A Database too Far: NICE but NASTY

I have just received an FIPR alert on the NICE (National Instute for Clinical Excellence) consultation on a proposed database to help prevent injuries to children. Last week I attended a presentation of the restructuring of the MOSAIC service  


It struck me that using Mosaic to identify the likely households at risk and their cultural profiles with the aim of organising leaflet drops of the right multi-language/culture material would be more likely to achieve the objectives at a fraction of the cost.The approach for reaching Bangladeshi households who have turned off the smoke alarms because of their cooking habits is rather different to that for addressing afro-caribbean single mothers on an inner city sink estate or the the poor whites in rural poverty.

And a new database is unlikely to help.