Population Health Fellowship
The NHS Long-Term Plan places significant emphasis on population health and Health Education England’s Future Doctor programme has identified population health as a core theme. Additionally, the COVID-19 pandemic has further highlighted the importance of population health and health inequalities. Contemporary healthcare is now focused on optimising patient outcomes and reducing health inequalities at population level, and therefore healthcare professionals across all of healthcare require skills in population health to achieve this.
This is an opportunity for healthcare professionals from both NHS and non-NHS organisations, providing it is someone who is in a role that has relevance to Population Health, interested in population health and passionate about health inequalities. The fellowship targets early to mid-career healthcare professionals providing NHS services (AfC band 6 and above, or equivalent; dentists-in-training; doctors-in-training post-FY2 and their SAS equivalent). The aim of the fellowship is to develop a network of professionals from a non-population health background with population health skills to benefit place-based healthcare systems across England.
It is a one-year part-time programme at two days a week alongside your substantive post. Population Health Fellows will work on a population health related project and will be supported by a blended virtual learning programme. Supervision for the project will be provided.
Reimbursement of your salary element of the participation in the fellowship will be provided to your substantive employer and you must discuss this opportunity with your line manager and educational supervisor (if applicable) of your intentions to apply.
Applications are invited for five Fellows in Population Health, funded by Health Education England, and based in the one of the following Integrated Care Organisations hosted by the Public Health teams commencing the programme on 6 September 2022:-
Devon Integrated Care Organisation – hosted by Public Health team, Devon County Council
The Population Health Fellow (PHF) will build on the work and role of the existing PHF and will sit within an existing ICS Health Inequalities team with leadership from the DPH at Torbay who is the SRO for Health Inequalities. The programme aligns to and links with the Population Health Management Programme.
The benefits of the project will ensure that the population health management and health inequalities programme have a demonstrable impact on health inequalities. The project is not new but builds on earlier system work through the prevention programme and wider health inequalities and PHM work. An example of work undertaken by the current postholder included assessing access to long covid services to determine the impact on health inequalities. The learning will be applied to other elective services.
The fellow would work to the DPH SRO for the Health inequalities and Prevention group, with supervision from the Devon Public Health team. The PHF will be part of a team with Senior ICS Health Inequalities leads, programme management support and a recently appointed Head of Health Inequalities and Prevention and the Acting Consultant in Public Health (Health Inequalities).
The Fellow will provide a bridge to the Population Health Management work and will work with PH and ICS colleagues on the programme to ensure the priority actions over the 2022/23-year meet the CORE20PLUS5 objectives and impact on health inequalities. The programme of work will match the applicant’s areas of interest and development.
CORE20Plus5 remains the focus of the systems combined HI and Prevention plan, with plans in 2022/23 to strengthen leadership and system-wide awareness of health inequalities through a range of activities, including participation in the national piloting of both the CORE20PLUS5 Connectors model and the support and investment that continues to be made in the work of the Local Care Partnerships (LCP’s)
Cornwall Integrated Care Organisation – hosted by Cornwall and Isle of Scilly Integrated Care Organisation
The local system of partners in Cornwall and Isles of Scilly have successfully completed wave 3 of PHM development programme in spring 2022 with wide engagement. Following this the PHM programme is continuing to engage with additional 3 Primary Care Networks, building on this enthusiasm and learning from Wave 3 and developing capacity supported by public health.
This year the NHSE funded PHM Place Development programme (Module C) will roll out from late May 2022, focussed on engaging senior leaders on a joint focussed cohort programme. This will help engage ICB leadership commitment to PHM approach in Cornwall and embed this in our strategic decision making.
This provides a unique opportunity for a PHM fellow to be actively involved in working with both System level and with a PCN in their journey to develop their PHM approaches. Whilst we cannot state at this stage the target population, we can assure that the Fellow will be working with a PCN on developing care pathways to improve on the health outcomes of local residents.
During the initial September – December period of the placement the trainee will be working across the range of PHM activity. Subsequent project work for the Fellow will be identified including development of the system wide adaptation of PHM.
The local system will be able to provide good support to a Fellow, with a dedicated project team linked to the ICS Population Health and reducing inequalities steering group. We would anticipate that the Fellow will be hosted by the Cornwall and IoS ICB (established from 1st July) with support from the local public health team in Cornwall Council. This will ensure that the placement will provide a wide breadth of experience working with different organisations and skills development for a fellow.
Somerset Integrated Care Organisation - hosted by Public Health team, Somerset County Council
Target: Vulnerable Parents
Benefits: Somerset County Council and partners are planning an early help intervention to target support to vulnerable parents. The intervention would be designed to address a number of metrics where Somerset performs significantly worse than England on a number of maternal and child health indices: Average smoking status at time of delivery, children receiving ASQ-3, hospital admissions for dental caries (0-5), elements of school readiness, hospital admissions caused by unintentional and deliberate injuries in children (0-14), Attainment 8 score in general and for children in care and hospital admissions for mental health conditions (0-17) and as a result of self-harm (10-24). Childhood vaccination levels are also below target. We anticipate the impact of vulnerable parents are across the health and social care system even where not quantified. The work links with system goals to address the adverse impact of COVID on this group and focus on better outcomes for children.
Outputs: Part of the Fellowship would be to define and quantify vulnerable parents in Somerset using available population data from HV Rio system, primary and secondary care – groups in scope currently include young parents, those with mental health co-morbidities, substance misuse or where a parent has been a child looked after. The Fellow would lead development of a business case based on the cost of these vulnerable groups and using a population health management return-on-investment approach. The Fellow would then be involved in design of the intervention and evaluation. This will be a high-profile project across Somerset with planned evaluation over a number of years.
Project Status: New Key Individuals: Midwifery Team, Health Visiting Team, Children’s Services.
Bath/Swindon/Wiltshire Integrated Care Organisation – hosted by Public Health team, Wiltshire Council
The Population total for BSW ICS is approximately 1m residents. This population health project to focus on health inequalities across the BSW footprint, recognising the impact of Covid-19 in widening those inequalities. The identification of the specific focus of the project and target population groups will be part of the project work utilising existing local Joint Strategic Needs Assessment (JSNA) intelligence, a brief review of related projects to identify added value of this project, and linked in with the Population Health Management Team within the ICS to ensure the health outcome under review aligns with the ICS and local public health team priorities. The post will be closely linked to the BSW Population health and care group to assist in the development and delivery of the workplan across the system. This strategic group is chaired by the BSW CCG medical director and will enable the PH Fellow to be fully integrated across the BSW system at the strategic and transformational level.
Anticipated outputs include the identification of priority cohorts for tackling health inequalities. The suggested outputs link to:
- improving mental health and wellbeing
- work on obesity across the system
- smoking cessation in target groups
- or improving uptake of screening and immunisation programmes in hard to reach groups (e.g. BAME communities, men, traveller populations).
This will be a new project but will extend and build upon previous and current work in the ICS and the three local authority areas around addressing health inequalities. This role would be beneficial in providing some additional strategic leadership and support operationalising some of the priority work areas.
Other partners will include Primary Care Network clinical directors, the three PH teams on the patch, population health management ICS leads, leaders in Acute settings, PHE South West, NHSE/I,academic colleagues, and the voluntary and community sector.
Gloucestershire Integrated Care Organisation – hosted by Public Health team, Gloucestershire County Council
For the past two years, children’s safeguarding leads from Gloucestershire CCG, Gloucestershire Hospitals Trust, Gloucestershire Clinical Commissioning Group and Gloucestershire County Council, have been meeting monthly to collect an integrated data set on the number of children attending acute and community hospitals for unscheduled care. This includes indicators of self-harm, non-accidental injury, accidental injury, assault and abuse. This data has picked up concerning trends, for example in attendance for fractures, stimulating further investigation and action planning.
The objectives of this new project would be to further interrogate the data to identify trends; create a system to flag outliers; consider how this approach could be linked into the Population Health Management programme to ensure sustainability; and make recommendations on any targets or interventions that could reduce unscheduled attendances.
The outputs of this project could lead to benefits for service integration and patient pathways as well as wider benefits to the population in promoting health and reducing harm to a vulnerable cohort.
The Fellow would need to work closely with the multi-agency ICS Children’s Safeguarding leads, as well as reporting to the Gloucestershire Children’s Safeguarding Partnership and other boards, groups and teams as required.
Gloucestershire ICS has a successful history of hosting Fellows and other trainees from a mix of specialties and career stage. The Fellow will have access to the extensive CPD opportunities within Gloucestershire County Council Public Health Team and through our partners. The proposed supervisor is an accredited Public Health Educational Supervisor.
If you are applying from a training programme you will be required to provide a letter at the application stage from your training programme director to confirm that they will release you from the programme.
For more detailed information about the role please refer to FAQs and Rough Guide for Cohort 3 which can be found on this link or contact PublicHealth.SW@hee.nhs.uk
Closing date - 8th July 2022
Interview date - tbc
Respiratory doctor, Anna Moore, discusses her experiences so far of the Population Health Fellowship
Anna Moore is one of 26 fellows from the second cohort of our national Population Health Fellowship for NHS clinical staff in England. The fellowship, which aims to develop and grow a workforce of professionals who will incorporate population health into their everyday jobs, is about to launch its third cohort.
In this interview, Anna discusses why she applied for the fellowship, her aims for the work she will do and how the fellowship will help her and others to deliver the best care possible for people diagnosed with Chronic obstructive pulmonary disease (COPD).
Population Health Fellowship webpage: https://www.hee.nhs.uk/our-work/population-health/population-health-fellowship
Full link to interview on HEE website: https://www.hee.nhs.uk/our-work/population-health/population-health-fellowship/interview-anna-moore
Shortened link to the interview: https://tinyurl.com/yb4zxwx5