Outcomes Framework Technical Advisory Group

Terms of reference*

A focus on improving health outcomes lies at the heart of the government’s modernisation plans. To support this, the NHS Outcomes Framework has been developed to provide a national overview of NHS performance and to provide an accountability mechanism between the Secretary of State for Health and the NHS Commissioning Board (NHSCB).

To support these objectives the Outcomes Framework Technical Advisory Group (OFTAG) will provide technical advice to the Department of Health and the NHSCB on:

  • the ongoing development and improvement of the NHS Outcomes Framework as a means of assessing overall performance of the NHS. In particular to assess and advise on:
    • whether the indicators in the framework adequately cover the breadth of activity for which the NHS is responsible
    • the suitability of current and proposed new indicators, including the methodology employed in their derivation
    • the suitability of the substitution of alternative indicators when better measures of outcome become available
    • further research that may need to be commissioned.
  • the Department’s emerging methodology for assessing progress against, and for setting current practice projections for, the indicators in the NHS Outcomes Framework, and an approach for assessing outcomes against the government’s aspiration to reduce inequalities, taking account of the contemporaneous contribution of the NHS towards the delivery of outcomes and equity relative to that of external and historic drivers of outcome
  • the Department’s emerging approach for developing a methodology to construct an aggregate measure of performance over time for each domain of the NHS Outcomes Framework. This could include advising on the factors that should be taken into consideration and the methodology that should be employed when setting levels of ambition in terms of such measures, beyond the current practice projections, but within the NHS’ resource settlement.

In the first instance, the remit of the OFTAG will be in relation to the NHS Outcomes Framework. However, the group’s remit may be extended to look at the Public Health Outcomes Framework and the Adult Social Care Outcomes Framework in the future, with the membership and terms of reference revised accordingly.

*These terms of reference are due to be reviewed early in 2013.

News and publications

Read news and publications for the outcomes framework


The members of OFTAG are:

  • Richard Murray, chair (Director of Finance, Strategy, Quality & Analysis and Chief Economist, Department of Health)
  • Professor Nick Black (Professor of Health Services Research, London School of Hygiene and Tropical Medicine)
  • Anita Charlesworth (Chief Economist, The Nuffield Trust)
  • Dr Richard Cookson (Reader, Centre for Health Economics, University of York)
  • Professor Ray Fitzpatrick (Head of Public Health, University of Oxford)
  • Professor Peter Goldblatt (Deputy Director, UCL Institute of Health Equity)
  • Dr Emma Gordon (Head of Health Analysis, Office of National Statistics)
  • Professor Hilary Graham (Head of Health Sciences, University of York)
  • Ian Holmes (Head of System Alignment, NHS Commissioning Board)
  • Dr Bobbie Jacobson (Director of London Health Observatory (now part of Commissioning Support for London))
  • Professor Carol Jagger (AXA Professor of Epidemiology of Ageing, Newcastle University)
  • Professor Niek Klazinga (Health Care Quality Indicator Project, OECD)
  • Azim Lakhani (Head of Clinical Analysis Research and Development, Health and Social Care Information Centre)
  • Dr Gillian Leng* (Deputy Chief Executive, NICE)
  • Professor Alison Macfarlane (Professor of Perinatal Health, City University)
  • Dr Ellen Nolte (Director, Health and Healthcare Policy Programme, RAND Europe)
  • Dr Veena Raleigh (Senior Fellow, Policy, The King’s Fund)
  • Dr Franco Sassi (Senior Health Economist, OECD)
  • Michael Wolfson (Canada Research Chair  in population health/populomics, University of Ottawa)

* From November 2012



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