Are the NHS national outcomes frameworks past their sell-by date?

The National Health Service (NHS) outcomes frameworks for public health, health and adult social care in England were launched in 2010–2012 with ambitions that they would transform health outcomes in England. However, unprecedented financial pressures in the NHS are compelling changes in government policy designed to make the NHS financially sustainable while ensuring high-quality care for a population with a growing burden of chronic disease and multimorbidity. Radical changes in the way health and care services are commissioned and delivered locally are under way or planned. The models of care emerging are almost without exception predicated on greater integration of public health, health and care services, making the three discrete outcomes frameworks increasingly anomalous. As a centrally funded service working to policies defined by government, the NHS needs a performance framework that clearly articulates national priorities and the systemic changes needed to deliver them. The authors argue for a...

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