The NHS Outcomes Framework 2013/14 Technical Appendix - Gov.uk

mandate to the NHS Commissioning Board, which was published in July 2012 athttp://www.dh.gov.uk/health/2012/07/nhsof-levels-ambition.• Assessment of aggregate improvement for Domain indicators using a Domainmetric of improvement. If it is possible to attribute improvement in each outcome areato current improvements in the quality of H&SC services, it may also be possible toconstruct a domain level measure of progress. This is important in order to allowassessment of progress for a domain as a whole to give appropriate weight to progressin individual indicators.Additionally, for each domain, this document explores the availability of:Inequalities metrics: For some domains it is possible to specify metrics of inequality; forothers, work is in progress to do so. Where metrics are available, a further step would beto assess attributable progress in reducing inequality on a similar basis to that employedfor assessment of aggregate progress, by estimation of the underlying trend andconsidering achievement relative to that trend.International comparisons: For some domains and some indicators, internationalcomparisons are already available and can serve to track progress in the contribution ofthe H&SC system independently of other factors that may drive outcomes in a similar wayacross comparator countries.Separately, equality assessments for each domain and indicator, employing availabledisaggregation, can be used to support the health equality and inequalities duties set outin the Health and Social Care Act including consideration of variation by the equalitycharacteristics. 2 A separate Equality analysis has been published alongside the NHSOutcomes Framework 2013/14 which updates the previous Equality analysis publishedwith the NHS Outcomes Framework last year. 3This technical appendix also sets out which indicators are shared with or complementindicators in the Public Health Outcomes Framework and Adult Social Care OutcomesFramework. Shared indicators are those where there is a shared responsibility betweenthe named frameworks and the indicator is exactly the same in each framework.Complementary indicators are those where there are different indicators in the namedframeworks that look at the same issue from complementary perspectives. In both cases,joint contributions will be required to deliver improved outcomes across Health and SocialCare.There have been a number of changes to indicators since the last technical appendix.These are summarised in the introductory section to the NHS Outcomes Framework2013/14 to which this document is appended.2 Gender, Age, Disability, Race, Sexual Orientation, Religion and Belief, Marriage and Civil Partnership, Gender Reassignment, Pregnancy andMaternity3 Available athttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_1229445