Abstract

PurposeChanges in demographics and disease patterns are challenging health and care systems across the world. In England, national policies have reset the direction of travel for the NHS. Collaboration, integration and personalisation are intended to become prime principles and drivers for new models of care. Central to this is the concept of population health management. This has emerged, internationally, as a method to improve population health. Fundamental for population health management to succeed is the use of integrated data, analytics combined with professional insight and the adoption of a learning health system culture. This agenda reaches beyond the NHS in England and the public health profession to embrace a broad range of stakeholders. By drawing on international experience and early experience of implementation in the United Kingdom, the potential for health and care systems in England to become world leading in population health management is explored.Design/methodology/approachA viewpoint paper.FindingsPopulation health management is a major change in the way health and care systems look at the challenges they are facing. It makes what is happening to individuals, across the continuum of care, the essence for insight and action. The NHS has the components for success and the potential to become world leading in delivery of population health management as part of its integrated care agenda.Originality/valueThis is the first viewpoint paper to set out how population health management contributes to the integrated care agenda in the NHS.

Highlights

  • The NHS Long Term Plan (NHS, 2019) makes extensive references to population health management (PHM)

  • The new policy direction around integrated care and the development of primary care networks (PCNs) infrastructure provides the ideal foundation for this way of working and the potential is huge for real change to occur

  • Dorset’s is freeing up analytical resource to dedicate to providing PHM insights for system leaders and PCNs, with the wave of PCNs receiving similar support to that provided by the programme

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Summary

Introduction

The NHS Long Term Plan (NHS, 2019) makes extensive references to population health management (PHM). The authors would like to thank the support provided by the NHSE/I Population Health Management team, Optum UK, Dorset Clinical Commissioning Group and local providers.

Results
Conclusion

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