A highly granular dataset of 16,052 Same day emergency care (SDEC) spells with a focus on care pathways. It includes demography, co-morbidities, presenting symptoms, serial physiology, investigations, and outcomes.

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Emergency care services face increasing pressure. NHS England (NHSE) has prioritised pathways for patients which avoid admission, including Same Day Emergency Care (SDEC) services. The NHS Long Term Plan recommends SDEC assessment for one third of medical attendances.

​Care quality indicators (CQI) include times from arrival to assessment by senior clinical teams. Performance measured against these CQI are impacted by other factors, such as delays in referrals, awaiting investigation results.​ 

PIONEER has curated a highly granular dataset of 16,052 Same day emergency care (SDEC) spells, including not only detailed patient level information, but data about the wider clinical environment on the day of admission.

Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details.

Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.

Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment (TRE) build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.

A framework for GP contract reform to implement The NHS Long Term Plan published in January 2019 which describes significant investment in Primary Care Networks (PCNs) through the Network Contract Directed Enhanced Service (DES). The seventh year of the Network Contract DES began in April 2025. The data provides information to allow effective management of the contract. The indicators are organised into the following areas: • Cancer • Structured medication reviews and medicines optimisation • Tackling health inequalities The data is collected via the General Practice Extraction Service (GPES) monthly and will be published on a monthly basis at GP Practice level. NOTE: .csv files may not open in applications such as Microsoft Excel due to the number of rows included in the dataset. Users may wish to import the file directly into a database, or alternatively use a text editor to split the file for import/use in applications such as Microsoft Excel. To view data quality notices for this publication please navigate to the supporting information which is linked below in the resource links section.

The Pharmacy Quality Scheme (PQS) is a component of the Community Pharmacy Contractual Framework (CPCF). PQS aims to support the delivery of the NHS Long Term Plan by rewarding community pharmacies for meeting quality criteria in three key areas: • Clinical effectiveness • Patient safety • Patient experience The PQS for 2023/24 comprises three quality domains: • Medicines Safety and Optimisation • Prevention • Respiratory The datasets hosted on the Open Data Portal (ODP) relate to these quality domains. Each dataset includes a list of pharmacies eligible for a PQS payment on 1 April 2024. Eligibility is based on pharmacies meeting the gateway criteria and the requirements of at least one quality domain. The datasets provide pharmacies’ responses to the PQS declaration questions as entered in Manage Your Service (MYS). However, not all questions from the declaration are included in the datasets. Each file's accompanying data dictionary outlines the included questions, and all questions from the 2023/24 PQS declaration are available in the document PQS Questions 2023-2024.xlsx. For further information about PQS 2023/24, please contact pharmacysupport@nhsbsa.nhs.uk. Service Overview https://www.nhsbsa.nhs.uk/provider-assurance-pharmaceutical-services/pharmacy-quality-scheme-pqs

Emergency care services face increasing pressure. NHS England (NHSE) has prioritised pathways for patients which avoid admission, including Same Day Emergency Care (SDEC) services. The NHS Long Term Plan recommends SDEC assessment for one third of medical attendances. The impact of these new care models for older adults is as yet unknown, but data from the Society for Acute Medicine suggests older adults may benefit less from these pathways.

​Care quality indicators (CQI) include times from arrival to assessment by senior clinical teams. Performance measured against these CQI are impacted by other factors, such as delays in referrals, awaiting investigation results.​ 

PIONEER has curated a highly granular dataset of 4,617 Same Day Emergency Care (SDEC) spells for patients aged 65 and older. This dataset includes detailed patient-level information such as demography, comorbidities, presenting symptoms, serial physiology, investigations, treatments, and outcomes. Additionally, it provides data on the wider clinical environment on the day of admission, offering valuable insights into the care pathways and systemic factors influencing outcomes for older adults in SDEC settings.

Geography:The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. Data set availability:Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details. Available supplementary data:Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements. Available supplementary support:Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size

A delayed discharge occurs when a patient who is clinically ready for discharge cannot leave hospital because the necessary ongoing care and support or suitable accommodation for them is not yet accessible. The data represent the number of adults occupying an NHS hospital bed, who were 'clinically optimised' ready to return home or move on to the next stage of care, that experienced a delay in their transfer of more than 48 hours beyond the point they were clinically optimised. 'Next stage of care' refers to all destinations outside of NHS hospitals. The figures are a census snapshot of current delays being experienced on a specific day in each month across Wales. They do not reflect the total number of delays that occurred over the month. The data are used to monitor the number of delays, and the reasons for delays, assisting NHS and Local Authority partners to develop regional plans with a focus on outcome based actions to reduce discharge delays across the health system.

IntroductionThe management of minor conditions represents a significant burden for urgent and emergency care services and reduces the capacity to provide specialist care for higher acuity healthcare need. A pilot Digital Minor Illness Service (DMIRS) was commenced in the North East of England in December 2017 to feasibility test the NHS 111 referral to community pharmacy for patients presenting with minor conditions.ObjectivesA formative evaluation of the service activity data and qualitative investigation of stakeholders involved in the service design, management, delivery and use, aims to present and investigate the service outcomes.MethodRoutine service activity data was evaluated during Jan–Dec 2018 to investigate the demographics of patients included in the service; the presenting conditions; and how those referrals were managed by community pharmacies. Semi-structured interviews with NHS 111 call handlers, project team members, community pharmacists and patients were undertaken to investigate the design, management, implementation and delivery of the service.Results13,246 NHS 111 patient calls were referred to community pharmacy during the evaluative period. The most common presenting conditions were acute pain (n = 1144, 8.6%) and cough (n = 887, 6.7%). A large volume of complaints (47.1%, 6233) were resolved in community pharmacy. Stakeholders explained the structured approach to service design, organisation and implementation facilitated successful delivery and management. Patients reported positive experiences with accessing care via DMIRS.ConclusionsDMIRS demonstrated that patients could be referred to community pharmacy for the management of minor conditions, shifting a burden away from urgent and emergency care. The service data provides key information for further optimisation of service design, and stakeholder training and awareness. The service was acceptable and valued by patients. Evidence from the DMIRS pilot has been utilised to inform recent national healthcare policy and practice around the management of minor conditions within the urgent and emergency care setting.