanged] comply with the use of the data as specified in this agreement. [1 paragraph unchanged] Any record level data extracted from the system will not be processed outside of the Knowledge and Intelligence team. Only registered NHS ~~Digital~~ England Portal users will have access to record level data downloaded from the system. Following completion of the analysis the record level data will be securely destroyed. [7 paragraphs unchanged] 2. comply with the requirements of NHS ~~Digital~~ England Code of Practice on Confidential Information, the Caldicott Principles and other relevant statutory requirements and guidance to protect confidentiality; [5 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~~ England for ensuring that the data is only used in fulfilment of the [25 words unchanged] the permanent role within the Local Authority, accountable to the Chief Executive. [1 paragraph unchanged] A maximum of ten full years data will be accessed through the NHS ~~Digital~~ England Portal at any point, such that as each new data year is [49 words unchanged] the latest annual dataset and provide a data destruction certificate to NHS ~~Digital.~~ England. [6 paragraphs unchanged]

Expected output

[1 paragraph unchanged] ~~a) Joint Strategic Needs Assessments;~~ a) Joint Strategic Needs Assessments, as well as other reporting and analysis produced as part of the overall JSNA (such as topic papers, dashboards, the State of Suffolk, Suffolk +20); b) Joint Local Health and Wellbeing Strategies; [2 paragraphs unchanged] ~~e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;~~ e) reports and analysis requested by local NHS ICBs ~~f) public health advice to NHS commissioners;~~ f) Place Based Needs Assessments g) ~~responses to licensing applications~~ public health and ~~other statutory~~ wider Local Authority ~~functions requiring public~~ health ~~input;~~ and wellbeing commissioning strategies and plans; ~~h) local health profiles;~~ h) public health advice to NHS commissioners; ~~i) health impact assessments and equity audits; and, among other outputs;~~ i) responses to licensing applications and other statutory Local Authority functions requiring public health input; ~~j) responses to internal and external requests for information and intelligence on the health and wellbeing of the population;~~ j) local health profiles; ~~k) assessment of the indirect impact of COVID-19 on hospital activity.~~ k) health impact assessments and equity audits; and, among other outputs; 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. l) responses to internal and external requests for information and intelligence on the health and wellbeing of the population; ~~All outputs shared outside of the Knowledge and Intelligence Team will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.~~ 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 Office for Health Improvement and Disparities and others as appropriate, for example, on the timetable for publishing refreshed JSNAs. All outputs shared outside of the Knowledge, Intelligence and Evidence Team will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide. Previous outputs include those noted above.

Benefits reported

FEB 2021 - * So far the financial year 2020/21 has been almost entirely dedicated to the COVID-19 response. Therefore, the benefits of having access to HES have been limited. However, as Suffolk County Council move out of the response phase and into the review stage of the pandemic, it is envisaged that HES data will be vital to develop understanding of the direct and indirect impacts of COVID-19 on secondary care. * All analyses and outputs will inform public health interventions to improve health in Suffolk or inform improvements to the management of health services in the county. ~~All these analyses and outputs will inform public health interventions to improve health in Suffolk or inform improvements to the management of health services in the county.~~ Public health in Suffolk County Council has produced the following analyses of HES data from the NHS England Portal: ~~Public health in Suffolk County Council has produced the following analyses of HES data from the NHS Digital Portal:~~ • A&E attendance numbers split by year, Trust, month and residence (Suffolk v non-Suffolk), 2017/18 to 2019/20 ~~. distribution by age of hospital admissions for self-harm among residents of Suffolk County in financial years 2014/15-2016/17, for inclusion in mental health needs assessment~~ • Number of hospital admissions for stroke among residents of each ICB within the SNEE ICS, by age group (<45, 45-54, 55-64, 65-74, 75-84, 85+) and discharge outcome, 2020/21 . analysis of emergency admissions among adults and children in CCGs in Suffolk and North East Essex STP area in financial years 2014/15-2016/17, including numbers and rates of emergency admissions, distribution of emergency admissions by main causes of admission and numbers and rates of provider spells with length of stay <2 days, for presentation by Anna Crispe, Head of Knowledge and Intelligence, Public Health, Suffolk County Council • Number of emergency admissions for self harm, aged 6-18, in Suffolk County, 2018/19 to 2020/21 ~~. hospital admission rates for bariatric surgery in CCGs in Suffolk and North East Essex STP area and England as a whole in financial years 2014/15-2016/17, for presentation by Anna Crispe~~ • Number of emergency admissions for self harm / substance misuse among CYP in Suffolk County, 2020/21 . A&E attendances for alcohol-related conditions as proportion of all A&E attendances among Suffolk residents in hospitals in Suffolk County and among residents of East of England and England as a whole in financial years 2012/13-2017/18 • Number of emergency admissions for sleep disturbance / accidents among CYP in Suffolk County, 2015/16 to 2020/21 ~~. distribution by broad age band of emergency admissions for diabetes among registered patients in CCGs in Suffolk and North East Essex STP area in financial years 2014/15-2017/18: numbers and rates~~ • Monthly admissions and discharges for residents of IESCCG aged 65+ for selected ICD-10 codes split by acute hospitals and community hospitals and elective and A&E admissions/discharges, 2017 to 2021 . distribution of patients by numbers of emergency admissions: emergency admissions among children and young people aged 0-24 years in deprivation quintiles in Suffolk County and England in financial years 2008/09-2016/17 • Emergency admissions of children and young people by age band in 2019/20 and 2020/21 by external cause code on admission, 2019/20 to 2020/21 ~~. numbers of hospital admissions for learning disabilities among registered patients in CCGs in Suffolk in financial years 2010/11-2017/18, for inclusion in mental health needs assessment~~ • Admitted patients/A&E attendances associated with fire (burns/smoke inhalation) by Suffolk geographies for fire risk modelling, 2018/19 to 2021/22 ~~. emergency admission rates for diabetes in children and young people aged 0-24 years in deprivation quintiles in CCGs in Suffolk in financial years 2008/09-2016/17~~ • Hospital admissions for dental caries in Suffolk residents aged 0-5, 2018/19 to 2020/21 . • Investigation into admissions for self harm in young people in Suffolk, and also emergency admissions for ~~poisoning among~~ unintentional/deliberate injuries in children ~~and young people~~ aged ~~0-24 years in deprivation quintiles in Suffolk County in financial years 2008/09-2016/17: distribution by quinary age band~~ 0-14 years, 2020/21 ~~. numbers and rates of emergency admissions for road traffic accidents among residents of local authority districts in Suffolk County in financial years 2013/14-2017/18: all ages and ages 0-24 years~~ • Data on acquired brain injuries, 2020/21 and 2021/22 ~~. numbers of A&E attendances for social problems, including chronic alcoholism and homelessness, among residents of local authority districts in Suffolk County in financial years 2015/16-2017/18~~ • Data for demand model for SCC ACS services (dementia, falls, fractures in elderly patients), 2018-2022 ~~. numbers of hospital admissions for head injury among residents of Suffolk County in financial years 2015/16-2017/18: distribution by broad age band~~ • Data for topic paper on Chronic Fatigue Syndrome/ME/MUS . emergency admission rates and A&E attendance rates for all causes among registered patients in Great Yarmouth and Waveney CCG in financial years 2015/16-2017/18: persons of all ages and persons aged 65 years and over • Local figures for miscarriage in hospital (ICD-10 code 003, 000 ectopic pregnancy and 036 intrauterine death). Hospital admissions, Suffolk residents, 2018-20, 2019-21, 2020-22 . emergency admissions and A&E attendances for assault among residents of Suffolk County in financial years 2015/16-2017/18: distributions by age, local authority district and ethnic group, for public health profile on violence in Suffolk County • Total hospital admissions & average length of stays for Suffolk residents in order to project future demand, 2021 ~~. projections of numbers of elective admissions in selected specialties in hospitals in East Suffolk and North East Essex Foundation Trust 2016-41~~ • Number of admissions for violent injury, Suffolk County (Y85 to Y09), 2018-22 ~~. age-standardised hospital admission rates for selected causes in CCGs in Suffolk, East of England and England in financial year 2017/18, for update of State of Suffolk report~~ • Hospital spells by year, SNEE hospitals. Suffolk & NEE residents. Split by delivery or general episode type, 2018 onwards ~~. age-specific hospital admission rates for self-harm in children and young people in Suffolk County in financial years 2012/13-2014/15~~ • Update hospital episode data for Cumulative Impact Areas (alcohol licensing) . numbers and rates of hospital admissions for post-traumatic stress disorder among residents of Suffolk County in financial years 2013/14-2017/18 by broad age band, for inclusion in mental health needs assessment • Number of elective and emergency admissions by LSOA, age group (0-17, 18-64, 65-84, 85+) and ICD-10 code for inclusion in updated Place Based Needs Assessments, 2019/20, 2020/21 and 2021/22 . distribution of patients by numbers of hospital admissions for alcohol-related conditions, drug misuse, obesity and smoking-related conditions in Colchester Hospital, Ipswich Hospital and England in financial years 2015/16-2017/18, persons of all ages, for Healthy Hospitals project • Emergency demand for cardiovascular diseases in Suffolk - UTLA level, 2016-2022 . comparative hospital activity data for alcohol-related conditions at various geographical levels: lower-layer Super Output Area, district, county, region, England as a whole, for a review of a licensing application for an off-licence in Ipswich, February 2019 • Numbers of admissions for falls and hip fractures in Suffolk residents by SUSHRG code (for costing purposes), 2019/20 to 2021/22 ~~. number of non-elective hospital admissions for residents of Suffolk at any NHS hospital to support Better Care Fund (BCF) work.~~ • J45 & J46 (asthma) admissions for CYP 0-9, 10-18 in past 5 years by sex, ethnicity, IMD, 2016-2022 ~~. assessment of number of admissions (elective and emergency) of Suffolk residents aged 65-84 years and 85+ years for causes linked to frailty~~ • Numbers of emergency admissions for falls and hip fractures in Suffolk residents to inform the updated Place Based Needs Assessments, 2016/17 to 2021/22 . number and rate of emergency admissions for various accident types in the home in Suffolk residents aged 0-18 years by selected age bands; to support programme of interventions around preventing unintentional injuries in the home • Part a) A&E admissions by week for SNEE by cause by adults and children; Part b) APC admissions for SNEE by week by cause, 2020/21 to 2022/23 . number and rate of A&E attendances and Emergency Admissions for Ipswich, Colchester and West Suffolk Hospitals by age group (0-17, 18-64, 85-84, 85+), IMD quintile and diagnosis. Also Length of Stay for same geographies and age groups by diagnosis. This analysis of admissions over time enabled Suffolk County Council to see the change in caseload over time by site, age, deprivation and diagnosis. Suffolk County Council used the resulting rates to project demand into the future. • Hospital admissions for asthma in children in Suffolk, by LSOA, financial year, sex, ethnicity and age groups (0-9, 10-18 and 19 and above), 2017/18 to 2021/22 . emergency hospital admissions for asthma among 0-19 year olds in Suffolk. Customer interested in breakdowns by quarter (at Suffolk County level), age group (5-13 years), and geography (CCG registered in; and hospital).This supported a programme of work attempting to reduce emergency admissions for asthma among children and young people. • Hospital admissions for drugs and alcohol by a) hospital site and b) districts. B) also by demographic characteristics, 2017/18 to 2021/22 ~~. number and rate of admissions for pelvic inflammatory disease and ectopic pregnancies, aggregated to local Integrated Neighbourhood Team level to support Sexual Health transformation.~~ • Admissions for necrotising fasciitis (M72.6) following two deaths noted at Colchester Hospital in last 6 months, 2017/18 to 2022/23 . Hospital admissions relating to prematurity/congenital abnormality/syndromes by financial year and provider, to inform forward planning for children with additional needs who may require additional support from the local authority. • Numbers of admissions for falls and hip fractures in Waveney residents by SUSHRG code (for costing purposes), 2019/20 to 2021/22 . Longitudinal analysis of hospital admissions for a surgical procedure by age band, admission type and deprivation quintile. This supported a particular piece of work with the local Acute NHS Trust about the anticipated future demand for surgical procedures. • Emergency admissions rates for respiratory diseases over the winters of 2019/20 to 2022/23 by demographic characteristics, geographic areas and IMD deciles to inform future planning within the Suffolk and North East Essex ICB • Paracetamol overdoses in in young people, • All admissions for females aged 15+ by LSOA in Suffolk from all causes, also for ICB areas in SNEE, primary diagnosis code. Ethnicity for project relating to national Women’s Health Strategy, 2019 to 2022 • Total admissions by specialty and year, as well as future projections, 2019/20 to 2022/23

Unchanged: Expected measurable benefits.

DARS-NIC-10932-H7Y6B-v10.2 1 April 2021 to 31 March 2024

Title: LAPH HES via NHS Digital Portal
Commercial: No
Sublicensing: No
Datasets: 5
Files released: 0

What changed from DARS-NIC-10932-H7Y6B-v9.5

Text removed is ~~struck through~~; text added is underlined. Unchanged paragraphs are summarised rather than repeated.

Fields changed from DARS-NIC-10932-H7Y6B-v9.5
Field	Was	Became
End date	~~2024-02-29~~	2024-03-31

Unchanged: Objective for processing, Processing activities, Expected output, Expected measurable benefits, Benefits reported.

Objective for processing

The Health Episode Statistics (HES) Data accessed through the NHS Digital Portal will be used by the Local Authorities in fulfilment of its public health function, specifically to support and improve: