With Population Health Management (PHM) charting the way for systems and primary care networks (PCNs) to precisely understand the people in their communities who need more support we hear from a team in Berkshire West integrated care system (ICS) already using these techniques. Bringing together colleagues from across the system – GPs, data analysts, acute specialists, third sector and many more – they started by working together more effectively then analysed data using new techniques and finally implemented local solutions to address individual patients’ needs. Their results have shown how this integrated way of working improves patient outcomes, reduces pressure on professionals and saves money. With prime examples of why PHM is a critical building block for ICSs and PCNs alike, this discussion will aid anyone wanting to efficiently deliver true personalised care and better health for decades to come.