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