The Promise of Population Health Management in England: From Theory to Implementation

October 2022


Throughout the world, health systems are under pressure to serve ageing populations and tackle the epidemiological shift of increasing non-communicable chronic diseases. These diseases, such as diabetes and heart disease, and their associated complications account for 71% of all deaths globally and are one of the leading causes of rising healthcare expenditure.

The global traditional care model is generally siloed, reactive, and focused on acute care rather than prevention; and is not adapting sufficiently to provide economic and efficient care alongside these significant worldwide changes.

Population Health Management (PHM) is a method of working that aims to leverage big data capabilities to analyse population needs and provide high-impact care through collaborative working to those who will benefit most, specifically those with chronic diseases.

Objectives and Methods:

The key objectives of this MTRG study are to:

  • gain a greater understanding of the nuances of population health and PHM; and
  • to understand the current state of PHM implementation in the English context, as well as the enablers, challenges and ways forward.

The method used to inform this report was a scoping review, supplemented by six one-hour interviews with key English PHM stakeholders.

Client: Novartis

Authors: Caitlin Main, Madeleine Haig and Panos Kanavos

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