At the heart of our work is the desire to improve the health of our population. We know that we can only do this by working in partnership with others including local authorities, public health teams, health and social care staff, service providers and residents themselves.
Our clinical and professional teams work across the health system to transform and improve health services every day. There are a number of activities that support this work:
Population Health Management
Helping front line services to understand current health and care needs and predicting what local people will need for the future.
Workforce and Clinical Leadership
Ensuring that healthcare clinical professionals provide leadership across the health and care workforce.
Estates
Ensuring that NHS buildings and the grounds around them are a safe and pleasant environment for patients and staff and that they are maintained and fit for purpose in providing care.
Finance
Setting and managing budgets while tracking and checking them to ensure value for money.
Digital and Data
Investment, development and roll out of complex IT systems and data to support patient care, including booking systems, security and data protection and data analysis.
Population Health Improvement
- Population health management
- Tackling inequalities
- Prevention and early intervention
- Personalised care
Through the Population Health Improvement Board, we will:
- Look at systems and services together and take a holistic view of need and provision for specific groups that face poorer health outcomes.
- Improve how we record data to identify gaps and inequalities.
- Work with partners to map out community assets, including those intangible assets – the social networks, the trusted local groups and the commitment of individuals.
- Further develop a community engagement programme to listen, engage and co-produce future service needs with the community.
- Central to our Integrated Care Strategy is a ‘Common Endeavour’ of reducing inequalities together.
Reducing health inequalities – the Core20Plus5 framework
Health inequalities are avoidable and unfair differences in health between different groups of people. As an integrated care system, our priority is to work closely with our residents, communities and partners to reduce the inequalities faced by many. For those using our health and care services we want to ensure we achieve fairer access, excellent experience and the best results for all.
Core20PLUS5 is a national approach to reduce healthcare inequalities.
Within the NHS we have prioritised our work around the Core20PLUS5 framework for adults and children, this enables us to:
- Concentrate efforts on the 20% of most deprived communities.
- Identify and work with ‘plus groups’ – communities that may experience poorer access to good health outcomes.
- Focus on a small number of clinical conditions as outlined below.
Clinical Conditions
Adults
- Maternity
- Servere Mental Illness (SMI)
- Chronic respiratory disease
- Early cancer diagnosis
- Hypertension
Children
- Asthma
- Diabetes
- Epilepsy
- Oral health
- Mental health