Population health management

What is population health management?

Population health management (PHM) helps us to improve the health and wellbeing of people living in Hertfordshire and west Essex (HWE) by using information about individual people and communities to understand local health and care needs, and how these vary for different populations. We can also use it to make sure the right services are in place to meet people’s needs now and what these might be in the future.

Population health management help our ICS to improve Population Health which is about the physical and mental health of our communities. This includes promoting wellbeing and reducing health inequalities, often linked to wider determinants of health, such as housing and education.

By understanding the needs of our population, health and care organisations working across our ICS can design, deliver and manage health and care services so theyre more joined-up and sustainable.

We can also use PHM to identify individual people with health and care needs who might benefit from specific interventions. The support received might be medical but can also be social, such as support with housing and employment, which can impact physical and mental health.

Visit the NHS website for more details on population health management.

You can access local insight packs for our population via the navigation options that are at the bottom of this page.

We will continue to update this page with more detailed reports on the health outcomes based on the types of illness affecting those living in HWE.

You can view general health reports for Hertfordshire and west Essex by district on the Hertfordshire Health Evidence website.

Primary care network packs

There are PCN-level packs available for this year and previous years across our three places:

Overview of the population

You can find files relating to our health needs analysis on this dedicated page.

Programmes

Cancer
Children and young people
Frailty and end of life
Long-term conditions (diabetes and cardiovascular disease)
Mental health / learning disabilities
Planned care
Prevention
Unplanned care
Sub-geography

Wider Tools and Resources

Hertfordshire County Council JSNA / evidence and insights Essex County Council JSNA / evidence and insights Fingertips Model health system (this requires approved access) Cardiovascular disease Prevent PaPI (this requires approved access) FDP/Foundry (this requires approved access)

PHM newsletters and case studies

You can read our newsletter and find case studies here.

Our communities

he Hertfordshire and West Essex ICS (Integrated Care System) area is made up of a mix of large and small towns, villages and countryside, with a growing and increasingly diverse population.

Essex data

You can find detailed information about Essex’s communities, from population statistics to data on highways use and social care on the Essex Open Data pages of the Essex County Council website.

Hertfordshire data

You can find detailed statistical information about Hertfordshire’s communities and the people who live in them on the Herts Insight pages of the Hertfordshire County Council website.