SystmInsight transforms the data created in SystmOne into meaningful and insightful knowledge.

This data can be used for surveillance, analysis and research projects on an organisational, regional or national scale.

How does SystmInsight work?

SystmInsight utilises the data held on electronic patient records on the SystmOne database to provide high quality information that can be used for research, public health surveillance and analytics.

This data comes from consenting healthcare services using SystmOne, SystmOnline or SystmConnect, who can choose to support innovative healthcare research. The data is then automatically drawn and de-identified before it is stored on the SystmInsight database.

In the UK, SystmOne, SystmOnline and SystmConnect are used by 5,000 healthcare services in more than 24 different healthcare settings. This means that the SystmInsight database contains vital clinical and administrative data from across the healthcare sector.

TPP’s centralised database is already one of the largest clinical databases in the world. With the continued growth in the use of SystmOne, SystmOnline and SystmConnect, the SystmInsight database has the potential to become the largest clinical research database.

Ultimately, SystmInsight aims to support transformation in the understanding of clinical care to facilitate improved patient outcomes and delivery of healthcare services.

What has SystmInsight facilitated?

One of the projects enabled by SystmInsight is ResearchOne which is a joint partnership between TPP and the University of Leeds. ResearchOne supplies de-identified patient data from the SystmOne record for use in approved research projects. All healthcare services are now able to ‘opt-in’ to use their data for research.

ResearchOne is run as a not-for-profit enterprise. Their aim is to provide world class researchers with access to quality data. This drives health and care innovation, delivering high impact results across the NHS.

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Monitoring national symptoms

Public Health England (PHE) are using data collected from SystmOne General Practices to monitor national symptoms. This data helps to predict outbreaks of serious diseases, such as tuberculosis, as well as potential E-Coli contaminations. Data is collected daily, analysed and interpreted to enable the early identification of potential health threats.

Aggregated surveillance level is supplied to PHE from SystmOne General Practices on a daily basis. This allows PHE to monitor symptoms across the country and keep up to date with changing trends.

Data is used to monitor disease within patient demographic groups as well as across geographical areas of the country. This helps gauge disease prevalence and trends on both a local and national scale, helping to detect and contain outbreaks and target the provisions available to patients.

Frailty index

A frailty index has being developed for elderly people based on routinely-collected primary care data. This work is being done in collaboration with the University of Leeds, NHS Bradford Foundation Trust and the National Clinical Director for the Frail Elderly at NHS England.

Failure to identify frailty potentially exposes elderly patients to interventions which may not benefit their care and actually may be harmful.

The frailty score is based on data already recorded on SystmOne. This has enabled a score to be developed for the entire population without the need to perform a specific frailty assessment for elderly patients as part of face-to-face consultation.

The score can be used to inform almost all clinical decisions and introduce prevention methods. For example, it allows for longer appointments to be booked for the more frail patients, accounting for the length of time it takes to get these patients to the consultation room. This index is also important for the wider health economy to avoid intense, costly treatments for severely frail elderly patients without compromising quality of care.

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