A Population Health Management (PHM) approach uses data to design pro-active models of care and improve the health of a population. PHM is fundamental in ensuring health inequalities are understood and considered at every step of care from system to individual level and that appropriate interventions are put in place.
NECS’ Population Health Management (PHM) approach was created with exceptional talent and technical capability to develop creative solutions to overcome the most difficult challenges facing healthcare services to improve population health, reduce inequalities and improve value.
NECS delivers end to end solutions through our experienced team at place or system level, we can provide bespoke modular solutions for specific challenges. By working very closely with our customers we tailor support to align with the challenges being faced by local systems.
Our PHM solutions can be mobilised quickly to work with you in addressing your greatest challenges including:
- Delivering the aims from the NHS Long term plan
- Tackling health inequalities
- Restoring NHS services inclusively
- Develop digitally enabled care pathways in ways which increase inclusion
- Accelerate preventative programmes which proactively engage those at greatest risk of poor health outcomes
- Collaborate locally in planning and delivering action
- Protect the most vulnerable from COVID-19
We can work with you as a delivery partner or a coaching partner to implement a PHM Approach.
Our PHM offer spans the NHSE/I guidance on the 3 pillars for effective population health management approach:
Find out more:
See NECS Full PHM service offer brochure here.
NECS has an excellent track record in delivering large scale transformational change and has led on a number of PHM programmes at different levels. We have a unique combination of skills, services and tools that make us a trusted and effective PHM partner, we:
- have a comprehensive data platform capable of integrating health and care events across the entire health care system
- have sophisticated business intelligence tools such as NECS RAIDR that can facilitate a ‘system’ and ‘place-based’ view of delivery to support patient activation
- provide a flexible bespoke PHM service, we can design and deliver an end to end service or modular solutions, provide coaching and mentoring to support your own teams to deliver locally, and we can flex scale for system or local delivery
- turn insight and understanding into evidence based interventions and change programmes which we can manage and deliver or enable local teams to deliver, and evaluate for effectiveness
- have a team of PHM Subject matter experts (and teams) we can mobilise quickly, including:
- Data Management and Information Governance
- Analytics and Intelligence
- Transformation Programme and Project Management
- Public Health Consultants with specialist PHM experience
- Organisational Development – leadership and coaching
- Research and Evidence
- Provider Management / Workforce
- Medical / GP
How we’ve helped
During 2020/21, NECS has worked in partnership with NHS England and Improvement (NHSEI) and OPTUM to support and deliver the National Population Health Management (PHM) Primary Care Network (PCN) Programme across Humber Coast and Vale (HCV), North East and North Cumbria (NENC), Suffolk and North East Essex (SNEE) and Herts and West Essex (HWE). NECS have provided support across Data & IG Readiness, Business Intelligence and Programme & Relationship management support throughout waves 2 and 3. NECS led on the development of the NENC ICS system roadmap for PHM with NHSE/I and Optum and are working as the ‘system engine’ to provide PHM support across NENC from 2021-2024 in line with the NENC ICS PHM strategy.
Local Authority – Covid19 Response Phase 1 in County Durham
In March 2020 at the early stages of the Covid-19 global pandemic, the Durham health system partnered with NECS to adopt a Population Health Management (PHM) approach to managing a local response.
GP Practice – RAIDR South Tees
NECS deploys RAIDR alongside advanced predictive algorithms to address patients with Atrial Fibrillation (AF), COPD, Dementia and Diabetes. Find out more in our summary here: GP Practice – RAIDR in South Tees
Integrated Care System – North Cumbria
NECS played a major supporting role in the turnaround of the North Cumbria system and its establishment as a second wave ICS pilot site. We supported the development of a shadow integrated care organisation as ‘operational’ commissioning functions (blending CCG/NECS services) transitioned from CCG to become integrated with equivalent functions in the newly merged North Cumbria Integrated Care NHS Foundation Trust. Find out more in our summary here: Integrated Care System – North Cumbria
Primary Care Network – Analytics Support Programme
NECS has been the Population Health Management (PHM) and analytics delivery partner to provide key support to all 66 Primary Care Networks (PCNs) across North East & North Cumbria (NENC) with the key focus on supporting the PCNs along their maturity journey around population health management and delivery of anticipatory care. Find out more here: PHM Analytics for Primary Care Network
Meet the team
Lisa is a strategic lead within the NECS PHM programme.
Lisa has over 27 years of experience in the NHS working in areas of Public Health, service transformation, people leadership and strategic commissioning.
Lisa has held her Public Health Specialist Registration with the UKPHR since 2014. She is an NHS IQ Advanced Practitioner in Leading Large Scale Transformation and a NETS certified leader in LEAN methodology.
Lisa has experience in leading large scale change projects involving health and social care stakeholders and with a successful track record of delivery, achieving cost efficiencies and improved outcomes for service users and carers.
Transformation Programme Manager
Janine is programme lead for NECS’ PHM programme. Janine has 20 years’ experience of successful healthcare project and programme management primarily in the development and implementation of transformation projects and change management programmes with National, regional and local impact. She has a background in Public Health and been part of NECS’ programme and project management team since 2013.
Janine has designed outcome based services and contracts, redesigned pathways with CCGs and hospital trusts to improve outcomes for patients and providers. Janine has designed bespoke interventions for respiratory and diabetes services and has a role in healthcare sustainability through the NECS CSR group.
Head of Data and Digital Applications
I-Lin leads the data and digital applications team within NECS overseeing a Data Services for Commissioners Regional Office (DSCRO) on behalf of NHS Digital and a team of 65 data and technical architects, engineers, digital developers and primary care specialists.
This growing team delivers data management services and a data platform using enterprise data warehousing solutions to a diverse range of geographically disparate customers which includes almost 50 CCGs as well as NHS England and local hospital trusts. In addition the team delivers a large number of bespoke and innovative applications, collaboration tools and websites exploiting cloud technology and utilising agile delivery methods.
Val has over 30 years’ experience in Information Management in the NHS. Val is responsible for information analysis and reporting, intelligence analysis and development and maintenance of BI Tools such as RAIDR
Val led the design and implementation of NECS’ healthcare intelligence application, RAIDR, and manages the team which develops and maintains this tool. RAIDR is the class leading business intelligence tool
RAIDR won a European Shared Services and Outsourcing Network (SSON) Excellence Award in Innovation for the development of a dedicated RAIDR dementia dashboard to make all NHS data and necessary information available in one place for healthcare workers.
Val leads a team of information and intelligence analysts providing comprehensive Business Intelligence services.
Kim has 20 years of NHS experience across commissioning and provider functions as well as Secondary and Primary Care, and is NECS Deputy Head of Information Services. Within her role Kim operationally supports the management of the BI analytical service and the RAIDR team that provides NECS Business Intelligence platform, RAIDR, nationally.
Kim is a core member of the PHM team and is Business Intelligence (BI) Programme lead for the implementation and on-going development of the national RAIDR 111 dashboard provision that supports the Integrated Urgent and Emergency care programme nationally.
Lis led on NHS Rightcare accreditation for NECS and works across the organisation to support resource allocation to reduce health inequalities by providing specialist financial advice on interventions.
She is part of NECS Population Health Management core team.
Lis has 22 years’ experience in financial services in both the UK and US and both the public and the private sector working for Deloitte and the Mental Health trust Oxleas. Within the NHS Lis has applied her private sector experience to contracting and reform, has detail technical knowledge of Payment by Result, reference costs, and NHS costing but is also working with the national payments team to look at the future of payment within the system.
Steve is a professional individual with an all-round experience of finance and is passionate about improving NHS Finance. He has over 25 years’ experience of working within both the private and public sector finance.
Steve joined NECS in 2008 and is an integral part of the Strategic Finance Team, with expert knowledge of Payment by Results, reference costs, NHS costing, financial & activity planning reporting and the impact of service changes or resource movement through the healthcare system.
Steve had a lead role in the enhanced finance and contracting PHM modelling elements of the national Optum NHSEI Wave 2 PCN Support programme within Northumberland, and is part of NECS core PHM team leading on predictive modelling and finance.
If you would like further information about NECS Population Health Management, email the team at firstname.lastname@example.org