How PHM analytics can influence change

As the NHS braces itself for a surge of patients who have been putting their health issues to one side during the COVID-19 pandemic, what can be done to target interventions to improve overall health and wellbeing and protect the precious capacity of our health system? Midlands and Lancashire Commissioning Support Unit’s Director of the Health Economics Unit Andi Orlowski recently joined a panel of experts to record five short videos on the role population health management (PHM) can play. Visit https://www.novartis.co.uk/populationhealth to watch them.

The videos were produced by pharmaceutical firm Novartis and look to explain what PHM is and how it can be used to drive collaboration and partnerships across local systems and improve outcomes for the communities they serve.

Andi was joined on the panel by:

* Bevleigh Evans: Head of population health management for NHS England and Improvement (NHSEI)
* Dr Dan Alton: GP, National PHM clinical advisor for NHSEI, and PHM clinical lead Berkshire West
* Chinmay Bhatt: Managing director for the UK, Ireland and Nordics, Novartis
What is population health management?

Whilst all are big advocates for the role of PHM in proactively improving the wellbeing of our communities, the panel each had their own take on how exactly to describe it. Dr Dan Alton neatly summed PHM up as “designing services to meet the needs of our population”. That might sound obvious, but how do we really know what the needs of our population are?

This is where we can help, with our population health analytics service. Our team of passionate analysts will work with you to identify patterns in health outcomes for different groups of the population and help you better understand the challenges and risks they face. This, in turn, supports you in making informed decisions or evidence-based proposals on the best way to target new health interventions to reach the groups where the most impact will be felt.

Partnership and collaboration are key

Astonishingly, only around 20% of a person’s health outcomes are attributable to their ability to access good quality health care. The other 80% are made up of ‘social determinants of health’. These include health related behaviours, socio-economic factors, and environmental factors, and they all play a part in the chances of someone living a long, happy and healthy life.

Using data to influence change

In the videos, the panel discusses a surprising real-life example to bring this to life – assisted bin collections, a service some local councils offer to help people take their bins out if it is difficult for them to do so. When Andi and the team started looking at this data, it became clear that these people were highly likely to have a worsening condition or social need that could be improved with the right intervention. By looking at this data alongside the other metrics available to us, we were able to identify a group of people who could be proactively supported by their local primary care network.

Going a step further, Bevleigh Evans explains how this information can be used to influence other service leaders, such as acute chief executives, who all have their own pressures and priorities. “I ask them why they need to care about Mabel who can’t get her bin out anymore. The answer is because she is their next fractured hip”, Bevleigh says. “She’s the pre-frailty group that you need to work together as a system to help.”

To find out more about our services supporting population health management, tap the System Design section and see contact details at the bottom.

Inclusive decision making across Leicestershire

The Midlands and Lancashire Commissioning Support Unit’s Equality and Inclusion team are supporting a showcase event highlighting the LLR Academy’s ongoing work embedding inclusive decision making across Leicester, Leicestershire and Rutland (LLR). The event takes place virtually on Thursday 30 September, 10.30am-12.30pm, and is aimed at all NHS staff who work across equality agendas.

This is part of the Inclusive Decision Making Framework (IDMF), an LLR system-wide innovative approach to help embed equality considerations (including health inequalities) within decision making.

The framework is based on six steps to consider equality when making decision. The IDMF will help to:

* Foster a culture of Inclusive Decision Making across the LLR system
* Provide a shared Equality, Diversity, and Inclusion (EDI) resource across different system partners
* Provide practical steps to ensure that the needs of different communities and staff are considered in decision making and plans
* Meet the challenges of delivering the NHS Long Term Plan across LLR to meet legal duties – in terms of equality, reducing health inequalities, and human rights.

The showcase event celebrates the progress made in implementing the IMDF across three priority areas: the LLR Reconfiguration Programme (Building Better Hospitals), the approach to reducing health inequalities and the clinical design group work.

We are joined by Dr Bola Owolabi (Director for Health Inequalities, NHS England and Improvement) who is our keynote speaker. We are also showcasing three case studies which demonstrate excellence in inclusive decision making practices across the LLR system.

For further information  and to book a place, please email llracademy@uhl-tr.nhs.uk

Learn and share at our Insight Festival, 4-15 Oct

The Midlands Decision Support Network in association with the Midlands and Lancashire Commissioning Support Unit’s Strategy Unit are hosting INSIGHT 2021, our annual festival of learning and sharing events for the NHS, local government and other partners across health and care.

This year’s festival will run over a two-week period from Monday 4 October until Friday 15 October, and include a mixture of talks, workshops and panel discussions. The theme is Insight to action, bringing together inspirational regional and national speakers to explore how insights from high quality analysis can drive change in health and care systems.

Sessions will be delivered virtually. The festival is open to everyone working in health and care and every session is free.

Last year’s festival had over 3500 attendees and was highlighted in the International Journal of Health Governance as one of the most ‘interesting and inspirational’ virtual conferences of 2020, alongside offerings provided by the World Health Summit, the European Observatory on Health Systems and the Nordic Health Movement.

Attendees can commit as little or as much time as they’d like. Most of the sessions will be recorded so you can fit them into your schedule in a way that suits you.

Confirmed speakers include:

Nigel Edwards (Chief Executive, The Nuffield Trust)
Jennifer Dixon (Chief Executive, The Health Foundation)
Richard Murray (Chief Executive, The Kings Fund)
Andi Orlowski (Director, The Health Economics Unit)
Professor John Wright (Director, Bradford Institute for Health Research)
Dr Kathryn Mannix (Clinician and author)

…with many more expected to be added in the coming weeks.

To register your interest:

Please search the Midlands Decision Support Network and follow the instructions to book a session.

If you have any questions, please contact Rachel.Caswell@nhs.net or Gareth.Wrench@nhs.net