LAPH HES via NHS England's Secure Environment

East Riding of Yorkshire Council · Local Authority

In term In term in the September 2026 edition: the latest version runs to 30 June 2029.

Reference: DARS-NIC-80632-R9D6T
Current version: v8.3
Term of current version: 21 April 2026 to 30 June 2029
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

Hospital Episode Statistics (HES) and Emergency Care (ECDS) Data accessed through the NHS England Portal 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) Duty to provide a public health response to licensing applications: Analyses of the data will be used by the Director of Public Health to support their duty under Section 30 of the 2012 Act to provide the Local Authority’s public health response (as the responsible authority under the Licensing Act 2003) 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 can be accessed through the NHS England Portal under this agreement. The data provided would include, the standard non-sensitive HES fields, and a common (across all Local Authorities) pseudo ID to enable admissions to be linked over time.

GDPR 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

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.)

Common Law Duty of Confidentiality:

The Data disseminated under this agreement is not considered confidential under the Health and Social Care 2012 and therefore is not owed a duty of confidence.

Existing DAE users will migrate to NHS England’s Secure Environment.

NHS England’s Controlled Environment is a data storage and access platform that enables approved users to access de-identified data and analytical tools for approved projects. Users must identify themselves via a multi-factor authentication mechanism and are only able to access the datasets detailed within this agreement. Users can request that aggregated outputs are exported from the system following approval by trained NHS England staff. 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.

Processing activities

Access to the pseudonymised HES/ECDS 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.

This application/agreement is for online access to the record level HES/ECDS data 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 Secure Data Environment (SDE) is a data storage and access platform that enables approved users to access de-identified data and analytical tools for approved projects. Users must identify themselves via a multi-factor authentication mechanism and are only able to access the datasets detailed within this agreement. Users can request that aggregated outputs are exported from the system following approval by trained NHS England staff. 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 Public Health 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 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 NHS England 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 Analysis Guide;

7. ensure role-based control access is in place to manage access to the HES/ECDS 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 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;

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/ECDS 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

Access to NHS England datasets, specifically civil registration data (births & deaths) and Hospital Episode Statistics (HES), has been a fundamental cog in the cycle of East Riding’s public health surveillance, planning, and commissioning process.

The data provided to us enables us (via the JSNA process) to quantify need and target inequalities which in turn lead to shaping the design of services and later evaluating the impact. Without these datasets, our ability to provide the evidence highlighting the needs and demands of the population and then react to it, would be significantly compromised.

Examples of our work aided by this specific data includes:

Targeting health inequalities

• Premature mortality (of big killers such as cancer, respiratory and cardiovascular disease) varies considerably across the different communities of the East Riding. With higher rates of premature death continuing to be recorded within our most deprived communities. The gap in outcomes between the most and least deprived continues to be extreme, with life expectancy figures showing 10 years difference between these communities. We can only show this in a timely manner thanks to the civil registration data.

• Equally, ward-level analysis of HES data shows significantly higher emergency admission rates within our most deprived communities which are also most often our coastal communities (e.g. such as Bridlington, Holderness). This data helps reinforce the message that some residents in more deprived areas are continuing to live with poorer health outcomes compared to others living e.g. 20 miles away.

• By continuing to provide this evidence we will help direct commissioners to ensure preventative services are targeted at the right areas.

Assisting other Council Teams

• Intelligence obtained from Civil Registration is helping us assist other directorates within the council with their commissioning intentions, such as using admissions data to help consider the development of pathways for older adults, that might involve falls prevention, MSK, CHD and stroke services. The overall idea would be to reduce avoidable admissions and improve outcomes for older residents.

• Births data helps us collaborate with children’s services to inform configuration of early years offers (e.g. quantifying the numbers of young children coming through to areas where there are greater challenges). We can calculate rates by Children’s Centres areas around general fertility, low birth weights, teenage mothers.

• HES allows us to demonstrate the rate of intentional and unintentional accidents involving children within different communities and their cause.

Strategic alignment with the NHS (ICB & PCNs)

• Our analysis from the civil registration and HES datasets allow us to assist with local health care professionals (such as the ICB and Primary Care Network organisations) with their evidence and their planning. Whilst these organisations hold a wealth of their own data, they addition of aggregated rates from the civil registration and HES datasets allows to form a more complete picture.

• As a team we have assisted local hospitals (such as Goole and Bridlington hospitals) by reviewing how far away local populations are their attending outpatient appointments. This will help review if changes could be made to hospital facilities locally, so more appointments could be undertaken closer to the patients home. This was only possible by having access to the HES data.

• NHS England’s promotion of population health management, which has strengthened collaboration with NHS BI staff by working more closely with ourselves to investigate trends, issues that arise and consider possible pathways and subsequent evaluation.

Policy and Strategy Development

Council and partner strategies that shape the future health and wellbeing of the local population require a firm evidence base from which key themes are derived (based on residents needs) and from then which planning decisions are made. Civil registration and HES data form a key component of this by providing data that is not only up to date but produced in a timely manner.

Datasets on the current version

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

Datasets approved under DARS-NIC-80632-R9D6T-v8.3
Dataset	Type of data	Sensitivity	Frequency	Confidential data
Emergency Care Data Set (ECDS)	Identifiable	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-80632-R9D6T-v8.3 21 April 2026 to 30 June 2029

Title: LAPH HES via NHS England's Secure Environment
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-80632-R9D6T-v7.3

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

Fields changed from DARS-NIC-80632-R9D6T-v7.3
Field	Was	Became
Start date	~~2023-07-21~~	2026-04-21
End date	~~2026-06-30~~	2029-06-30
Emergency Care Data Set (ECDS): type of data	~~Anonymised - ICO Code Compliant~~	Identifiable

Benefits reported

The continuation of having access to the HES/ECDS data via NHS England's Secure Environment in the East Riding of Yorkshire has empowered our Public Health Intelligence team with comprehensive and timely information. This has facilitated evidence-based decision-making and targeted interventions to improve population health outcomes. HES/ECDS data continues to be an essential part of the ongoing creation of the JSNA cycle of products. Examples of this JSNA work has included: Access to NHS England datasets, specifically civil registration data (births & deaths) and Hospital Episode Statistics (HES), has been a fundamental cog in the cycle of East Riding’s public health surveillance, planning, and commissioning process. 1. Epidemiological Surveillance: HES/ECDS data has provided us with a valuable source of information for monitoring and analysing disease patterns and trends. This data has been used to identify and track the occurrence of various diseases and conditions within specific populations. It helps in understanding disease burden, identifying emerging health threats, and planning appropriate interventions. Examples include COVID inpatient monitoring for regular partner outbreak meetings in the East Riding. The data provided to us enables us (via the JSNA process) to quantify need and target inequalities which in turn lead to shaping the design of services and later evaluating the impact. Without these datasets, our ability to provide the evidence highlighting the needs and demands of the population and then react to it, would be significantly compromised. 2. Health Inequalities and Demographics: HES/ECDS data has been used to help identify health inequalities and disparities across different demographic groups. This information has been crucial for designing targeted interventions to address specific health needs and reduce health inequalities. Examples have included asthma emergency admissions along with other core elements of the CORE20Plus5 initiative launched by NHS England. Examples of our work aided by this specific data includes: 3. Health Policy Development: the data has also helped inform the development and evaluation of health policies and strategies, most notably the latest Health and Wellbeing Strategy for the East Riding. It has enabled evidence-based policy development and helps in shaping public health interventions that are responsive to population needs. Targeting health inequalities • Premature mortality (of big killers such as cancer, respiratory and cardiovascular disease) varies considerably across the different communities of the East Riding. With higher rates of premature death continuing to be recorded within our most deprived communities. The gap in outcomes between the most and least deprived continues to be extreme, with life expectancy figures showing 10 years difference between these communities. We can only show this in a timely manner thanks to the civil registration data. • Equally, ward-level analysis of HES data shows significantly higher emergency admission rates within our most deprived communities which are also most often our coastal communities (e.g. such as Bridlington, Holderness). This data helps reinforce the message that some residents in more deprived areas are continuing to live with poorer health outcomes compared to others living e.g. 20 miles away. • By continuing to provide this evidence we will help direct commissioners to ensure preventative services are targeted at the right areas. Assisting other Council Teams • Intelligence obtained from Civil Registration is helping us assist other directorates within the council with their commissioning intentions, such as using admissions data to help consider the development of pathways for older adults, that might involve falls prevention, MSK, CHD and stroke services. The overall idea would be to reduce avoidable admissions and improve outcomes for older residents. • Births data helps us collaborate with children’s services to inform configuration of early years offers (e.g. quantifying the numbers of young children coming through to areas where there are greater challenges). We can calculate rates by Children’s Centres areas around general fertility, low birth weights, teenage mothers. • HES allows us to demonstrate the rate of intentional and unintentional accidents involving children within different communities and their cause. Strategic alignment with the NHS (ICB & PCNs) • Our analysis from the civil registration and HES datasets allow us to assist with local health care professionals (such as the ICB and Primary Care Network organisations) with their evidence and their planning. Whilst these organisations hold a wealth of their own data, they addition of aggregated rates from the civil registration and HES datasets allows to form a more complete picture. • As a team we have assisted local hospitals (such as Goole and Bridlington hospitals) by reviewing how far away local populations are their attending outpatient appointments. This will help review if changes could be made to hospital facilities locally, so more appointments could be undertaken closer to the patients home. This was only possible by having access to the HES data. • NHS England’s promotion of population health management, which has strengthened collaboration with NHS BI staff by working more closely with ourselves to investigate trends, issues that arise and consider possible pathways and subsequent evaluation. Policy and Strategy Development Council and partner strategies that shape the future health and wellbeing of the local population require a firm evidence base from which key themes are derived (based on residents needs) and from then which planning decisions are made. Civil registration and HES data form a key component of this by providing data that is not only up to date but produced in a timely manner.

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

DARS-NIC-80632-R9D6T-v7.3 21 July 2023 to 30 June 2026

Title: LAPH HES via NHS England's Secure Environment
Commercial: No
Sublicensing: No
Datasets: 5
Files released: 0

What changed from DARS-NIC-80632-R9D6T-v6.2

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

Fields changed from DARS-NIC-80632-R9D6T-v6.2
Field	Was	Became
Title	~~LAPH HES via NHS Digital Portal~~	LAPH HES via NHS England's Secure Environment
Start date	~~2021-04-01~~	2023-07-21
End date	~~2023-06-30~~	2026-06-30
Emergency Care Data Set (ECDS): legal basis	~~Health and Social Care Act 2012 – s261(2)(b)(ii)~~	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)(b)(ii)~~	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)(b)(ii)~~	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)(b)(ii)~~	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)(b)(ii)~~	Health and Social Care Act 2012 – s261(2)(a)

Objective for processing

~~The Health~~ Hospital Episode Statistics (HES) and Emergency Care (ECDS) Data accessed through the NHS ~~Digital~~ England Portal will be used by the Local ~~Authorities~~ Authority in fulfilment of its public health function, specifically to support and improve: [3 paragraphs unchanged] 4. the local focus, ~~responsiveness~~ responsiveness, and timeliness of health impact assessments; and, among other benefits [9 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; [4 paragraphs unchanged] g) ~~Public Health responses on behalf of the Local Authority~~ Duty to provide a public health response to licensing ~~applications and other statutory Local Authority functions requiring public health input:~~ applications: 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~~ 2012 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)~~ 2003) to licensing applications. [2 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 can be accessed through the NHS ~~Digital Portal.~~ England Portal under this agreement. The data provided would include, the standard non-sensitive HES fields, and a common (across all Local Authorities) ~~TokenID~~ pseudo ID to enable admissions to be linked over time. GDPR 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 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.) Common Law Duty of Confidentiality: The Data disseminated under this agreement is not considered confidential under the Health and Social Care 2012 and therefore is not owed a duty of confidence. Existing DAE users will migrate to NHS England’s Secure Environment. NHS England’s Controlled Environment is a data storage and access platform that enables approved users to access de-identified data and analytical tools for approved projects. Users must identify themselves via a multi-factor authentication mechanism and are only able to access the datasets detailed within this agreement. Users can request that aggregated outputs are exported from the system following approval by trained NHS England staff. 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.

Processing activities

Access to the ~~Pseudonymised HES~~ pseudonymised HES/ECDS will enable the Local Authority to undertake a wide range of locally-determined [5 words unchanged] 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~~ HES/ECDS data 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 Portal~~ Secure Data Environment (SDE) is a ~~secure method giving~~ data storage and access platform that enables approved users to ~~datasets~~ access de-identified data and ~~associated~~ analytical ~~tools. It is accessed~~ tools for approved projects. Users must identify themselves via a ~~secure~~ multi-factor authentication ~~method to named users. Users~~ mechanism and are only able to access the datasets detailed within this agreement. Users ~~log onto~~ can request that aggregated outputs are exported from 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.~~ system following approval by trained NHS England staff. The access and use of the system is fully ~~auditable~~ auditable, and all users must 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 Public Health ~~Team.~~ 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. [2 paragraphs unchanged] 1. Analyses of disease incidence, ~~prevalence~~ prevalence, and trends: The age, sex, LSOA, ethnic group, Indices of Deprivation and [118 words unchanged] any enquiries into health inequalities requested by the Health and Wellbeing Board. [3 paragraphs unchanged] 1. only use the ~~HES~~ HES/ECDS data for the purposes as outlined in this agreement; 2. comply with the requirements of NHS ~~Digital Code~~ England 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. ensure role-based control access is in place 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 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. ~~East Riding of Yorkshire Council do not currently hold or have access to any other HES record level data~~ [4 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, ~~Public Health England~~ UKHSA and others as appropriate, for example, on the timetable for publishing refreshed JSNAs. All outputs ~~shared outside of the Public Health Team~~ will be of aggregated data with small numbers suppressed in line with the HES Analysis Guide.

Expected measurable benefits

[1 paragraph unchanged] It is recognised that in fulfilling its public health duties using ~~HES~~ HES/ECDS data, the Local Authority will deliver significant benefits. The Local Authority therefore [8 words unchanged] detail on benefits that relate to their local use of the data.

Benefits reported

Benefits included being more informed about specific conditions occurring in the population, which enabled discussion with the relevant public health leads about what the need was in the population. East Riding of Yorkshire Council believe that as they become more familiar with the system over the next 12 months that they will gain more benefits in understanding the population. The continuation of having access to the HES/ECDS data via NHS England's Secure Environment in the East Riding of Yorkshire has empowered our Public Health Intelligence team with comprehensive and timely information. This has facilitated evidence-based decision-making and targeted interventions to improve population health outcomes. HES/ECDS data continues to be an essential part of the ongoing creation of the JSNA cycle of products. Examples of this JSNA work has included: Feb 2021* 1. Epidemiological Surveillance: HES/ECDS data has provided us with a valuable source of information for monitoring and analysing disease patterns and trends. This data has been used to identify and track the occurrence of various diseases and conditions within specific populations. It helps in understanding disease burden, identifying emerging health threats, and planning appropriate interventions. Examples include COVID inpatient monitoring for regular partner outbreak meetings in the East Riding. Having access to the HES data, via the HUE system, has helped East Riding of Yorkshire Council to get instant access to hospital admissions data which is essential to understanding the reasons why are residents get admitted to hospital. It means that trends regarding age, admission reason and length of stay can all be pulled off in minutes to help address questions or support hypotheses. 2. Health Inequalities and Demographics: HES/ECDS data has been used to help identify health inequalities and disparities across different demographic groups. This information has been crucial for designing targeted interventions to address specific health needs and reduce health inequalities. Examples have included asthma emergency admissions along with other core elements of the CORE20Plus5 initiative launched by NHS England. A key part of analysis is to look at inequalities existing within communities (are more emergency admissions being experienced by the most deprived members of society) and this in turn helps inform the development of Joint Strategic Needs Assessment products, the Department of Public Health annual report, health inequalities reports amongst many others. The benefits of continuing to receive the HES data include a number of items, but probably the biggest benefit has been its use in supporting JSNA work (used to evidence base the decisions for commissioned services) and help inform strategic priorities. More specifically the data has been used to help to try and see where the need is regarding issues related to the Integrated Public Health Nursing Service, Drug & Alcohol services, and also for small area service planning based on specific geographies. It is anticipated that knowledge around forecasting and scenario modelling using this data will continue to develop 3. Health Policy Development: the data has also helped inform the development and evaluation of health policies and strategies, most notably the latest Health and Wellbeing Strategy for the East Riding. It has enabled evidence-based policy development and helps in shaping public health interventions that are responsive to population needs.