Intentional whole health system design

"When Southcentral Foundation in Anchorage, Alaska, assumed responsibility for primary, community and mental health services for Alaska Native people in the mid-1990s, the quality of care and outcomes for the population were among the worst in the United States. Seventeen years later, Southcentral is widely regarded as one of the most successful examples of health system redesign in the United States and internationally. Costs are down and quality is up, with health outcomes among the best in the United States based on a wide range of measures."

Intentional whole health system design: Southcentral Foundation's 'Nuka' system of care
B Collins
The King's Fund
November 2015

Read more here.

Measuring the performance of local health systems

"This report summarises the results of a rapid review of how to assess the performance of local health systems through the lens of clinical commissioning groups (CCGs). The review was commissioned by the Department of Health who asked The King’s Fund to advise on the ‘first principles’ of a local health system scorecard for the NHS in England."

Measuring the performance of local health systems: a review for the Department of Health
C Ham, V Raleigh, C Foot, R Robertson, H Alderwick
The King's Fund
October 2015

Read more here.

NHS Performance Framework: implementation guidance

"The NHS Performance Framework sets out the Department's approach to identifying underperforming NHS organisations and stipulates when intervention should occur in such organisations."

NHS Performance Framework: implementation guidance
Department of Health
April 2012

Read the full document here together with accompanying documents.