Key Health Areas Mapped to Out of Hospital Programme Areas

Transcription

1 1 Key Area (according to letter from David Nicholson) Reducing the number of years of life lost by the people of England from treatable conditions (e.g. including cancer, stroke, heart disease, respiratory disease, liver disease). Key Health Areas Mapped to Out of Hospital Programme Areas 1a Domain Area (according to National Outcomes Framework) Potential Years of Life Lost (PYLL) from causes considered amenable to healthcare i Adults ii Children Life expectancy at 75 i Males ii Females 1b 1.1 Under 75 mortality rate from cardiovascular disease* (PHOF 4.4) 1. Under 75 mortality rate from respiratory disease* (PHOF 4.7) 1.3 Under 75 mortality rate from liver disease* (PHOF 4.6) Substance Misuse Contributing Projects 1.4 Under 75 mortality rate from cancer* (PHOF 4.5) i & ii One and Five-year survival from all cancers iii & iv One and Five-year survival from breast, lung and colorectal cancer Improving the health related quality of life of the 15 million+ people with one or more long-term conditions. 1.5 Excess under 75 mortality rate in adults with serious mental illness*(phof 4.9) i Infant mortality* (PHOF 4.1) ii Neonatal mortality and stillbirths iii Five year survival from all cancers in children Excess under 60 mortality rate in adults with a learning disability.1 Health-related quality of life for people with long-term conditions** (ASCOF 1A) care. Employment of people with long-term conditions** * (ASCOF 1E PHOF 1.8) i Unplanned hospitalisation for chronic ambulatory care sensitiveconditions (adults).3 ii Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s.4 Health-related quality of life for carers** (ASCOF 1D).5 Employment of people with mental illness **** (ASCOF 1F & PHOF 1.8).6 Substance misuse Self-management Substance misuse

2 Key Area (according to letter from David Nicholson) 13 and 4 Reducing the number amount of time years people of life lost spend by the people avoidably of England in hospital from through treatable better conditions and more (e.g. including integrated cancer, care in stroke, the community, heart disease, outside respiratory of disease, hospital. liver disease). Increasing the proportion of older people living independently at home following discharge from hospital. 5 and 6 Reducing the proportion of people reporting a very poor experience of inpatient care. Reducing the proportion of people reporting a very poor experience of primary care. 3a Domain Area (according to National Outcomes Framework) 3b Emergency readmissions within 30 days of discharge from hospital* (PHOF 4.11) Total health gain as assessed by patients for elective procedures I Hip replacement iiknee replacement iii Groin hernia iv Varicose veins 3.1 v Psychological therapies 3. Emergency admissions for children with LRTI 3.3 Proportion of people who recover from major trauma Proportion of stroke patients reporting an improvement in activity/lifestyle on 3.4 the Modified Rankin Scale at 6 months Proportion of patients recovering to their previous levels of mobility/walking ability at I 30 and End of Life Care ii 10 days 3.6 4a i Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/ rehabilitation service*** (ASCOF B) ii Proportion offered rehabilitation following discharge from acute or community hospital Patient experience of primary care i GP services ii GP services iii NHS Dental Services Patient experience of hospital care Friends and family test Patient experience of outpatient services Responsiveness to in-patients personal needs Patient experience of A&E services Access to i GP services and ii NHS dental services Out of hours Stroke Primary Care Transformation NHS 111, Urgent Care and Contributing Projects 7 Other Making significant progress towards eliminating avoidable deaths in our hospital. Out of Hours Primary Care Transform ation Women s experience of maternity services 4.6 Bereaved carers views on the quality of care in the last 3 months of life End of Life Care Patient experience of community mental health services An indicator is under development An indicator is under development***(ascof 3E) Patient safety incidents reported Safetyincidents involving severe harm or death Hospital deaths attributable to problems in care Incidence of hospital-related venous thromboembolism (VTE) Incidence of healthcare associated infection (HCAI) i MRSA ii C. difficile Incidence of newly-acquired category, 3 and 4 pressure ulcers Self-management Self-management 5.6 Incidence of harm to children due to failure to monitor L1 GP Referrals to Stop Smoking Service L L3 Secondary Prevention for Patients aged 50+having Fractured Neck of Femer

3 Key Health Areas Mapped to Out of Hospital Programme Areas Domain Area 3b Emergency readmissions within 30 days of discharge from hospital* (PHOF 4.11) Total health gain as assessed by patients for elective procedures I Hip replacement iiknee replacement iii Groin hernia iv Varicose veins 3.1 v Psychological therapies 3.3 Proportion of people who recover from major trauma 4b Patient experience of hospital care 4c Friends and family test 4.1 Patient experience of outpatient services 4. Responsiveness to in-patients personal needs 4.3 Patient experience of A&E services Potential Years of Life Lost (PYLL) from causes considered amenable to healthcare i Adults 1a ii Children 1b Life expectancy at 75 i Males ii Females Health-related quality of life for people with long-term conditions** (ASCOF 1A) care 1.4 Under 75 mortality rate from cancer* (PHOF 4.5) i & ii One and Five-year survival from all cancers iii & iv One and Five-year survival from breast, lung and colorectal cancer i Infant mortality* (PHOF 4.1) ii Neonatal mortality and stillbirths iii Five year survival from all cancers in children 1.6 Children's 3. Emergency admissions for children with LRTI Children's 4.8 An indicator is under development Children's.3 i Unplanned hospitalisation for chronic ambulatory care sensitiveconditions (adults) ii Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s Substance misuse

4 Domain Area i Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/ rehabilitation service*** (ASCOF B) ii Proportion offered rehabilitation following discharge from acute or community 3.6 hospital 1. Under 75 mortality rate from respiratory disease* (PHOF 4.7) 1.1 Under 75 mortality rate from cardiovascular disease* (PHOF 4.4) L1 GP Referrals to Stop Smoking Service i Estimated diagnosis rate for people with dementia*(phof 4.16) ii A measure of the effectiveness of post-diagnosis care in sustaining.6 independence and improving quality of life***(ascof F) l 4.6 Bereaved carers views on the quality of care in the last 3 months of life End of Life Care 3.5 Proportion of patients recovering to their previous levels of mobility/walking ability at I 30 and ii 10 days l3 Secondary Prevention for Patients aged 50+having Fractured Neck of Femer

5 Domain Area 4.9 An indicator is under development***(ascof 3E) 1.5 Excess under 75 mortality rate in adults with serious mental illness*(phof 4.9) 1.7 Excess under 60 mortality rate in adults with a learning disability.5 Employment of people with mental illness **** (ASCOF 1F & PHOF 1.8) 4.7 Patient experience of community mental health services Access to i GP services and 4.4 ii NHS dental services Patient experience of primary care i GP services ii GP services 4a iii NHS Dental Services Emergency admissions for acute conditions that should not usually require 3a hospital admission 5a Patient safety incidents reported 5b Safetyincidents involving severe harm or death 5c Hospital deaths attributable to problems in care 5.1 Incidence of hospital-related venous thromboembolism (VTE) Incidence of healthcare associated infection (HCAI) i MRSA 5. ii C. difficile 5.3 Incidence of newly-acquired category, 3 and 4 pressure ulcers 5.4 Incidence of medication errors causing serious harm 5.5 Admission of full-term babies to neonatal care 5.6 Incidence of harm to children due to failure to monitor Primary Care Transformation Out of hours.1 Proportion of people feeling supported to manage their condition** Self-management. Employment of people with long-term conditions** * (ASCOF 1E PHOF 1.8) Self-management Proportion of stroke patients reporting an improvement in activity/lifestyle on 3.4 the Modified Rankin Scale at 6 months Stroke 1.3 Under 75 mortality rate from liver disease* (PHOF 4.6) Substance Misuse.4 Health-related quality of life for carers** (ASCOF 1D) 4.5 Women s experience of maternity services