• Led by King’s College Hospital NHS Foundation Trust, partnered by Guy’s and St Thomas’ NHS Foundation Trust, and South London and Maudsley NHS Foundation Trust. 
  • Based at King's College Hospital in three services: cardiac, liver and stroke.
  • Introduced a system that uses ‘value’ – health outcomes divided by cost – as the key performance metric.
  • Aimed at measuring and reporting the value of what services do, rather than focusing on process, financial and quality targets.

The NHS faces great pressures to save money, change models of care, restructure systems and join up services. However, change projects in the NHS often focus more on process targets and financial measures than on care outcomes.

A team at King’s College Hospital NHS Foundation Trust has developed a system that uses ‘value’ – health outcomes divided by cost – as the key performance metric. The team’s central proposition was that management based on value drives faster, better innovation and unites the interests of payers, providers and patients.

The key components of the project were the development of a new method of value data capture, a set of value-based reporting tools and a value-based management system.

The approach enabled trusts to access data that are more meaningful and comparable, less at risk of distortion, and could account more effectively for clinical and patient-specified outcomes.

Cardiac, liver and stroke were established as those areas upon which to initially focus. Outcome measures were developed for all three conditions, along with cost data analysis following the whole care pathway. Activity and value stream maps for each condition were also drawn up to understand how patients flow through the system.

The project has enabled remarkably effective collaborations between finance, management and clinicians, with each professional group developing greater knowledge, understanding and appreciation of the others’ work.

Contact details

For further information about the project, please email David Dawson, Deputy Director of Strategy at Kings College Hospital NHS Foundation Trust.

About this programme

Programme

Shared Purpose

This programme ran from 2012 to 2015 and supported nine teams with funding of £420,000 each to...

You might also like...

Newsletter feature

Five key insights on COVID-19 and adult social care

Here we highlight five key insights from two new briefings on COVID-19 and social care.

Briefing

Adult social care and COVID-19: Assessing the impact on social care users and staff in England so far

Our analysis on the scale of the impact of COVID-19 on social care in England during the first phase...

Blog

Digital and data-driven innovation: supporting it to thrive

Arne Wolters explores how digital and data-driven innovation can be used in ways that maximise the...

Kjell-bubble-diagramArtboard 101 copy

Get social

Over 700,000 patients served by GPs at high risk of COVID-19 could be left without access to face to face GP appoin… https://t.co/wZJJPCuRCn

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more