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NHS Outcomes Framework Indicators

The NHS Outcomes Framework (NHS OF) indicators provide national level accountability for the outcomes the NHS delivers; they drive transparency, quality improvement and outcome measurement throughout the NHS.

The framework sets out the national outcome goals that the Secretary of State uses to monitor the progress of NHS England. It does not set out how these outcomes should be delivered, it is for NHS England to determine how best to deliver improvements by working with Clinical Commissioning Groups to make use of the tools at their disposal.

All indicators are reported at England level, and are broken down, where possible, by Age, Lower tier local authority, Upper tier local authority, Region, Religion, Ethnicity, Deprivation decile, Sexual orientation, Gender and Condition.


Framework Domains

Indicators in the NHS OF are grouped around five domains, which set out the high-level national outcomes that the NHS should be aiming to improve. For each domain, there are a small number of overarching indicators followed by a number of improvement areas. They focus on improving health and reducing health inequalities:

  • Domain 1 - Preventing people from dying prematurely
    This domain captures how successful the NHS is in reducing the number of avoidable deaths.
  • Domain 2 - Enhancing quality of life for people with long-term conditions
    This domain captures how successfully the NHS is supporting people with long-term conditions to live as normal a life as possible.
  • Domain 3 - Helping people to recover from episodes of ill health or following injury
    This domain captures how people recover from ill health or injury and wherever possible how it can be prevented.
  • Domain 4 - Ensuring that people have a positive experience of care
    This domain looks at the importance of providing a positive experience of care for patients, service users and carers.
  • Domain 5 - Treating and caring for people in a safe environment and protecting them from avoidable harm
    This domain explores patient safety and its importance in terms of quality of care to deliver better health outcomes.

Framework Resources

The following links can be found in the related information section on the right hand side of this page:

  • Indicator Portal - all the latest data and supporting documents for the indicators are published here
  • NHS OF Publications - quarterly reports which provide background information, charts and trends for a selection of indicators updated in each release

The following documents can be found by using the Indicator Portal link and selecting the NHS OF summary dashboard and useful links page:

  • Summary Dashboard -shows the latest published values for all  indicators, whether they are improving or deteriorating and short commentaries about trends in the time series
  • Publication Schedule -shows the expected date of the next update for each indicator

Our commitment to continuous improvement

Like all indicators managed by the Health and Social Care Information Centre, the NHS Outcomes Framework Indicators will be subject to continuous review, using our Indicator Assurance Process.

We welcome further comments and suggestions for improvement on the NHS Outcomes Framework Indicators, please send to clinical.indicators@hscic.gov.uk.

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