Tackling fuel poverty in Cheshire and Merseyside

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Data-driven strategies for addressing health inequalities

We’re proud to have sponsored this blueprint guide from NHS Cheshire and Merseyside. As part of their 2023–28 Integrated Care Partnership strategy to reduce health inequalities, Cheshire and Merseyside committed to tackling fuel poverty. By using linked health and care data, they identified vulnerable individuals and delivered targeted support. This blueprint guide aims to provide specific information about the PHM approach informing this work. The guide is structured around the five stages of the PHM journey and is designed to help other ICSs who may be looking to undertake similar analysis and targeted action on fuel poverty within their area.

• Cohort definition

  Explore how to bring data and insight together to identify a target population to impact.

• Defining outcomes

  Understand how a logic model approach and user-centred design approach helps define SMART outcomes for interventions.

• Defining interventions

  Identify current challenges, case for change, potential root causes of the current situation, and thinking around ‘what needs to happen now?’

• Implementation planning

  How to refine an intervention approach and develop an implementation plan.

• What’s next and how to scale

  The steps to sustainable implementation of interventions and beyond.

Being able to show people via the dashboard that you can quickly and easily identify a small cohort of high-risk patients to zero in on, almost instantly made this feel more manageable and realistic for local teams. It’s helped people see ‘the art of the possible’ and has really given the trailblazer projects a momentum of their own.

Read the blueprint guide in full

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