1. How do we scale up population health gain in primary care? Shakti Dookeran, Population Health Service Manager Public Health England

2. Population Health Gain 2Primary care and Public Health conference – May 21 st 2014 Practices that gain population health by shifting the population health outcome curve. Generally well Optimally well Nearly sick Generally well

3. Making this happen – local perspective 3 Primary care and Public Health conference – May 21 st 2014 Key challenges in general practice? ↑ demand from patients Lacking time to reflect on how they provide and organise care Over and inappropriate use of A&E ↑ responsibility Key elements that motivated these GPs to influence their practices? Commitment to improve population health outcomes Delivery of comprehensive, high quality and coordinated care Contain costs Improves resource allocation, stakeholder engagement Sustainable model for primary care What helped to implement the change in practice to a more population health outcome focus? Leadership Committed staff Resources (internal and or external) Economies of scale Clinically challenging Opted in Infrastructure - management & governance Peer comparison, support & sharing good practice (including data) Capacity development

4. An option… 4Primary care and Public Health conference – May 21 st 2014 Provide national leadership to influence a shift towards population health gain models of care Share good practice via newsletters, publications, websites, system design and pathways Reduce unwarranted variation in care Support system navigation through health and social care systems Identifying funding pots and developing joint bids ‘Do it once approach’ for shared activities Health gain practice network

5. Next steps … How do we roll out the good practice we have heard today? Building on existing opportunities: Contribute to monthly Healthcare Public Health newsletter and other communication routes Champion locally - identify and strengthen existing opportunities and enablers Develop an informal health gain practice network – circulate contact list from this workshop Email Shakti.dookeran@phe.gov.ukShakti.dookeran@phe.gov.uk 5Primary care and Public Health conference – May 21 st 2014