Outcomes framework

In order to achieve our vision to deliver innovative and more joined up care to people in Tower Hamlets, we are currently developing what’s called an ‘outcomes framework’.

The framework will be developed according to what people in Tower Hamlets have said are important to them and co-produced by a team of clinicians, service users and other stakeholders via an Outcomes Reference Group.

What is an outcome?

An ‘outcome’ is the result of care, help or assistance, as experienced by people using the services. There are three types of outcomes related to health and social care:

  1. Experience of care (for example, were you treated with dignity and respect?)
  2. Improvement in your health (for example, has your blood pressure reduced over time?)
  3. The ability to live a normal productive life, and do the things that you want to do (for example, can you get to the shops on your own?)

What is the outcomes framework for?

Commissioners (such as Tower Hamlets Clinical Commissioning Group and the London Borough of Tower Hamlets) normally pay for care delivered by providers (hospitals or homecare agencies, for example) based on the number of people seen or the hours of care delivered. We are now thinking about changing how care is paid for.

We would like providers to be rewarded for delivering the outcomes defined in the outcomes framework that people need and want, rather than paying them based on the number of people cared for, or hours of care provided.

This means that your experience of health and social care should be more joined up and better focused on your needs, that providers are held to account for the outcomes delivered and best use is made of health and social care budgets.

What does this mean for me?

The development of the outcomes framework is intended to be a collaborative process and we are seeking feedback at each stage of its development. We will be attending staff and user engagement groups, as well as community events, over the next few months and hope to complete the framework by December 2016. The ambition is for the framework to be implemented in 2017 with people starting to see changes to services to make them more centred around what matters to them.

If you would like to find out more about the outcomes framework please contact us.