Step 1 Leadership

It is recommended to have a working group that meets regularly, representing the whole system to help drive forward PHM

Who should be involved?

Representatives of the below organisations covering the various ‘places’ within the given system. A PHM lead should be available at each cluster, and should be reporting directly to the CEO, like other leads, independent of the MOC.

  • Business Units
  • MOC Hub Leads
  • SOC Leads
  • Community health leads
  • PHM leads
  • Primary Care (incl. dental, pharmacy, etc.)
  • Community Providers and wellness Lead
  • Mental Health Lead
  • Acute hospital – Representative

It is also important to involve different roles within decision-making, such as:

  • Clinicians
  • Directors of Public Health and other public health professionals
  • Citizens / community groups and service users
  • Case-managers
  • Nurses
  • PHCC managers
  • Epidemiologists
  • Data managers
  • Data analysts

Remember to include Bio-statisticians and financial leads to guide the 5 year strategy for the cluster based on the PHM modelling for the cluster.

Key questions to answer

  • 1. Who will represent the cluster in the PHM Connect and steering group?
  • 2. What are the operating model bottlenecks that can be addressed through a good leadership model – for e.g integration across zones?
  • 3. How will leadership structure influence shift of care to the left and also emphasise prevention/ health promotion?
  • 4. Leadership and project and pathway levels and link to national guidelines COE
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