4. Partnership working

by Department of Health on 04 August 2010 | 3 comments

How can the proposed Outcomes Framework support the necessary partnership working between public health and social care services needed to deliver the best possible outcomes for patients and carers

As far as possible, the NHS (and its constituent parts) will be held to account for outcomes that it alone can influence. For all outcome indicators, where relevant, the NHS Outcomes Framework should identify the extent to which the NHS will be held accountable, as distinct from the contribution of public health interventions and social care services.

There will, of course, be outcomes that can only be delivered for patients and carers if the NHS works in partnership with the new public health service that will be created and with social care services. The Department of Health will be constructing and consulting on outcomes frameworks for these sectors in coming months as part of the integrated cross-service approach in the Spending Review. These will be developed so that strategies can be developed to ensure that organisations provide complementary and integrated services.

Further information can be found in the consultation document on page 12, paragraph 2.19.

Please add your comments below.


  1. Great idea but not new. The inability to work across organisational boundaries has led to the failure of many NHS and NHS/Social Care initiatives in the past. The problems have normally been associated with guidance being issued for initiatives rather than mandated policy and individuals and organisations being held to account for delivery. As the NHS will have less central control going forward how will you ensure that the necessary partnerships are built, maintained and deliver the framwork outcomes effectively?

  2. Personalisation. Shape services around people and not people around services.

  3. Partnership working depends on good communication between the patient and all the providers of care be it NHS or private. This can only be achieved by clear transparent explanations of current care, the rationale in terms of a diagnosis (or even absence of one yet) and the findings on which the rationale was based e.g. as set out on page 12 of The Oxford Handbook of Clinical Diagnosis, 2nd edition, 2009 by Llewelyn, Ang, Lewis and Al-Abdullah (see comment on Principles by Llewelyn).