150,249 members

Skip to content. | Skip to navigation

Network navigation


Poor health and lower life expectancy has been in the news recently, but with so much on the agenda where should the immediate focus be?

Tacking the root causes of ill health
Getting social care right
Addressing NHS waiting lists
View results ›

Transparency in outcomes - consultation document is published

Detailed proposals for how the NHS will improve healthcare outcomes for patients and judge its success have been set out in a public consultation by the Department of Health. The publication, Transparency in Outcomes - a framework for the NHS, is the first in a series of specific consultations to be published in the coming weeks seeking the views of healthcare professionals, the public and other interested parties on the detailed proposals.

Transparency in outcomes - consultation document is published

Outcomes framework consultation

The White Paper Equity and Excellence: Liberating the NHS, published on 12 July, explained the Government’s intention to create an NHS that is more responsive to patients’ needs and achieves better outcomes that are among the best in the world. 
Today’s publication proposes a new framework that aims to refocus the NHS on the outcomes achieved for patients rather than the process targets of the past that had no clinical justification.

The framework includes a set of national outcome goals which patients and the public can use to judge the overall performance of the NHS and hold the Government to account for progress.  The framework and the national outcome goals will form a combined mechanism by which the Secretary of State for Health can hold the new NHS Commissioning Board to account for the outcomes it is securing for patients.

The consultation document suggests five outcome domains and seeks views on the structure and the core principles that should underpin the development of the framework, as well as the more specific outcome measures that should be used.  The proposed domains are:

  • Domain 1: Preventing people from dying prematurely
  • Domain 2: Enhancing the quality of life for people with long-term conditions
  • Domain 3: Helping people to recover from episodes of ill health or following injury
  • Domain 4: Ensuring people have a positive experience of care
  • Domain 5: Treating and caring for people in a safe environment and protecting them from avoidable harm

Health Secretary Andrew Lansley said:

"The White Paper set out the Government's vision for the NHS - a quality service that achieves health outcomes that are among the best in the world.  I want to free doctors and nurses to focus on what really matters - better results for their patients - instead of them being stifled by top down targets.

“Instead of politically motivated targets which lack clinical evidence, we will measure the outcomes that are most important to patients and that are relevant to healthcare professionals. These will be backed up by authoritative, evidence-based quality standards that will ensure everyone understands how those outcomes can be achieved.

“I want to hear the views of healthcare professionals, patients, carers and the public on how the new system should work, and what we should measure to ensure the NHS is focussed on what is important to patients and what improves their overall experience of NHS care.”

People can submit their views via the email to


Or by post addressed to White Paper Team, Room 601, Department of Health, 79 Whitehall, London SW1A 2NS.