Scottish Government and NHSScotland’s Outcomes Approach
Over the last four years NHSScotland has developed its outcome approach.
Purpose (targets)
National
NHS/LAs/Vol
Public Reporting
Local Authority / Health / System-wide Outcomes
CPPs
Outcomes
National Outcomes
National
Healthcare Quality Ambitions and Outcomes
LAs
Local objectives
Other
Other public service/Vol organisations objectives/targets
Performance
Management
HEAT/Support for Healthcare Quality Ambitions
Service specific
actions/outputs
NHS
The Quality Strategy sets out NHSScotland’s vision to be a world leader in
healthcare quality, described through 3 quality ambitions: effective, person centred
and safe. These ambitions are articulated through the 6 Quality Outcomes that
NHSScotland is striving towards:
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Everyone gets the best start in life, and is able to live a longer, healthier life
People are able to live at home or in the community
Healthcare is safe for every person, every time
Everyone has a positive experience of healthcare
Staff feel supported and engaged
The best use is made of available resources
Twelve ‘direction of travel’ Quality Indicators help demonstrate progress towards
the six outcomes (these are not targets). Every year a small number of HEAT
targets are agreed with NHSScotland and partners. These set out the accelerated
improvements that will be delivered across Scotland in support of progress towards
the Healthcare Quality Ambitions and Outcomes. The latest statistics can be
accessed through Scotland Performs.
NHS Forth Valley is embracing the NHS Scotland Quality Strategy, the Quality
Ambitions, and is focussing on the Institute of Medicine’s 6 Dimensions of Quality,
namely; Safe, Person Centred, Efficient, Effective, Equitable and Timely and the
measurement of outcomes.
NHS Forth Valley has developed a Strategic Balanced Scorecard with on-going work
in respect of providing and building upon the qualitative and quantitative data which
enables and supports improvement and assurance. The local focus is across and
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supports the above six dimensions of quality with a balanced approach to
measurement. This is reflected in the on-going development of a strategic
dashboard.
The Scottish Government and NHSScotland are supporting frontline clinicians to
adopt international best practice through improvement programmes including the
Joint Improvement Team, the Quality Efficiency Support Team, and Scottish Patient
Safety Programme. These programmes support delivery of system-wide
improvement.
NHSScotland is a publicly funded and publicly delivered service. The services are
planned in partnership on a national, regional and local basis. The principles
underpinning the approach to performance management are set out in the Local
Delivery Planning guidance.
Local outcomes and the approach for their delivery are agreed through Single
Outcome Agreements. The Scottish Government’s three social frameworks (Equally
Well, Early Years Framework and Achieving Our Potential) provide the strategic
direction for action to contribution towards delivery on national outcomes.
NHS Boards are committed to Community Planning and tackling the identified Local
Outcomes within the Single Outcome Agreement. They demonstrate this through
their Local Delivery Plans which describe their contribution to a specific critical issue,
derived from an identified Local Outcome, and which relates to the 3 interconnected
social frameworks, or to economic recovery.
NHS Forth Valley recognises the potential for eHealth to improve patient safety,
support clinical governance and deliver efficiencies to the service. The eHealth
Strategy (to be formally approved in March 2012) builds on previous developments
and is aligned to both national eHealth priorities and local service requirements. The
main priorities of the strategy are:
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Development of a Clinical Portal
Online Diagnostic Test Requesting & Reporting
Hospital Prescribing & Medicines Administration
Community eHealth
Telehealth
Patient Portal
Partnership Working
Single PAS
Robust Infrastructure
The above priorities underpin achieving a ‘Paperlight NHS Forth Valley’ through the
retirement of paper casenotes and workflow.
The Scottish Government is fully committed to ensuring that patients, carers and
communities are fully involved in the design and delivery of healthcare services and
for them to be genuine partners in their own health care. The Participation Standard
builds on the Patient Focus and Public Involvement agenda that has been
progressed in recent years. The Standard provides the assurance that progress is
being made and identifies areas for improvement.
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NHS Forth Valley has been working jointly with the Patient Public Panel, Public
Partnership Forum and Scottish Health Council to develop its Participation
Improvement Plan. Building on last year’s success our aim is to improve on the
levels achieved with key priorities which include patient experience and volunteering.
Progress on the improvement plan is monitored through the Patient Focus and
Public Involvement steering Group.
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