Outcomes Manager

Population level healthcare management for federations, clusters, CCGs and health boards.

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Daily extractions from all major GP clinical systems for responsive, up-to-the-minute central reporting.


Cloud-based reporting dashboard enables centralised analysis of any aspect of your population’s healthcare service provision including:

  • Case finding
  • Disease management
  • Service re-design

Influence change

Create standard data-entry templates and deploy them to all clinicians to ensure compliance with local policies.


Up to the minute information from every GP practice.

All major GP systems

Data can be collected from all major GP IT systems including Vision, EMIS and SystmOne, enabling centralised cloud-based reporting without having to change any GP practice systems.

Anonymised data for light information governance

Detailed statistics about patients’ healthcare are extracted instead of individual patient medical records. The volume of data moving about is significantly reduced and information governance requirements are very low.

Immediate availability

  • Extract data as often as you want
  • Reports available within 24 hours
  • Request historical data for monthly or annual comparison
  • Automated extractions, no manual intervention required at GP practices
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Centralised cloud-based dashboard. View data from any number of GP practices.

  • Identify specific cohorts of patients, tailored to the specific clinical needs of your population
  • Flexible interactive reporting
  • Drill down into increasing levels of detail
  • Compare to historic data

Typical uses:

  • Case finding
  • Disease management
  • Local service payment calculations
  • NHS Health Checks
  • Service redesign
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Influence change

Guide behaviour change to offer diagnoses or treatment, without overpowering the GP’s judgement.

  • Each practice can receive an individual report where patients meeting specified criteria care identified
  • When viewing individual patient records, GPs are alerted of the need to action a review
  • Improve awareness of and compliance with local policies and preferred services
  • Minimal training required
  • GP alerts are displayed alongside QOF reminders to avoid alert fatigue
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Vision’s new population management solution enabled Greenwich CCG to effortlessly identify an additional 4,000 patients with long term conditions, reducing health inequalities and increasing life expectancy in the borough.

“I was really impressed with how up-to-date data from all of our 39 practices across the borough was available for me to review in one central dashboard enabling me to track progress on the identification and review of patients with long term conditions and ensuring accurate service payments were made.”

Jan Matthews, Director of Commissioning at Greenwich CCG

DMARDs management

Promote the safe ongoing use of high risk prescriptions. Monitor prescriptions more closely. Identify abnormal results and improve reporting.

Make better use of your time

  • More efficient than spreadsheets and paper-based systems
  • List patients who have due or overdue blood tests
  • Intelligent prompts to inform phlebotomists which blood tests need to be taken
  • Automatic alerts. No need to manually populate other systems or add recalls for the next due date
  • Significantly improve reporting and post-payment verifcation evidence

Improve patient safety

  • Identify patients being recalled for blood tests that aren’t required and others slipping through the net
  • Highlight and correct patients whose recall period is outside suggested guidance

Available for individual practices or across CCGs, federations, boards and clusters

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Optimise CKD treatment

Make sure your CKD patients are identified and receive appropriate treatment.

Improve the accuracy of your CKD register. Ensure all patients with CKD have the correct coding on their medical records, allowing cases to be managed appropriately and leading to higher QOF prevalence.

Better care for CKD patients

  • When and what to test
  • When to refer
  • When and what to prescribe

One of the design goals is to reduce the chance of further renal decline as a result of appropriate case management.

Can be used by an individual GP practice or deployed across all practices in a CCG or board area.

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Anticoagulation management

Gold standard care with accurate INR dose calculations for managing the appropriate care of anticoagulation therapy patients.

Interactive clinical pathway

  • Integrates with consultation workflows
  • Calculate a recommended weekly anticoagulant dose in accordance with NICE guidelines, using existing clinical data
  • Divide dosed equally across the days of the week or vary for each day to match available medicine strengths
  • Print clear and simple daily dosage instructions for patients

Decision support

  • Side effects
  • Hospital episodes
  • Links to information about national and local enhanced services


Flexible and detailed reports on any aspect of a GP practice’s anticoagulation register

Can be used by an individual GP practice or deployed across all practices in a CCG or board area.

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Cancer decision support tool

Identify patients at risk of cancer.

Developed in collaboration with Macmillan Cancer Support, the Cancer Decision Support tool displays the risk of a patient having specific types of cancer:

  • lung
  • colorectal
  • oesophago-gastric
  • pancreatic
  • ovarian

Decision support

  • GP alerts during consultations highlight when a patient has a risk of 2% risk or higher
  • Decide whether to refer or request further investigations when there is a risk of cancer.

Based on the Risk Assessment Tool developed by Professor Willie Hamilton, the tool has been found to help alert GPs to think cancer, raise awareness of cancer signs and symptoms, act as a patient safety net and aid continuity of care in practices where a patient may see multiple GPs.

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The NHS is changing. Be ready.

Our solutions are designed for today’s ways of working and the new NHS models of care.

Mobile working

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Co-ordinating shared care

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Introduction to Population-Level Healthcare Management

Everything you need to know to get started with population-level healthcare management.

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