NHS Somerset CCG: Risk stratification is a tool for identifying and predicting which patients are at high risk or are likely to be at high risk and prioritising the management of their care in order

Data-sharing agreement from NHS Digital registers of approved data releases, 2014–2019. Evidence status: source reported.

Organisation: NHS Somerset CCG
Source reference: DARS-NIC-226549-V6R5F-v0.2
Jurisdiction: England
Licence: Open Government Licence v3.0, subject to NHS England terms and exclusions

Register reference: DARS-NIC-226549-V6R5F-v0.2
Agreement period: not published to no end date published
For commercial purposes (as marked in the register): Not stated
Release files listed by NHS England: 22

Data approved

Children and Young People Health
Improving Access to Psychological Therapies Data Set
Experience, Quality and Outcomes-Local Provider Flows
Population Data-Local Provider Flows
Acute-Local Provider Flows
Maternity Services Data Set
Community Services Data Set
Primary Care Services-Local Provider Flows
Ambulance-Local Provider Flows
Community-Local Provider Flows
Mental Health and Learning Disabilities Data Set
Public Health and Screening Services-Local Provider Flows
Demand for Service-Local Provider Flows
Mental Health Minimum Data Set
SUS for Commissioners
Diagnostic Imaging Dataset
Mental Health Services Data Set
Diagnostic Services-Local Provider Flows
Mental Health-Local Provider Flows
Emergency Care-Local Provider Flows
Other Not Elsewhere Classified (NEC)-Local Provider Flows

Objective, as published

Risk stratification is a tool for identifying and predicting which patients are at high risk or are likely to be at high risk and prioritising the management of their care in order to prevent worse outcomes. To conduct risk stratification Secondary User Services (SUS+) data, identifiable at the level of NHS number is linked with Primary Care data (from GPs) and an algorithm is applied to produce risk scores. Risk Stratification provides focus for future demands by enabling commissioners to prepare plans for patients. Commissioners can then prepare plans for patients who may require high levels of care. Risk Stratification also enables General Practitioners (GPs) to better target intervention in Primary Care. The legal basis is as follows: For dissemination - Section 251 of NHS Act 2006 CAG 7-04(a) - Section 261(7) of Health and Social Care Act 2012. GDPR: - Article 6(1)(e) - Article 9(2)(h) - Article 9(3) - Section 11 Data Protection Act 2018 Risk Stratification will be conducted by Prescribing Services Limited

Expected benefits, as published

Risk stratification promotes improved case management in primary care and will lead to the following benefits being realised: 1. Improved planning by better understanding patient flows through the healthcare system, thus allowing commissioners to design appropriate pathways to improve patient flow and allowing commissioners to identify priorities and identify plans to address these. 2. Improved quality of services through reduced emergency readmissions, especially avoidable emergency admissions. This is achieved through mapping of frequent users of emergency services thus allowing early intervention. 3. Improved access to services by identifying which services may be in demand but have poor access, and from this identify areas where improvement is required. 4. Supports the commissioner to…

Source: https://webarchive.nationalarchives.gov.uk/ukgwa/2019/https://digital.nhs.uk/binaries/content/assets/website-assets/services/dars/release-registers/releaseregister20190301_20190331.xlsx. Captured 2026-10-30.

Limitations: Agreement as recorded in an NHS Digital register of approved data releases (2014–2019), retrieved from the UK Government Web Archive. That register lists releases made in its period and the agreement's purpose statement as it then stood; it gives no agreement dates, and the agreement may have changed since. Imported only where a paper quotes a reference no current register holds.