Tag Archives: General Practice Intelligence Dashboards

One Care releases IIF tracking dashboard for primary care networks

One Care’s businesses intelligence team have developed a new dashboard to help general practice in BNSSG monitor progress against national targets from the Investment and Impact Fund (IIF).

The IIF is an incentive scheme that rewards primary care networks (PCNs) for delivering high quality care to patients, improving population health and delivering priority objectives from the NHS Long Term Plan.

It measures PCNs’ performance against a set of targets relating to health inequalities, personalised, preventative and anticipatory care, medicines optimisation, and environmental sustainability.

The One Care dashboard has been developed to help PCN managers and clinical leads track how their PCN is performing against these targets, and what level of income they can expect to receive as a result.

The team is also developing a practice-level dashboard, enable visibility of how each practice in a PCN is contributing.

Rhys Lewis, Head of Digital at One Care, said: “The PCN DES (of which IIF is part) is an important source of funding for general practice. A typical PCN in England could earn around £100,000 , so it’s important our PCNs have an easy way to see how they’re doing, and identify where the most cost-effective action can be taken to maximise this income.

“Feedback so far has been really positive. PCNs can see its value and understand what it can do for them. We’re currently developing the next iteration, which will help PCNs see where they can expect to be tracking towards the end of the financial year, and how their resources are best focussed to deliver the maximum benefit for their patients and maximise income.”

If you would like to know more about the dashboard, or have any feedback, please email business.intelligence@onecare.org.uk

New intelligence dashboards to support practices’ vaccine delivery

One Care has launched its 2022/23 winter vaccination dashboards, to help practices track progress delivering vaccinations to eligible groups.

There are two dashboards – one for Covid-19 autumn boosters and one for flu vaccinations – which will show practices and primary care networks (PCNs) how many vaccinations they’ve delivered each week.

The dashboards have been designed specifically for practice staff to quickly gain insight on progress through eligible cohorts.

All practices will be able to see their own data, and PCNs can also view each of their practices along with an aggregate view.

Practices can see the dashboards using this link and their unique practice / PCN login.

Rhys Lewis, Head of Digital at One Care, said: “This is the fourth dashboard we’ve set up to help general practices track how many of their patients they’ve vaccinated. It’s a service we started providing during the Covid-19 pandemic, and it’s something we know works well.

“The data in the dashboards can be broken down in several different ways, including patient ethnicity and index of multiple deprivation (IMD) group, which will help practices know which groups they may need to target in their patient communications.

“We hope they continue to be useful to our practices, and as ever we welcome any feedback on them so we can make improvements.”

PCN mental health analytics project

One Care has been working with a Primary Care Network (PCN) over recent months to identify patients with an active mental health condition who might benefit from a tailored intervention.

The overall aim of the project is to improve outcomes for groups of patients with mental health troubles.

It has been widely recognised that Covid-19, and the wider effects of the pandemic, have significantly impacted mental health, aggravating pre-existing conditions as well as affecting people who have not previously experienced poor mental health.

One Care has been working with PCNs and system partners to understand how general practice can be supported to use data and analytics to get a better understanding of their population needs, highlight inequalities, and identify cohorts that would benefit from intervention.

One Care is delivering this mental health project to the unnamed PCN through a series of presentations and meetings, sharing an excel based tool and several reports produced using the system, R.

When comparing data from the PCN’s population between 2019 and 2021, as per the below graph, it’s clear to see the different percentage changes in patient activity for mental health (mh) and non-mental health cohorts.

January to March 2020 saw more patients across the two cohorts require medical attention in comparison to the same period in 2019, with the first lockdown reducing activity for both. But from June 2020 to present, there has been a substantial rise in activity for the mental health cohort.

To achieve the desired outcome, One Care identified all patients with active mental health conditions using clinically agreed code sets, before they were narrowed down further using demographic, social and health information.

The below graph is a visual representation for how data was used to agree a criteria to identify a cohort of patients from the PCN population that will benefit from a specific tailored intervention.

Having collated all the data, One Care is able to compare the group with the rest of the PCN population, highlighting how their health needs and health service utilisation differ.

One Care’s business intelligence team have begun to uncover and highlight how within patients with an active mental health condition there were some distinct groups and outliers that might benefit from specific intervention.

Applying these pre-identified criteria means One Care can provide a list of patients, alongside their health and demographic information, to PCN clinical leaders and managers. These clinicians can now review the list of patients and decide on suitable intervention, which One Care can support.

One Care offer a number of direct support services to our practices, PCNs and localities. Our analysts have access to local practice data which we present back to our practices through the General Practice Intelligence Dashboards. Our team can work with practice or PCN staff to analyse the data and turn it into intelligence, empowering practices to make decisions based on up-to-date information about activity in their practice.

One Care is working on a model of support to offer this service to more PCNs in the future, so if you would like to carry out a similar piece of work in your area, please contact rhys.lewis@onecare.org.uk.