Outcomes Matrix - Physical health | Good Finance

Outcomes Matrix - Physical health

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Individuals

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Has a positive experience of healthcare and attitude toward own physical health

  • Uses health-related information
    • Addiction issues
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Has access to and uses health-related information
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  • Increased perception of control over their state of physical health or illness
    • Addiction issues
    • Disabled (learning)
    • Ex-offenders
    • Homeless
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Feels in control of their daily life in relation to their health
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  • Has a positive experience of healthcare
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Reports a positive experience of healthcare and support services (including e.g. feelings of satisfaction and feeling safe) - Reports good levels of responsiveness to needs - Reports that they feel supported to improve their quality of life in relation to their health - Is able to manage their own support as much as they wish, so they are in control of what, how and when support is delivered to match their needs - Family members, friends and carers report they have been included or consulted in discussions about the person they care for, and in planning and influencing service design - Family members, friends and carers report overall satisfaction with healthcare and social care services - Has safe access to health services and support with their carers or family - Reports a positive experience of integrated care
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  • Has a positive attitude toward own physical health
    • Addiction issues
    • Disabled (learning)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Expresses a positive attitude toward looking after themselves - Is satisfied with the state of their physical health - Expresses optimism regarding their state of health or illness
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Makes use of the health services to recover from episodes of ill-health or following injury

  • Uses health services and support when appropriate
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Is registered with local GP - Attends regular check-ups as appropriate (including testing for STIs) - Where there is a concern, physical health/individual development improves
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  • Recovers from any injuries or trauma (reablement/rehabilitation)
    • Disabled (learning)
    • Disabled (physical)
    • Mental health needs
    • Older people
    - Is still at home 91 days after discharge from hospital into reablement/rehabilitation services
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  • Recovers from any injuries or trauma
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Homeless
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Victims of crime
    - Recovers from injury or trauma - Reports an improvement in activity/lifestyle following injury or trauma - Recovers to previous levels of mobility following injury or trauma
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  • Improved specialist support (addiction services)
    • Addiction issues
    • Homeless
    - Has access to and uses quality specialist addiction services
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  • Experiences improved health following any planned treatments
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Homeless
    • Mental health needs
    • Older people
    • Victims of crime
    - Treatment administered successfully - Total health gain as assessed by patient for elective procedures
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  • Attends to any injuries and take steps to minimise them
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Victims of crime
    - Has access to appropriate health services - Seeks and received the appropriate care - Minimises exposure to injuries
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Looks after physical health, maintains a healthy lifestyle and keeps safe

  • Takes regular exercise (access and appropriate opportunities)
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - Has access and is able to take part in appropriate opportunities for physical activity
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  • Takes regular exercise
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Takes part in regular exercise - Has improved physical fitness
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  • Takes care of sexual health and family planning
    • Addiction issues
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Mental health needs
    • Parents
    • Young people
    - Uses appropriate family planning - Practices safe sex
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  • Improved support (support services)
    • Long-term health conditions
    - Has access to health support services 
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  • Improved support (health support)
    • Children
    • Disabled (learning)
    • Mental health needs
    • Parents
    - Has access to health support services - Has improved physical health and healthy lifestyles
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  • Improved support (children's health)
    • Children
    • Parents
    - Supports their child or children to have good physical health - Ensures their child is safe
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  • Has healthy weight
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Is not overweight or obese (has a BMI of under 25) - Has an improved body composition
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  • Eats and sleep well
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Living in poverty
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Eats nutritious meals each day - Eats 5 portions of fruit and/or vegetables per day - Regularly has an adequate night’s sleep
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  • Addresses any substance misuse issues (rehabilitation)
    • Addiction issues
    • Homeless
    • Parents
    • Young people
    - Successfully leaves a rehabilitation cure - Remains free of addiction (e.g. for 3 months, 6 months, 1 year, 2 years) - Enjoys better physical health as result of being free of addiction
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  • Addresses any substance misuse issues
    • Addiction issues
    • Disabled (learning)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Young people
    - Does not have an addiction issue o Does not smoke o Does not drink to a harmful level (more than 4 times per week) or binge drink (more than 7 units every time they drink) o Does not take other drugs
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Enjoys good support and quality of life in relation to any longterm conditions

  • Reduced time spent in hospital on account of a long-term condition
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - has fewer unplanned hospital admissions - Spends less time in hospital - Is able to remain at home following discharge from hospital (e.g. for 91 days or more)
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  • Improved quality of life in relation to long-term condition
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - Social care-related quality of life - Level of functional ability (evidenced e.g. through employment, other activities)
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  • Has a reduced need for care (or sustains current level of independence)
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - Does not need to enter a nursing home due to support received - Regains independence due to support received - Reduction in level of dependency on care or intensive services due to earlier diagnosis, intervention and reablement
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  • Addresses, understands and feels supported in managing any long-term condition (accessing health services, specialists, national screening)
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - If accessing health services, has an up-to-date multidisciplinary care plan - Has access to specialist multidisciplinary/multi-agency community services - Is included and supported to participate in national screening programmes
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  • Addresses, understands and feels supported in managing any long-term condition
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    - Sees a specialist doctor - Receives a diagnosis - Receives specialist support for their long-term health conditions - Has access to complementary therapies - Is satisfied with the quality of services for people with long-term health conditions - Is able to manage a long-term health condition
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Communities

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Public and corporate policy and expenditure that supports good physical health

  • Improvements in policy and legislation
    • Children
    • Disabled (physical)
    • Long-term health conditions
    • Long-term unemployed
    • Older people
    • Young people
    - Changes in policy and legislation that support improvements to public physical health - Changes to regulation - Level of relevant parliamentary activity (e.g. white papers published, committees formed, consultations or reviews conducted, citations made) 
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  • Improved investment, expenditure and procurement
    • Children
    • Disabled (physical)
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Older people
    • Young people
    - Government investment in physical health - Government expenditure/funding for healthcare programmes - Procurement practices and public sector contracts that are designed to improve social outcomes (e.g. contracts that enable social enterprises and smaller SMEs to bid, outcomes-aligned contracts) - Corporate investment and expenditure (giving) on improving physical health - Changes in the level of investment in preventative services to maintain good physical health
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Strong public awareness and participation in matters relating to physical health, and advanced sectoral understanding of what makes for good health

  • Improved stakeholder participation with decision making and with issues
    • Disabled (physical)
    • Long-term health conditions
    • Older people
    • Young people
    - Increased number of organisations that promote health and/or sexual education - Level of support for patient choice and for ensuring patients have an informed basis for decision-making - Number of people who use the health services who report finding it easy to find the necessary information concerning their health, care and support - Number of people using the health services who report feeling listened to and able to manage their own support as much as they wish - Number of family members, friends and carers who report that they have been included or consulted in discussions about the person they care for, and in planning and influencing service design
    Add 
  • Improved sectoral understanding as to what makes for good physical health
    • Addiction issues
    • Disabled (physical)
    • Long-term health conditions
    • Older people
    • Young people
    - Research and evidence relating to the problem and interventions (e.g. clinical trials, studies into treatments and cures, papers published) - Innovation of new ideas, technologies and approaches - Uptake of new ideas by other healthcare providers or government - Retirement of previous methods shown by research to be ineffective - Funding for research - Support for the sector through quality umbrella bodies
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  • Improved public awareness and engagement (end of life care)
    • Disabled (physical)
    • Long-term health conditions
    - Availability of support services for vulnerable children and parents - Coverage and effectiveness of services that identify vulnerable parents and children - Coverage and effectiveness of early intervention services
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  • Improved public awareness and engagement
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Long-term unemployed
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - General availability of information - Number of people who report feeling well-informed about matters relating to their health - Level of media exposure (e.g. number of articles published on the subject in mainstream media; exposure on TV, radio; internet traffic) - Level of public awareness about the causes and consequences of physical health problems - Public events, rallying and campaigning - Public donations to related charities - Public volunteering on projects and initiatives related to physical health - Change in public perception and improvements to any underlying prejudice or stigma
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Healthy and physically active people and communities

  • Improved sexual health and family planning
    • Disabled (physical)
    • Parents
    • Young people
    - Number of people practicing safe sex - Rates of STIs - Number of teenage pregnancies
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  • Improved health equality
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Parents
    • Young people
    - Equality throughout the population in healthy eating and exercise - Equality throughout the population in life expectancy and preventing premature death
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  • High life expectancy
    • Disabled (physical)
    • Long-term health conditions
    • Older people
    • Parents
    - National/local average life expectancy - Life expectancy at 75 - Overall mortality rate - Age-standardised mortality and infant mortality rates - Incidence of major diseases (cardiovascular disease, respiratory disease, liver disease, cancer)
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  • Healthy eating and appropriate levels of exercise
    • Addiction issues
    • Children
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Living in poverty
    • Long-term health conditions
    • Long-term unemployed
    • Older people
    • Parents
    • Young people
    - National/local levels of fruit and vegetable consumption - National/local levels of malnutrition - Availability and use of sports facilities - Percentage of the adult population participating in at least 150 minutes of moderateintensity aerobic activity every week (NHS recommended target)
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  • Decreasing levels of obesity, smoking, alcohol consumption, addiction and illicit drug use (rehabilitation)
    • Addiction issues
    • Parents
    - Number of people entering and successfully leaving a rehabilitation cure - Average length of time that people remain free of an addiction
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  • Decreasing levels of obesity, smoking, alcohol consumption, addiction and illicit drug use
    • Addiction issues
    • Ex-offenders
    • Homeless
    • Long-term unemployed
    • Parents
    • Young people
    - National/local obesity rates - Percentage of household food derived from saturated fatty acids - Proportion of the population that smokes - Proportion of the population drinking more than recommended 21 alcoholic units for men and 14 units for women - Average household spend on smoking and alcohol - Levels of illicit drug use and rates of addiction
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Equal access to good quality, safe health and social care services

  • Improved safety of health services environment
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Young people
    - Number of hospital deaths attributable to problems in care - Number of incidences of hospital-related venous thromboembolism (VTE), healthcare associated infections (HCAI), newly-acquired ulcers, and medication errors - Number of full-term babies admitted to neonatal care (safety of maternity services) - Number of incidences of harm to children due to failure to monitor
    Add 
  • Improved quality of health and social care services and their effectiveness at preventing people from dying prematurely (addiction)
    • Addiction issues
    • Homeless
    • Young people
    - Availability and use of quality addiction support services - Number of people who have successfully been treated for an addiction  
    Add 
  • Improved quality of health and social care services and their effectiveness at preventing people from dying prematurely
    • Disabled (learning)
    • Disabled (physical)
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Parents
    - Potential Years of Life Lost (PYLL) from causes considered amenable to healthcare - Decrease in the under 75 mortality rate from major diseases (cardiovascular disease, respiratory disease, liver disease, cancer) - Increase in the average number of survival years (one and five year survival) for all kinds of diseases or medical conditions - Proportion of people who recover from injury or trauma - Proportion of people who experience improved health following planned treatments - Number of people for whom the concern for their health is reduced - Emergency waiting times for medical treatment - Quality of social care - Proportion of people who were still at home 91 days after discharge from hospital into reablement/rehabilitation services
    Add 
  • Improved availability of preventative support and programmes
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Mental health needs
    • Older people
    • Parents
    • Young people
    - Number and geographical coverage of community based programmes - Incidence of acute health incidents and admissions into A&E hospital and care settings - Permanent admissions to residential and nursing care homes, per 1,000 population - Number of people enabled to regain independence/reduce dependency due to support received - Delayed transfers of care from or to hospital, and those which are attributable to adult social care
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  • Equal access to health and social care services
    • Addiction issues
    • Children
    • Disabled (learning)
    • Disabled (physical)
    • Ex-offenders
    • Homeless
    • Long-term health conditions
    • Long-term unemployed
    • Mental health needs
    • Older people
    • Parents
    • Victims of crime
    • Young people
    - Proportion of the population registered at a General Practice - Number of people who have used a healthcare service in the past 6 months - Number and geographical coverage of public health centres including dental services, maternity services, social care services and sexual health centres and sexual education providers - Proportion of people who are offered rehabilitation services after discharge from hospital - Change in perception about the quality of health and social services
    Add 

All outcome areas