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OBH and All Together Better Sunderland publish joint Population Health Management Case Study

In partnership with All Together Better (ATB) Sunderland, Outcomes Based Healthcare have jointly published a case study which provides reflections on the progress of the ATB Sunderland ‘Outcomes’ programme, and shares learning from Sunderland’s Population Health Management journey to date.  

ATB Sunderland is an alliance of out of hospital providers and commissioning organisations, who partnered with OBH in 2019 to develop capabilities and draw on expertise in outcome measurement. Over the past four years ATB Sunderland and OBH, have developed a unique person-level linked longitudinal primary and secondary care segmentation dataset for the population, using the internationally recognised ‘Bridges to Health’ Segmentation Model to their population. This dataset now underpins one of the richest longitudinal records of whole population health outcomes data of its kind, measuring outcomes on a monthly basis from April 2013 to March 2022. 

ATB Sunderland and OBH also built a comprehensive Outcomes Framework which includes 27 outcomes, aligned to key strategic areas of Sunderland CCG’s transformation programme and scope of services. This includes a unique set of outcome measures called ‘HEALTHSPAN®’, which can show whether people are in good health, and for what portion of their lives. Population-level ‘HEALTHSPAN®’ developed by OBH over the last five years is an objective whole population outcome measure of the amount of time individuals spend in good health. This is used to indicate the success of health and care systems in helping keep people healthy for the greatest possible proportion of their lives. 

The outcomes data is visualised in OBH’s Outcomes Platform, an online tool accessible to ATB clinicians and those working in the ATB alliance. The Outcomes Platform is part of ATB’s growing Population Health Management (PHM) programme. Insights are used to understand the health and care needs of the local population and to proactively plan services for different groups of people within the population. 

To read the full report, click here

To read the executive summary, click here

OBH, the full nine years!

Last week saw OBH’s 9th birthday. I often take this point each year to reflect on where we are on OBH’s original mission; to support health and care systems in […]

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OBH featured in the DIT Digital Health Playbook ‘Beyond 100’

OBH has been featured in the Department for International Trade (DIT) Digital Health Playbook ‘Beyond 100’.

The Digital Health Playbook showcases UK innovators in the fields of Data & Analytics, Systems & Transformation, Healthy Aging.OBH were selected based on our track-record of working collaboratively within Healthcare UK (DIT), our innovation in digital health, and our commitment to export and expand internationally.

Find out more and see the full Playbook here:

Defining multimorbidity article published

The final output of work conducted by a research partnership between Guy’s & St Thomas’​ Foundation King’s College London and Outcomes Based Healthcare on defining multimorbidity within local areas has been published in BMC Family Practice!

Defining multimorbidity has proved elusive in spite of attempts to standardise definitions. For locally based studies, the definition may need to better reflect local demographic, inequality and morbidity patterns.

We aimed to define multimorbidity for an inner-city, multi-ethnic, deprived, younger population typical of many large cities. We present a process and criteria for selecting LTCs to be included within a locality-based consensual definition of multimorbidity.

Redefining multimorbidity for an urban context has many important implications for understanding the progression of LTCs. Understanding how they relate to each other within an urban context is vital. The paper also introduces research currently underway to explore potential ‘gateway conditions’ which, if managed appropriately, might potentially delay or prevent progression to other conditions.

Read the full article here: 

Value-Based Healthcare Report feature by Creasphere

We have been featured in the Creasphere Insights Report on insights and trends in value-based healthcare alongside other organisations working in this space. 

Our mission to drive health system improvement through the measurement and incentivisation of health outcomes that matter most to people and patients is at the centre of all our work. So it’s brilliant to see this important report highlighting the potential to improve health systems through this approach.

Take a look at the Creasphere Insights Report here:

OBH awarded a prestigious Queen’s Award for Enterprise!

We are thrilled to reveal that Outcomes Based Healthcare has been awarded a highly prestigious Queen’s Award for Enterprise, for “outstanding achievements in Innovation”!

Innovation is integral to OBH’s mission to drive health system improvement through measurement and incentivisation of health outcomes. In fact, we haven’t stopped innovating since OBH started 8 years ago… from creating our Segmentation Engine that drives the OBH Outcomes Platform, to developing HEALTHSPAN® as a way of measuring a population’s healthy lifespan, to supporting the NHS in the pandemic, and our ongoing commitment to supporting the work of the All-Party Parliamentary Group for Longevity, #teamOBH really has been busy.

We are so grateful to everyone who has supported us over the years and feel honoured to be part of #TheQueensAwards for Enterprise 2021. Read about why OBH has been awarded a Queen’s Award here – find us on page 30!

Finally, congratulations to all our fellow #QueensAwards winners!

Happy 8th Birthday OBH!

It feels like a long time ago that we set out with OBH- in fact, 8 years ago exactly! The original mission was to help solve one of the biggest problems in healthcare- enabling effective measurement and payment systems for prevention, and what really matters to people. In short, their health outcomes. We’ve grown over the years and the way we go about that mission has evolved, but we’re still innovating around that core purpose.

It’s been a busy year supporting the NHS in the pandemic, and we have been delighted to support some fabulous organisations in their work. Last week saw the release of the Levelling up Health Report by the All-Party Parliamentary Group for Longevity alongside their work on the Business for Health Index. We remain committed to supporting this work in whatever way we can.

OBH are also delighted to have worked with King’s College London on the recent flagship report addressing drivers of Multiple Long Term Conditions, published by Guy’s and St Thomas’ Foundation.

Thank you to OBH’s friends, supporters and team for supporting us over the last 8 years!

OBH is a strategic partner with NHS England on the #COVID19 Data and Analytics Community!

We’re so excited to announce that OBH are now a strategic partner with NHS England on the #COVID19 Data & Analytics Community! Lots of exciting collaborative #segmentation #analytics work to come – understanding & deriving meaningful insight into population health at a local, regional and national level!

More information on the #futureNHS Data and Analytics for Covid-19 workspace can be found here.

Launch of the Population and Person Insight (PaPI) report to improve understanding of patient healthcare needs!

OBH are thrilled to announce the launch of the Population and Person Insight dashboard! #TeamOBH have been working in partnership with NHS England and NHS Improvement, and NHS Arden & GEM CSU on a data-driven approach to understanding and deriving meaningful insight into population health. The dashboard has been developed using national datasets – including secondary care, emergency care, community services and specialised services data – to group patients into segments based on common healthcare needs.

Understanding the population by cohorts of those with similar health and care needs is integral to a more person-focussed health system. Using the Bridges to Health segmentation dataset, this tool enables deeper insight into people who are healthy, people with long term conditions, people with disability, as well as those people who are nearer the end of life with cancer, organ failure, frailty and dementia.

The interactive tool contains a series of views so that users can easily explore and interrogate these population segments at a national, regional, system, CCG and PCN level.

With four years’ worth of data, users can also drill down into acute utilisation, cost and outcomes by segment to support service planning and redesign. Visualisations by age, ethnicity, deprivation and socio-demographic classification help to easily identify cohorts for further investigation and analysis.

In response to the current pandemic, a COVID-19 view was also developed with the aim of aiding NHS restoration and recovery programmes by helping systems to identify their vulnerable populations who have one or more ‘at risk’ conditions to inform decision-making around shielding and planning for the largest vaccination programme in the history of the NHS.

Sukhmeet Panesar, Deputy Director of Strategy and Development at NHS England and NHS Improvement said: “The NHS generates a huge amount of data which can be used to drive improvements in care and how services are run. By providing health and care systems with data which is grouped by population segments we can support NHS and local authority leaders to plan effective services and interventions based on meeting the healthcare needs, risks and priorities of their patients and citizens.”

Ayub Bhayat, Chief Data Officer at Arden & GEM said: “The population and person insight report acts as a diagnostic tool for every level of the system, enabling commissioners and providers to spot opportunities for further analysis and intervention. By providing a starting point for population health management approaches, we can then work with local areas to refine the model with their local intelligence and benchmark emerging opportunities.”

Dr Nasrin Hafezparast, Chief Clinical Data Officer at Outcomes Based Healthcare said: “The internationally-recognised Bridges to Health segmentation model provides a person-centred approach. By using this approach as the foundation for the new report we can categorise the entire population of 62 million people into eight segments, with 55 subsegment or condition registries on a monthly basis, over the past 4 years. It includes a first ever view of population-level healthy lifespan, or HEALTHSPAN®. The report also incorporates feedback from a wide range of groups including clinicians to ensure the data is meaningful.”

The report, which was launched on 15 February, is available to healthcare commissioners and providers within the NHS ViewPoint analytical application.

For more information about the report, and the wider population and person insight workstream, visit the dedicated FutureNHS workspace.

OBH awarded supplier status on G-Cloud 12!

We are very happy to announce that the Government’s Crown Commercial Service has again awarded Outcomes Based Healthcare supplier status on the latest Digital Marketplace platform, G-Cloud 12!

The OBH® Outcomes Platform is available as a Cloud Software Service & provides users with person-centred health outcome measures at a population and cohort/condition level, including OBH’s core prevention outcomes: HEALTHSPAN®. The Platform is powered by OBH’s® Segmentation Engine – an essential, core backbone for population health management data analytics work across different local NHS & local authority organisations, and their health and care partners. The Segmentation Engine is now also available as a ‘stand alone’ module, for more experienced NHS & local authority analytical teams, who wish to incorporate population segmentation datasets into their existing analytics work.

Based on the foundations of the Bridges to Health segmentation model, both solutions provide person-centred, meaningful insights for specific population segments & care pathways.

Find us on G-Cloud 12:
-OBH® Outcomes Platform (
-OBH® Segmentation Engine (