NHS outcomes framework and CCG outcomes indicators: Data availability table

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1 NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012

2 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential years of life lost from causes considered amenable to healthcare: adults [over 20 yrs] 1ai Potential years of life lost from causes considered amenable to healthcare: children & young people [under 20 yrs] 1aii Life expectancy at 75 (males)/(females) 1b LA? combined indicator pop.? combined indicator provider? population, why Can be calculated for CCGs using the Primary Care Mortality Database. May be issues with small numbers population ) from cardiovascular disease from respiratory disease Under 75 mortality rate from cardiovascular disease 1.1 Under 75 mortality rate from respiratory disease 1.2 Myocardial infarction, stroke and stage 5 chronic kidney disease in people with diabetes Mortality within 30 days of hospital admission for stroke Cardiac rehabilitation completion from liver disease Under 75 mortality rate from liver disease 1.3 Emergency admissions for alcohol related liver disease Under 75 mortality rate from cancer 1.4 from cancer Reducing premature death in people with serious mental illness Reducing deaths in babies and young children 1 and 5 year survival (all cancers) 1.4.i & ii 1 and 5 year survival (breast, lung and colorectal cancers) 1.4.iii & iv Excess under 75 mortality rate in adults with serious mental illness 1.5 Infant mortality 1.6.i Neonatal mortality and still-births 1.6.ii 5 year survival from all cancers in children (under 15s) 1.6.iii No robust method for linking MHMDS data with ONS data at CCG or standardisation method. Small numbers. Data from Maternity Data Set that won t be available until Small numbers for some CCGs. Small numbers for some CCGs. People with severe mental illness who have received a list of physical checks Antenatal assessments at <13 weeks Maternal smoking at delivery Breast feeding prevalence at 6-8 weeks Reducing premature death in people with learning disabilities

3 DOMAIN 2: enhancing the quality of life for people with long-term conditions NHS OF objective Enhancing the quality of life for people with long-term conditions Ensuring people feel supported to manage their condition Improving functional ability in people with long-term conditions Reducing time spent in hospital by people with longterm conditions Enhancing quality of life for carers Enhancing quality of life for people with mental illness Health related quality of life for people with long-term conditions 2 Proportion of people feeling supported to manage their condition 2.1 Employment of people with long-term conditions 2.2 Unplanned hospitalisations for chronic ambulatory care sensitive conditions 2.3.i Unplanned hospitalisations for asthma, diabetes and epilepsy in under 19s 2.3.ii Health related quality of life for carers 2.4 Employment of people with mental illness 1.5 LA? pop.? provider? Data available Data available population, why Cannot identify CCG of the respondents using labour force survey. Further evaluation of case mix adjustment method required. Sample size relatively small. Cannot identify CCG of the respondents using labour force survey. population ) People with COPD and Medical Research Council (MRC) Dyspnoea Scale 3 referred to a pulmonary rehabilitation programme People with diabetes who have received all nine care processes People with diabetes diagnosed less than a year who are referred to structured education Complications associated with diabetes including emergency admission for diabetic ketoacidosis and lower limb amputation Access to community mental health services by people from BME groups Access to psychological therapy services by people from BME groups Recovery following talking therapies for people of all ages Recovery following talking therapies for people older than 65 Estimating the diagnosis rate of people with dementia 2.6.i Enhancing quality of life for people with dementia Measure of effectiveness of postdiagnosis care in sustaining independence and improving quality of life 2.6.ii People with dementia prescribed anti-psychotic medication

4 NHS OF objective Helping people to recover from episodes of ill health or following injury DOMAIN 3: helping people to recover from episodes of ill health Emergency admissions for acute conditions that should not usually require hospital admission 3a Emergency re-admissions within 30 days of discharge from hospital 3b or following injury LA? pop.? provider? population, why population ) Improving outcomes from planned treatments Preventing lower respiratory tract infections in children from becoming serious Improving recovery from injuries and trauma Improving recovery from stroke Effective recovery of mobility following a fragility fracture Helping older people to recover their independence after illness or injury Increased health gain as assessed by patients for: hip replacement 3.1.i knee replacement 3.1.ii groin hernia 3.1.iii varicose veins 3.1.iv Psychological therapies 3.1v Emergency admissions for children with lower respiratory tract infections Proportion of stroke patients reporting an improvement in activity/lifestyle on the Modified Rankin Scale at 6 months 3.4 The proportion of patients with a fragility fracture recovering to their previous s of mobility at 30 days and 120 days 3.5.i and 3.5.ii The proportion of older people (65 and over): still at home 91 days after discharge into rehabilitation/reablement services 3.6.i offered rehabilitation following discharge from acute or community hospital 3.6.ii Small numbers. Social care returns do not include client records so attribution methods needed for any sub-la measurement. Improving recovery for people who have had a stroke and who are admitted to an acute stroke unit within 4 hours of arrival to hospital receive thrombolysis following an acute stroke are discharged from hospital with a joint health and social care plan receive a follow-up assessment 4-8 months after initial admission

5 DOMAIN 4: ensuring that people have a positive experience of care NHS OF objective Patient experience of primary care: GP services 4a i NHS dental services 4a iii LA pop.? provider? GP services data available population, why CCGs not responsible for commissioning services. Data will be available for transparency purposes. population ) Ensuring that people have a positive experience of care Patient experience of GP out-of-hours services 4aii Data available Patient experience of hospital care 4b Friends and Family Test 4c - acute inpatient care and A&E Improving people s experience of outpatient care Improving hospitals responsiveness to personal needs Improving people s experience of accident & emergency services Improving patients access to primary care services Improving women s and their families experience of maternity services Improving the experience of care for people at the end of their lives Improving the experience of care for adults with mental illness Improving children and young people s experience of healthcare Improving people s experience of integrated care Patient experience of outpatient services 4.1 Responsiveness to in-patients personal needs 4.2 Patient experience of A&E services 4.3 Access to GP services 4.4i NHS dental services 4.4ii Women s experience of maternity services 4.5 Survey of bereaved carers 4.6 Patient experience of community health services 4.7 GP services data available CCGs not responsible for commissioning services. Data will be available for transparency purposes. NHS OF indicator only just finalised. Not yet possible to develop CCG breakdown.

6 NHS OF objectives Improved readiness of the NHS to report harm and to learn from it Reduced extent of severe harm or death caused or contributed to by the NHS Reduced harm from failure to prevent venous thromboembolism (VTE) in a health care setting Reducing the incidence of avoidable harm (infections) Reducing harm associated with serious pressure ulcers Reducing serious harm caused by medication errors Safe delivery of babies DOMAIN 5: Treating and caring for people in a safe environment and protecting them from harm LA? pop.? provider? Patient safety incidents reported 5a Safety incidents involving severe harm or death 5b Indicator on hospital deaths attributable to problems in care 5c Incidence of VTE 5.1 Incidence of healthcare associated MRSA infection 5.2.i Incidence of Clostridium difficile infection 5.2.ii Incidence of newly-acquired category 2, 3 and 4 pressure ulcers 5.3 Incidence of medication errors causing serious harm 5.4 Admission of full term babies to neonatal care 5.5 population, why Data not directly reportable at CCG. Small numbers and frequency of reporting also an issue. Awaiting decision on data source. NHS OF indicator is in development. Data not directly reportable at CCG. Small numbers and frequency of reporting also an issue. Concerns over data quality and issues of interpretation. Data source for NHS OF indicator under review. population ) Reducing harm from failing to monitor children properly in an acute setting Incidence of harm to children due to failure to monitor 5.6 Data not directly reportable at CCG. Small numbers may also be an issue

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