Agenda item

Briefing Note of the Consultant PH (Insight).

The Board received a Briefing Note and presentation of the Consultant PH (Insight) which described the work undertaken to embed Population Health Management (PHM) in the commissioning, transformation, design and delivery of health and care services in Coventry.

Population Health was an approach aimed at improving the health of an entire population and aimed to improve physical and mental health outcomes and wellbeing of people and reduce inequalities.  Population health was improved by data and intelligence driven planning and delivery of services to achieve maximum impact.  It included segmentation, stratification and modelling to identify local ‘at risk’ cohorts.  It then involved designing and targeting interventions to improve care and support and prevent worsening health for people with ongoing health conditions.

The Coventry Care Collaborative had committed to better use of Insight when making decisions about services. Historically, services had been designed based on current or predicted future demand data. This had compounded inequalities and led to increased demand for services without improved outcomes. A PHM approach looked at insight from the whole population, including those not using services, to better understand how services could better meet the needs of the residents.  The insight included service data and also an insight on who was and who was not accessing services and who had poor experience of services of poorer outcomes. This included feedback from residents, clinicians and other stakeholders on why services may not benefit all residents equally.

The Community Integrator transformation programme would be used to apply, test and learn how to successfully embed a PHM approach.  There was a commitment from all ICS partners to supporting insight driven decision making, apply learning to other decision making and work towards embedding the approach broadly in the future.  The work to apply the approach would sit with individual programmes however, a collective working group had been established to share learning, remove barriers to embedding a PHM approach, identify opportunities to scale and spread and ensure resources and structures required were in place.  This group would report into the Care Collaborative Forum and Committee where appropriate.

Members of the Board, having considered the Briefing Note and Presentation, asked questions and received information from officers on the following:

·  Working towards reducing health inequalities was being undertaken by aligning data and understanding the needs of the population. 

·  Within the migrant population, 75% using health services were not receiving a good outcome.  A different intervention was required along with the understanding why and further engagement with those communities.

·  Working differently was a challenge, along with the challenge of the winter months, capacity issues and resourcing.

Councillor Seaman advised of the importance of listening to the central young voice and suggested children with mental health issues could grow into adults with the trauma following them.  There were certain areas of the city which required focus to address child poverty and deprivation.

RESOLVED that the Health and Wellbeing Board note the progress the Coventry Care Collaborative has made towards embedding a PHM approach to health and care and the commitment made by all Integrated Care System (ICS) partners.