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Health and Social Care

Happy birthday NHS

Happy birthday NHS. There’s no doubt that what you do is a marvel, a national treasure. The NHS birthday present is in, well sort of. We will believe it when we see the cold hard cash. I wrote a little on this a few weeks ago https://gregfellpublichealth.wordpress.com/2018/05/25/the-nhs-needs-more-money-can-we-have-some-please/ I’ll stray off my normal pitch and offer […]

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Determinants Health and Social Care Health In All Policies population health Uncategorized

The flat of the curve. Do you want more health, or health care.

Spoiler alert – If you want more health spend less on heath care and more on upstream interventions. Controversial, and I’d expect grief for this one. I once wondered whether the proportion of health outcomes that are attributable to care mattered. I once thought it didn’t. I thought about it and concluded it did. Here’s […]

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Health and Social Care Health Care Public Health

The most important charts in health and social care

A few days ago I posted a pic from some analysis done in Sheffield with the bold strap line of “second most important chart in contemporary health care” Whether it IS indeed the second, third or most is probably immaterial I was then asked for my view on the most. Others then suggested others. It’s […]

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Health and Social Care Health Care Public Health population health

Population health management, revisiting segmentation

Population health management, revisiting segmentation The use and abuse of risk stratification. Population health management is all the rage. I’ve blogged on this a lot recently. This is a long, teccy blog. Largely based on something I wrote about 7 years ago. Basics haven’t changed since then. Thanks especially to Steve Laitner and Martin Vernon […]

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Accountable Care Health and Social Care Health Care Public Health population health

Five capabilities for population health management

I had a careful think on this. People keep asking me on this. I definitely don’t know “the answer”, I don’t think such a thing exists. Everyone and their dog, and their dog’s dad is trying to define “population health” at the moment, hence my previous blogs on it attempting to set out my own […]

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Accountable Care Determinants Health and Social Care Health In All Policies Social Value

Public sector anchor institutions and inclusive economic growth

Ted Howard from the Democracy Collaborative was in town last week He was the star turn in a workshop exploring the art of the possible on the subject of public organisations as economic anchors, the context of inclusive growth. He imparted a lot of wisdom in a short space of time, and left us with […]

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Health and Social Care Health Care Public Health Prevention Smoking

Health optimisation as a strategy for financial saving

I’m distinguishing the financial from clinical benefit here, and mandatory threshold policies and system and pathway to support type approach to implementation. For those short on patience – it’s a poor strategy for financial saving, it may exacerbate inequalities, it’s a good idea health gain wise. I’ve been here a few times historically on smoking […]

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Accountable Care Health and Social Care Health Care Public Health Outcome population health

Outcomes at population level in the context of accountable care.

We’re all setting up ACOs, ACPs, ACSs and similar. Outcome frameworks are, again, on the cards. Outcome based commissioning is, again, on the cards. This time it will (I hope) be a ‘different’ kind of “commissioning”. I’ve written a lot on outcome based commissioning and on outcome frameworks for an ACO, mostly about specific metrics […]

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Accountable Care Health and Social Care Public Health

The role of multi agency boards in complex environments 

Like all areas in the universe, we are busy working out what “Accountable Care” actually means. The ACP “Board” like other “grand boards” (inc HWBB) will have responsibility of “transforming stuff” in a context where individual organisations are still sovereign. In various guises I’ve been giving a bit of thought to big “partnership boards” and […]

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Accountable Care Health and Social Care Health Care Public Health population health

Population health, public health – what’s in a name

Joint blog by me and @andy54321 Everyone is talking “population health” these days. It’s great that the world is moving to think of populations not just individuals within a population. In the 00s when “health improvement” was in vogue, many couldn’t see the distinction between that term and “health promotion”. So “population health” could be […]