Guide
A Guide to Population Health Management in Suffolk and North East Essex
This guide by Suffolk and North East Essex ICB outlines Population Health Management (PHM) as a proactive, data-driven approach to improving population health and reducing inequalities. Using linked data, PHM enables targeted interventions through segmentation, risk stratification, and collaboration across care systems. Key principles—Know, Connect, Prevent—guide the methodology. Local case studies demonstrate impact, such as reducing falls, managing hypertension, and detecting atrial fibrillation. The PHM cycle promotes continuous improvement and personalized care by aligning resources with population needs and embedding prevention into integrated care.
