TPMAs (Types of Potentially Mitigatable Activity)
Your questions answered!
Jul 28, 2026
What are TPMAs anyway?
Types of Potentially Mitigatable Activity: Hospital activity that could be reduced by deliberate action, through:
- Prevention
- De-adoption
- Redirection/substitution
- Hospital efficiency
We have identified this in patient-level data in the Hospital Episode Statistics dataset up to the 2024/25 financial year as part of the NHP (New Hospital Programme) model.
How have the TPMAs been used so far?
- NHP schemes use the TPMAs to shape discussions with clinicians, ICBs and community providers on what is/isn’t possible in their context
- High-level analyses estimating future demand for healthcare services (regionally or nationally)
Session aims
- Answer questions from SU analysts on how to work with TPMAs
- Co-create documentation for us to maintain collaboratively
⚠️🤓 This is quite a technical nitty-gritty session aimed primarily at analysts
How is this session going to work?
- Pick a question from the Wiki
- Work out the answer together
- Add the answer (in your own words) to the Wiki
The Wiki is a living, co-created document - feel free to edit and add things to it as you use TPMAs and questions arise. Breakout rooms to start:
- Examples of TPMA tasks with Gabriel
- How are the TPMAs generated? with YiWen
- Where does TPMA data live? with Matt and Fran