LAPH Standard Extract

In term In term in the September 2026 edition: the latest version runs to 19 October 2029.

Reference: DARS-NIC-18089-C7M8J
Current version: v9.2
Term of current version: 19 August 2026 to 19 October 2029
Start date: Before 1 April 2019
Data controller: Sole Data Controller
Commercial purposes: No
Sublicensing: No
Files released to date: 553

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 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 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.

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, 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

May 2026

Benefits to date include:

• Being able to access this data enables the Local Authority to take crucial measurements in the Public Health Outcomes Framework that are available at an LA level and investigate in a much fuller way, to find the story within the story. This means being able to look at something like alcohol specific admissions, admissions for dental caries or admissions for respiratory disease for which Torbay has high rates and being able to identify through location, age and sex the areas where Torbay Council need to focus and also to measure any improvement and deterioration within certain cohorts. Without this, Torbay Council would have significantly less idea of exactly where the main issues were.

• Admissions data, particularly in relation to showing the deprivation breakdown of admissions for areas as diverse as alcohol, cardiovascular disease, respiratory disease, eating disorders, self-harm and endometriosis is an underpinning of the Joint Strategic Needs Assessment (JSNA) that is required to be produced for the local Health & Wellbeing Board. The JSNA is a crucial document that shows the overall needs of Torbay and is used as the basis for a wide range of commissioning services. Being able to break data down to ward level also enables us to give a real flavour of the individual needs of each ward for elected representatives and the wider community.

• Analysing local and national levels of planned and unplanned admissions by age, sex, deprivation area (based on LSOA), to see where there are areas of Torbay that are witnessing excessive amounts of unplanned admissions relative to their age structure. This has shown that for a five year period, the rate of unplanned admissions were higher in all Torbay wards when compared to England and also highlighted Torbay wards were the issue was particularly severe, this allows us to co-operate more widely with primary care to highlight the issue within Torbay of high unplanned admissions and whether there might be primary care interventions to be made.

• Analysing admissions to hospital among our younger population for a variety of reasons as part of a larger piece of work looking at children with special educational needs in Torbay. This highlighted some of the wider issues in Torbay that provided context to the situation of young people in Torbay in relation to special educational needs. It highlighted particular concerns in particular geographical areas of Torbay, this provided valuable information to commissioners.

• Analysing A&E attendances by chief complaint, diagnosis, location, age and sex to see the level of concentration of A&E attendances in Torbay, to identify vulnerable populations who may be attending in greater numbers than Torbay Council would expect. This information was summarised in a 2 page profile to aid commissioning decisions.

• Information used to identify geographical, age and sex traits of those attending hospital in relation to falls for those aged 65 and over. Enables us to see age, sex and geographical patterns of these admissions over time, also the ability to track the deprivation curve. This information aids the general work and decisions made around frailty within Public Health and our partners.

Datasets on the current version

Legal basis for provision: Health and Social Care Act 2012 – s261(2)(a)

Datasets approved under DARS-NIC-18089-C7M8J-v9.2
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 Accident and Emergency	Anonymised - ICO Code Compliant	Non-Sensitive	One-Off	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	Ongoing	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 553 files released under this agreement, across every version. About opt-outs

No files recorded as released under the current version. 553 were released under earlier versions, shown in the version history.

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-18089-C7M8J-v9.2 19 August 2026 to 19 October 2029 Added this month

Title: LAPH Standard Extract
Commercial: No
Sublicensing: No
Datasets: 8
Files released: 0

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-18089-C7M8J-v8.4

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

Fields changed from DARS-NIC-18089-C7M8J-v8.4
Field	Was	Became
Start date	~~2023-10-20~~	2026-08-19
End date	~~2026-10-19~~	2029-10-19

Objective for processing

The data provided by the Pseudonymised ~~HES/ECDS~~ HES Extract Service will be used by the Local Authority in fulfilment of its public health function, specifically to support and improve: [13 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 Integrated Care Board ~~(ICB)-led~~ (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; [14 paragraphs unchanged] No ~~identifiable~~ Identifiable data ~~can be accessed~~ is requested under this agreement. The data provided would ~~include,~~ include derived demographic and geographic fields, the standard non-sensitive ~~HES/ECDS~~ HES diagnostic and operative fields, and a common (across all Local Authorities) pseudo ID to enable admissions to be linked over time. Legal Basis - ~~GDPR:~~ Common Law Duty of Confidentiality: ~~The lawful basis for processing data under GDPR has been reviewed against the guidance provided by IGARD and been assessed as acceptable. The details are:~~ 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: [6 paragraphs unchanged] ~~Local Authorities~~ [32 paragraphs unchanged] ~~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.~~

Processing activities

The Pseudonymised ~~HES/ECDS~~ HES Extract Service will enable the Local Authority to undertake a wide range [7 words unchanged] 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 [65 words unchanged] Intelligence company providing analysis and intelligence services (whether under formal contract or ~~not) to / or on behalf of the Local Authority.~~ not). [7 paragraphs unchanged] 3. not attempt any record-level linkage of ~~HES/ECDS~~ HES data with other data sets held by the Local Authority, or attempt to identify any individuals from the ~~HES/ECDS~~ HES data; 4. not transfer and disseminate record-level ~~HES/ECDS~~ HES data to anyone outside the Local Authority; 5. not publish the results of any analyses of the ~~HES/ECDS~~ HES data unless safely de-identified in line with the anonymisation standard; and [1 paragraph unchanged] 7. ~~implement~~ ensure role-based control access is in place to manage access to the ~~HES/ECDS~~ HES data within the Local Authority. The Director of Public Health will be the Information Asset Owner for the ~~HES/ECDS~~ HES data and be responsible on behalf of the Local Authority to NHS [39 words unchanged] the permanent role within the Local Authority, accountable to the Chief Executive. [6 paragraphs unchanged] 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. ~~for the purpose of informing the planning, commissioning and provision of effective health and care services at a local level.~~

Expected output

[11 paragraphs unchanged] The specific content of and target dates for these outputs will be [9 words unchanged] required to comply with national guidance published by the Department of Health, ~~UK Health Security Agency (UKHSA)~~ 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.~~ Guide

Expected measurable benefits

Access to the data will enable the Local Authority to undertake locally-focused [55 words unchanged] identified and responded to appropriately by the Local Authority and its partners. ~~This access also allows Torbay Council to undertake analyses across the integrated care system of Devon.~~ It is recognised that in fulfilling its public health duties using ~~HES/ECDS~~ 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

~~October 2023~~ May 2026 [1 paragraph unchanged] • Being able to access this data enables the Local Authority to [29 words unchanged] story. This means being able to look at something like alcohol specific admissions, admissions for dental caries or admissions for respiratory disease for which Torbay has high rates and being able to identify through [27 words unchanged] would have significantly less idea of exactly where the main issues were. • Analysing local and national levels of planned and unplanned admissions by age, sex, deprivation area (based on LSOA), to see where there are areas of Torbay that are witnessing excessive amounts of unplanned admissions relative to their age structure. This has shown that for a five year period, the rate of unplanned admissions were higher in all Torbay wards when compared to England, this allows us to co-operate more widely with primary care to highlight the issue within Torbay of high unplanned admissions and whether there might be primary care interventions to be made. • Admissions data, particularly in relation to showing the deprivation breakdown of admissions for areas as diverse as alcohol, cardiovascular disease, respiratory disease, eating disorders, self-harm and endometriosis is an underpinning of the Joint Strategic Needs Assessment (JSNA) that is required to be produced for the local Health & Wellbeing Board. The JSNA is a crucial document that shows the overall needs of Torbay and is used as the basis for a wide range of commissioning services. Being able to break data down to ward level also enables us to give a real flavour of the individual needs of each ward for elected representatives and the wider community. • Analysing emergency admissions to hospital for extractions caused by dental carries, part of a larger piece of work looking at the provision of dental services in Torbay. This highlighted not only Torbay's high rates but the concentrations of these issue in particular geographies of Torbay, this provides valuable information to commissioners. • Analysing local and national levels of planned and unplanned admissions by age, sex, deprivation area (based on LSOA), to see where there are areas of Torbay that are witnessing excessive amounts of unplanned admissions relative to their age structure. This has shown that for a five year period, the rate of unplanned admissions were higher in all Torbay wards when compared to England and also highlighted Torbay wards were the issue was particularly severe, this allows us to co-operate more widely with primary care to highlight the issue within Torbay of high unplanned admissions and whether there might be primary care interventions to be made. • Analysing A&E attendances by location, age and sex to see the level of concentration of A&E attendances in Torbay, to identify vulnerable populations who may be attending in greater numbers than Torbay Council would expect. • Analysing admissions to hospital among our younger population for a variety of reasons as part of a larger piece of work looking at children with special educational needs in Torbay. This highlighted some of the wider issues in Torbay that provided context to the situation of young people in Torbay in relation to special educational needs. It highlighted particular concerns in particular geographical areas of Torbay, this provided valuable information to commissioners. • Information used to identify geographical, age and sex traits of those attending hospital in relation to self-harm. With regard to self-harm it enables Torbay Council to clarify the number of people being admitted for self-harm rather than simply a count of admissions to ascertain patterns with greater certainty. • Analysing A&E attendances by chief complaint, diagnosis, location, age and sex to see the level of concentration of A&E attendances in Torbay, to identify vulnerable populations who may be attending in greater numbers than Torbay Council would expect. This information was summarised in a 2 page profile to aid commissioning decisions. • Information used to identify geographical, age and sex traits of those attending hospital in relation to falls for those aged 65 and over. Enables us to see age, sex and geographical patterns of these admissions over time, also the ability to track the deprivation curve. This information aids the general work and decisions made around frailty within Public Health and our partners.

DARS-NIC-18089-C7M8J-v8.4 20 October 2023 to 19 October 2026

Title: LAPH Standard Extract
Commercial: No
Sublicensing: No
Datasets: 8
Files released: 142

What changed from DARS-NIC-18089-C7M8J-v7.4

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

Fields changed from DARS-NIC-18089-C7M8J-v7.4
Field	Was	Became
Start date	~~2021-04-01~~	2023-10-20
End date	~~2024-02-29~~	2026-10-19
Emergency Care Data Set (ECDS): legal basis	~~Health and Social Care Act 2012 - s261 - 'Other dissemination of information'~~	Health and Social Care Act 2012 – s261(2)(a)
HES-ID to MPS-ID HES Accident and Emergency: legal basis	~~Health and Social Care Act 2012 - s261 - 'Other dissemination of information'~~	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 - 'Other dissemination of information'~~	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 - 'Other dissemination of information'~~	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 - 'Other dissemination of information'~~	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 - 'Other dissemination of information'~~	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 - 'Other dissemination of information'~~	Health and Social Care Act 2012 – s261(2)(a)
Hospital Episode Statistics Outpatients (HES OP): legal basis	~~Health and Social Care Act 2012 - s261 - 'Other dissemination of information'~~	Health and Social Care Act 2012 – s261(2)(a)

Objective for processing

The data provided by the Pseudonymised ~~HES~~ HES/ECDS Extract Service will be used by the Local ~~Authorities~~ Authority in fulfilment of its public health function, specifically to support and improve: [13 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~~ can be accessed under this ~~application.~~ agreement. The data provided would ~~include derived demographic and geographic fields,~~ include, the standard non-sensitive ~~HES diagnostic and operative~~ HES/ECDS fields, and a common (across all Local Authorities) ~~pseudoHESID~~ pseudo ID to enable admissions to be linked over time. Legal Basis - GDPR: The lawful basis for processing data under GDPR has been reviewed against the guidance provided by IGARD and been assessed as acceptable. The details are: 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 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.) 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.

Processing activities

The Pseudonymised ~~HES~~ HES/ECDS Extract Service will enable the Local Authority to undertake a wide range [14 words unchanged] statutory duties in relation to public health, and wider public health responsibilities. [6 paragraphs unchanged] 1. only use the ~~HES~~ HES/ECDS data for the purposes as outlined in this agreement; 2. comply with the requirements of the ~~HSCIC~~ 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 [1 paragraph unchanged] 7. implement role-based control access to manage access to the ~~HES~~ HES/ECDS data within the Local Authority. 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 ~~the HSCIC~~ NHS 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. [6 paragraphs unchanged]

Expected output

[11 paragraphs unchanged] The specific content of and target dates for these outputs will be [9 words unchanged] required to comply with national guidance published by the Department of Health, ~~Public~~ UK Health ~~England~~ Security Agency (UKHSA) and others as appropriate, for example, on the timetable for publishing refreshed JSNAs. [1 paragraph unchanged]

Expected measurable benefits

Access to the data will enable the Local Authority to undertake locally-focused [55 words unchanged] identified and responded to appropriately by the Local Authority and its partners. This access also allows Torbay Council to undertake analyses across the integrated care system of Devon. It is recognised that in fulfilling its public health duties using ~~HES~~ HES/ECDS data, the Local Authority will deliver significant benefits.

Benefits reported

~~Feb 2021~~ October 2023 [1 paragraph unchanged] • Being able to access this data enables the Local Authority to take crucial measurements in the Public Health Outcomes Framework that are available [69 words unchanged] would have significantly less idea of exactly where the main issues were. • Analysing local and national elective and non-elective admissions for the periods pre-COVID and during COVID by age, sex, deprivation area (based on LSOA), ICD 10 codes to identify level of drop off in admissions and if particular cohorts of individuals were being more affected. This is to give Torbay Council an insight into potential issues that may arise that will affect the services around drugs and alcohol that Torbay Council commission and potential health effects on particular groups in the locality. • Analysing local and national levels of planned and unplanned admissions by age, sex, deprivation area (based on LSOA), to see where there are areas of Torbay that are witnessing excessive amounts of unplanned admissions relative to their age structure. This has shown that for a five year period, the rate of unplanned admissions were higher in all Torbay wards when compared to England, this allows us to co-operate more widely with primary care to highlight the issue within Torbay of high unplanned admissions and whether there might be primary care interventions to be made. • Analysing mental health admissions particularly around self-harm in our younger population, Torbay has a significant issue and Torbay Council are seeking to see some of the effects of local interventions on particular cohorts by age, sex and location. • Analysing emergency admissions to hospital for extractions caused by dental carries, part of a larger piece of work looking at the provision of dental services in Torbay. This highlighted not only Torbay's high rates but the concentrations of these issue in particular geographies of Torbay, this provides valuable information to commissioners. • Analysing A&E attendances ~~throughout COVID~~ by location, age and sex to see the level of concentration of A&E ~~attendance falls~~ attendances in ~~Torbay~~ Torbay, to ~~again~~ identify vulnerable populations who may ~~not~~ be attending in ~~the~~ greater numbers than Torbay Council would expect. • Information used to identify geographical, age and sex traits of those attending hospital in relation to self-harm. With regard to self-harm it enables Torbay Council to clarify the number of people being admitted for self-harm rather than simply a count of admissions to ascertain patterns with greater certainty.

Objective for processing

The data provided by the Pseudonymised HES/ECDS Extract Service will be used by the Local Authority in fulfilment of its public health function, specifically to support and improve: