Population Health Management

Population Health Management improves population health by data driven planning and delivery of proactive care to achieve maximum impact. It includes segmentation, stratification and impactability modelling to identify local ‘at risk’ cohorts – and, in turn, designing and targeting interventions to prevent ill-health and to improve care and support for people with ongoing health conditions and reducing unwarranted variations in outcomes.

The benefits of Population Health Management are:

  • Using data-driven insights and evidence of best practice to inform target
  • interventions to improve the health & wellbeing of specific populations & cohorts
  • The wider determinants of health, not just health & care
  • Making informed judgements, not just relying on the analytics
  • Prioritising the use of collective resources to have the best impact
  • Acting together – the NHS, local authorities, public services, the VCS,
  • communities, activists & local people. Creating partnerships of equals
  • Achieving practical tangible improvements for people & communities

Information about you is collected from several sources including NHS Trusts and from this GP Practice. The identifying parts of your data are removed, and an analysis of your data is undertaken. This analysis may be undertaken by external organisations who are acting on behalf of your GP Practice and have a Data Processing contract with the Practice. This is then provided back to your GP as data controller in an identifiable form.  As a result of population health management, your GP may be able to offer you additional services.

Page last reviewed: 28 December 2023