Improving equity, protecting health and reducing health inequalities in specialist healthcare services.
PHE ePoster Library. Zelent G. Sep 12, 2019; 274436; 232
Mrs. Gina Zelent
Mrs. Gina Zelent
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Abstract
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Abstract Introduction
The public health team advising the commissioning of specialised services led a programme of work to analyse variation across 14 specialised NHS services in London. This work provided an understanding of:• the London population and how it differs from other regions• the drivers of service demand• how a whole systems approach can achieve efficiencies in service provision and improve patient outcomes.MethodAn in-depth care pathway analysis reviewed:• the setting in which care was delivered (primary, secondary, tertiary) • the responsible commissioners at each stage of the pathway • the population drivers associated with condition or service. OutputsFourteen commissioner support packs were produced, which detailed:• London population risk factors (e.g. demography and lifestyle behaviours).• clinical commissioning group and Sustainability and Transformation Partnership (STP) level analysis.• disease incidence and prevalence models.
Results
• Regional variation in specialised services was couched in the context of the London population.• Commissioners were kept abreast of any expected increases in service demand.• Strategies and interventions to protect and improve health were recommended for implementation across specialised care pathways.
Conclusions
ummarising the local population demographic and risk factors contextualises complex data for a mixed audience. Presenting public health data across the care pathway:• highlights inequalities in health and inequities in access to care• fosters system wide thinking across all levels of population prevention• provides opportunities for meaningful engagement with a wide range of stakeholders (including Integrated Care Systems and STPs). External funding details
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