Health Inequalities & Population Health Management (PHM) Facilitator

Job description

Job responsibilities

Key areas of work will include:

- Supporting PCNs to deliver on the National Core 20+5 targets for adults & children

- Working with practices and the voluntary and community sector to understand any additional health inequalities affecting their local populations.

- Working to support improvements in collection and accuracy of data where this may be required e.g. recording of ethnicity data.

- Working to embed Population Health Management as routine practice within primary care in B&NES.

- Working with PCN Health Inequalities leads, practice clinical and management staff to build capacity and capability around Health Inequalities and PHM across PCNs.

- Linking with the B&NES Health Inequalities network to coordinate activity across B&NES

Data analysis

- Work with the Business Intelligence team at the Integrated Care System and local analysts working with public health in B&NES Local Authority to produce easy to interpret reports for PCN/practices to better understand health inequalities at PCN and practice level.

- Work with Business intelligence teams in the ICS and in B&NES LA to understand how PCNs and practices are performing against CORE20+5 expectations.

- Work with clinical and practice staff to interrogate the data produced and to understand where there are areas where PCN or practice level activity could reduce health inequalities.

- Work with PCNs to identify cohorts of patients where new interventions could be targeted to reduce health inequalities.

- Support PCNs in agreeing measurable metrics to capture the impact of any interventions.

Project/programme management

- Once key issues are identified for PCNs, work to agree evidence-based interventions that will help address health inequalities.

- Research what interventions have been successful elsewhere in the country to help stimulate ideas.

- Help facilitate interventions that may be carried out by practice staff working differently within the practices. This could include GPs, practice nurses, pharmacists, first contact physiotherapists or social prescribing link workers and care co-ordinators.

- Write simple business cases for interventions that may involve other health partners working differently. The post holder will need to advise the ICA/ADOG for them to take this work forward.

- Utilise a quality improvement approach to these interventions.

- Facilitate closer working with social prescribing link workers and care co-ordinators to agree interventions that work closely with the third sector on issues relating to the wider determinants of health. Work closely with the Community Wellbeing Hub.

- Utilise the opportunity to plan, do, study and act for each of these interventions.

- Write up mini audits for each of these interventions.

- Share the results of these audits with the other PCNs in B&NES and BSW.

- Help support the on-going evaluation of this way of working.

Creating partnerships and team working

- Act as a point of contact between the PCNs/practices and the BANES Health Inequalities network.

- Support PCN/practice staff to connect with all the assets that the practices can tap into to help support their patients in the community.

- Support PCN/practice staff to make Health Inequalitiespart of their way of thinking and planning for future service provision.

- Where possible and appropriate co-produce interventions with patients or groups and use asset-based community development techniques.

- Work closely with staff employed to work for PCNs/practices.

Support PCNs to comply with Directed Enhanced Services requirements

- Primary Care Networks have a number of Directly Enhanced Services (DES) that they are expected to work towards. The post holder will support delivery of these requirements through their work. These DES requirements include:

o Tackling Neighbourhood Health Inequalities

o Personalised Care

o Anticipatory Care

o CVD prevention and diagnosis

o Early Cancer Diagnosis

SEE ATTACHED JOB DESCRIPTION FOR FULL DETAILS

Person Specification

Qualifications

Essential

• Educated to degree level

Desirable

• Masters in Public Health or other relevant field

Skills

Essential

• Confident to understand, interpret & interrogate health data, & ability to facilitate the understanding of others
• Organised with strong ability to plan & manage projects over extended periods of time, delivering objectives within an agreed timeframe
• Strong problem- solving skills with the ability to think laterally & innovatively to generate & influence new ideas with a positive & proactive approach
• Excellent communicator with ability present clear, accurate, written & verbal reports to different audiences.
• Skilled at influencing, motivating & working with a broad range of stakeholders.
• Confident in the use of the Microsoft suite of applications, specifically Word, Excel & PowerPoint

Desirable

• Confident & diplomatic when challenging others & able to deal with disagreement & conflict across different organisations in a professional manner

Personal Skills

Essential

• Committed, self-motivated, flexible & enthusiastic approach towards work.
• Able to manage & prioritise workload
• Strong team player
• Willing to take personal responsibility
• Calm & objective

Experience

Essential

• Relevant postgraduate experience working in Clinical or Public Health setting
• Good understanding of local health & social care system
• Strong understanding of what health inequalities are, or demonstrate willingness to learn

Desirable

• Confident & diplomatic when challenging others & able to deal with disagreement & conflict across different organisations in a professional manner

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

BEMS (Banes Enhanced Medical Services)

Address

Midford House, St Martin’s Hospital

Midford Rd

Bath

Bath & North East Somerset

BA2 5RP

Employer's website

https://www.bems.uk.com/ (Opens in a new tab)