In Calderdale, 18% of residents are aged 65 and over – a figure expected to rise to 25% by 2037. Among this group, 10% experience frailty, increasing to 25-50% for those aged 85 and above.
Recognising the need for a new approach, the Upper Calderdale Valley Primary Care Network (PCN), supported by the National Association of Primary Care, shifted away from treating isolated symptoms and illnesses. Instead, they adopted a population health management strategy to improve outcomes for older people.
This initiative began in 2020, using local data and insights to guide decision-making. By doing things differently, the programme achieved:
“It’s amazing how you looked at everything. I can’t thank you enough. You dug me out of a hole. Everything is great about the service.”
Read the full case study and report…
Boost is committed to sharing learning and innovation across the region. Calderdale’s approach offers a powerful example of how population health management can lead to measurable improvements in wellbeing, service use, and patient experience.
With similar demographic trends and health challenges across the North East and North Cumbria, this case study provides valuable insights for teams working to support older populations.
By amplifying stories like this, Boost helps drive collaborative improvement, ensuring that successful models are adapted and scaled across our region.
