Tag Archives: Outcomes

NHS White Paper “Equity and Excellence: Liberating the NHS”

Title of driver: “Equity and excellence: liberating the NHS” White Paper

Source: Department of Health

Link to main document

The Department of Health Business Plan 2013-2015 (July 2013) outlines the structural reform priorities of the coalition government:

1. Create a patient-led NHS
2. Promote better healthcare outcomes
3. Revolutionise NHS accountability
4. Promote public health
5. Reform social care

Publication format: PDF

Date of publication: 12th July 2010

Summary of driver:
The NHS White Paper sets out the Government’s long-term vision for the future of the NHS. The vision builds on the core values and principles of the NHS – a comprehensive service, available to all, free at the point of use, based on need, not ability to pay. It sets out how we will: put patients at the heart of everything the NHS does; focus on continuously improving those things that really matter to patients – the outcome of their healthcare; and empower and liberate clinicians to innovate, with the freedom to focus on improving healthcare services.

Key features extracted from the Executive Summary:

  • Putting patients and public first: We will put patients at the heart of the NHS, through an information revolution and greater choice and control
  • Improving healthcare outcomes: To achieve our ambition for world-class healthcare outcomes, the service must be focused on outcomes and the quality standards that deliver them. The Government’s objectives are to reduce mortality and morbidity, increase safety, and improve patient experience and outcomes for all.
  • Autonomy, accountability and democratic legitimacy: The Government’s reforms will empower professionals and providers, giving them more autonomy and, in return, making them more accountable for the results they achieve, accountable to patients through choice and accountable to the public at local level (GP Commissioning)
  • Cutting bureaucracy and improving efficiency: The NHS will need to achieve unprecedented efficiency gains, with savings reinvested in front-line services, to meet the current financial challenge and the future costs of demographic and technological change . (Removal of PCTs and SHAs)

Primary audience: Everyone working in the NHS

Impact on library policy/practice: The White Paper provides a challenge to Libraries and librarians, as the changes in structure (e.g. removal of PCT/SHA and introduction of new stakeholder groups CCGs/CSUs) have a continuing impact on the way services are delivered.

Some ideas about how the driver could be linked to library services are summarised below:

  • Focus on ‘information’ and ‘evidence’ Link here for discussion Lansley leads information revolution
  • The White Paper mentions ‘evidence’ on the following pages 4, 8, 11, 13, 14, 16, 18, 21, 22, 23, 30, 31, 49 and 55.
  • “Information, combined with the right support, is the key to better care, better outcomes and reduced costs.” Equity and Excellence: Liberating the NHS. Department of Health, July 2010. 2.5 p.13.
  • The white paper highlights the need for patient care quality standards to be based on the ‘best available evidence’ (p.23).

Case studies / Local service profile examples mapping to this driver: None @ 4.10.2013

Date last updated: 4.10.2013

Due for review: April 2014

Group member responsible: TP

NHS Outcomes Framework 2013-2014

Title of driver: NHS Outcomes Framework 2013-2014

Source: Department of Health

Link to main document

Publication format: PDF

Date of publication: 13th November 2012

Summary of driver: The NHS Outcomes Framework 2013 to 2014 sets out the outcomes and corresponding indicators that will be used to hold the NHS Commissioning Board to account for improvements in health outcomes, as part of the government’s mandate to the NHS Commissioning Board.

Key features of driver: Follow this link to see a single page mindmap produced by the NHS Confederation. There are five key domains underpinning this framework:

  • Domain 1 – Preventing people from dying prematurely
  • Domain 2 – Enhancing quality of life for people with long-term conditions
  • Domain 3 – Helping people recover from episodes of ill health or following injury
  • Domain 4 – Ensuring that people have a positive experience of care
  • Domain 5 – Treating and caring for people in a safe environment and protecting them from avoidable harm

Primary audience: Commissioning groups and senior managers includiing Chief Executives from all trusts

Impact on library policy/practice: to be added

Case studies / Local service profile examples mapping to this driver: None currently

Date last updated: 3rd December 2012

Due for review: December 2013

Group member responsible: TP

Operating Framework for the NHS in England 2012-2013

Title of driver: The Operating Framework for the NHS in England 2012-2013

Source: The Department of Health

Link to main document

Publication format: PDF (via webpage)

Date of publication: 24th November 2011

Summary of driver: This document sets out the main planning framework, key financial assumptions and national targets for the NHS across all areas of activity.  The four priorities for the NHS over the next 12 months are:

  1. improving the quality of basic care for older and vulnerable patients
  2. maintaining a strong grip on performance including waiting times, finance and key quality measures
  3. meeting the ongoing quality and productivity challenge
  4. making the transition to the new health and care system.

Key features of driver:
A range of outcome measures are set out under the domains of the NHS Outcomes Framework.

  • PCT allocations will grow by at least 2.5 per cent in 2012/13 and PCT clusters must ensure all patients are seen on the basis of clinical need.
  • The running cost of clinical commissioning groups (CCGs) will be £25 per head and the tariff price adjuster will see a reduction of at least 1.5 per cent.
  • All NHS trusts are expected to achieve NHS foundation trust (FT) status by April 2014 other than by exceptional agreement.
  • There are key areas for improvement of dementia and care of older people, carers support, and military and veteran health.
  • CQUIN (Commission for Quality and Innovation) will be increased to 2.5 per cent on top of actual ‘outturn’ value.
    (Source: NHS Confederation Briefing Dec 2011)
    Link here for a guide to the Operating Framework as well as mindmaps to help you navigate the structure of the framework (produced by the NHS Confederation).

Link here for main points of the operating framework and its implications for primary care (produced by Primary Care Commissioning).

In March 2012 the Department of Health produced a special issue of the month on the passing of the Health and Social Care Bill and what this means to the NHS now and from 2013/14, including a series of updates in each of the key areas around the transition programme.

Primary audience: All NHS Trusts.

Impact on library policy/practice: Library and information services are likely to feel the effects of efficiency savings and structural changes across the NHS.  Library staff can play a key role in identifying the best evidence on which to base decisions surrounding QIPP, reorganisation and change.

Case studies / Local service profile examples mapping to this driver: None as of 16.4.12

Date last updated: 16.4.12

Due for review: 16.4.13

Group member responsible: Not yet identified