SCW team realised Population Analytics would unlock the insight Paul was
represented three different practices, all with very different patient profiles
across urban and rural geographies. A combination of desktop research and
old-fashioned walking the streets identified 461 groups and community assets
for Mosaic to draw on.
bring the data to life, SCW created a Population Care Segmentation tool to
visualise health needs in the patch.
integrated primary and secondary care data previously unavailable to Mosaic,
the tool segmented its population by age group and level of healthcare need. It
also revealed average spend per head by condition and age band.
tools allowed Mosaic to see where their patients were concentrated – again
broken down by profile – plus where support was and where gaps existed.
new information freed-up clinicians, patients and staff to engage in different
conversations around patient pathways.
SCW arranged for stakeholder workshops with patient representatives and community
groups – national organisations through to local art and drama clubs. Many had
not engaged before but were enthusiastic in their support for people who felt
isolated within their community.