Empowering PCNs

Focusing on early intervention

Collaborating in the fight for Hepatitis C elimination

Case study

Bringing together data from across the health and care system is essential to fully understanding patients and their needs – providing powerful insights that can drive early intervention and prevention. The shift from sickness to prevention focuses on keeping people healthy and reducing the need for hospital or emergency care. This begins with identifying at risk patients. By segmenting the population and grouping patients with similar needs into cohorts, healthcare providers can better understand where to intervene early. Our data-driven transformation solutions help unlock the full potential of your data. Using advanced analytics and population health tools, we support the design of targeted care pathways that guide patients to the right support at the right time. This enables more personalised, preventative care and helps redesign services around the needs of your population. The result is smarter, more efficient care. With actionable insights, you can reduce unnecessary referrals, improve operational efficiency and deliver better outcomes. Our analytical solutions support integrated care, helping you make informed decisions that lead to long-term sustainability and healthier communities.

We’re working with NHS England and MSD to help eliminate Hepatitis C by using clinical intelligence to identify at-risk patients and enabling healthcare teams to refer these patients onto the appropriate care pathway. Using Pathway, our proactive care tool, a pilot across three GP practices in Cheshire and Merseyside identified 465 patients with risk factors and 47 with a confirmed diagnosis—seven of whom had no record of treatment. Thanks to this data-driven approach, two patients have already started life-saving treatment for the first time. Pathway works by scanning clinical records for risk markers, enabling proactive outreach and seamless referrals from GP practices to specialist care. It’s a powerful example of how technology and collaboration can close care gaps and support national public health goals. The pilot’s success is now informing a wider rollout across the region and potentially nationwide.

“ David Byrne , ODN Manager, Cheshire and Merseyside ODN

We’re no longer waiting for referrals — we’re going out and finding patients who need us.”

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