|
| 1 | +{ |
| 2 | + "cells": [ |
| 3 | + { |
| 4 | + "cell_type": "code", |
| 5 | + "execution_count": 1, |
| 6 | + "metadata": {}, |
| 7 | + "outputs": [ |
| 8 | + { |
| 9 | + "data": { |
| 10 | + "text/markdown": [ |
| 11 | + "# <center>Pharmacy First " |
| 12 | + ], |
| 13 | + "text/plain": [ |
| 14 | + "<IPython.core.display.Markdown object>" |
| 15 | + ] |
| 16 | + }, |
| 17 | + "metadata": {}, |
| 18 | + "output_type": "display_data" |
| 19 | + }, |
| 20 | + { |
| 21 | + "data": { |
| 22 | + "text/markdown": [ |
| 23 | + "### <center>01-01-2020 through 31-06-2024 by month" |
| 24 | + ], |
| 25 | + "text/plain": [ |
| 26 | + "<IPython.core.display.Markdown object>" |
| 27 | + ] |
| 28 | + }, |
| 29 | + "metadata": {}, |
| 30 | + "output_type": "display_data" |
| 31 | + } |
| 32 | + ], |
| 33 | + "source": [ |
| 34 | + "import numpy as np\n", |
| 35 | + "from IPython.display import Markdown\n", |
| 36 | + "from PIL import Image\n", |
| 37 | + "\n", |
| 38 | + "start_date = '01-01-2020'\n", |
| 39 | + "end_date = '31-06-2024'\n", |
| 40 | + "\n", |
| 41 | + "display(Markdown(f'# <center>Pharmacy First '))\n", |
| 42 | + "display(Markdown(f'### <center>{start_date} through {end_date} by month'))" |
| 43 | + ] |
| 44 | + }, |
| 45 | + { |
| 46 | + "cell_type": "markdown", |
| 47 | + "metadata": {}, |
| 48 | + "source": [ |
| 49 | + "<a id=\"background\"></a>\n", |
| 50 | + "\n", |
| 51 | + "## Background\n", |
| 52 | + "\n", |
| 53 | + "Add background here\n", |
| 54 | + "\n", |
| 55 | + "## Methods\n", |
| 56 | + "\n", |
| 57 | + "This study used data from OpenSAFELY-TPP, which covers 40% of the population of England. For a description of the representativeness of this sample, please see our manuscript [here](https://doi.org/10.12688/wellcomeopenres.18010.1). Individuals were included if they were alive and registered at a TPP practice each month, across the study period. Patients were excluded if their listed age was not between 0 and 120 years.\n", |
| 58 | + "\n", |
| 59 | + "Counts represent patients with at least one clinical code of relevence in that month. Patients with more than one of the same clinical code in a month were only counted once. Rates divide the count by the included study population and multiply by 1,000 to achieve a rate per 1,000 registered patients.\n", |
| 60 | + "\n", |
| 61 | + "Counts <=7 have been redacted and all numbers rounded to the nearest 5 to avoid potential re-identification of individuals. The rates displayed were computed with these rounded counts.\n", |
| 62 | + "\n", |
| 63 | + "Our data relies on a relevent Pharmacy First code being added to a patient's GP record. The Pharmacy First service relies on [GP Connect: Update Record](https://digital.nhs.uk/services/gp-connect/gp-connect-in-your-organisation/gp-connect-update-record) to update a patient's GP record with consultation information from the community pharmacy. Following the launch of the Pharmacy First service, there has been a [gradual roll-out of GP Connect: Update Record](https://cpe.org.uk/our-news/gp-connect-update-record-rollout-and-flow-of-information/) across the approved community pharmacy IT system suppliers.\n", |
| 64 | + "\n", |
| 65 | + "*Need to complete this*\n", |
| 66 | + "\n", |
| 67 | + "Links to the codelist for each analysis can be found beneath the relevant section.\n", |
| 68 | + "\n" |
| 69 | + ] |
| 70 | + }, |
| 71 | + { |
| 72 | + "cell_type": "markdown", |
| 73 | + "metadata": {}, |
| 74 | + "source": [ |
| 75 | + "<ul id=\"docNav\">\n", |
| 76 | + " <p>This report contains the following sections:</p>\n", |
| 77 | + " <li> <a href=\"#clinical_pathways\">Clinical Pathways</a>\n", |
| 78 | + " <ul>\n", |
| 79 | + " <li> <a href=\"#clinical_condition\">Clinical Condition</a></li>\n", |
| 80 | + " <li> <a href=\"#clinical_condition_days\">Days of the week</a></li>\n", |
| 81 | + " <li> <a href=\"#clinical_condition_region\">NHS Region</a></li>\n", |
| 82 | + " <li> <a href=\"#clinical_condition_ethnicity\">Ethnicity</a></li>\n", |
| 83 | + " <li> <a href=\"#clinical_condition_imd\">IMD</a></li>\n", |
| 84 | + " <li> <a href=\"#shingles\">Shingles</a>\n", |
| 85 | + " <ul>\n", |
| 86 | + " <li><a href=\"shingles_sex\">Sex</a></li>\n", |
| 87 | + " <li><a href=\"shingles_age\">Age</a></li>\n", |
| 88 | + " <li><a href=\"shingles_ethnicity\">Ethnicity</a></li>\n", |
| 89 | + " <li><a href=\"shingles_imd\">IMD</a></li>\n", |
| 90 | + " <li><a href=\"shingles_region\">Region</a></li>\n", |
| 91 | + " <li><a href=\"shingles_medication\">Medication supply</a></li>\n", |
| 92 | + " </ul>\n", |
| 93 | + " </li>\n", |
| 94 | + " <li> <a href=\"#uti\">Urinary tract infection etc.</a>\n", |
| 95 | + " </li> \n", |
| 96 | + " </ul>\n", |
| 97 | + " </li>\n", |
| 98 | + " <li> <a href=\"#hypertension\">Hypertension</a>\n", |
| 99 | + " <ul>\n", |
| 100 | + " <li> <a href=\"#\">Age</a></li>\n", |
| 101 | + " <li> <a href=\"#\">Sex</a></li>\n", |
| 102 | + " <li> <a href=\"#\">Region</a></li>\n", |
| 103 | + " </ul>\n", |
| 104 | + " </li>\n", |
| 105 | + " <li> <a href=\"#contraception\">Contraception</a>\n", |
| 106 | + " <ul>\n", |
| 107 | + " <li> <a href=\"#\">Age</a></li>\n", |
| 108 | + " <li> <a href=\"#\">Region</a></li>\n", |
| 109 | + " </ul>\n", |
| 110 | + " </li>\n", |
| 111 | + "</ul>" |
| 112 | + ] |
| 113 | + }, |
| 114 | + { |
| 115 | + "cell_type": "markdown", |
| 116 | + "metadata": {}, |
| 117 | + "source": [ |
| 118 | + "<a id=\"clinical_pathways\"></a>\n", |
| 119 | + "## Clinical Pathways\n", |
| 120 | + "\n", |
| 121 | + "This section focuses on the Clinical Pathways element of that Pharmacy First service\n" |
| 122 | + ] |
| 123 | + }, |
| 124 | + { |
| 125 | + "cell_type": "markdown", |
| 126 | + "metadata": {}, |
| 127 | + "source": [ |
| 128 | + "### Clinical Condition\n", |
| 129 | + "\n", |
| 130 | + "This section focuses on the clinical conditions within the Clinical Pathways element of that Pharmacy First service" |
| 131 | + ] |
| 132 | + }, |
| 133 | + { |
| 134 | + "cell_type": "markdown", |
| 135 | + "metadata": {}, |
| 136 | + "source": [ |
| 137 | + "<a id=\"clinical_condition\"></a>\n", |
| 138 | + "#### Counts by clinical condition\n", |
| 139 | + "\n", |
| 140 | + "Here we show the number of consultations for each of the Pharmacy First Clinical Pathways Clinical Conditions\n", |
| 141 | + ">LINE CHART WITH COUNT OF EACH CLINICAL CONDITION" |
| 142 | + ] |
| 143 | + }, |
| 144 | + { |
| 145 | + "cell_type": "markdown", |
| 146 | + "metadata": {}, |
| 147 | + "source": [ |
| 148 | + "<a id=\"clinical_condition_days\"></a>\n", |
| 149 | + "#### Counts by day of the week\n", |
| 150 | + "\n", |
| 151 | + "Here we show the number of consultations for the Pharmacy First Clinical Pathways by day of the week the consultation was conducted.\n", |
| 152 | + "(Mainly of interest to show what happens at weekends etc e.g. when GP practices are closed).\n", |
| 153 | + "> BAR CHART WITH COUNT BY DAY OF THE WEEK" |
| 154 | + ] |
| 155 | + }, |
| 156 | + { |
| 157 | + "cell_type": "markdown", |
| 158 | + "metadata": {}, |
| 159 | + "source": [ |
| 160 | + "<a id=\"clinical_condition_region\"></a>\n", |
| 161 | + "#### Rates by region\n", |
| 162 | + "\n", |
| 163 | + "Here we show the rates of consultations for the Pharmacy First Clinical Pathways by the NHS Region in which the patient is registered.\n", |
| 164 | + "(Might not be the region where PF consultation conducted).\n", |
| 165 | + "> RATES OF ANY PF CLINICAL PATHWAY BY REGION" |
| 166 | + ] |
| 167 | + }, |
| 168 | + { |
| 169 | + "cell_type": "markdown", |
| 170 | + "metadata": {}, |
| 171 | + "source": [ |
| 172 | + "<a id=\"clinical_condition_ethnicity\"></a>\n", |
| 173 | + "#### Rates by ethnicity\n", |
| 174 | + "\n", |
| 175 | + "Here we show the rates of consultations for the Pharmacy First Clinical Pathways by patient ethnicity\n", |
| 176 | + "> RATES OF ANY PF CLINICAL PATHWAY BY ETHNICITY" |
| 177 | + ] |
| 178 | + }, |
| 179 | + { |
| 180 | + "cell_type": "markdown", |
| 181 | + "metadata": {}, |
| 182 | + "source": [ |
| 183 | + "<a id=\"clinical_condition_imd\"></a>\n", |
| 184 | + "#### Rates by IMD\n", |
| 185 | + "\n", |
| 186 | + "Here we show the rates of consultations for the Pharmacy First Clinical Pathways by IMD (based on patient address)\n", |
| 187 | + "> RATES OF ANY PF CLINICAL PATHWAY BY IMD" |
| 188 | + ] |
| 189 | + }, |
| 190 | + { |
| 191 | + "cell_type": "markdown", |
| 192 | + "metadata": {}, |
| 193 | + "source": [ |
| 194 | + "<a id=\"shingles\"></a>\n", |
| 195 | + "#### Shingles\n", |
| 196 | + "\n", |
| 197 | + "Here we show the rates specifically for consultations conducted under the Shingles clinical pathway" |
| 198 | + ] |
| 199 | + }, |
| 200 | + { |
| 201 | + "cell_type": "markdown", |
| 202 | + "metadata": {}, |
| 203 | + "source": [ |
| 204 | + "<a id=\"shingles_sex\"></a>\n", |
| 205 | + "##### Rates by sex (I can't make a smaller heading here but this sits under shingles section)\n", |
| 206 | + "Here we show the rates of consultations for the Pharmacy First Shingles Clinical Pathways by sex\n", |
| 207 | + "> RATES OF SHINGLES CLINICAL PATHWAY BY SEX" |
| 208 | + ] |
| 209 | + }, |
| 210 | + { |
| 211 | + "cell_type": "markdown", |
| 212 | + "metadata": {}, |
| 213 | + "source": [ |
| 214 | + "<a id=\"shingles_age\"></a>\n", |
| 215 | + "##### Rates by age\n", |
| 216 | + "Here we show the rates of consultations for the Pharmacy First Shingles Clinical Pathways by age.\n", |
| 217 | + "(Would need to consider age bands as different for each pathway)\n", |
| 218 | + "> RATES OF SHINGLES CLINICAL PATHWAY BY AGE" |
| 219 | + ] |
| 220 | + }, |
| 221 | + { |
| 222 | + "cell_type": "markdown", |
| 223 | + "metadata": {}, |
| 224 | + "source": [ |
| 225 | + "<a id=\"shingles_ethnicity\"></a>\n", |
| 226 | + "##### Rates by ethnicity\n", |
| 227 | + "Here we show the rates of consultations for the Pharmacy First Shingles Clinical Pathways by ethnicity\n", |
| 228 | + "> RATES OF SHINGLES CLINICAL PATHWAY BY ETHNICITY" |
| 229 | + ] |
| 230 | + }, |
| 231 | + { |
| 232 | + "cell_type": "markdown", |
| 233 | + "metadata": {}, |
| 234 | + "source": [ |
| 235 | + "<a id=\"shingles_imd\"></a>\n", |
| 236 | + "##### Rates by IMD\n", |
| 237 | + "Here we show the rates of consultations for the Pharmacy First Shingles Clinical Pathways by IMD\n", |
| 238 | + "> RATES OF SHINGLES CLINICAL PATHWAY BY IMD" |
| 239 | + ] |
| 240 | + }, |
| 241 | + { |
| 242 | + "cell_type": "markdown", |
| 243 | + "metadata": {}, |
| 244 | + "source": [ |
| 245 | + "<a id=\"shingles_region\"></a>\n", |
| 246 | + "##### Rates by region\n", |
| 247 | + "Here we show the rates of consultations for the Pharmacy First Shingles Clinical Pathways by NHS region\n", |
| 248 | + "> RATES OF SHINGLES CLINICAL PATHWAY BY REGION" |
| 249 | + ] |
| 250 | + }, |
| 251 | + { |
| 252 | + "cell_type": "markdown", |
| 253 | + "metadata": {}, |
| 254 | + "source": [ |
| 255 | + "<a id=\"shingles_medication\"></a>\n", |
| 256 | + "##### Rates by medication supply\n", |
| 257 | + "Here we show the percentage of consultations for the Pharmacy First Shingles Clinical Pathways with vs without medication supply.\n", |
| 258 | + "(Could also potentially show details of which medication issued)\n", |
| 259 | + "> BAR PLOT OF PERCENTAGE OF SHINGLES CLINICAL PATHWAY WITH/WITHOUT MEDICATION SUPPLIED" |
| 260 | + ] |
| 261 | + }, |
| 262 | + { |
| 263 | + "cell_type": "code", |
| 264 | + "execution_count": null, |
| 265 | + "metadata": {}, |
| 266 | + "outputs": [], |
| 267 | + "source": [] |
| 268 | + } |
| 269 | + ], |
| 270 | + "metadata": { |
| 271 | + "kernelspec": { |
| 272 | + "display_name": "Python 3 (ipykernel)", |
| 273 | + "language": "python", |
| 274 | + "name": "python3" |
| 275 | + }, |
| 276 | + "language_info": { |
| 277 | + "codemirror_mode": { |
| 278 | + "name": "ipython", |
| 279 | + "version": 3 |
| 280 | + }, |
| 281 | + "file_extension": ".py", |
| 282 | + "mimetype": "text/x-python", |
| 283 | + "name": "python", |
| 284 | + "nbconvert_exporter": "python", |
| 285 | + "pygments_lexer": "ipython3", |
| 286 | + "version": "3.9.13" |
| 287 | + }, |
| 288 | + "vscode": { |
| 289 | + "interpreter": { |
| 290 | + "hash": "bcc1f730df8fb5742a3ac26bd3a31839bd02ad4e73a558e52498dfe16975ce60" |
| 291 | + } |
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| 294 | + "nbformat": 4, |
| 295 | + "nbformat_minor": 2 |
| 296 | +} |
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