Projects
This page lists the projects that form part of our first wave of pilot users for OpenSAFELY.
All projects are reviewed by NHS England to ensure they support relevant research and planning activities in response to the COVID-19 emergency; have a favourable ethical opinion (for research) or appropriate sensor sponsorship (for service evaluation or audit); and all users adhere to the OpenSAFELY ways of working.
The pilot users have also written the summaries of their project below. Their emails are shared if you would like to contact them to understand more about their project.
Legal background and consultation summary
OpenSAFELY projects numbered 1-155 were approved during the COVID-19 pandemic under legal powers issued by the Secretary of State: Regulation 3(4) of the Health Service (Control of Patient Information) Regulations 2002 – COPI Regulations.
Under this emergency legal power, the Type 1 Opt-out [archived here] (which a patient can register with their GP surgery to prevent their GP data from being shared outside the GP practice for planning or research purposes) was not required to be upheld for research and planning purposes in the pandemic. Therefore, for projects 1-155 a patient who had registered a Type 1 Opt-out could have had their GP health information used (anonymously) in these projects.
In June 2023, the legal basis for OpenSAFELY’s operation changed [archived here] from the emergency COPI Regulations to the COVID-19 Public Health Directions 2020. Under this Direction, the Type 1 Opt-out will be upheld for all new projects (after 155).
However, in June 2023, 97 projects were still ongoing, and these projects were given a special transitional arrangement to allow researchers to complete their work, which means the projects may include patient data from individuals with a Type 1 Opt-out. These projects are listed in appendix 3 of the OpenSAFELY Service DPIA [archived here].
As part of the transition to the new legal basis, NHS England consulted many organisations, including representatives of patients, the ICO, the National Data Guardian for Health and Social Care, and the BMA and RCGP (see the Data Provision Notice [archived here] for the full list).
Separately, the BMA and RCGP have written to NHS England outlining their support for the OpenSAFELY platform to be extended to all research, service evaluation, clinical audit and health surveillance. Privacy group medConfidential has also stated their support for OpenSAFELY.
See the NHS England OpenSAFELY COVID-19 Service privacy notice for more information about the service.
List of archived projects
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Project #50: Trends and clinical characteristics of COVID-19 vaccine recipients
Audit, and research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #49: Association between household composition and severe COVID-19 outcomes in older people by ethnicity: an observational cohort study using the OpenSAFELY platform
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #48: Recording of “COVID-19 vaccine declined” among vaccination priority groups
Audit project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #47: OpenSAFELY NHS Service Restoration Observatory 1: describing trends and variation in primary care clinical activity for 23.3 million patients in England during the first wave of COVID-19
Audit project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #46: OpenSAFELY: impact of national guidance on switching anticoagulant therapy during COVID-19 pandemic
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #45: Overall and cause-specific hospitalisation and death after COVID-19 hospitalisation in England: cohort study in OpenSAFELY using linked primary care, secondary care and death registration data
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #44: Pre-Covid: Anti-coags
Research project run by NHS England (in collaboration with University of Oxford and LSHTM).
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Project #43: Ethnic differences in SARS-CoV-2 infection and COVID-19-related hospitalisation, intensive care unit admission, and death
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #42: HIV infection and COVID-19 related death
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #41: Factors associated with deaths due to COVID-19 versus other causes
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #40: Use of non-steroidal anti-inflammatory drugs and risk of death from COVID-19
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #39: Effect of pre-exposure use of hydroxychloroquine on COVID-19 death in patients with rheumatoid arthritis or systemic lupus erythematosus
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #38: Inhaled corticosteroids and risk of COVID-19 death
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #37: Factors associated with COVID-19 related death
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #36: Impact of the Covid-19 pandemic on anticoagulation for atrial fibrillation
Audit project run by National Institute for Health and Care Excellence.
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Project #35: Impact of the Covid-19 pandemic on prevention of cardiovascular disease
Audit project run by National Institute for Health and Care Excellence.
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Project #34: Deaths at home during Covid-19 and implications for patients and services
Service evaluation project run by Nuffield Trust.
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Project #33: Post-operative outcomes and resource use in cancer surgery patients with perioperative SARS-CoV2
Service evaluation project run by University of Leeds and NIHR Yorkshire and Humber Patient and Safety Translational Research Centre.
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Project #32: The emergence of Omicron in England
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #31: Risk factors and prediction models for Long COVID
Research project run by University of Plymouth / University of Bristol.
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Project #30: Pathology Comparators Short Report
Audit project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #29: Monitoring Attendance INvestigations Referrals and OUTcomEs related to Cancer in the NHS through the COVID-19 era (MAINROUTE)
Service evaluation project run by University of Oxford.
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Project #28: Androgen deprivation therapy (ADT) for prostate cancer and COVID-19
Service evaluation project run by University of Surrey / University of Oxford.
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Project #27: The effect of COVID-19 on pancreatic cancer diagnosis and care
Service evaluation project run by University of Surrey / University of Oxford.
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Project #26: Uptake of ‘NHS @home’ interventions during COVID-19
Service evaluation project run by NHS England and NHS Improvement.
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Project #25: Representativeness of TPP data
Audit project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #24: Incidence of mental illness following coronavirus infection in the community
Research project run by Office for National Statistics.
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Project #23: Risk of severe COVID-19 outcomes associated with atopic eczema and dupilumab
Research project run by University of Oxford and London School of Hygiene and Tropical Medicine.
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Project #22: Investigating the effectiveness of the COVID-19 vaccination programme in the UK
Research project run by University of Bristol.
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Project #21: Direct Oral Anticoagulant (DOAC) prescribing during COVID-19
Service evaluation project run by PrescQIPP CIC.