There is increasing demand on urgent and emergency healthcare services, with rising presentations to hospital Emergency Departments. This has led to overcrowding in acute care services, long delays and poor outcomes for patients. Most patients requiring hospital-led care require review by general and acute internal medical teams. Annual benchmarking audits by the Society for Acute Medicine suggest performance against key quality indicators is deteriorating. New care models are needed to improve care, a priority highlighted by the NHS Long Term plan.

To help address this, PIONEER has curated a highly granular dataset of 35,419 Acute medical unit (AMU) spells. The data includes demography, serial physiology, acuity assessments, initial presentation, presenting symptoms, standard and non-standard Blood tests, Imaging, Ward locations and outcomes. The current dataset includes admissions from 01-01-2023 to 31-12-2023 but can be expanded to assess other timelines of interest.

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.