This story was first published in digitalhealth.net
NHS assessments need streamlining, The King’s Fund suggests
The review from The King’s Fund was commissioned by the Department of Health (DoH) and recommends a ‘radical’ simplification of the assessment process, with the The NHS Outcomes Framework, Public Health Outcomes Framework and Adult Social Care Outcomes Framework all consolidated into a single entity covering the NHS, public health and social care.
The report, entitled ‘Measuring the performance of local health systems’, reads: “We would particularly emphasise the need for alignment between the metrics used to assess local health system performance and those used in the CCG Assurance Framework developed by NHS England.”
According to the report, greater alignment would provide a ‘clear line of sight’ from the DoH through to NHS England and CCGS to the performance of local health systems, based on indicators that reflect what really matters to patients and the public. It also does not recommend producing an aggregate score of performance using performance indicators alone, as this can mask good or poor performance on individual indicators and produce an inaccurate picture of performance.
Chris Ham, CEO of The King’s Fund, said: “We strongly support the secretary of state’s commitment to promoting intelligent transparency in the NHS.
“Done well, performance assessment can help to strengthen accountability to patients and the public, as well as to support commissioners and providers to improve care. A radical simplification and alignment of the current frameworks and better presentation would do this.”
Dr Amanda Doyle, co-chair of NHS Clinical Commissioners (NHSCC) and chief clinical officer of NHS Blackpool CCG, said: “The King’s Fund report highlights the complexity of the current healthcare system that CCGs work in, and therefore how difficult it is to simply rate them with an aggregate score. We welcome the recommendations to provide information for patients and the public at various levels of detail, which would offer a more rounded and realistic view of a local health system.”
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