The paper launched in April reviewed 5 outcomes frameworks, including the NHS Outcomes Framework (NHSOF) and The Quality and Outcomes Framework (QOF), with the aim of understanding the technical measure integrity and viability behind each indicator. OBH drew from their clinical, analytics and NHS data experience to capture considerations such as data availability, accuracy and robustness over time.
Whilst publicly available frameworks can be used for a range of purposes including monitoring quality, benchmarking providers against one another and to highlight variation in care provision, the paper argues that these frameworks are less effective when measuring and monitoring outcomes at a local-level. OBH recommends a greater focus on outcomes, a well-defined and locally configured segmentation model, local agreement on outcomes across the health and care system, as well as the use of local linked datasets, across all providers to allow the measurement of true outcomes in near-real time.
The official launch of the paper took place at the NHS Elect event in April on “Reflections on Delivering Integrated Care in the NHS”, where CEO Rupert and Senior Health Outcomes Analyst Ellie presented the findings. The event featured presentations from Centene about their work in the UK, as well as case studies from across the NHS Elect network. The full paper can be found on the Resources page on our website.
