Commissioning Outcomes Framework

The NHS Commissioning Board (NHS England from 01 April 2013), supported by the National Institute for Health and Clinical Excellence (NICE) and working with professional and patient groups, will develop a Commissioning Outcomes Framework (COF) that measures the health outcomes and quality of care (including patient reported outcome measures and patient experience) achieved by clinical commissioning groups.

The COF will allow the NHS Commissioning Board (NHS England from 01 April 2013) to identify the contribution of clinical commissioning groups to achieving the priorities for health improvement in the NHS Outcomes Framework, while also being accountable to patients and local communities. It will also enable the commissioning groups to benchmark their performance and identify priorities for improvement.

COF indicators are either derived directly from the NHS Outcomes Framework; based on NICE Quality Standards; or from other sources to support the NHS Outcomes Framework.

Where possible, direct measurement of health outcomes by indicators has been explored. However, where necessary, proxies for outcomes have been used that measure health care processes that are linked to health outcomes and that can be substantially influenced by clinical commissioning groups as part of their commissioning activities.

COF Mental Health indicators

Domain 1 Preventing people from dying prematurely

  • 1.23 People with dementia prescribed anti-psychotic medication
  • 1.30 People with severe mental illness who have received a list of physical checks

Domain 2 Enhancing quality of life for people with long term conditions

  • 2.79 People on Care Programme Approach (CPA) followed-up within 7 days of discharge from psychiatric inpatient stay

Domain 3 Helping people to recover from episodes of ill health or following injury

  • 3.26i Recovery following talking therapies for people of all ages
  • 3.26ii Recovery following talking therapies for people older than 65

Domain 4 Ensuring that people have a positive experience of care

  • 4.20 Access to community mental health services by people from black and minority ethnic groups
  • 4.21 Access to psychological therapies services by people from black and minority ethnic groups

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