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+---
+title: TPMAs (Types of Potentially Mitigatable Activity)
+subtitle: Your questions answered!
+author: SU Data Science Team
+date: 2026-07-28
+date-format: "MMM D, YYYY"
+format:
+  revealjs:
+    theme: [default, ../su_presentation.scss]
+    transition: none
+    scrollable: true
+    chalkboard:
+      buttons: false
+    preview-links: auto
+    slide-number: false
+    auto-animate: true
+---
+
+## 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?
+
+::: {.columns}
+
+:::: {.column width='60%'}
+
+* 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](https://www.strategyunitwm.nhs.uk/sites/default/files/2025-09/Future%20Demand%20for%20Community%20Care.pdf) estimating future demand for healthcare services (regionally or nationally)
+
+::::
+
+::: {.column width='40%'}
+
+![](jaws-of-death.png)
+
+::::
+
+:::
+
+
+## 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](https://github.com/The-Strategy-Unit/TPMAs/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
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