Understanding the risk of severe illness from respiratory viruses in vulnerable people

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About the study
We aim to work out which people are more at risk from viruses that affect breathing. This will help decide who should get new vaccines and treatments.
 
We are researchers from the University of Sheffield and the London School of Hygiene & Tropical Medicine. We’re working with the UK Health Security Agency. They are the national organisation responsible for responding to infectious diseases.

The University of Sheffield is the legal sponsor of this research. AstraZeneca provides funding and non-promotional scientific support. AstraZeneca has no role in the design of the study, access to data or data analysis.
Illustration of 3 respiratory viruses including Covid-19Illustration of a person coughing due to a respiratory virus. Illustration of a vulnerable patient receiving an infusion of medication.Illustration of a scan of the lungs with viruses visibleIllustration of a person looking at results and data.Illustration of possible vaccines and treatments for respiratory diseases
Our goal
Our goal is to help decide which groups are most in need of new vaccines and treatments for respiratory viruses. We use health information that the NHS already collects. We will study anonymised (de-identified) records of people served by some NHS hospitals in England. We will focus on groups of people who have weaker immune systems. Their immune systems might be weak because of illness or due to treatments they receive.
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Illustration of a person looking at de-identified records of people served by some NHS hospitals in England.

We'll look at

Illustration of a hand making a tally to count the number of people in each risk group.

How many people in each risk group.

Illustration of a microscope looking at viruses which lead to hospital stays.

Which viruses lead to hospital stays.

Illustration of a clock and calender showing how long someone has stayed in hospital.

How long people stay in hospital.

Illustration of a recovery checklist showing what happens to people after they leave hospital.

What happens after they leave.

Frequently asked questions
Who is running the VIVID study?

The VIVID study was designed by a team of researchers from:

  • The University of Sheffield
  • The London School of Hygiene & Tropical Medicine (LSHTM)
  • The UK Health Security Agency (UKHSA)

The VIVID study is led by Professor Thushan de Silva at the University of Sheffield. He is also an infectious disease doctor at Sheffield Teaching Hospitals.

  • Professor Pete Dodd – studies diseases like tuberculosis using maths and statistics.
  • Dr Edward Parker – researches how vaccines work in real-world settings.
  • Dr Conall Watson – leads work on respiratory viruses and vaccines at UKHSA.
  • Tony Stone – uses different types of big datasets to study patient care.
  • Hannah Brown, Jose Schutter and Dr Nikki Smith – support the running of the project.

The University of Sheffield sponsors the study. This means it makes sure the research is safe, ethical and high quality. The VIVID study is funded by AstraZeneca. AstraZeneca has no role in the design of the study, access to data or data analysis.

What data is the VIVID study using?

The study uses existing data collected by the NHS and register offices in England.

This includes:

  • Health records collected during normal NHS care.
  • Information about deaths recorded by register offices.

We will only use the parts of the data that help answer our research questions.
We will not receive doctors’ notes or any personal details.
The research team will only have access to de-identified data. This means personal details - like names and addresses - have been removed.
You can find more information in our study privacy notice.

When is the VIVID study taking place?

Once the study receives final approvals, we will begin analysing the data.
We expect final results by summer 2028.
We will post regular updates on this website and welcome your feedback along the way.

Data security
Can the researchers find my records?

No. The VIVID research team cannot see names, addresses, dates of birth, or NHS numbers. We only study de-identified data, which means personal details are removed. It is also against the law to try to identify anyone from this data.

How is the data used in the VIVID study kept safe?

Keeping your data safe is our top priority.

We follow the Five Safes approach:

  • Safe People: Only trained researchers at the University of Sheffield can access the data.
  • Safe Projects: Data is used only for approved research questions.
  • Safe Data: The research team only works on information that has personal details removed.
  • Safe Settings: Data is kept in a secure system that meets NHS and international safety standards.
  • Safe Outputs: Only grouped, anonymous results can leave the secure system.

We also follow strict UK laws and university rules to keep all data protected. You can read more about this on the Understanding Patient Data website.

How is confidential data used?

The VIVID study will use some data from the UK Health Security Agency (UKHSA) and NHS England. Both these organisations hold “confidential patient information”. That is data that combines information about patients' identities and their health.
They already collect this information for their public health work.

To help the VIVID study, NHS England will securely send data to UKHSA. UKHSA will then match records belonging to the same patient from across datasets. They will do this for all patients represented in the data. This transfer and matching are the only steps that involve confidential patient information.

After the records are matched, all personal details are removed. The VIVID research team only receives this de-identified data. UKHSA then deletes data it received for use in the study.

Why are you using confidential information without consent?

The research team will only have access to de-identified data, so we won’t know whose records we’re looking at. But NHS England and the UK Health Security Agency will process confidential patient information on our behalf.

We requested permission to use this information without asking each person directly.
This is because:

  • Some people in the data have died, and we need this information to study death as a possible outcome.
  • We need a large number of people, to include those with rare conditions, to make the study accurate. There is no practical way to ask each person directly.
Who has given permission to use NHS data?

Using confidential patient information (CPI) requires special approval:

  • The study team applies to the independent Confidentiality Advisory Group.
  • This group then advises the NHS Health Research Authority.
  • They make the final decision on whether to allow the research.

An independent NHS Research Ethics Committee gave the study ethical approval (reference 25/LO/0589).
Even with these approvals, UKHSA and NHS England decide whether to share data. All decisions balance the potential risks and public benefits of the research.
The University of Sheffield must follow UK data protection laws at all times.
You can find more details in our study privacy notice

How do I opt out?

You can choose not to have your NHS records included in this research.
To do this, please fill in the VIVID study opt-out form.
Once the data has been de-identified, it will no longer be possible to remove your records. This is because it will not be possible to connect a record to a person.
If you have already used the NHS National Data Opt-Out, your records will not be included in this study.

Get involved
How can I help?

We would like your views on the VIVID study, especially about using patient data.

Please share your thoughts on:

  • Whether this research addresses an important issue.
  • Which groups of people we should study.
  • Whether using anonymised NHS data without consent feels acceptable.
  • Any other concerns or suggestions you have.

Your views will help shape how the study is designed and ensure it reflects public concerns.

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Contact us

Have a question or something not covered on our site? Email us at vivid@sheffield.ac.uk and we’ll get back to you as soon as we can.

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