Clinical data presents a number of challenges including missing data, class imbalance, high dimensionality and non-normal distribution. A motivation for this research is to investigate and analyse the manner in which the challenges affect the performance of algorithms. The challenges were explored with the help of a real life heart failure clinical dataset known as Hull LifeLab, obtained from a live cardiology clinic at the Hull Royal Infirmary Hospital. A Clinical Data Mining Workflow (CDMW) was designed with three intuitive stages, namely, descriptive, predictive and prescriptive. The naming of these stages reflects the nature of the analysis that is possible within each stage; therefore a number of different algorithms are employed. Most algorithms require the data to be distributed in a normal manner. However, the distribution is not explicitly used within the algorithms. Approaches based on Bayes use the properties of the distributions very explicitly, and thus provides valuable insight into the nature of the data.The first stage of the analysis is to investigate if the assumptions made for Bayes hold, e.g. the strong independence assumption and the assumption of a Gaussian distribution. The next stage is to investigate the role of missing values. Results found that imputation does not affect the performance as much as those records which are initially complete. These records are often not outliers, but contain problem variables. A method was developed to identify these. The effect of skews in the data was also investigated within the CDMW. However, it was found that methods based on Bayes were able to handle these, albeit with a small variability in performance. The thesis provides an insight into the reasons why clinical data often causes problems. Even the issue of imbalanced classes is not an issue, for Bayes is independent of this
