NATIONAL INSTITUTE FOR HEALTH AND CARE
EXCELLENCE
Mapping the NHS Outcomes Framework and Clinical
Commissioning Group Outcomes Indicator Set to
NICE Quality Standards
June 2014
Page 1 of 22
Contents
Introduction ................................................................................................................. 3
DOMAIN 1: Preventing people from dying prematurely ............................................. 4
DOMAIN 2: Enhancing the quality of life for people with long-term conditions ........... 7
DOMAIN 3: Helping people to recover from episodes of ill health or following injury 12
DOMAIN 4: Ensuring that people have a positive experience of care....................... 14
DOMAIN 5: Treating and caring for people in a safe environment and protecting
them from harm......................................................................................................... 18
APPENDIX A: Quality standards in the library .......................................................... 20
Healthcare referrals ................................................................................ 20
Social care referrals ................................................................................ 22
Public health referrals ............................................................................. 22
Page 2 of 22
Introduction
The purpose of this document is to show how NICE quality standards can
support quality improvement in relation to the NHS Outcomes Framework
(NHS OF). It also recognises the role of measurement in this process and
highlights links with the Clinical Commissioning Group Outcomes Indicator Set
(CCG OIS).
Information is presented in relation to the domains, improvement areas and
indicators within the NHS Outcomes Framework and includes:

Indicators in the current CCG OIS

Indicators published on the NICE menu for consideration by NHS
England for the 2014/15 CCG OIS.

Quality standards published at 1st June 2014

Quality standards that will publish during 2014-15
There are a number of important limitations that need to be considered in this
work:

Quality standards are mapped at topic level: the specific statements
within a quality standard may be considered to be more or less
applicable to certain areas of the NHS OF.

Cross domain improvements: quality standard topics ought to help
ensure improvements across a range of domains, for example ensuring
people have a positive experience of care and are cared for in a safe
environment. However, only those topics with a specific focus or
statements about experience or safety are mapped to domains 4 and 5.

Mapping is a subjective process: the content of future quality standards
cannot be anticipated. The mapping has been reviewed by NHS
England domain directors and teams to provide a certain level of
quality assurance to this subjectivity.

Quality standards that publish from April 2015 onwards have not been
mapped to the NHS OF but are listed for reference.
This document is likely to become outdated as plans and schedules for
publication of quality standards are updated. The document will be updated
on a 6 monthly basis with the next update due in December 2014.
Page 3 of 22
DOMAIN 1: Preventing people from dying prematurely
NHS Outcomes Framework
Overarching indicators
2014/15
Improvement areas &
indicators 2014/15
1ai Potential years of life
lost (PYLL) from causes
considered amenable to
healthcare: adults [over
20 yrs]
Reducing premature mortality
from the major causes of death
1aii Potential years of
life lost (PYLL) from
causes considered
amenable to healthcare:
children & young people
[under 20 yrs]
1.2 Under 75 mortality rate
from respiratory disease
1b Life expectancy at 75
(males)/(females)
1.1 Under 75 mortality rate
from cardiovascular disease
1.3 Under 75 mortality rate
from liver disease
1.4 Under 75 mortality rate
from cancer
1.4.i & ii 1 and 5 year survival
(all cancers)
1.4.iii & iv 1 and 5 year survival
(breast, lung and colorectal
cancers)
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
• Potential years of life lost
from causes considered
amenable to healthcare:
adults, children and young
people (NHS OF 1a i & ii)
(Quality Premium Indicator)
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Reducing premature
mortality from the major
causes of death
Overarching
Overarching
None

Acute upper gastrointestinal bleeding
• Under 75 mortality from
cardiovascular disease
(NHS OF 1.1)
Reducing premature mortality from
the major causes of death

• Cardiac rehabilitation
completion
• Myocardial infarction,
stroke & stage 5 kidney
disease in people with
diabetes
• Mortality within 30 days
of hospital admission for
stroke
• Under 75 mortality from
respiratory disease (NHS
OF 1.2)
• Under 75 mortality from
liver disease (NHS OF
1.3)
• Emergency admissions
for alcohol related liver
disease
• Under 75 mortality from
cancer (NHS OF 1.4)
• One year survival from
all cancers (NHS OF 1.4.i)
• One year survival from
breast, lung & colorectal
cancers (NHS OF 1.4 iii)
• Cancer: diagnosed via
emergency routes
• Cancer: record of stage
at diagnosis

Acute coronary syndromes
(including myocardial infarction)
Asthma

Acute Heart failure

Anxiety disorders

Acute kidney injury
 Mortality following hip fracture
(within 30 days and 12 months)

Bacterial meningitis and meningococcal
septicaemia in children and young people

Alcohol: preventing harmful alcohol
use in the community
 Mortality within 30 days of
admission for heart failure

Children and young people with cancer

Antibiotics for neonatal infection

Caesarean section

Feverish illness in children

The epilepsies in adults

Idiopathic pulmonary fibrosis
 Breast cancer recurrence rates

The epilepsies in children and young people

Transient loss of consciousness
 Lung cancer survival at 3-months

Familial hypercholesterolaemia

 Lung cancer specialist nurses
 Resection rates
Obesity: prevention and
management in children

Hypertension


Hypertension in pregnancy
Pain and bleeding in early
pregnancy

Induction of labour

Physical activity

Infection prevention and control

Renal replacement therapy services

Mental wellbeing of older people in care
homes

Sarcoma


Metastatic spinal cord compression
Smoking: reducing tobacco use in
the community

Peripheral arterial disease

Intravenous fluid therapy in adults in
hospital

Postnatal care

Hepatitis B

Self-harm

Smoking cessation - supporting people to
stop smoking

Surgical site infection

Urinary tract infection in infants, children and
young people under 16

Diagnosis and management of venous
thromboembolic diseases
 Time to specialist assessment in
people with suspected CHF
 Lung cancer assessment for
multimodality treatment
• Cancer: early detection
• Lung cancer: record of
stage at diagnosis
• Breast cancer mortality
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Reducing premature mortality from the major
causes of death
Page 4 of 22
NHS Outcomes Framework
Overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Reducing premature death in
people with serious mental
illness
1.5 Excess under 75 mortality
rate in adults with serious
mental illness
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
• Heart failure: 12 month
all-cause mortality

Alcohol dependence and harmful alcohol
heartuse
• Hip fracture incidence

Asthma

Breast cancer

Children and young people with cancer

Chronic heart failure

Chronic kidney disease

Colorectal cancer

Diabetes in adults

Drug use disorders

Hip fracture in adults

Hypertension

Hypertension in pregnancy

Lung cancer for adults

Metastatic spinal cord compression

Nutrition support in adults

Ovarian cancer



Peripheral arterial disease

Specialist neonatal care

Stable angina

Stroke

VTE prevention



Anxiety disorders

Drug use disorders

Mental wellbeing of older people in care
homes
Reducing premature
death in people with
serious mental illness
• People with severe
mental illness who have
received a list of physical
checks
Reducing premature death in people
with serious mental illness
• Severe mental illness: smoking
rates
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Smoking cessation - supporting people to
stop smoking

Smoking: reducing tobacco use in
the community
Depression in adults
Page 5 of 22
NHS Outcomes Framework
Overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Reducing deaths in babies and
young children
Reducing deaths in
babies and young children
Reducing deaths in babies and
young children
1.6.i Infant mortality
• Antenatal assessment <
13 weeks
None
1.6.ii Neonatal mortality and
still-births
1.6.iii 5 year survival from all
cancers in children (under 15s)
(placeholder)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
• Maternal smoking at
delivery
• Breastfeeding
prevalence at 6-8 weeks

Reducing premature death in
people with a learning
disability
Reducing premature
death in people with
learning disabilities
1.7 Excess under 60 mortality
rate in adults with a learning
disability
NHS OF in development.
No CCG indicator at
present
Reducing premature death in people
with learning disabilities
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Self-harm

Smoking cessation - supporting people to
stop smoking

Antenatal care

Atopic eczema in children

Bacterial meningitis and meningococcal
septicaemia in children and young people
 Feverish illness in children

Caesarean section
 Pain and bleeding in early pregnancy

Children and young people with cancer
 Smoking: reducing tobacco use in the
community

Hypertension in pregnancy

Induction of labour

Multiple pregnancy

Neonatal jaundice

Postnatal care

Smoking cessation - supporting people to
stop smoking

Specialist neonatal care

Urinary tract infection in infants, children and
young people under 16

Smoking cessation - supporting people to
stop smoking
 Antibiotics for neonatal infection
 Delirium
None
Page 6 of 22
DOMAIN 2: Enhancing quality of life for people with long-term conditions
NHS Outcomes Framework
Clinical Commissioning Group Outcome Indicator
Set
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Overarching Indicators
Improvement areas &
indicators 2014/15
2 Health-related quality
of life for people with
long-term conditions
Ensuring people feel
supported to manage their
condition
• Health-related quality of
life for people with longterm conditions (NHS OF 2)
Ensuring people feel
supported to manage their
condition
• People feeling
supported to manage their
condition (NHS OF 2.1)
2.1 Proportion of people
feeling supported to manage
their condition
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Overarching
Overarching

Delirium
None

Asthma

Ensuring people feel supported to
manage their condition

Anxiety disorders
Inflammatory bowel disease (to
cover ulcerative colitis and Crohn’s
disease)

Autism

Nocturnal enuresis

Children and young people with cancer

Urinary incontinence (women)

Supporting people to live well with dementia

Smoking: reducing tobacco use in
the community

The epilepsies in adults

The epilepsies in children and young people

Familial hypercholesterolaemia

Faecal incontinence

Headaches in young people and adults

Heavy menstrual bleeding

Hypertension

Mental wellbeing of older people in care
homes

Lower urinary tract symptoms

Peripheral arterial disease

Psoriasis

Sickle cell acute painful episode

Rheumatoid arthritis

Smoking cessation - supporting people to
stop smoking
None
Ensuring people feel supported to manage their
condition
Ensuring people feel supported to
manage their condition

Alcohol dependence and harmful alcohol
use

Alcohol: preventing harmful alcohol
use in the community

Anxiety disorders


Asthma
Improving outcomes from planned
treatments
Page 7 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Attention deficit hyperactivity disorder

Schizophrenia in adults

Autism

Smoking: reducing tobacco use in
the community

Chronic kidney disease

Chronic obstructive pulmonary disease
(COPD)

Dementia

Supporting people to live well with dementia

Depression in adults

Diabetes in adults

Drug use disorders

End of life care for adults

The epilepsies in adults

The epilepsies in children and young people

Familial hypercholesterolaemia

Faecal incontinence

Headaches in young people and adults

Heavy menstrual bleeding

Hypertension

Lower urinary tract symptoms

Mental wellbeing of older people in care
homes

Peripheral arterial disease

Patient experience in adult NHS services

Psoriasis

Sickle cell acute painful episode

Stable angina

Service user experience in adult mental
health

Rheumatoid arthritis
Page 8 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Improving functional ability in
people with long-term
conditions
Improving functional
ability in people with longterm conditions
2.2 Employment of people with
long-term conditions
• People with COPD &
Medical Research Council
Dyspnoea scale ≤3
referred to a pulmonary
rehabilitation programme
• People with diabetes
who have received nine
care processes
• People with diabetes
diagnosed less than one
year referred to structured
education
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Smoking cessation - supporting people to
stop smoking
Improving functional ability in people
with long-term conditions

Alcohol dependence and harmful alcohol
use

Acute coronary syndromes
(including myocardial infarction)
• COPD pulmonary rehabilitation
programme completion

Anxiety disorders

Acute Heart failure

Autism

Delirium

Chronic heart failure

Idiopathic pulmonary fibrosis

Chronic kidney disease


Chronic obstructive pulmonary disease
(COPD)
Inflammatory bowel disease (to
cover ulcerative colitis and Crohn’s
disease)

Nocturnal enuresis

Dementia

Renal replacement therapy services

Depression in adults

Urinary incontinence (women)

Diabetes in adults

Drug use disorders

The epilepsies in adults

The epilepsies in children and young people

Faecal incontinence

Glaucoma

Hypertension

Hip fracture in adults

Lower urinary tract symptoms

Nutrition support in adults

Patient experience in adult NHS services

Rheumatoid arthritis

Service user experience in adult mental
health

Stable angina

Stroke
Page 9 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Reducing time spent in
hospital by people with longterm conditions
Reducing time spent in
hospital by people with
long-term conditions
2.3 i Unplanned hospitalisation
for chronic ambulatory care
sensitive conditions (adults)
ii Unplanned hospitalisation
for asthma, diabetes and
epilepsy in under 19s
• Unplanned
hospitalisation for chronic
ambulatory care sensitive
conditions (adults) (NHS
OF 2.3.i)
(Quality Premium
Indicator)
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Reducing time spent in hospital by
people with long-term conditions

Alcohol dependence and harmful alcohol
use

None
Inflammatory bowel disease (to
cover ulcerative colitis and Crohn’s
disease)

Asthma

Hepatitis B

Chronic heart failure

Schizophrenia in adults

Chronic kidney disease

Chronic obstructive pulmonary disease
(COPD)

Depression in adults

Diabetes in adults

The epilepsies in adults

The epilepsies in children and young people

Heavy menstrual bleeding

Hypertension

End of life care for adults

Nutrition support in adults

Psoriasis

Smoking cessation - supporting people to
stop smoking

Stroke

VTE prevention
Enhancing quality of life for carers

Autism

Managing medicines in care homes
• Carers identified on practice
registers

Children and young people with cancer

Mental wellbeing of older people in
care homes

Dementia

Schizophrenia in adults

Supporting people to live well with dementia

Depression in adults

Drug use disorders

End of life care for adults

Faecal incontinence

Lower urinary tract symptoms
• Unplanned
hospitalisation for asthma,
diabetes and epilepsy in
under 19s (NHS OF 2.3.ii)
(Quality Premium
Indicator)
• Complications
associated with diabetes
including emergency
admission for diabetic
ketoacidosis and lower
limb amputation
Enhancing quality of life for
carers
Enhancing quality of life
for carers
2.4 Health-related quality of life
for carers
• Health-related quality of
life for carers (NHS OF
1.4)
• Information prescriptions for carers
Page 10 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Enhancing quality of life for
people with mental illness
2.5 Employment of people with
mental illness
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Enhancing quality of life
for people with mental
illness
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Enhancing quality of life for people
with mental illness
None
• Access to community
mental health services by
people from BME groups
Published Quality Standards as at 1st June
2014
(for potential future indicator development)

Mental wellbeing of older people in care
homes

Smoking cessation - supporting people to
stop smoking

Specialist neonatal care
 Anxiety disorders
 Depression in adults
 Service user experience in adult mental health
• Access to psychological
therapy services by
people from BME groups
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Mental wellbeing of older people in
care homes

Antisocial behaviour of conduct
disorders in children and young
people

Schizophrenia in adults

Schizophrenia in adults
• Recovery following
talking therapies (all ages
and older than 65)
• Health-related quality of
life for people with a longterm mental health
condition
Enhancing quality of life for
people with dementia
Enhancing quality of life
for people with dementia
Enhancing quality of life for people
with dementia
2.6 i Estimated diagnosis rate
for people with dementia
ii A measure of the
effectiveness of post-diagnosis
care in sustaining
independence and improving
quality of life
• Estimated diagnosis rate
for people with dementia
• Dementia memory assessment
services
• People with dementia
prescribed anti-psychotic
medication
 Dementia
Faecal incontinence
 Mental wellbeing of older people in care
homes
 Supporting people to live well with dementia
 Service user experience in adult mental health
Page 11 of 22
DOMAIN 3: Helping people to recover from episodes of ill health or following injury
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Helping people to
recover from episodes
of ill health or following
injury
3a Emergency
admissions for acute
conditions that should
not usually require
hospital admission
Improvement areas &
indicators 2014/15
Improving outcomes from
planned treatments
3.1 Total health gain as
assessed by patients for
elective procedures
i Hip replacement
ii Knee replacement
iii Groin hernia
iv Varicose veins
v Psychological therapies
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
• Emergency admissions
for acute conditions that
should not usually require
hospital admission (NHS
OF 3a)
(Quality Premium Indicator)
• Emergency readmissions
within 30 days of discharge
from hospital (NHS OF 3b)
Improvement areas &
indicators 2014/15
Improving outcomes from
planned treatments
• Increased health gain as
assessed by patients for
elective procedures
a) hip replacement
b) knee replacement
c) groin hernia
d) varicose veins (NHS
OF 3.1 i – iv)
3b Emergency
readmissions within 30
days of discharge from
hospital*
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Overarching
Overarching

Delirium
• CHF readmission rates within 30
days

Acute upper gastrointestinal bleeding

Varicose veins in the legs

Anxiety disorders


Intravenous fluid therapy in adults in
hospital
Asthma
• Alcohol-related readmissions


The epilepsies in adults
Smoking: reducing tobacco use in
the community
Improving outcomes from planned
treatments

Heavy menstrual bleeding

Hypertension in pregnancy

Smoking cessation - supporting people to
stop smoking

Surgical site infection

Diagnosis and management of venous
thromboembolic diseases
Improving outcomes from planned
treatments

Constipation in children and young people

Smoking: reducing tobacco use in
the community
• Psychological interventions for
alcohol misuse
None
Improving outcomes from planned treatments
Preventing lower respiratory
tract infections (LRTI) in
children from becoming
serious
Preventing lower
respiratory tract infections
(LRTI) in children from
becoming serious
Preventing lower respiratory tract
infections (LRTI) in children from
becoming serious
3.2 Emergency admissions for
children with LRTI
• Emergency admissions
for children with LRTI
(NHS OF 3.2)
(Quality Premium
Indicator)
Improving recovery from
injuries and trauma
Improving recovery from
injuries and trauma
Improving recovery from injuries and
trauma
3.3 Survival from major trauma
No CCG measure at
present
• Cognitive assessment in hip
fracture

Smoking cessation - supporting people to
stop smoking

Smoking cessation - supporting people to
stop smoking

Smoking: reducing tobacco use in
the community

Hip fracture in adults

Acute kidney injury

Smoking cessation - supporting people to
stop smoking

Transient loss of consciousness

Surgical site infection
None
• Surgery for hip fracture
• Hip fracture reoperation rates
Page 12 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Improving recovery from stroke
3.4 Proportion of stroke
patients reporting an
improvement in activity/lifestyle
on the Modified Rankin Scale
at 6 months
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Improving recovery from
stroke
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Improving recovery from stroke
People who have had a
stroke who
• are admitted to an acute
stroke unit within four
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 between 4-8
months after initial
admission
• spend 90% or more of
their stay on an acute
stroke unit.
Improving recovery from
fragility fractures
Improving recovery from
fragility fractures
Improving recovery from fragility
fractures
3.5 Proportion of patients
recovering to their previous
levels of mobility/walking ability
at i 30 and ii 120 days
• Proportion of patients
recovering to their
previous level of mobility
or walking ability (NHS
OF 3.5 i and ii)
None
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Smoking cessation - supporting people to
stop smoking

Smoking: reducing tobacco use in
the community

Stroke

Hip fracture in adults

Smoking cessation - supporting people to
stop smoking

Surgical site infection

Hip fracture in adults

Alcohol: preventing harmful alcohol
use in the community

Patient experience in adult NHS services

Delirium

Managing medicines in care homes
• Hip fracture: formal hip
fracture programme,
timely surgery, and
multifactorial risk
assessment
Helping older people to
recover their independence
after illness or injury
3.6 i Proportion of older people
(65 and over) who were still at
home 91 days after discharge
from hospital into reablement/
rehabilitation service
ii Proportion offered
rehabilitation following
discharge from acute or
community hospital
Helping older people to
recover their
independence after illness
or injury
Helping older people to recover their
independence after illness or injury
None
No CCG measure at
present
Mental wellbeing of older people in
care homes
Improving recovery from
mental illness
Improving recovery from mental
illness
• Alcohol admissions and
readmissions
• Mental health
None

Schizophrenia in adults

Alcohol: preventing harmful alcohol
use in the community
Page 13 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)
readmissions within 30
days of discharge
• Proportion of adults in
contact with secondary
mental health services in
paid employment
DOMAIN 4: Ensuring that people have a positive experience of care
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Ensuring that people
have a positive
experience of care
4a Patient experience of
primary care
I GP services
ii GP Out of Hours
services iii NHS Dental
Services
4b Patient experience of
hospital care
4c Friends and family
test
Clinical Commissioning Group Outcome Indicator
Set
Improvement areas &
indicators 2014/15
Overarching Indicators
Improving people’s experience
of outpatient care
Patient experience of
primary and hospital care
4.1 Patient experience of
outpatient services
• Patient experience of GP
out of hours services (NHS
OF 4a ii
• Patient experience of
hospital care (NHS OF 4b)
• Friends and family test for
acute inpatient care and
A&E (NHS OF 4c)
(Quality Premium Indicator)
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Improving people’s
experience of outpatient
care
Overarching
Overarching
None

Anxiety disorders
• Patient experience of
outpatient services (NHS
OF 4.1)
Improving people’s experience of
outpatient care

Asthma

Atopic eczema in children

Autism

Caesarean section

Children and young people with cancer

Infection prevention and control

The epilepsies in adults

The epilepsies in children and young people

Familial hypercholesterolaemia

Headaches in young people and adults

Heavy menstrual bleeding


Hypertension in pregnancy
Induction of labour

Lower urinary tract symptoms

Metastatic spinal cord compression


Service user experience in adult mental
health
Peripheral arterial disease

Patient experience in adult NHS services
None
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Fertility problems

Schizophrenia in adults
Page 14 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)

Postnatal care

Psoriasis

Rheumatoid arthritis

Self-harm

Sickle cell acute painful episode

Surgical site infection

Urinary tract infection in infants, children and
young people under 16
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Improving people’s experience of outpatient
care
Improving hospitals’
responsiveness to personal
needs
Improving hospitals’
responsiveness to
personal needs
Improving hospitals’ responsiveness
to personal needs
None
4.2 Responsiveness to inpatients’ personal needs
• Responsiveness to inpatients’ personal needs
(NHS OF 4.2)

Anxiety disorders

The epilepsies in children and young people

Familial hypercholesterolaemia

Heavy menstrual bleeding

Lower urinary tract symptoms

Service user experience in adult mental
health

Patient experience in adult NHS services

Psoriasis

Rheumatoid arthritis

Anxiety disorders

Delirium

Children and young people with cancer

Intravenous fluid therapy in adults in
hospital

Constipation in children and young people

Fertility problems

Metastatic spinal cord compression

Nutrition support in adults

Patient experience in adult NHS services

Service user experience in adult mental
health

End of life care for adults

Lower urinary tract symptoms
Page 15 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Improving people’s experience
of accident and emergency
services
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Improving people’s
experience of accident
and emergency services
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Improving people’s experience of
accident and emergency services
None
4.3 Patient experience of A&E
services
Improving access to primary
care services
• Patient experience of
A&E services (NHS OF
4.3)
Improvement area not in
the CCG OIS
Improvement area not in the CCG
OIS
4.4 Access to i GP services
and ii NHS dental services
Improving women and their
families’ experience of
maternity services
Improving women and
their families’ experience
of maternity services
Improving women and their families’
experience of maternity services
None
4.5 Women’s experience of
maternity services
Improving the experience of
care for people at the end of
their lives
None
Improving the experience
of care for people at the
end of their lives
Improving the experience of care for
people at the end of their lives
• Preferred place of death
4.6 Bereaved carers’ views on
the quality of care in the last 3
months of life
• Bereaved carers views
on the quality of care in
the last 3 months of life
(NHS OF 4.6)
Improving experience of
healthcare for people with
mental illness
Improving experience of
healthcare for people with
mental illness
• Patient experience of
community mental health
services (NHS OF 4.7)

Self-harm

Anxiety disorders

Patient experience in adult NHS services

Self-harm

Sickle cell acute painful episode

End of life care for adults

Lower urinary tract symptoms

Mental wellbeing of older people in care
homes

Patient experience in adult NHS services

Caesarean section

Hypertension in pregnancy

Induction of labour

Metastatic spinal cord compression

Multiple pregnancy

Postnatal care

End of life care for adults

Children and young people with cancer

Quality Standards publishing in
2014/15
(for potential future indicator
development)

Head injury

Fertility problems

Managing medicines in care homes
Autism

Delirium

Anxiety disorders

Managing medicines in care homes

Attention deficit hyperactivity disorder

Schizophrenia in adults

Mental wellbeing of older people in care
homes
• Carers experience of death
Improving experience of healthcare
for people with mental illness
None
4.7 Patient experience of
community mental health
services
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Page 16 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
Improving children and young
people’s experience of
healthcare
Improving children and
young people’s
experience of healthcare
4.8 Children and young
people’s experience of
outpatient services
No CCG measure at
present
Improving people’s experience
of integrated care
4.9 People’s experience of
integrated care
Improving people’s
experience of integrated
care
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Quality Standards publishing in
2014/15
(for potential future indicator
development)

Service user experience in adult mental
health

Self-harm
Improving children and young
people’s experience of healthcare

Antisocial behaviour and conduct disorders
in children and young people

Constipation in children and young
people
None

Anxiety disorders

Obesity: prevention and
management in children

Atopic eczema in children

Children and young people with cancer

Depression in children and young people

Constipation in children and young people

Health and wellbeing of looked-after children
and young people

Urinary tract infection in infants, children and
young people under 16

Autism

Fertility problems

Anxiety disorders

Managing medicines in care homes

Mental wellbeing of older people in care
homes

Schizophrenia in adults

Metastatic spinal cord compression

Patient experience in adult NHS services

Service user experience in adult mental
health

Supporting people to live well with dementia

End of life care for adults
Improving people’s experience of
integrated care
None
No CCG measure at
present
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Page 17 of 22
DOMAIN 5: Treating and caring for people in a safe environment and protecting them from avoidable harm
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Clinical Commissioning Group Outcome Indicator
Set
Improvement areas &
indicators 2014/15
Overarching Indicators
Improvement areas &
indicators 2014/15
Reducing the incidence of
avoidable harm
• Patient safety incidents
reported (NHS OF 5a)
Reducing the incidence of
avoidable harm
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Overarching
Treating and caring for
people in a safe
environment and
protecting them from
harm
5a Patient safety
incidents reported
5b Safety incidents
involving severe harm or
death
5c Hospital deaths
attributable to problems
in care
5.1 Incidence of hospitalrelated venous
thromboembolism (VTE)
related events
5.2 Incidence of healthcare
associated infection (HCAI) i
MRSA ii C. Difficile
5.3 Incidence of newlyacquired category 2, 3 and 4
pressure ulcers
• Incidence of healthcare
associated infection:
MRSA (NHS OF 5.2. i)
(Quality Premium
Indicator)
• Incidence of healthcare
associated infection: C.
Difficile (NHS OF 5.2. ii)
(Quality Premium
Indicator)
5.4 Incidence of medication
errors causing serious harm

Diagnosis and management of venous
thromboembolic diseases

Induction of labour

Infection prevention and control

Caesarean section

Children and young people with cancer

Hypertension in pregnancy

Metastatic spinal cord compression

Self-harm

Surgical site infection

Delirium

Intravenous fluid therapy in adults in
hospital

Schizophrenia in adults

Managing medicines in care homes
Reducing the incidence of avoidable harm
Improving the safety of
maternity services
Improving the safety of
maternity services
5.5 Admission of full-term
babies to neonatal care
No CCG measure at
present

VTE prevention

Nutrition support in adults

Depression in adults

Hypertension in pregnancy

Metastatic spinal cord compression

Postnatal care

Diagnosis and management of venous
thromboembolic diseases

Surgical site infection

Antenatal care

Metastatic spinal cord compression

Multiple pregnancy

Caesarean section

Hypertension in pregnancy

Induction of labour
Page 18 of 22
NHS Outcomes Framework
Objectives &
overarching indicators
2014/15
Improvement areas &
indicators 2014/15
Clinical Commissioning Group Outcome Indicator
Set
Overarching Indicators
Improvement areas &
indicators 2014/15
NICE work programmes
Indicators on the NICE CCG OIS
menu (not currently in the CCG
OIS)
Published Quality Standards as at 1st June
2014
(for potential future indicator development)

Delivering safe care to children
in acute settings
Delivering safe care to
children in acute settings
5.6 Incidence of harm to
children due to ‘failure to
monitor’
No CCG measure at
present
Quality Standards publishing in
2014/15
(for potential future indicator
development)
Postnatal care
Page 19 of 22
APPENDIX A: Quality standards in the library
The following list shows quality standards that are in the quality standards library but not included in
the mapping above as publication is likely to be beyond 2014/15:
Healthcare referrals


















































Abdominal aortic aneurysm
Acne
Acute medical admissions in the first 48 hours
Adrenal dysfunction
Anaphylaxis
Assessment for spinal injury in major trauma
Atrial fibrillation
Bipolar disorder (adults)
Bladder cancer
Blood transfusion in neonatology
Bronchiolitis
Brain metastases
Cataracts
Cerebral palsy
Challenging behaviour in learning disability
Childhood obesity
Cirrhosis
Coeliac disease
Complex fractures (including compound fractures)
Consultant review within 12 hours of admission
Contraceptive services (including emergency contraception)
Cystic fibrosis
Developmental follow-up of pre-term babies
Diabetes in children and young people
Diabetes in pregnancy
Diagnosis and management of drug allergy
Diverticular disease
Dyspepsia
Eating disorders (including children)
Elective joint replacement (hip, knees and shoulder)
End of life care for infants, children and young people
Endometriosis
Failure to thrive
Falls
Fractures (excluding head and hip)
Gallstone disease
Gastroesophageal reflux (children)
Haematological malignancies
Head and neck cancer
Hearing loss (adult onset)
Hernia (including femoral and inguinal)
Intrapartum care
Intravenous fluids in children
Irritable bowel syndrome
Lipid modification
Liver disease (non-alcoholic)
Long-term conditions, people with comorbidities, complex needs
Low back pain
Macular degeneration
Managing symptoms with an uncertain cause
Page 20 of 22














































Medicines optimisation (covering medicines adherence and safe prescribing)
Menopause
Mental health problems with learning disability
Motor neurone disease
Multiple sclerosis
Neurological problems (relatively uncommon neurological problems e.g. muscular dystrophy)
Nutrition in hospital, including young people
Obesity (adults)
Oesophago-gastric cancers
Osteoarthritis
Osteoporosis
Out of hours care
Pain management (young people and adults)
Pancreatic cancer
Pancreatitis (including acute pancreatitis)
Parenteral nutrition in neonates
Parkinson's disease
Perioperative care
Personality disorders (borderline and antisocial)
Pneumonia Premature birth
Premature labour
Pressure ulcers
Prostate cancer
Provision of termination of pregnancy services
Psychosis and schizophrenia in children and young people
Readmission to ICU within 48hrs
Readmissions
Referral for suspected cancer
Renal stones
Resuscitation following major trauma and major blood loss
Risk assessment of modifiable cardiovascular risk factors
Secondary care management of malignant hypertension
Secondary prevention of myocardial infarction and cardiac rehabilitation
Sepsis
Seronegative arthropathies
Seven day working
Skin cancer (including melanoma)
Sleep disordered breathing
Thyroid disease
Tinnitus
Transfusion
Transition from children's to adult services
Trauma services
Tuberculosis
Urgent and emergency care
Urinary tract infections in adults
Page 21 of 22
Social care referrals










Care and support of older people with learning disabilities
Child abuse and neglect
Children’s attachment
Falls: regaining independence for older people who experience a fall
Homecare
Medicines management: managing the use of medicines in community settings for people receiving social care
Older people with long-term conditions
Regaining independence: short term interventions to help people regain independence
Service user and carer experience: service user and carer experience of social care
Transition between health and social care
Public health referrals

Obesity: prevention and management in adults
Page 22 of 22