BMJ Qual Saf doi:10.1136/bmjqs-2011-000380
  • Viewpoint

Is the new NHS outcomes framework fit for purpose?

  1. Veena S Raleigh3
  1. 1Green Templeton College, University of Oxford, Woodstock Road, Oxford, UK
  2. 2Faculty of Arts and Sciences, Harvard University, Cambridge, Massachusetts, USA
  3. 3The King's Fund, London, UK
  1. Correspondence to Dr Veena S Raleigh, The King's Fund, 11–13 Cavendish Square, London W1G 0AN, UK; v.raleigh{at}
  1. Contributors MN conceived of the idea. All authors co-wrote the first draft, contributed to editing and reviewed the final version. VSR is the guarantor.

  • Accepted 14 October 2011
  • Published Online First 30 November 2011


The coalition government's new NHS outcomes framework aims to refocus the NHS on improving outcomes for patients, avoiding the ‘bureaucracy’ and ‘clinical distortions’ of previous target-based approaches. The authors argue that its implementation will need a wider focus than on outcomes alone if the underlying goals of the NHS reforms—improving healthcare quality and outcomes in England—are to be achieved.


  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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