Tag Archives: Dashboard

Introducing population health analysis support from One Care

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One Care has launched a population health analyst support service, which aims to help primary care networks (PCNs) in Bristol, North Somerset, and South Gloucestershire (BNSSG) gain better insights into the health needs of their populations and the inequalities experienced by different patient groups.

The team provide intelligent insight to support PCNs to design and deliver appropriate services and interventions to address the identified needs.

The population health analysts at One Care also work with the wider healthcare system in making effective decisions to support general practice and the health and wellbeing of the local population.

The analysts are working on several projects, including:

  • Dashboards to support locality ageing well programmes, showing the distribution, relationships and inequalities of various priority health areas across an area (including COPD, diabetes, heart failure). The dashboards visualise overall prevalence of conditions at each practice in the locality, while also breaking them down by age, deprivation and geography to show the most affected areas
  • Sharing priority patients lists for practices across BNSSG, based on clinical risk and amenability to benefit from targeted sets of appropriate interventions, for example: vaccinations; chronic disease reviews; advanced care plans; and cancer screening.
  • Reports on cardiovascular disease, its relationship with other long-term conditions, prescribing patterns, and patient activity within the practice, with a focus on prevention and identifying gaps in existing care
  • PCN reports and priority lists of patients suffering from a combination of long-term mental and physical health challenges, to support a personalised approach to care and continuity

Rhys Lewis, head of digital at One Care, said: “General practice has a unique role in understanding the underlying causes of ill health and supporting communities to address them and drive improvement. We encourage all PCNs to get in touch with One Care’s team to collaborate on turning data into meaningful intelligence to address population health and begin to tackle inequalities.”

Each PCN in BNSSG has a dedicated One Care analyst, who can be asked to investigate specific topics or areas where clinicians feel targeted work is needed. The team is available to meet with PCNs or practices that would like to know more or make use of the service. It can be contacted via email at business.intelligence@onecare.org.uk.

One Care helping practices benchmark telephony demand

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One Care has updated the telephony information available to practices in their General Practice Intelligence Dashboard (GPID).

The dashboard enables practices to benchmark themselves against other anonymised practices in BNSSG on incoming and unanswered call volumes, as well as the overall percentage of calls unanswered. The data can be tracked and measured over a week, month, quarter and year.

Practices will be able to see where they sit in comparison to each other, including in relation to patient demand and how it is being dealt with (using a rate per 1,000 patients).

This information may inspire a deep dive into practice call volume and how calls are being handled. It could also highlight specific time frames where demand has increased or decreased.

One Care’s business intelligence support analyst Kelly Hawkes commented on the new dashboard saying: “The analytics teams are incredibly excited to launch this dashboard as it offers something to practices that previously they’ve been unable to see.

“Practices are inundated with calls on a daily basis and this dashboard enables them to track this data in line with other practices. This dashboard is available to all Bistech practices and PCNs that have provided consent for One Care to process their telephony data.

“We would encourage as many practices to utilise this dashboard as possible as it offers a further insight into their practice.”

If you would like more information on the dashboard and how to use it, please contact onecare.analytics@onecare.org.uk.

One Care supports practices with learning disability health checks

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GP surgeries are required to deliver free health checks once a year to anyone aged 14 or over who is on their doctor’s learning disability register.

To help practices identify eligible patients, keep track of health check completion percentages, and visualise insights, One Care launched a dashboard in January 2022, using data exported from EMIS.

Going forward, practices will be able to use the dashboard and its useful features to keep a record of patient information and invite them for their annual health check when appropriate.

While the dashboard enables practices to calculate how many of their patients are eligible for these checks, and how many have been completed, there are other benefits too. Users can sort the data by a range of criteria, for example: ethnicity, deprivation, age and gender – which can highlight inequalities and where targeted support is most required. The dashboard also enables practices to compare different patient groups using the built-in filters, which will offer a greater overview of the BNSSG population and potentially inform future studies.

Speaking about the new dashboard, One Care’s Head of Business Intelligence Rhys Lewis, said: “People with learning disabilities have poorer physical and mental health than others and this has been particularly highlighted by the Covid-19 pandemic. Annual health checks can improve their outcomes by spotting problems early, enabling appropriate treatment and management, and preventing premature and avoidable death.

“The learning disability dashboard provides clinicians and managers with up to date information on how many of their eligible patients have received a health check and how many are outstanding, ensuring maximum uptake by the end of the financial year.”

Eligible patients do not have to be ill to have their health check – in fact, most are well when they accept it. The annual health check can help patients stay well by talking to a doctor or other healthcare professional about their health and medication, and if any concerns are spotted, treatment can be administered before any condition worsens.

If you would like more information on the learning disability health check dashboard and how to use it, please contact onecare.analytics@onecare.org.uk. To learn more about these health checks, visit the NHS website.