The National Health Service in England is moving away from targets based on processes of care and focusing on patient outcomes. This vision is operationalised in the recently published NHS Outcomes Framework, which includes the generalised use of Patient Reported Outcomes (health status and quality of life) as measures of population health at the provider level. This is the first time that such a bold initiative is attempted in the UK and it is not without risks. In this article we elaborate on our experience on the use of Patient Reported Outcomes and identify challenges and likely implications of this approach and suggest less disruptive alternatives.

Original publication

DOI

10.1136/bmjqs-2011-000184

Type

Journal article

Journal

BMJ Qual Saf

Publication Date

04/2012

Volume

21

Pages

352 - 353

Keywords

England, Health Care Reform, Health Status, Health Status Indicators, Humans, National Health Programs, Process Assessment (Health Care), Quality of Life, Treatment Outcome