Population health dashboard development

Since the launch of Unity Insights, a core element of many of our evaluations and analyses has been the use of population health informatics, observing whether local strategies and interventions have helped reduce health inequalities, or using analytics to identify at-risk communities. The development of dashboards to collate and provide access to these data has proven a key part of this work, providing a platform for commissioners to explore data, drawing direct comparisons to inform decision making.

The combination of population metrics with service data provides a valuable cross-section of potential impact, supporting the observation of engagement across a variety of demographic factors, informing future spread and delivery processes. The below example provides an overview of the population within a sub-ICB area, breaking down the age, gender and ethnicity of an area, while introducing further metrics related to local levels of deprivation and digital maturity.

Example of a population pyramid and accompanying demographic breakdowns
Population pyramid and accompanying demographic breakdowns, hover-over tooltips provide greater detail about chart segments.
Example of further population metrics with geographical visualisation
Further population metrics, collating data from the Office of National Statistic for exploration.

The presentation of clinical system data, along with population health insights, provides a framework to observe potential social determinants of health in a real-world context, allowing consideration of local demographic and logistical challenges (such as delivery across rural and urban areas).

Example of GP practice patient registration data by LSOA with accompanying colour coding by IMD
GP practice patient registration by LSOA, colour-coded by IMD decile, reflecting local levels of deprivation.
Example of a grographical visualisation of ICB-level patient registrations reflecting rurality
A regional view, reflecting ICB-level patient registrations, colour-coded to reflect rurality. Local hospitals highlighted as a bespoke point of context.

Using this population data, Unity Insights have often provided a bespoke dashboards to support NHS and local authority-led programmes, ranging from clinical specialties, such as stroke, patient deterioration, and pharmaceutical interventions, to broader digital improvement programmes. The latter of these has been a significant theme over the last few years, developing from supporting the pre-pandemic “Digital First” programme, which supported the rapid delivery of online and video consultation services throughout primary care in 2020, and later led to a broader assessment of regional digital maturity, covering the population needs, primary and community care delivery and acute system infrastructure.

As outcome data is provided, the depth of insights increases, allowing for observation across a wide range of settings, and supporting statistical inference that can be used to identify trends in delivery and engagement.

Example graphical visualisation of an outcome measure
Example of an outcome measure (in this case from SSNAP), added as a scalable metric that updates according to the selected region, or hospital trust.

By providing a flexible insight into programme delivery and outcomes across the community, these population health dashboards have supported ongoing quality improvement campaigns and commissioner decision making. Specifically, these relate to risk stratification and the development of mitigation strategies, a clear evidence-based framework for service planning that can be utilised to inform future programmes as well as the continuation of existing ones, furthermore these views put the needs of the community at the heart of decision making, ensuring that services and interventions can be efficiently and effectively deployed.