How we work and contribute to improving the health of the population in City & Hackney

An introduction to the

Contents

• What is the Population Health Hub?
• What do we mean by ‘population health’?
• What does taking a population health approach mean?
• Who’s in our team?

• How do we work?
• Our six focus areas
• How we involve residents
• How we support the City & Hackney system
• Some examples of our work

• Ways to work with us
• The process for contacting us
• What to expect & how you can help us

• Current workplan for 2023/24
• Information on prioritisation process for new projects

Introducing the Population Health Hub

Our work

How you can work with us

Further information

If you would like to put forward a project or have a question you would like answered, please get in touch to discuss.

What is the Population Health Hub?

The Population Health Hub (PHH) is a shared, system resource which aims to support the City & Hackney Place based Partnership (PbP) and wider system partners to reduce health inequalities and improve the health of our population.

We support the City and Hackney Place Based Partnership (PbP) vision:

“Working together with our residents to improve health and care, address health inequalities and make City and Hackney thrive”

What do we mean by ‘population health’?

Population health is described by the King’s Fund as...

“...an approach that aims to improve physical and mental health outcomes, promote wellbeing and reduce health inequalities across an entire population. Improving population health and reducing health inequalities requires action across all ‘four pillars’* of a population health system.”

*This figure represents the four pillars as indicated in the four circles. Source: King’s Fund

What does taking a population health approach mean?

Effective, system-wide action requires a common understanding of population health drivers, outcomes and effective interventions.

system partners taking shared responsibility for improving population health

rebalancing investment across the four ‘pillars’

focusing attention in the areas of overlap and intersection �(the ‘rose petals’) - where there are the greatest opportunities for impact

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Who’s in our team?

The Population Health Hub has a small ‘core team’ shown here. This reflects that we need to work in partnership with City & Hackney teams and system partners to achieve our aims.

How do we work?

We work to proactively identify what the system needs…

…and also work in partnership on requests for support from stakeholders across the system

Our 6 focus areas

Our six focus areas

Evidence

Intelligence

Co-design & partnerships

Evaluating impact

Prevention & equity

Capacity building

Enabling the system to use evidence resources and expertise within the system, as well as supporting teams to develop skills in how to analyse evidence from literature.

Enabling the system to use existing data and intelligence (which contains qualitative and quantitative data) to generate useful analyses and insight.

Embedding codesign and partnership development of change ideas

Supporting system to evaluate what is working and what needs to change

Increasing focus and resources from the system on prevention and equity

Building capacity across the system in understanding drivers of population health and have the capacity and confidence to take action on this

How do we involve residents?

• The Population Health Hub (PHH) will advocate for and support the meaningful involvement of residents and communities in decision making across City and Hackney.
• The PHH will take a co-production approach where appropriate as defined by the City and Hackney Co-production Charter ‘as designing, reshaping or delivering services in equal partnership with the people who use them in order to create better services and outcomes.’
• The PHH will actively seek a diversity �of perspectives from residents and other stakeholders - reflecting the diversity of the City of London and Hackney, but particularly focusing on the groups most affected.

How we support the City and Hackney system

Involvement of health and care partners, communities and residents in developing population health priorities for City and Hackney

Leading on the delivery �of key population health programmes and initiatives including �Make Every Contact Count and establishing the Prevention Investment Standard (PInS)

Working in partnership with City and Hackney Health Inequalities Steering Group to support delivery of its priority action plans

Influencing departments and organisations across the City of London, Hackney and beyond to take action on the social, economic and environmental determinants of health

Supporting City and Hackney place based partnership to take a population health approach in the design and delivery of health and care services for local people; enabling more efficient use of system resources and improving outcomes

Supporting the development and implementation of Neighbourhood population health plans, and both the City of London and Hackney’s Health and Wellbeing Strategies

Some examples of our work

Ways to work with us

We need system partners to provide intelligence, capacity and resources to work with the Population Health Hub so we can work effectively together

Learning together

Are you interested in coming to work with us for a time?

Is there a particular gap in your knowledge or your team’s knowledge around population health?

Are there learning resources you’d like to share with us?

Existing projects

Are you working on something similar to a project in the workplan that the Population Health Hub could join up with?

Do you have data, insight or expertise in any of the projects you / your team could contribute?

Is there a similar or linked project already happening that you think is important to join up?

Do you have insight, evaluations and data, reports on resident and local community insight and feedback to share with us to help inform our priorities going forward?

New projects

Is there a gap or concern that you think would improve population health and aim to tackle health inequalities? Do you have a question you would like to explore, project or idea that aims to address health inequalities?

Contact us for an initial discussion. It may be that there is work happening in another part of the system that we can link you in to or it may be a project that we can help to support. For all projects we take on from system partners - we will need:

• A nominated person to lead the work.
• A discussion about whether you have the capacity to deliver the project or what resources you need.

The process for contacting us

If you would like to put forward a project or have a question you would like answered, please get in touch to discuss. To determine whether we can help, we would like you to complete this short enquiry form

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You will be asked to include information about the following areas:

• Brief project description
• Why is this important
• What support do you want? What outputs do you want?
• (If relevant) What data sources can be used? Do you have access to the available data?
• Timelines - do you have a deadline for this work?
• Has any existing scoping been done on this? Is there any relevant work programmes or data analysis etc. that has been undertaken previously?

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The team will then review this and arrange an initial meeting. A more detailed Project Initiation Document will be completed (or started) as part of this meeting

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At the end of each project you will be asked to work with the Population Health Hub to complete a Project Completion Document

What you can expect & how to help us

What you can expect:

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• We are a new team so are trying out different ways of doing things.
• We want to work in partnership so we can learn & develop together, we are not ‘extra capacity’ to get things done.
• We will be honest about our capacity and if we are able to take on new projects. If we can’t, we will do our best to direct you to similar projects or link you up with other experts.
• We are committed to learning and developing as a team.

How you can help us:

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• Let us know how things are going, what you think is going well and what could be improved.
• Please be prepared to think about the best ways for us to work together. Please take equal responsibility for work we undertake together.
• Give us as full a description as possible of what you would like to achieve. Include all the data, insight and feedback you have. Tell us what you’ve tried so far and where you’d like to end up.
• Please give us regular, honest feedback. Do link us up with resources or people you think are relevant.

Further information

Overview of current projects and workplan 23/24

Project work

1. Improving outcomes through effective resident involvement
2. Collection and use of equalities data to identify and tackle inequalities
3. Embedding health equity in City and Hackney (MATCH)
4. Improving health literacy
5. Needs assessment of Children and Young People in contact with the youth justice system in Hackney
6. Evaluation of welfare advice in health settings
7. Needs assessment and strategy to reduce serious violence in the City of London

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System capacity building work

1. Support to North East London Equity in health and care workstream
2. Facilitating interactions between data leads across City and Hackney via the the System Intelligence Group
3. Development of the place based outcomes framework, including inequalities and population health perspective
4. Oversight of Hackney Health and Wellbeing strategy implementation
5. Support to the City of London Health and Wellbeing Strategy
6. Support framework for resident input to the development of the Super Youth Hubs
7. Easily accessible summary of inequalities in Hackney and the City of London
8. Supporting Primary Care Network workforce to reduce inequalities
9. Managing additional investment for inequalities and prevention

Prioritisation process

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Projects are identified based on local intelligence, insight and evidence of impact for improving population health for City and Hackney residents, including what the needs of the system are, see criteria below:

Alignment with PHH mission

Does the work align with the PHH mission and ways of working?

Impact on population health

• What is the scale of the local impact?
• What is the severity of the local impact?
• Is the local situation improving or deteriorating?
• How do local outcomes compare to other areas?

Alignment with proactive PHH work

Does this fit with the priorities that the PHH has identified?

Policy or commissioning priority

Will the work underpin the development of a local policy / action plan / strategy / commissioning of a local service?

Gap in knowledge

Is there a lack of understanding of the issue that needs to be addressed?

Skills and capacity needed

• Does this exist in the PHH?
• Does this exist elsewhere in the system?

Who is the request coming from

Is this a stakeholder we have identified we would like/need to engage with?

Timelines

When does this work need to be completed?