To gain a better insight into residents’ health and wellbeing, unique property reference numbers (UPRNs) from GeoPlace are used to understand how different issues are linked within the Kent Integrated Dataset (KID).
Kent County Council and the clinical commissioning groups for Kent and Medway wanted to link matching records for analytical purposes, data visualisation and an in-depth understanding of where resources are needed. KID brings together pseudonymised data from hundreds of local health and care providers.
Datasets from hundreds of local health and care provider organisations flow into a local data warehouse which is the deemed ‘third party data processor’. The KID contains three types of data:
Governance of the KID is through a local data partnership between Kent County Council Public Health and Kent and Medway Clinical Commissioning Groups. The work evolved from Kent’s participation into national integration programmes over the last four years. Data is routinely accessed by Kent County Council’s Public Health Intelligence for population health analytics purposes.
To strengthen the understanding of how different issues are linked, KID is making increasing use of UPRNs as a link between datasets at household level, and NHS numbers to link data at person level. The UPRN is the ‘golden thread’ that enables addresses to be easily referenced against each other, linking information held in one system to another.
Identifies patterns and focuses on prevention through risk profiling
Along with the NHS number, the UPRN provides a linkage point for the patient population data within KID. This makes it possible to identify where data from different sources relates to an address, and thereby begins to identify any patterns, without revealing the identities of the relevant individuals. This is especially important given the data protection considerations when accessing and analysing person level datasets to assess population health risks and inequalities in health and care provision. It is particular useful for planning Fire Authority Safe and Well visits to improve health and wellbeing, reduce social isolation and risk of unintentional injuries in the frail or elderly, and analyse household type and its relationship between emergency admissions and mental health referrals from the police.
Provides insight from both a geographical and a population needs perspective
Much of Kent’s health care information is based around a location. By adding a single field containing the UPRN, it is possible to link matching records in different databases for analytical purposes. In the case of long-term residential care, the UPRN is helping to accurately identify care homes and their residents, including self-funders for county council commissioning and planning purposes. It also helps to quantify the extent of an issue locally, such as social isolation, by using local data rather than relying on high level national estimates which may not reflect local variation and context.
Enables visualisation of data to better plan and target resources
The ability to bring datasets together geographically enables planners to visualise where things are in the real world, which is vital when trying to understand where resources need to be deployed. By developing robust samples of families with single and multiple vulnerabilities, such as single parents, teenage parents, mental health issues and learning disabilities, needs can be modelled to meet current and future demand.