Peer-Reviewed Publication
Npj Health Syst2026;3(1)August 29, 2026Journal Article

Anticipating health and care trajectories from routinely collected social care records.

Xiao Gu1, Rebecca Nourse2, Lei Lu3, Emily Smout4, Karen Fuller4, Fiona Havord4, Victoria Baran4, Adam Briggs4,5, Lei Clifton2, Andrew Farmer2, David A Clifton6
1Department of Engineering Science, University of Oxford, Oxford, UK. xiao.gu@eng.ox.ac.uk.
2Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
3School of Life Course and Population Sciences, King's College London, London, UK.
4Oxfordshire County Council, Oxford, UK.
5University of Southampton, Southampton, UK.
6Department of Engineering Science, University of Oxford, Oxford, UK.

Abstract

Predictive modelling in healthcare has advanced rapidly, yet social care systems, despite their central role in supporting vulnerable populations, remain underexplored in this domain. In this study, we apply machine learning to a large, pseudonymised dataset of social care records from 27,590 adults in Oxfordshire, encompassing around 90% of individuals receiving care in the region. We developed m…

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