LBH Adult Social Care linkage

Project Summary

The aim of the project is to link primary care and secondary care data to adult social care records on an individual level to understand the prevalence of multimorbidity and healthcare usage among those people with short and long term social care packages in order to target potential interventions such as digital CBT promoted through social services.  Linking at individual level and aggregating to larger geographies and/or population groups allows an accurate picture of health care needs of social care clients and future system pressures. One can also potentially identify areas or groups at risk of needing more intensive health and social care input in the future with the aim of putting in preventative measures (eg digital CBT or other social prescribing). The data may also identify areas where high levels of need lead to patient pathways that result in high levels of utilisation and adverse outcomes or where there is a mismatch between utilisation and need.

Project population

All patients currently registered, left or died on 1st April 2017 registered at a GP in Newham, Tower Hamlets, Waltham Forest and City & Hackney localities within North East London ICB, and Homerton and Barts Health Hospital trusts, with a matched NHS number from MOSAIC social care database who are resident in Hackney and the City of London (defined by LSOA2011).

Project cohort

All patients currently registered, left or died on 1st April 2017 with matched NHS number from MOSAIC social care database who are resident in Hackney and the City of London (defined by LSOA2011)

Project criteria

• Generic primary data
• Long term conditions
• Healthcare use

Data state

Pseudonymised

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