In the past, the health and care system was dominated by centralised top down targets and process measures. Evidence from international sources suggests that this approach got in the way of engaging local interests with local knowledge; it impeded work to deliver better health outcomes, reduce death and illness, increase safety and improve patient and user experience.
The Department of Health has published three outcomes frameworks, one for each part of the health and care system: for Public Health, Adult Social Care and the NHS. Each includes the main outcomes that represent the issues across health and care that matter most to all of us. The NHS and adult social care outcomes frameworks share goals on ensuring positive experiences of care, and the NHS and public health outcomes frameworks share goals on preventing people from dying prematurely. This alignment between the outcomes frameworks is designed to support local partners across the health and care system to identify common ground, providing the basis for more integrated working locally.
But whilst the outcomes frameworks can be used to support local strategic planning, they need not overshadow locally agreed priorities. Boards may also chose to use indicators from the outcomes frameworks to measure their joint progress in improving outcomes for their local community.
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