Pillar 2 - population health management building blocks

Workstream

Purpose

Projects

Population Health Management (PHM) skills building

Building skills, knowledge and expertise across the system to successfully implement the locally developed Focus-on methodology and reduce inequalities across all of our work within the ICS

• Delivering the NW London PHM and Health Equity Academy to build skills across the 4 domains to address inequalities and deliver against our collective priorities:
  • Data analytics and intelligence-led approaches
  • Working in partnership with our communities
  • Leading and facilitating PHM in the workplace
  • Understanding value and embedding evidence

Understanding and responding to need

Using population health analytics to understand need in our communities and improve our system approach to allocative efficiency

• Aligning system resources to community need to achieve more equitable outcomes with phase 1 delivery describing the “as is” position, with phase 2 integrating an agreed needs attribution model that will support sustainable and  consistent allocative efficiency as part of a “to be” decision-making process
• Delivering the NW London shared needs assessment and embedding into the planning and decision making process

Data & intelligence-led approaches

Developing a robust intelligence-led approach to research and evaluation to support effective decision-making based on sound evidence.

• Embedding population health data analytics tools, infrastructure and models, with a strong focus on supporting and enabling  Neighbourhood Health teams
• Embedding research consistently and routinely into project scoping and business cases  and, alongside evaluation, ensuring a joined up and comprehensive approach to demonstrating impact, effectiveness and value
• Delivering an evaluation toolkit to enable consistent decision-making around what we do, and do not invest resources in through well-evidenced interventions  (www.nwlevaluationtoolkit.org.uk)
• Integrating qualitative and quantitative data into practice, reporting and decision-making, working in collaboration across departments and specialisms to support more holistic narratives

Population Health Management Implementation

Supporting implementation of priority projects to ensure PHM is embedded as a core approach. Creating evidence of effectiveness and impact to support scaling and integration

• Demonstrating the opportunities and benefits of innovative PHM tools and approaches (including predictive and forecasting analytics and the use of Artificial Intelligence)
• Delivering a clear and consistent NW London segmentation and risk stratification model that enable both operational and strategic planning and delivery