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Professor Jim McManus AFBPsS,FFPH,CSci, FRSB, CPsychol
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Nhs outcomes-framework-2013-14
1.
the voice of
NHS leadership The NHS outcomes framework 2013/14 Mortality from causes considered amenable to healthcare Potential years of life lost Life expectancy at 75 Adults Children and young people Males Females <75 years mortality from CVD <75 years mortality from respiratory disease Reducing premature mortality from the major causes of death <75 years mortality from liver disease 1 & 5 years survival – colorectal cancer Patient safety incidents reported Cancer survival Domain 1 – Preventing people from dying prematurely 1 & 5 years survival – lung cancer Safety incidents involving serious harm or death Incidence of hospital related VTE MRSA 1 & 5 years survival – breast cancer <75 years mortality rate from cancer Reducing under-75 mortality rate in adults with serious mental illness Hospital deaths attributable to problems in care 1 & 5 years survival – all cancers <75 yrs mortality Incidence of HCAI C. diff Incidence of newly acquired category 2, 3 and 4 pressure ulcers Reducing the incidence of avoidable harm Incidence of medication errors causing serious harm Admission of full-term babies to neonatal care Incidence of harm to children due to"failure to monitor" Reducing premature deaths in people with learning disabilities Improving the safety of maternity services NHS outcomes framework 2013/14 Patient experience of primary care Patient experience of hospital care Domain 2 – Enhancing quality of life for people with long-term conditions Friends and Family test Responsiveness to inpatients' personal needs Improving patient experience of outpatient care Ensuring people feel supported to manage their condition Improving functional ability in people with long-term conditions Improving access to primary care services Access to NHS dental services Women's experience of maternity services Bereaved carers’ views on the quality of care in the last three months of life Patient experience of community mental health services Enhancing quality of life for people with dementia Domain 4 – Ensuring that people have a positive experience of care Proportion of people feeling supported Employment of people with long-term conditions Unplanned hospitalisation for chronic ambulatory care sensitive conditions (adults) Health-related quality of life Employment of people with mental illness Estimated diagnosis rate for people with dementia A measure of effectiveness of post-diagnosis care in sustaining independence and improving quality of life Improving women and their families' experience of maternity services Emergency admission rates for acute conditions that should not usually require hospital admission Improving the experience of care for people at the end of their lives Emergency readmissions within 30 days of discharge from hospital Improving experience of healthcare for people with mental illness Improving outcomes from planned procedures Hip replacement Total health gain as assessed by patients for elective procedures Knee replacement Groin hernia Varicose veins Improving children and young people's experience of healthcare Improving people’s experience of integrated care 5 year survival from all cancers in children Unplanned hospitalisation for asthma, diabetes and epilepsy in <19yrs Enhancing quality of life for people with mental illness Improving patients’ experience of A&E services Access to GP services Reducing time spent in hospital by people with long-term conditions Enhancing quality of life for carers Improving hospitals' responsiveness to personal needs Patient experience of A&E services Neonatal mortality (including stillbirths) Health-related quality of life for people with long-term conditions NHS dental services Patient experience of outpatient services Infant mortality Excess under 60 years mortality rate in adults with learning disability Delivering safe care to children in acute settings GP services GP out-of-hours services Reducing deaths in babies and young children Domain 5 – Treating and caring for people in a safe environment and protecting them from avoidable harm Preventing lower respiratory tract infections in children from becoming serious Domain 3 – Helping people recover from episodes of ill health or following injury Improving recovery from injuries and trauma Improving recovery from stroke Yellow highlighted items are new additions for the 2013/14 framework. Improving recovery from fragility fractures Proportion of people who recover from major trauma Proportion of stroke patients reporting an improvement in activity/lifestyle on the Modified Rankin Scale at six months Proportion of patients recovering to their previous levels of mobility/walking ability at 30 days at 120 days Blue highlighted items are overarching indicators. All other non-highlighted items are improvement areas. Psychological therapies Emergency admissions for children with lower respiratory tract infections Helping older people to recover their independence after illness or injury Proportion of older people (65 and over) still at home 91 days after discharge into rehabilitation Proportion of older people (65 and over) offered rehabilitation following discharge from acute or community hospital The NHS handbook 2012/13 The essential guide to the new NHS The NHS handbook 2012/13 is the must-have guide to help you navigate and make sense of the changing shape of the NHS. Fully revised and updated, this comprehensive guide is where you’ll find out all about the new NHS, including: • the structure of the NHS • clinical commissioning groups • the changing provider landscape • the NHS Commissioning Board • health and wellbeing boards • a comprehensive acronym buster to help conquer all those NHS acronyms • and much more! Available now, you’ll find out more at www.nhsconfed.org/nhshandbook © NHS Confederation 2012 INF34001