The Outcomes Framework is a set of indicators to monitor the health and care outcomes of adults and children in Stockport. The framework provides an overview of how the NHS is performing locally and helps partners in making decisions about local services.
The outcome based, whole population approach to commissioning services for Stockport is in development. The ambition is that the whole budget for health and social care will be available to providers subject to delivering improvements in outcomes for the population.
The creation of a new approach to commissioning and breaking down traditional organisational boundaries will enable clinicians and other practitioners to develop the best models of care focused on individual and population outcomes, unencumbered by competing organisational priorities. To address the challenge effectively changes in the way services are delivered is underway.
To achieve an outcomes-based model of commissioning, along with partners, we have embarked upon identifying outcomes that matter most to people in Stockport.
Commonly, outcomes have been considered in the context of disease groups. However, defining optimal heath in this way undermines the ‘whole-person’ holistic approach and retains focus on providers.
In support of Stockport Togethers’ whole population approach, and in view that the responsibility to deliver true patient outcomes is shared amongst multiple providers, all stakeholders agreed that the outcomes should be organised differently to traditional approaches.
In order to ensure that different views from across the system were taken into account, key stakeholders, including patients and the third sector, led the development of the Outcomes Framework through their involvement in Expert Reference Groups for key segments.
Stockport Together adapted the Bridges to Health model of segmenting populations which describes eight population groups which have been condensed into four broader groups each with its own definition of optimal health and priorities among services.
The Expert Reference Groups considered what outcomes were important for people within that segment. A total of 28 clinical and social outcome measures and 14 personal outcomes were finally selected for inclusion in the Outcomes Framework.
The clinical and social outcomes tend to describe clinically relevant outcomes for an individual, such as improved health status (reductions in disease incidence, complications and/or exacerbation).
Personal outcomes describe the holistic health status of a person such as their confidence in managing their own health and wellbeing.
In summary, work completed to date has included:
As part of the Phase 3 of this approach, we will progress: