Long Term Plan Headline Metrics

1.Primary and community services: annual implementation milestones for 5 year GP contract; new community services response timesPercentage of overall NHS revenue spent on primary medical and community health services

GP contract / Primary Care Network Patient reported access measure – measure to be confirmed*

Community rapid response 2 hour/2 day measure to be confirmed
2.Comprehensive ICS coverage Percentage of population covered by ICS
3.Emergency care: on agreed trajectory for Same Day Emergency Care Percentage of non-elective activity treated as Same Day Emergency Care cases
4.Prevention: increase uptake of screening and immunisation Population vaccination coverage – MMR for two doses (5 years old)

Bowel screening coverage, aged 60-74, screened in last 30 months

Breast screening coverage, females aged 50-70, screened in last 36 months

Cervical screening coverage, females aged 25-64, attending screening within target period (3.5 or 5.5 years)
5.Inequalities: inequalities reduction trajectory Measure that reflects the inequalities focus of local plans – measure to be confirmed
6.Prevention: Alcohol care teams, tobacco treatment services, and diabetes prevention programmeCoverage of ACTs – percentage of hospitals with the highest rate of alcohol dependence-related admissions with ACTs in place

Number of people supported through the NHS Diabetes Prevention programme

Percentage of people admitted to hospital who smoke offered NHS funded tobacco treatment services
7.Maternal and children’s health: On agreed trajectory for 50% reduction in stillbirth, neonatal and maternal deaths and brain injury by 2025Reduction in stillbirth, maternal mortality, neonatal mortality and serious brain injury, based on MBRRACE data
8.Improve cancer survival: on agreed trajectory so that 75% of cancer patients diagnosed at stage 1 or 2 by 2028Proportion of cancers diagnosed at stages 1 or 2

Proportion of people that survive cancer for at least 1 year and 5 years after diagnosis
9.Learning disability and autism: on agreed trajectory for halving inpatient rate by 2023/24 and increasing learning disability physical health checks to 75% of people over 14Reliance on specialist inpatient care for people with a learning disability and/or autism

Proportion of people with a learning disability on the GP register receiving an annual health check
10.Mental health: on track for locally agreed service expansion, and increase in investment for mental health services as a share of the NHS budget over the next five years, worth in real terms at least a further £2.3 billion a year by 2023/24Number of people accessing IAPT services

Number of children and young people accessing NHS funded mental health services

Mental health access standards once agreed

Percentage of overall NHS revenue funding spent on mental health services
11.Implementation of agreed waiting times

(new clinical standards for urgent and emergency care, elective care, cancer and mental health from April 2020)
Percentage of patients in A&E transferred, discharged or admitted within four hours

Percentage of patients starting cancer treatment within 62 days of GP referral

Percentage of patients with incomplete pathway waiting 18 weeks or less to start consultant led treatment

Patients waiting more than 52 weeks to start consultant-led treatment

Elective waiting list size
12.Workforce metrics will be agreed through development of the NHS People Plan. Interim placeholder metrics to support development of local plans will be:Staff retention rate

Proportion of providers with an outstanding or good rating from the CQC for the “well led” domain

Workforce diversity measure to be agreed

Number of GPs employed by NHS

Number of FTEs, above baseline, in the Primary Care Network additional role reimbursement scheme

Nurse vacancy rate

Staff well-being measure to be agreed as part of the People Plan

Sickness absence
13.Outpatient reform: Avoidance of up to a third of outpatient appointments (including outpatient digital roll out)Percentage reduction in the number of face to face outpatient attendances
14.Empowering People: Summary care Record roll out, EPR roll outProportion of population registered to use NHS App
15.Access to online/telephone consultations in primary careProportion of the population with access to online consultations

Access to general practice appointments*
16.The NHS will return to financial balance:

NHS in overall financial balance each year
Percentage of organisations in financial balance

Aggregate forecast end of year financial position of providers, commissioners and NHSE central budgets against agreed plans
17.The NHS will achieve cash-releasing productivity growth of at least 1.1% per yearTotal Cash releasing productivity growth (covering acute, mental health and community providers initially)
18.The NHS will reduce growth in demand for care through better integration and preventionCost weighted non-elective activity growth
19.The NHS will reduce variation in performance across the health system Measure on reduction in unwarranted variation achieved by the NHS
20.The NHS will make better use of capital investment and its existing assets to drive transformation [Metrics to support this test to be confirmed following the Spending Review and the development of the new NHS capital regime]

* Same measure to be used across both domains