A highly granular dataset of 49,785 Chest pain admissions for patients calling West Midlands Ambulance Service or presenting directly to hospital, curated by the NIHR Applied Research Collaborative West Midlands Acute Theme in collaboration with PIONEER. The data includes demography, serial physiology, assessments, diagnostic codes (ICD-10 & SNOMED-CT), initial presentation, presenting symptoms, West Midlands Ambulance Service (WMAS) data (conveyed/non conveyed), procedures (OPCS4 & SNOMED-CT), Imaging, Prescriptions, Ward locations and outcomes. The current dataset includes admissions from 01-04-2023 to 01-04-2024 but can be expanded to assess other timelines of interest. WMAS data provides information relating to categorisation of call, time from call to conveyance (if applicable), assessments and interventions prior to arrival at hospital. This has been linked to secondary care electronic health record data.

​​Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. The West Midlands Ambulance Service (WMAS) covers this entire area. This dataset is linked to University Hospitals Birmingham NHS Foundation Trust (UHB) data on an individual patient basis. 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. WMAS and UHB both run a fully electronic healthcare record (EHR).

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.