NHS Outcomes Framework

Key

Measure is replicated in Department of Health’s proposed contribution to the cross-Government Transparency Framework

Measure is also contained in proposals for the Adult Social Care Outcomes Framework

Outcome theme is consistent with the Adult Social Care Outcomes Framework (specific measure may be different)

Measure is also contained in proposals for the Public Health Outcome Framework

Outcome theme is consistent with the Public Health Outcomes Framework (specific measure may be different)

Preventing people from dying prematurely Enhancing quality of life for people with long-term conditionsHelping people to recover from episodes of ill health or following injury

Ensuring that people have a positive experience of careTreating and caring for people in a safe environment and protect them from avoidable harm

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Overarching indicators

• Premature mortality from causes considered amenable to healthcare(The Commissioning Board would be expected to focus on improving mortality in all the components of amenable mortality as well as the overall rate)• Life expectancy at 75

Improvement areas

Improving survival rates for people with cancerFor colorectal, breast and lung cancer• One-year survival rates• Five-year survival rates

Reducing premature death in people with serious mental illness• Premature mortality rates in people with serious mental illness

Reducing deaths in young children• Infant mortality• Perinatal mortality (including stillbirths)

Overarching indicator

• Health-related quality of life for people with long-term conditions

Improvement areas

Ensuring people feel supported to manage their condition• Proportion of people feeling supported to manage their condition

Improving functional ability in people with long-term conditions• Employment of people with long-term conditions

Reducing time spent in hospital by people with long-term conditions• Unplanned hospitalisation for chronic ambulatory care sensitive conditions (adults)• Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s

Enhancing quality of life for carers• Health-related quality of life for carers

Enhancing quality of life for people with mental illness• Employment of people with mental illness

Overarching indicators

• Emergency admissions for acute conditions that should not usually require hospital admission• Emergency readmissions within 28 days of discharge from hospital

Improvement areas

Improving outcomes from planned procedures• PROMs for elective procedures

Preventing lower respiratory tract infections in children from becoming serious• Emergency admissions for children with LRTI

Improving recovery from injuries and traumaAn indicator needs to be developed.

Improving recovery from strokeAn indicator needs to be developed.

Improving recovery from fragility fractures• The proportion of patients recovering to their previous levels of mobility / walking ability at 30 and 120 days

Helping older people recover their independence after illness or injury• Proportion of older people (65 and over) who were still at home after 91 days following discharge from hospital into rehabilitation services

Overarching indicators

• Patient experience of primary care• Patient experience of hospital care

Improvement areas

Improving people’s experience of outpatient care• Patient experience of outpatient services

Improving hospitals’ responsiveness to personal needs• Responsiveness to in-patients’ personal needs

Improving access to NHS services• A&E access• Primary Care access

Improving women and their families’ experience of maternity services• Patient experience of maternity services

Improving the experience of care for people at the end of their lives• Survey of carers

Improving experience of healthcare for people with mental illness• Patient experience of community mental health services

Overarching indicators

Three part measure patient safety measure consisting of: • patient safety incident reporting;• severity of harm; and• number of similar incidents.

Improvement areas

Reducing the incidence of avoidable harm• Incidence of hospital-related VTE• Incidence of healthcare associated infection (looking at MRSA and C Difficile)• Incidence of newly-acquired category 3 and 4 pressure ulcers• Incidence of medication errors causing harm

Improving the safety of maternity services• Unexpected or unplanned admission of term baby to neonatal care

Delivering safe care to children in acute settings• Incidence of harm to children due to ‘failure to monitor’

Improving children’s experience of healthcareAn indicator needs to be developed, although this may be difficult to measure.