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Homelessness

Luchenski S

Type
Lifestyle Risk Factor
ID
PH344
Version ID
688
Sex
Female, Male
Agreement Date
2019-05-20
Coding system
ICD10 codes Non-standard codes
Tags /Collections
Phenotype Library

Definition

Homelessness is not routinely recorded in hospital care records. We consulted people with lived experience of homelessness and clinical collaborators to produce a set of homeless identifiers including:

  • Those whose address is recorded as ‘no fixed abode’, (NFA)

  • Those who are registered at a known homeless GP practice that exclusively serves those with homelessness problems

  • Those who have a diagnosis that includes the ICD-10 code for homelessness (Z59.0)

Although HES data has undergone cleaning prior to its release by NHS Digital, additional cleaning is necessary to produce a sample ready for analysis. We applied University of York Centre for Health Economics rules for cleaning including:

  1. Drop poorly coded observations

    a. Missing on:

    i. HESID (unique identifier) ii. Epiend (episode end date) iii. Epidur (episode duration)
  2. Drop duplicates – any duplicates across the following variables

    a. HESID (unique identifier), epistart (episode start date), epiorder (episode order), epiend (episode end date), and transit (a variable I derived using the University of York’s code to account for transfers in and out of hospitals that are part of the same admission)

We also applied cleaning rules adapted from the Department of Health report for analysing ‘No Fixed Abode’ (NFA) data:

  1. Drop if age is less than 16yrs for whole cohort

  2. Drop all neonatal diagnoses

  3. Drop pregnancy termination if patient is only coded with NFA and not coded with HGP or Z59.0

We also dropped any FCEs included in the data extract if they were not homeless as per the inclusion criteria (i.e. not NFA, HGP, or Z59.0).

Implementation


Publications

Clinical Code List

Rows: 1
Code Description
Z59.0 Homelessness
Rows: 48
Code Description Date Opened Type Date Closed
B83657 Bevan House Primary Care Centre, Bradford 01/04/1994 Exclusively Specialist GP
B85659 The Whitehouse Centre, Huddersfield 01/08/2001 Exclusively Specialist GP
B86669 York Street Health Practice, Leeds 12/10/1992 Exclusively Specialist GP
C82670 Inclusion Healthcare, Leicester 25/03/2000 Exclusively Specialist GP
D82641 City Reach Health Services, Norwich 15/05/2002 Exclusively Specialist GP
E82666 NURSING FOR THE HOMELESS 01/05/2001 Potential Additional Homeless Practice 30/09/2012
E83666 Homeless Action in Barnet 01/04/1998 Potential Additional Homeless Practice
E84711 HOMELESS PATIENTS 01/03/2002 Potential Additional Homeless Practice 30/09/2012
E84712 CRICKLEWOOD HOMELESS CONCERN 01/05/2002 Potential Additional Homeless Practice 30/09/2012
E85752 PARSONS GREEN CENTRE, HOMELESS TEAM 01/10/2001 Potential Additional Homeless Practice 31/03/2013
E85753 HOMELESS TEAM 01/10/2001 Potential Additional Homeless Practice 30/09/2012
E87772 Great Chapel Street Medical Centre, Central London 01/10/2002 Exclusively Specialist GP
F84632 The Greenhouse, East London 01/04/1974 Exclusively Specialist GP
F84733 Health E1, East London 01/04/1997 Exclusively Specialist GP
F84740 Newham Transitional Practice, East London 04/09/2000 Exclusively Specialist GP
F85709 HOMELESS ACTION IN ENFIELD PCT 01/12/2001 Potential Additional Homeless Practice 31/03/2013
G6715360 Health Inclusion Matters, Watford 01/10/2011 Exclusively Specialist GP
G81689 Arch Healthcare, Brighton 01/04/1998 Exclusively Specialist GP
G82811 HOMELESS AND ROOTLESS CLINIC 01/10/2000 Potential Additional Homeless Practice 30/09/2012
G85731 HOMELESS PATIENTS 01/04/2002 Potential Additional Homeless Practice 31/03/2013
G85733 HOMELESS PATIENTS 01/04/2002 Potential Additional Homeless Practice 31/03/2013
H82642 Health Central Surgery, Worthing 01/01/1998 Exclusively Specialist GP
J82217 Homeless Healthcare Team, Southampton 01/04/2000 Exclusively Specialist GP
K84066 Luther Street Medical Centre, Oxford 01/04/1974 Exclusively Specialist GP
L81661 HOMELESS HEALTHCARE TEAM 01/04/1995 Potential Additional Homeless Practice 30/09/2012
L81662 The Homeless Health Service, Bristol 01/04/1995 Exclusively Specialist GP
L83673 Clock Tower Surgery, Exeter 27/03/2000 Exclusively Specialist GP
N81655 St Werburghs Practice for the Homeless, Chester 01/03/2002 Exclusively Specialist GP
N85646 WIRRAL HOMELESS (SCH) 01/02/2001 Potential Additional Homeless Practice 31/10/2013
NRV04 The Gate Surgery, Rotherham 01/10/2010 Exclusively Specialist GP
P87662 SALFORD HOMELESS PROJECT 01/06/2000 Potential Additional Homeless Practice 30/09/2012
Y00049 CORNWALL HEALTH FOR HOMELESS 02/06/2003 Potential Additional Homeless Practice
Y00054 Homeless Healthcare Team, Gloucester 01/04/2003 Exclusively Specialist GP
Y00056 Cambridge Access Surgery, Cambridge 01/04/2003 Exclusively Specialist GP
Y00060 Anchor Centre, Coventry 01/04/2003 Exclusively Specialist GP
Y00083 REFUGEES & HOMELESS 01/05/2003 Potential Additional Homeless Practice 30/09/2015
Y00143 WIRRAL HOMELESS SERVICE (LEASOWE PCC) 01/07/2003 Potential Additional Homeless Practice 31/07/2013
Y00182 The Homeless Health Team, Croydon 01/10/2003 Exclusively Specialist GP
Y00256 HOMELESS FAMILIES HEALTH VISITORS 01/11/2003 Potential Additional Homeless Practice 30/09/2018
Y00264 HEALTH INCLUSION TEAM 01/11/2003 Potential Additional Homeless Practice
Y00282 GP FOR HOMELESS & ROOTLESS 01/11/2003 Potential Additional Homeless Practice
Y00481 NOTTINGHAM HOMELESS TEAM 01/04/2004 Potential Additional Homeless Practice
Y01057 The Health Xchange (Primary Care Services for the Homeless), Birmingham 25/04/2005 Exclusively Specialist GP
Y02444 GTPCT HOMELESS HV CLINICS 24/11/2008 Potential Additional Homeless Practice 30/09/2012
Y02674 Camden Health Improvement Practice, London 01/04/2009 Exclusively Specialist GP
Y04047 HOMELESS HEALTHCARE TEAM NURSING 01/04/2013 Potential Additional Homeless Practice 31/12/2015
Y04543 Julian House Medical Practice for the Homeless, Bath 01/04/2014 Exclusively Specialist GP
Y04629 HOMELESS AND VIOLENT PATIENT SERVICE 27/05/2014 Potential Additional Homeless Practice

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH344/version/688/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH344/version/688/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH344', '688', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH344/version/688/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH344/version/688/export/codes/?format=json
CSV site_root/phenotypes/PH344/version/688/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH344', '688', api_client=client)

Version History

Version
ID
Name Owner Publish date
688 Homelessness ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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