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Health Care Public Health population health

Population health – essential components

  Everyone is talking about “population health”. What does this concept mean, how do we enact it and enable it. Some thoughts on population health – a guide Given that the term isn’t going away, I thought I’d better fall into line and try to write some stuff. People keep asking me. I found that […]

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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 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 […]

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Ageing Clinical Health Care Public Health Healthcare Reform Prevention

Ageing population lazy thinking for when you cant be bothered to understand the real issues

By me and Steve Laitner I’ve (GF)  blogged a lot on the myth that is the “demographic timebomb”, and set out a set of data and arguments to make up case argument wise. See references at the bottom.    Here are our collected summary thoughts on why getting the narrative wrong on this is harmful […]

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Ageing Clinical Health Care Public Health Prevention

Notes on the epidemiology of multi morbidity, and why it matters

Multi morbidity the new black.Well, it’s not really. But it’s one of the defining features of modern healthcare. And if you stick multimorbidity in a social context – with all its social complexity, it’s one of the defining features of contemporary health and social care.Given that, we know remarkably little about the epidemiology of it.Arguably […]

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Clinical Health and Social Care Health Care Public Health

how to cut the incident AF stroke rate by 15% in 18 months. Turning science in to change.

        This is a very old story. Its also a very long one. It is one I have wanted to tell for a time. It is the story of how we increased performance by 33% on a “difficult indicator” that was known to be problematic to change. It is also the story […]

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Health Care Public Health Healthcare Reform Public Health

Over diagnosis – a new frontier in green and carbon

I got asked a q re my thoughts on greening health care I think the asker was expecting me to mutter something about light bulbs They were surprised to see I had no real interest in light bulbs We’ve all said warm words (pun not intended) on carbon and stuff.  Climate change is perhaps the […]

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Health Care Public Health

Population approach to kidney care and the outcomes

I don’t often do bespoke blogs but here is one I did a blog a few weeks ago on getting smarter about prevention from an NHS perspective. https://gregfellpublichealth.wordpress.com/2017/01/19/if-the-nhs-were-better-at-preventing-stuff-10-thoughts/ Point 8 was about population focused care. Someone asked me to unpack what I meant. Here goes This is kidney focussed. Some years ago I was privileged […]

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Health and Social Care Health Care Public Health Prevention Value

 If the NHS were better at preventing stuff. 10 thoughts.

I got asked a q today about “how might the NHS address “prevention” more strategically. 10 off the cuff thoughts.   These thoughts are NHS focused…….and medical model focused. Maybe I’ll write more about NHS and social model stuff in the future   1) In many cases screening doesn’t prevent anything. It finds disease. Often […]

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Accountable Care Health and Social Care Health Care Public Health Healthcare Reform Public Health STP Value

Using routinely collected data to demonstrate where the NHS is going wrong

 This is someone else’s work, it’s amazing. Genuinely amazing. And deserves wide coverage.  In some ways a macro analysis of the history of NHS problems, using lots of readily available NHS data with a heavy dose of  intelligence and interpretation  It’s Scottish. Is Scotland like England – ie questions of generalisability. I think many of […]