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Is the new NHS outcomes framework fit for purpose?
  1. Myura Nagendran1,
  2. Mahiben Maruthappu2,
  3. 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}


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.

  • Medical education
  • surgery
  • audit and feedback
  • patient satisfaction
  • general practice
  • health policy
  • medical error
  • measurement/epidemiology
  • mortality (standardized mortality ratios)

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  • Competing interests None.

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

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