RAP – a 10 year journey

I found the earliest possible reference that I ever made to RAP in a document, part of an evaluation report I submitted nearly 10 years ago. At the time I wrote it I had hoped that it would be ceased on by the people who read it as an obviously important innovation, but I can see now that change is not so easily won. Anyway, just for fun, here it is, June 25th 2012, written in Sweave before all that newfangled RMarkdown (even that’s not newfangled now! Quarto!).

“\subsection{A note on reporting methodology}

This report is \emph{reproducible}. This means that the tables and graphs within it are produced not by cutting and pasting from separate software packages but instead generated using open source computer code and automatically laid out and inserted into the document.

The advantage of working in this way is it allows the report to be re-produced given a different set of data in seconds instead of days. This report can therefore very easily be submitted in subsequent years, with the new data loaded into the program and all of the new tables and figures automatically generated. The text, naturally, would need to be re-written, although it may be felt that the analysis stands on its own and the whole exercise of reporting could therefore be carried out and completed in less than one day at zero cost, if the data were made available.”

Here’s to another 10 years of innovation and change 🙌‍

Data science for dummies (Goldacre)

Building your own tools for data science is a pretty fundamental concept, and I think it’s fair to say that it’s totally alien to most NHS bosses. I shall henceforth be showing them this excellent section from the Goldacre report. It’s not about data science as such, it’s about TREs, but it illustrates the concept beautifully

The data science team at the music-streaming service Spotify do innovative work with data that helps drive the usability and popularity of their subscription service. For example, they extract patterns in the listening behaviour across all their users, and then use this to provide individual users with tailored recommendations for other music they might enjoy. The Spotify data science team couldn’t buy, off the shelf, a data science environment specifically built to service the needs of “a global music streaming service”. They implemented standard off-the-shelf tools for a general purpose data science environment. Then, within that raw environment, they needed to build their own tools, analytic approaches, workflows, data preparation work, and so on. A new arrival in the Spotify data science team today will find modules of code, libraries and packages – some even with nice interactive interfaces – to help them find interesting new patterns in Spotify user data. Many of these tools will feel like part of the furniture, but they were all built by their predecessors in the Spotify data science environment. Furthermore, many of these tools will not have been built to a pre-determined specification, by software developers hired to do that work to order; rather, they will emerge from a team. A single analyst might painstakingly implement a one-off analysis; if it looks like the approach will have broader use, then a more experienced developer might offer to help package it up into a function or library, with good documentation; if it becomes a commonly used approach, they might work with other analysts to create an interactive tool

Better, broader, safer: using health data for research and analysis

(reproduced under the terms of the Open Government Licence)

We need more than “black box” systems (Goldacre)

The system should be cautious around imagining that it can push away the challenge of TREs – and all work with NHS data – by procuring ‘black box’ services. Building platforms, capacity and modern working methods for data is a complex technical challenge, requiring deep knowledge across a range of domains: data science, data architecture, and software development; but also clinical informatics, NHS data needs, health data research, and more. This work must be done close up with real users of data, constantly iterating to improve platforms and approaches. There is no single contract that can pass over responsibility for this work. These new and complex technical challenges around data must be met by building teams, tools, methods, working practices, code and platforms

Better, broader, safer: using health data for research and analysis

(text reproduced verbatim- under the terms of the Open Government Licence)

The prevalence of code sharing (Goldacre)

Another greatest hit from the Goldacare report, in the section on open working, “The prevalence of code sharing” (all material reused under OGL)

  • “ONS covid reports: the team was unable to find any analytic code for the platform or covid analyses (but extensive and excellent open code training elsewhere)
  • OpenSAFELY covid reports: all code for the platform, data management and analysis all shared automatically on GitHub (declaration of interest: BG is PI on OpenSAFELY)
  • PHE covid reports: the team was unable to find any analytic code for PHE reports on topics such as ethnicity and COVID-19; but extensive code sharing for their (excellent) COVID-19 dashboards
  • DECOVID (Turing / HDRUK PIONEER platform created for a wide range of covid research teams from a large number of universities): the team was unable to find code for the platform or analyses
  • ICODA (HDRUK’s flagship COVID-19 data analysis platform initiated in June 2020): the team was unable to find code for the platform or analyses (but also no outputs to date)
  • HDRUK / NHSD / BHF TRE: the team was unable to find code for the platform; but some scripts are shared for a paper describing the data accessible through it, and one research preprint (the platform’s only output to date)”

I love that they did this, but that’s not why I’m writing a blog post about. What I love is the assumption that you should be able to sit at your desk with a web browser and find this stuff. That’s what “open” should mean. I’m so sick to death of being told stuff is “open source” and then I ask where it is they say “I’ll email you a copy”.

I plaster my code all over the internet. I shove it in the face of everyone I can think of to shove it in the face of, because I want people to see it. This “open source but you have to go to a webinar and then email me three times” is for the birds

The Goldacre review- greatest hits

I absolutely love the Goldacare review, I really can’t praise it enough, and I will be doing a lot of work based on it in the coming weeks and months looking at it from the perspective of my own Trust and, (with others) from the perspective of my ICS, and NHS-R. NHS-R has a couple of repos looking at matters related to the review (statement on tools and NHS-R vision) and we need to do some thinking about stuff that particularly comes out of this review that we can look at (which I have started doing on my own, community effort will follow).

Anyway, that’s all for the future. This blog post is just going to be very simple and just be Stuff I Particularly Love. As I’m reading it I occasionally find a bit which really resonates, and I thought it would be useful for me and possibly for others to record them as a kind of “Greatest Hits” outside of all of the other stuff I’m doing digesting it.

The Goldacare review is a blueprint for change, without doubt, that’s partly why I love it so much, and I intend to be that change and to push it forwards, but in the meantime this is just a bit of fun looking at all the best bits

Make it ‘okay to ask’ about access to publicly funded code

“The team heard from several interviewees that at present it is commonly regarded as provocative to ask for access to the code used to implement an analysis, especially in some parts of the academic community, despite general positive statements on open working”

I absolutely love this. I think it is regarded as being provocative sometimes, and people can get quite defensive. Very often people assure me that the code is forthcoming but it never is. It will surprise nobody to hear that I ask for code whether it’s provocative or not, and so should you. If it’s public money, it’s public code, and I’m sorry if that makes you uncomfortable but I’m going to put my hand up at the end and ask. Every. Single. Time. So get used to it

Pseudo-open working

“As a consequence of growing support for open working, there are now individuals and organisations who state that they support open methods, but do not do so; or create only the appearance of open working. During this review the team encountered examples of very senior and influential leaders extolling the virtues of open working, where their published papers from the pandemic in 2021 do not contain code, and require that interested parties contact them personally to negotiate access to the data dictionary codelists used to define the variables used in the analysis”

I almost whooped with delight when I read this. I’ve encountered this so many times and it makes me feel very cross. I hear so many warm words, and I see so many people extolling the virtues of openness, but very often it’s just a sham. They’ve no intention of sharing anything and they wouldn’t know an open licence if it bit them. I have more respect for the naysayers, at least they’re honest.

That will do for this post. I’m sure there will be more, and I’ll add more posts as I go.

In defence of the ordinary

I think this might be a general cultural problem, but I notice it a lot in my field of healthcare analytics. There are lots of “case studies” and “pathfinders”, that kind of thing, groups of people who are doing amazing stuff.

I don’t think that it has the desired effect though. People look at these groups doing incredibly complicated things with new tools and they think it just doesn’t apply to them. Let the pathfinders pathfind and we’ll just churn out some rubbish in Excel, same as last week.

I wonder if we’d be better off setting the bottom higher, rather than raising the bar at the top again. Instead of showing off amazing teams, showcase a solid team getting the basics right, week in, week out. And try to pose the question “If you’re not doing this stuff, why not?”

In defence of looking at jobs

Nobody should ever have to apologise for looking at jobs, however settled they are. Looking at jobs just means one of:

  1. there might be a better job out there and I want to find it if there is
  2. I want to understand what skills people are recruiting so I can learn and do the right stuff
  3. I’m interested in the jobs and skills that are popular now because I want to understand the playing field of human resources in analytics as an actual or potential leader
  4. I want to understand my worth under agenda for change to I can advocate for the development of my professional role (and my salary :wink: ) in my current role

Any manager that doesn’t like that is a fool, a charlatan, a psychopath, or all three, and then you can add:

5. My line manager is a fool, charlatan, or a psychopath (or all three), and I am trying to leave my current job as fast as possible now I have realised this

In defence of holiday working

This might be a little bit controversial, this post. If you hate it please don’t be offended, it’s just my opinion. Totally open to being completely wrong always, especially here.

I’ve heard a lot of people talk about the importance of taking your leave, and encouraging your staff to take your leave, and I do think it’s super important to take leave, and I certainly think if you’re managing someone you should definitely encourage them to take their leave. There is more to life than work, and having your leave can even make you better at your job when you get back, so it’s win-win, you benefit and your job benefits.

However, I’ve had people tell me that it’s wrong that I sometimes work in my leave, because I’m setting a bad example to my staff. This I don’t agree with. Particularly now during COVID but really for the last decade my life has been limited by health problems (primary sclerosing cholangitis, chronic ulcerative colitis, and now hepatic arterial stenosis, but that’s another blog post) and my job has become something I can do that I love that I’m good at, replacing some of the other stuff I used to do (aikido and running, mainly). I’ve been isolating from my whole house on and off since March 2020 and my job really keeps me sane.

So although I may manage people I’m also a human being with my own emotional needs, and I choose to work sometimes in holidays and weekends because it makes me feel good to work and be productive. My whole team completely recognise my position and don’t at all feel any pressure to do likewise.

So I don’t agree with that. The other thing that I don’t agree with that I see sometimes is the idea that we should view others in our team or whom we manage working in the holidays as something “bad” that we need to “save” them from. The best boss I ever had was absolutely brilliant at taking leave. He would work 50+ hours a week and then in the holidays he would just disappear completely. No phone calls, no email, nothing. It was like he didn’t exist. And that was great, and I think it’s a really good example of doing something that works for you (ignoring the 50+ hours, not really advocating that, but he did work hard, put it that way).

But just like me I think some people blend their work in a bit more. They like to tickle their brain a bit in their holidays, maybe write some code that’s been bugging them, do a bit of reading, or write a blog post (writing blog posts absolutely should be part of your paid hours). It avoids the cliff edge stress of the last day before your holiday, because you can think “never mind, I’ll just knock that out in the middle of next week and email it over”. And if you then take a bit of time back for yourself in your core hours, that’s all good too. Because that’s one thing I am good at. I may work funny hours and at the weekend and in my leave but if I feel like having a three hour lunch break with a friend and nobody will miss me I do it without hesitation or guilt and that works really well for me.

So that’s it. I’m not saying “everyone should work in the holidays”, or even “you should try working in your leave, it’s great”. But I am saying that everyone is different, and some people like to blend their work and home lives together for lots of good reasons. As always, what’s important is understanding the needs of the people around us and respecting their autonomy and not coming up with social media friendly soundbites about what you should and shouldn’t do with your self or your team.

In defence of eating

One weird thing in remote/ pandemic times is that people have started turning their cameras off when they eat. I’m all for the right to turn your camera off, I think you should be able to do that at any time without giving a reason, but I think it’s a shame if people think that they can’t eat on camera. I have therefore been glad to eat several large, difficult to eat things in meetings on camera recently, to perhaps give others the idea that it’s okay if they want to do it too.

So far I’ve eaten a footlong Subway which was kind of falling apart really and today it was half of a pretty massive pizza which was also a bit lacking in the structural integrity stakes. So please join me if you wish, we all used to eat in front of each other in The Before Times, it’s totally natural and normal- but also if you don’t want your camera on because you’re eating or for any other reason that’s okay too.

In defence of dashboards

I’ve had lively debates about dashboards with various people, including someone in my own team, and somebody on Twitter just mentioned that dashboards are often not used (this blog post will be my response to this tweet, not the first time I’ve answered a tweet with a blog and very on brand for me 😉).

I should acknowledge at the top that I’m The Dashboard Guy. I’ve written books about making dashboards in R. It’s my role in the data science team in which I sit. Shiny in production. It’s my thing. So take all this with as much salt as you wish, I promise I won’t be offended.

People say that dashboards proliferate, and that nobody uses them. That is quite true in a lot of cases. I’d like to suggest why that is so, and talk about when people do use them.

The first thing to say is that in the NHS (which is where I have always and will always work) many staff are not engaged with data in general. They’re not engaged with data, they’re not engaged with analysis, they’re not engaged with reports, they’re just not engaged. They see data as a punishment, a “test” they cannot win. They can’t see the point of it and it’s just a distraction at best and over-critical and unfair at worst.

So my first question would be what do you replace the dashboards with? What will they engage with? I became The Dashboard Guy because we used to make a 300 page report by hand every quarter. It took literal person weeks and every recipient was only interested in their four page chunk. It was ridiculously inefficient. But everybody did want their four page chunk. Dashboards are useful for data that people want to see.

The team and I have recently built a classification algorithm for free text patient experience data. There is no way on earth anybody could use that without a dashboard because there are thousands of points of data and you are typically only interested in a few hundred at a time. So we built one. If they are using the algorithm at all, they’re using the dashboard (or someone else’s, it’s open source so you can DIY the dashboard if you want). If they’re not, that means they’re not looking at what their patient experience data is about, or they’re reading a 4000 row spreadsheet (and I do know people who have done/ are doing that).

So I think dashboards are very useful when you have a large highly structured dataset where everyone wants their own bit, and I’ve deployed perhaps three or four that have certainly been used by the individuals who wanted that data.

But something else that I think they can be used for is putting data science tools in the hands of your users. I just built a dashboard that allows you to pick how many LDA topics you want to use, and then shows you:

  • Term frequency for each topic in a graph
  • Five example comments from each topic

(I should say, it’s very rough and unfinished, but you get the idea). The idea of this is to allow the person who is interested in the data to make the topic model work themselves without writing R code. In this particular project all the data hasn’t come in yet anyway so the dashboard will contain more data in the future. It may be that the first tranche of data contains four topics, and the final dataset six. Building a dashboard makes the enduser part of that decision making process.

In fact, I actually build them for myself. A few years ago I was fitting a lot of structured topic models and it was such a pain in the neck fiddling around with the code that I just made a dashboard for myself so I could just sit and play around with it. The analysis itself took days, tens of hours, and the dashboard took an afternoon (to be fair, I’m probably a little faster than the average person with Shiny at least, because I have a lot of experience with it).

If your users are not using your dashboards, ask yourself why that is so. If they aren’t engaged with data or don’t care about the metrics then you have a bigger problem than dashboards. Would they engage with a report? An email? A bullet point in a team meeting? Build what they want, not what you think they want or should want.

Dashboards give you an opportunity to devolve analysis to your users. I work with a lot of text data. The users are the experts, not me. I want them to be able to do all the stuff I do in code but in a browser- sort, filter, summarise, aggregate, and even tune models (do they want five topics or fifteen? Do they want an overinclusive multilabel classification algorithm that captures all of a theme, or a conservative one that only shows them the highlights?).

In my opinion the dashboard is the icing on the cake. The team and I are building a very large, complex dashboard summarising many types of data, in the hope of driving customers between the types (patient experience data users looking at staff sickness levels, clinical effectiveness data users looking at all-cause mortality). But the work is in uniting the data, in producing analytics that are meaningful and useful. I don’t think it’s terribly important whether it’s a dashboard or a report or just played over the PA every Monday morning (there’s an idea 😉). Engage people in data and analytics first, and then serve that need using all the tools at your disposal.