This toolkit brings together assets developed with the teams across Cheshire and Merseyside to identify, engage and support those at greatest risk.
Useful Resources
Cohort identification
This section contain links and instructions for accessing Cheshire & Merseyside’s Combined Intelligence for Population Health Action (CIPHA) dashboard and how to apply the filters to identify the patient cohorts we used, within your locality.
Organisations in Cheshire and Merseyside can access the fuel poverty dashboard in CIPHA which enables identification of priority cohorts based on a range of data including demographic data, diagnosis, deprivation, and prescription data. The level of data available is subject to individual roles and a non-patient identifiable version is available.
Our fuel poverty project has been covered in Forbes magazine - you can read the article here.
Dashboard access request form
Dashboard instructions including how to use the dashboard and apply filters.
Dashboard instructions
These instructions explain how to apply filters within the CIPHA dashboard to identify the 2 cohorts we have focussed on to date:
- Cohort 1 - COPD patients - the numbers of people which fall within the COPD cohort identified through the project in each place.
- Cohort 2 - Pre-School Respiratory Wheeze - the numbers of children which fall within the identified cohort criteria in each place.
Data collection
This section contains example data collection templates and patient feedback forms that were developed with our early adopter sites.
Data Capture Proforma
This spreadsheet is used by the Knowsley and St Helens Projects to track and collate services accessed by patients.
St Helens Patient Feedback Form
Used to gather qualitative data from patients on the impact of the project.
Warm Homes for Young Lungs Feedback Form
Pathways and processes
Here is a blueprint guide to the work that has been done to date. This section also contains the pathways and SOPs that were developed at Place level to implement this approach.
Blueprint
This document provides specific information about the Population Health Management (PHM) approach informing this work and describes process, interventions, outcomes and lessons learnt.
St Helens Warm Homes for Lungs Process Map
Step-by-step process for delivering the St Helens COPD project.
St Helens Warm Homes for Lungs Poster
St Helens Pre-School Wheeze Pathway
Knowsley COPD Project Process Map
Step-by-step process for delivering the Knowsley COPD project
Energy Projects Plus Eco4 Project
In Cheshire and Merseyside, Energy projects Plus are delivering the Government’s grant scheme for improving the energy efficiency of homes. The aim of the ECO4 project is to assist potentially vulnerable residents to achieve whole-house retrofit.
Partners
We have produced an asset map of all of the partners we have engaged with, within Cheshire and Merseyside, to create our holistic approach to patient reviews.
Asset Map
This provides an overview of the various assets among the health, care, housing and voluntary sectors across C&M which are being used to support the fuel poverty agenda, directly or indirectly, or which could be used to target priority groups.
