Cheshire & Merseyside Population Health Framework Jon Develing – SRO Eileen O'Meara – Clinical Lead
Population Health Framework Introduction • CM HCP recognises prevention and early detection of ill health as a strategic driver for the sub region. • We have therefore been asked to develop a Population Health Framework for Cheshire & Merseyside • This is to address: – Improved health and wellbeing. – Rising demand on services. – Rising costs. – Pressures on system capacity. – Health inequalities. – Unwarranted variation in care. • And to support integration in `Place`
Development Developed through research and a workshop: GPs/Pharmacists/local authority reps/Social Care/Medical Directors/DsPH/PHE/Providers/ NHSE/CCGs/voluntary sector. Prevention Board CHAMPs SROs from cross cutting themes so as to avoid duplication and maximise impact.
Development • Looked at best practice from North East, Midlands, Greater Manchester Cheshire and Merseyside and London • Learning from these included – Systems leadership – What could be done in primary care (Pharma / Dentistry / GPs ) – What providers could do in a community community or hospital setting – What we can do together with local communities.
Aim of the Framework • Provide evidence based guidelines on best practice for population health in a range of settings. • They are not prescriptive. • We recognise that each system is in a different place. • Provides a framework that each place can adapt and interpret to fit their requirements. • Can be used in lots of ways - Midlands have used their guidelines for sector level improvement. • North East have used them as a whole systems pledge. • They fit with the new NHSE and GP Practice MoU on person centred care
Systems Leadership Examples – To embed Prevention within corporate governance structures, appoint a board level champion for prevention and ensure health is in all policies. – Is Making Every Contact Count embedded within commissioning and the providing approach?
Primary Care Examples – Systematic referral to sources of non- clinical support through social prescribing and community connecting roles. – People are supported to manage their health in a way that suits them best, tailored to their level of knowledge, skills and confidence e.g. health coaching, self management education, peer support all measured by PAMS.
Provider Framework Examples – Systematically adopt a Making Every Contact Count (MECC) approach with the delivery of “…just wanted to say a all services supported by massive thank you for necessary staff training and IT delivering the MECC training. infrastructure to record activity I thought you would want to and outcomes know that the session was – Hospital specialists and evaluated really highly by the group .” Community Trust specialists run Gemma Hockenhull joint ambulatory care clinics in Clatterbridge Hospital. the community as part of primary care Multi-Disciplinary Teams.
Community Framework Examples • To increase the use of local non health workforces to deliver prevention: fire & rescue services, housing associations, sports clubs, community development teams, social prescribing, voluntary and third party sector, etc • To train and accredit community champions, volunteers and advocates on wellbeing topics such as dementia friend training.
Ask • Would you consider how this could be taken forward in your place? • Could you consider what support you may need to implement it locally? • Can you consider how you might assess against this Framework in the future?
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