IMPACT is supporting the development of sustainable general practice by utilising population health intelligence to tackle neighbourhood health inequalities through proactive personalised care and support planning.
A team of care coordinators employ person-centred and motivational approaches to support patient-led identification of biopsychosocial needs, before collaboratively formulating a personalised care and support plan to address patients’ current challenges.
Utilising their enhanced knowledge of system wide services, IMPACT care coordinators navigate patients to the most appropriate interventions to support more efficacious self-management.
Currently (2022), IMPACT has proactive contact with patients who have a specific unmanaged long-term condition and are not engaged with services. Following the success of its first cohort, IMPACT is now working with its second cohort: Type II diabetes in East and North Neighbourhoods, hypertension in Central Neighbourhood and asthma in West Neighbourhood.