This Privacy Notice explains how we will process (e.g. collect, use, store, and share) your data as part of the RESURGENT study. We will process any data about you in accordance with this Privacy Notice and with applicable law.
Barts Health NHS Trust, The Royal London Hospital, 80 Newark Street, London, England, E1 2ES
Dr Tom Abbott; Tom.Abbott@nhs.net
Barts Health NHS Trust, 3rd Floor, 9 Prescot Street, Aldgate, London, E1 8PR, 020 7480 4892, firstname.lastname@example.org
The aim of this project is to provide a detailed understanding of the impact of COVID-19 on patients with surgical disease within the NHS. Using routinely collected hospital episode statistics data in England and Wales, the direct (i.e. harm from suffering COVID-19 at the time of surgery) and indirect (i.e. harm from delays to care due to disruption in surgical care) effects of the pandemic will be explored.
Initial data suggest that patients undergoing surgery who have COVID-19 are at very high risk of both pulmonary complications (1 in 2) and death (1 in 4). This is around 20 times the usual risk of death expected amongst patients undergoing surgery. The largest study that generated this data enrolled 1128 patients from 235 hospitals in 24 countries. However, this represents only 484 patients from the UK, so the findings may not be generalisable to NHS patients. In addition, these data were collected at the height of the pandemic and only report outcomes of surgical patients with COVID-19, so they lack reliable (COVID-19 negative) comparator.
During the COVID-19 pandemic, there were rapid changes to care delivery in the NHS to facilitate treatment of the large number of patients suffering COVID-19. This involved cancellation of almost all planned surgery, causing unintended harm by delaying urgent surgery such as cancer treatment.
There is currently no routine national reporting of surgical activity and the true impact of surgery delays on patient survival, which is a concern to both patients and surgeons. This lack of information makes balancing risks and benefits of surgery impossible. Understand the direct effects of COVID-19 infection and the indirect effects of disruption to surgical care will support policymakers to balance these competing concerns.
The following datasets are needed for this project:
We will be specifically reporting:
All outputs will be aggregated in line with NHS Digital guidance and standard statistical disclosure methods. The findings of the project will support decision making at a national, regional, and local level across England, influencing the teams that plan care across the NHS. Only summary/aggregated level data with small numbers suppressed in line with the HES Analysis Guide will be included in the outputs and publications. No data will be used for commercial purposes and only aggregated data will be provided to third parties (e.g. in preparing reports for publication).
The legal basis for processing personal data is performance of a task by a public organisation in the public interest (Article 6(1)e of the Data Protection Act 2018) and for processing special category data is Article 9(2)j of the same, as the purpose is scientific research.
This research is a task in the public interest and as such the lawful basis of access is article 6(1)e of the Data Protection Act 2018. The lawful basis of access to special category data is article 9(2)j given this is scientific research.
Only pseudonymised patient-level data is being used. The categories of personal data being obtained are as follows:
The personal data will only be accessed by named healthcare researchers working directly on the research project.
This is not applicable as data obtained will not be transferred to any third countries or international organisation.
Access to pseudonymised, record level data will be in line with the Data Sharing Agreement, which is anticipated to be three years in line with NHS Digital guidance. Summary outputs will be stored for 20 years following study completion.
All opt-outs reported through the national data opt-outs service will be respected. Barts Health NHS Trust will not apply National Data Opt outs to this pseudonymised data. As data accessed by the study team will be pseudonymised, it will not be possible for the study team to provide access, rectify or erase individuals’ data, such requests should be made directly to NHS Digital.
This is not applicable as no patient recruitment is involved. All national opt-outs will be respected where possible.
Individuals concerned about the use of this data should contact the Data Protection Office at Barts Health NHS Trust in the first instance.
All pseudonymised patient-level data used for the study is held by NHS Digital.
This is not applicable as the source of the data is NHS Digital with no personal data collected directly from the individual it relates to.
No automated decision-making or profiling will be performed using this data.