Linking Social Care, Housing & Health Data (Pilot Project)
Metadata (Draft)
Section 1: Overview
The linked datasets which are provided to analysts in the safe haven are stored
separately, but can be linked together using a common unique reference number
(Project ID). This is primarily due to the complexity of linking multiple datasets.
A number of derived datasets and variables were created. These included:
 Demographics dataset – includes geography variables
 Flags dataset – to enable analysis can be carried out on specific cohorts of
interest (eg individuals with mental health problems, individuals with multiple
emergency admissions and a diagnosis of dementia).
Health Data
Client Data
Health episode data for
2010/11 from SMR01 &
SMR04
Demographics
Data
Social Care Data
Project ID
Four separate datasets
containing Home care
and Direct Payments
data for 2010 and 2011
allows data to
be linked
across all
datasets
Prescribing Data
Demographics &
deaths data for all
clients
Flags Data
Service contacts for
all clients across all
datasets
Dataset containing
counts of items
dispensed in 2010/11
Once we have demonstrated initial analysis to the Privacy Advisory Committee then
hopefully we will get approval to use 2011/12, 2012/13 data.
Can also request to bring in other datasets depending on research e.g. Scottish Care
Home Census, further prescribing data.
Section 2: Home care
Full home care census data specifications and guidance (2010-2012):
http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/HomeCareCensus
Home care - Codes for variables
Variable
Local Authority
Ethnic group
Client group
Code
100 – Aberdeen City
110 – Aberdeenshire
120 – Angus
130 – Argyll & Bute
150 – Clackmannanshire
170 – Dumfries & Galloway
180 – Dundee City
190 – East Ayrshire
200 – East Dunbartonshire
210 – East Lothian
220 – East Renfrewshire
230 – Edinburgh, City of
235 – Eilean Siar
240 – Falkirk
250 – Fife
260 – Glasgow City
270 – Highland
280 – Inverclyde
290 – Midlothian
300 – Moray
310 – North Ayrshire
320 – North Lanarkshire
330 – Orkney Islands
340 – Perth & Kinross
350 – Renfrewshire
355 – Scottish Borders
360 – Shetland Islands
370 – South Ayrshire
380 – South Lanarkshire
390 – Stirling
395 – West Dunbartonshire
400 – West Lothian
White
Mixed or multiple ethnic groups
Asian, Asian Scottish or Asian British
African, Caribbean or Black
Other Ethnic Background
Not Disclosed
Not Known
Dementia
Mental Health Problems
Learning Disability
Physical Disability
Living alone
Mainstream Housing
Housing Support
Meals on wheels
Frozen Meals
Shopping
Laundry
IoRN score
Community Alarm
Other Telecare
Addiction
Palliative care
Carer’s
Problems arising from infirmity due to age
Other vulnerable groups
Not Known
Client lives alone
Other
Not known
Client lives in mainstream housing
Client lives in supported housing
Other
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
A
B
C
D
E
F
G
H
I
Yes
No
Yes
No
Section 3: Self-Directed Support
Full Self-Directed Support (Direct Payments) data specifications and guidance
(2009/2010-2011/2012):
http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/SelfDirectedSupportcens
us
Self-Directed Support – Codes for variables
Variable
Local Authority
Ethnic group
Client group
Code
100 – Aberdeen City
110 – Aberdeenshire
120 – Angus
130 – Argyll & Bute
150 – Clackmannanshire
170 – Dumfries & Galloway
180 – Dundee City
190 – East Ayrshire
200 – East Dunbartonshire
210 – East Lothian
220 – East Renfrewshire
230 – Edinburgh, City of
235 – Eilean Siar
240 – Falkirk
250 – Fife
260 – Glasgow City
270 – Highland
280 – Inverclyde
290 – Midlothian
300 – Moray
310 – North Ayrshire
320 – North Lanarkshire
330 – Orkney Islands
340 – Perth & Kinross
350 – Renfrewshire
355 – Scottish Borders
360 – Shetland Islands
370 – South Ayrshire
380 – South Lanarkshire
390 – Stirling
395 – West Dunbartonshire
400 – West Lothian
White
Mixed or multiple ethnic groups
Asian, Asian Scottish or Asian British
African, Caribbean or Black
Other Ethnic Background
Not Disclosed
Not Known
Dementia
Contributors to care package – Social Work
Contributors to care package - Housing
Contributors to care package – Independent Living
Contributors to care package – Health
Contributors to care package – Client
Contributors to care package – other
Contributors to care package – Not known
Type of Direct Payment provision – Personal care
Type of Direct Payment provision – health care
Type of Direct Payment provision – Domestic tasks
Type of Direct Payment provision – Housing support
Type of Direct Payment provision –
Social/education/Recreation
Type of Direct Payment provision – Equipment &
temporary adaptations
Type of Direct Payment provision – Respite
Type of Direct Payment provision – Other
Type of Direct Payment provision – Not known
Type of care delivery – PA Contract
Type of care delivery – Service Provider
Type of care delivery – Other
Type of care delivery – Not known
Mental Health Problems
Learning Disability
Physical Disability
Addiction
Palliative care
Carer’s
Problems arising from infirmity due to age
Other vulnerable groups
Not Known
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Section 4: Social Care Survey
Full Social Care Survey data specifications and guidance (2012/2013 present):
http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/SocialCarecensus
Section 5: Scottish Care Home Census
Full Scottish Care home Census data specifications and guidance (2012/13 –
present)
http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/ScottishCareHomeCens
usB
Section 6: SMR01 – Inpatient and Daycase Hospital admissions
http://www.adls.ac.uk/find-administrative-data/introduction-to-nhs-scotland/
SMR01 – Codes for variables
Variable
Date of admission
Code
Date of discharge
Continuous inpatient stay
Episode record key
Ethnic group
Date CCYYMMDD
001-999
001-999
00 = White
01 = Black Caribbean
02 = Black African
03 = Black Other
04 = Indian
05 = Pakistani
06 = Bangladeshi
07 = Chinese
08 = Other ethnic group
09 = Not known
10 = Refused
Institution code where episode took place. A unique five-character
code, made up of an alpha-prefix usually referring to a health
board, followed by a three-digit serial number and ending with an
alpha-suffix for type of location (ANNNA). A full list of codes is
available here : http://www.isdscotland.org/isd/1608.html
Specialty where this episode took place. A full list of codes is
available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1798.html
Type of clinical facility which is identified for clinical and/or costing
purposes. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/2187.html
Inpatient Admission – This is categorised as an emergency, urgent
or routine. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1772.html
General Reason for inpatient or day case admission. A full list of
codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/9796.html &
http://www.datadictionaryadmin.scot.nhs.uk/isddd/9800.html
Source of admission or type of location from which patient has
been admitted. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1971.html
Five digit alpha-numeric code (ANNNA). A full list of codes is
available here : http://www.isdscotland.org/isd/1608.html
Indicates whether a discharge from an inpatient or day case
episode is regular, irregular or as a result of the patients death. A
full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1807.html
Type of location to which a patient is discharged or transferred
following an episode of care. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1855.html
Five digit alpha-numeric code (ANNNA). A full list of codes is
available here : http://www.isdscotland.org/isd/1608.html
This item should be seen as describing the main medical (or
social) condition managed/investigated during the patient’s stay.
Full list of ICD10 code used to identify each diagnosis can be
Location
Speciality
Significant facility
Admission type
Admission reason
Admission/transfer from
Admission/transfer from - location
Discharge type
Discharge/transfer to
Discharge/transfer to-location
Main condition (Diagnosis 1)
Date CCYYMMDD
Other condition 1
Other condition 2
Other condition 3
Other condition 4
Other condition 5
Main operation - A
Main operation - B
Other operation 1 - A
Other operation 1 - B
Other operation 2 - A
Other operation 2 - B
Other operation 3 - A
Other operation 3 - B
Inpatient/day case marker
Length of stay
HRG
found here :
http://apps.who.int/classifications/apps/icd/icd10online/
See main condition
See main condition
See main condition
See main condition
See main condition
The main operation (procedure) is that selected by the clinician
responsible for the care of the patient. Part A is used for single
codes or for the primary part of a recognised pair. Full list of
OPCS4 codes used to identify each procedure can be found here :
http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1
937&categoryID=156
Part B is use for Approach, Technique, Site or Laterality codes or
for the supplementary part of a recognised code-pair.
See main operation.
See main operation.
See main operation.
See main operation.
See main operation.
See main operation.
I = Inpatient
D = Day case
Hospital stay in days
A way of grouping healthcare procedures so that a mix of related
individual treatments is taken in to account and common financial
costs attributed. Further information available from :
http://www.ic.nhs.uk/services/the-casemix-service/new-to-thisservice/what-are-healthcare-resource-groups-hrgs
Section 7: SMR04 - Inpatient and Daycase Hospital admissions to
Psychiatric Facilities
http://www.adls.ac.uk/find-administrative-data/introduction-to-nhs-scotland/
SMR04 – Codes for variables
Variable
Date of admission
Date of discharge
Episode record key
Care package identifier
Ethnic group
Location
Speciality
Significant facility
Admission type
Admission reason
Admission/transfer from
Admission/transfer from location
Discharge type
Discharge/transfer to
Discharge/transfer tolocation
Main condition
Other condition 1
Other condition 2
Code
Date CCYYMMDD
Date CCYYMMDD
001-999
00 = White
01 = Black Caribbean
02 = Black African
03 = Black Other
04 = Indian
05 = Pakistani
06 = Bangladeshi
07 = Chinese
08 = Other ethnic group
09 = Not known
10 = Refused
Institution code where episode took place. A unique five-character code, made
up of an alpha-prefix usually referring to a health board, followed by a threedigit serial number and ending with an alpha-suffix for type of location
(ANNNA). A full list of codes is available here :
http://www.isdscotland.org/isd/1608.html
Specialty where this episode took place. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1798.html
Type of clinical facility which is identified for clinical and/or costing purposes. A
full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/2187.html
Mental Health Admission. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/19074.html
General Reason for inpatient or day case admission. A full list of codes is
available here : http://www.datadictionaryadmin.scot.nhs.uk/isddd/9796.html &
http://www.datadictionaryadmin.scot.nhs.uk/isddd/9800.html
Source of admission or type of location from which patient has been admitted.
A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1971.html
Five digit alpha-numeric code (ANNNA). A full list of codes is available here :
http://www.isdscotland.org/isd/1608.html
Indicates whether a discharge from an inpatient or day case episode is regular,
irregular or as a result of the patients death. A full list of codes is available here
: http://www.datadictionaryadmin.scot.nhs.uk/isddd/1807.html
Type of location to which a patient is discharged or transferred following an
episode of care. A full list of codes is available here :
http://www.datadictionaryadmin.scot.nhs.uk/isddd/1855.html
Five digit alpha-numeric code (ANNNA). A full list of codes is available here :
http://www.isdscotland.org/isd/1608.html
This item should be seen as describing the main medical (or social) condition
managed/investigated during the patient’s stay. Full list of ICD10 code used to
identify each diagnosis can be found here :
http://apps.who.int/classifications/apps/icd/icd10online/
See main condition
See main condition
Other condition 3
Other condition 4
Other condition 5
Main operation - A
Main operation - B
Other operation 1 - A
Other operation 1 - B
Other operation 2 - A
Other operation 2 - B
Other operation 3 - A
Other operation 3 - B
Admission – referral from
Previous psychiatric care
Type of psychiatric care
provided
Care plan arrangements
Length of stay
See main condition
See main condition
See main condition
The main operation (procedure) is that selected by the clinician responsible for
the care of the patient. Part A is used for single codes or for the primary part of
a recognised pair. Full list of OPCS4 codes used to identify each procedure
can be found here :
http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categor
yID=156
Part B is use for Approach, Technique, Site or Laterality codes or for the
supplementary part of a recognised code-pair.
See main operation.
See main operation.
See main operation.
See main operation.
See main operation.
See main operation.
Source of the patient's referral on admission to the episode. A full list of codes
is available here : http://www.datadictionaryadmin.scot.nhs.uk/isddd/9448.html
1 = YES - readmitted following break from inpatient care
2 = YES - direct transfer from or within a psychiatric hospital
3 = NO - first admission to any psychiatric hospital
9 = Not Known
1 = Assessment
2 = Cognitive/Behaviour
3 = Crisis Management
4 = Explorative Psychotherapy
5 = Family work
6 = Group work
7 = Medication
8 = Observation only
9 = Other
A = Supportive Psychotherapy
B = Advice
C = Care for Substance Misuse
1=Yes
2=No
Hospital stay in days
Section 8: Prescribing
http://www.adls.ac.uk/find-administrative-data/introduction-to-nhs-scotland/
Extract of prescribing data used in project:
The variables above are the same as initially requested, the change is that there should now be one record per individual for all those who have been
dispensed at least one medication in either quarter (Quarter 1 (Apr-Jun), Quarter 2 (Jul-Sept), Quarter 3 (Oct-Dec) or Quarter 4 (Jan-Mar)) .The individual
drugs variables are to remain a flag (1 Yes, 0 No) for any individuals who are prescribed one of these drugs in 2010/11 (Apr-Mar).