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Version: 1.0.0 | Published: 2 Sep 2026 | Updated: 0 days ago
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London Primary Care Observations (PCO)

Dataset

Summary

Population Size:
11032000
Publication Date:
01 September 2026

Documentation

Description:
Primary Care Observation data is the structured record of coded clinical observations. It forms the backbone of a patient’s longitudinal primary care record and is one of the richest sources of clinical detail available from GP systems. GP Observation data is one of the most clinically rich datasets in UK primary care and is essential for understanding patient health trajectories and improving care quality. The data set includes: 1. Core clinical observations including Diagnoses and problem entries, Test results, Procedure entries, Family history, Template based clinical data, Qualifiers (e.g., severity), Episodicity (new, ongoing, resolved). 2. Measurement and numeric data such as Blood pressure, BMI, peak flow, blood tests, etc. OR Numeric values with ranges and units OR Flags for abnormal results. 3. Metadata and context including: - Effective date of the observation - Consultation context (e.g., face to face, telephone) - Organisation and patient identifiers - Sensitivity/confidentiality flags - Data lineage timestamps It excludes Allergies, Immunisations and Referrals. Researchers would find the below most important or relevant when using Primary Care Observations: 1. Longitudinal clinical trajectories: due to observations including diagnoses, measurements, and test results over time, researchers can study: - Disease progression - Impact of interventions - Chronic condition management - Early warning signs for deterioration 2. Population health insights Observation data supports Prevalence studies, Risk stratification, Identification of multimorbidity patterns, Monitoring of long term conditions (e.g., diabetes, hypertension). 3. Quality and safety improvement - Researchers can analyse: - Abnormal test result follow up - Recording completeness - Variation in coding practices - Timeliness of clinical reviews 4. Inequalities and access Demographic linked observations allow: - Analysis of variation in diagnosis rates - Differences in monitoring frequency - Identification of underserved groups 5. Predictive modelling and AI Rich numeric and coded data make observations ideal for: - Risk prediction models - Early detection algorithms - Personalised care analytics 6. Linking to other datasets Observation data can be linked to GP Appointments, Prescribing datasets, Hospital data (SUS). This enables whole pathway research across primary and secondary care. Using GP Observation data, researchers can: - Improve chronic disease management through better monitoring insights - Identify gaps in care such as missed follow ups or abnormal results - Strengthen early intervention by analysing risk markers - Reduce inequalities by understanding variation in diagnosis and monitoring - Support personalised care with detailed longitudinal clinical profiles.
In Pipeline:
Available

Coverage

Spatial:
  • United Kingdom
  • England
  • London
Typical Age Range Min:
0
Typical Age Range Max:
150
Material Type:
None/not available
Follow Up:
> 10 Years
Pathway:
This dataset contains all Primary Care Observations for London patients. Each patient will be identified using an unique patient key, this can be used to link to other London SDE datasets that will help track the patient pathway.

Provenance

Origin

Purpose:
  • Administrative
  • Care
  • Other
Dataset Type:
  • Health and disease
  • Treatments/Interventions
Dataset Sub-Type:
  • Others
  • Others
Source:
EPR
Collection Source:
Primary care - Clinic
Image Contrast:
No

Temporal

Publishing Frequency:
Monthly
Distribution Release Date:
01 September 2026
Start Date:
01 April 2000
Time Lag:
1-2 weeks

Accessibility

Access

Access Rights:
London Secure Data Environment Enquiry Form
Access Service Category:
TRE/SDE
Access Service:
Researchers will have access to a secure workspace via an airlocked Azure Virtual Desktop with a specific username and password, MFA (multi-factor authentication) and OAUTH (open authentication). Researchers will get specific access to a relevant subset of the datasets that are present in the SDE catalogue for their project and will be able to carry out their research within the safe haven. There are restrictions applied which prevent the researchers from taking data out of the safe haven. Once the research is completed the London SDE admin team will need to be contacted for any requests to egress summary analysis out of the safe haven which will not breach secure data environment disclosure control standards.
Access Request Cost:
Access costs will be determined on a project-by-project basis and will depend on the specific data requirements, platform setup, and any additional services needed to deliver the project successfully.
Delivery Lead Time:
1-2 months
Data Controller:
Participating London health care organisations act as Joint Data Controllers within the London SDE. These organisations include for example GP Practices and Acute Providers from across London.
Data Processor:
The data processor for the London Secure Data Environment (SDE) is primarily managed by OneLondon, a partnership of London's five integrated care systems (ICSs) and three health innovation networks. NHS North East London ICB hosts OneLondon and operates the London Data Service (LDS) as a data processor on behalf of those organisations, whilst Imperial College Healthcare NHS Trust hosts the London Analytics Platform (LAP), with Imperial NHS Trust acting as the data processor for data processing activities undertaken within the platform.
Jurisdiction:
United Kingdom of Great Britain and Northern Ireland

Usage

Data Use Limitation:
No restriction
Data Use Requirements:
  • Collaboration required
  • Institution-specific restrictions
  • Project-specific restrictions
  • Time limit on use
  • User-specific restriction
Resource Creator:
London SDE

Format and Standards

Vocabulary Encoding Scheme:
  • NHS NATIONAL CODES
  • LOCAL
  • SNOMED CT
Conforms To:
  • NHS DATA DICTIONARY
  • LOCAL
Language:
English
Format:
Text

Linkable Datasets

PID
Title
URL
Each patient will be identified by an unique patient key that can be used to link to all other datasets available within London SDE Platform

Observations

Statistical Population
Population Description
Population Size
Measured Property
Observation Date
Events
7462119139
Count
02 September 2026
Persons
Distinct Patient Count
11032000
Count
02 September 2026