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Quality Measurement Framework

Personal Outcomes

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Personal Outcomes

The Quality Strategy states that:

Success will mean that, for the first time, people in Scotland will have:

  • the opportunity to comment systematically on their experience of healthcare and its impact on their quality of life
  • an assurance that NHSScotland services will be further improved in the light of what people tell us about their experiences and outcomes.

Personal Outcomes need to be considered alongside clinical outcomes to provide a more rounded picture of quality of healthcare that takes into account individuals’ assessments of the impact of treatment.

The quality outcome indicator Personal Outcomes is calculated using results from the patient survey on GP and community health services, asking respondents to reflect on their outcomes from recent health interventions on the three dimensions of pain, depression or anxiety and ability to carry out usual activities. The detailed results of the questions that make up the indicator can be found in the publication via the link below. The resulting indicator that is derived from answers to these survey questions provides a high level summary of peoples’ outcomes. The indicator relates to any treatment in any setting across NHS Scotland and is not attributable to any particular service.

Indicator Update

The value of the Healthcare Experience Quality Outcome Indicator has remained broadly steady since its introduction in 2011/12. The indicator's value for 2015/16 is 74.0, a slight fall from 2011/12 and 2013/14, which were both 75.2

The indicator is a score between 0 and 100, but not a percentage value, with higher scores representing better outcomes, The next update is planned for May 2017/18.

Source: Health and Care Experience Survey 2015/16: National Results

Work that should result in improvement in this indicator

It could be expected that local improvements across all services would impact on the high level indicator. It is important that feedback on people's outcomes is sought locally, and that the information is acted upon both at individual level and service level to make improvements.

The personal outcomes approach being advocated across health and social care and the Person Centred Health and Social Care Programme are intended to improve the way that service providers and users work together towards outcomes that are important for individuals.

Other healthcare quality improvements will also impact on people’s reported outcomes - for example in patient safety and clinical effectiveness.

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