Implementing population health management in England. A GP perspective

PHC professionals often already have deep understanding of the population that they serve, their needs and the wider determinants of their health. A data-driven population health management approach does not replace this understanding but rather complements it, quantifies it, enables even deeper understanding and, at times, can challenge pre-existing assumptions. PHC professionals’ understanding of their community (in which they often live) naturally facilitates population health management as an effective approach within PHC. There are resultant benefits when clinicians participate in leading this transformational change, even though most of the day-to-day work required is often not done by the clinicians themselves and, in fact, often reduces their workload. This presentation will describe the implementation of a PHM approach in Berkshire West (England) and will provide examples of their practical applications before, during and in the wake of the COVID-19 pandemic.