Population health in action: a Primary Care Network approach to health inequalities
Digital Health November 18, 2022
North Lewisham Primary Care Network (NLPCN) serves a vibrant, ethnically diverse borough of London, with higher-than-average levels of deprivation. To address health inequalities, the PCN developed an innovative programme which placed co-production and community engagement at its centre.
Workstreams included improving access to GP services with a weekly Digital Hub for digitally excluded residents, and an integrated data strategy, designed to identify and proactively manage residents at risk of health inequalities. An initial pilot, using 300 SNOMED codes, led to at-risk people accepting invitations for health checks; 60% were found to have a condition such as diabetes or high blood pressure.
The...