The National Health Service in the United Kingdom takes health care quality seriously and makes great effort to be a system that learns. The current NHS Outcomes Framework is entirely built around quality and patient-centredness is the system’s focal point. The drive to provide high quality care means that the United Kingdom has internationally pioneered many initiatives, including clinical guidelines, continuing professional development and use of patient surveys and patient-reported outcomes. Professionalism was for many years the trusted base upon which quality monitoring and improvement activities rested. In recent years, though, this governance model has progressively shifted toward a quality management approach, more reliant upon regulation and control. There has been a proliferation of national agencies, reviews and policies that address quality, leading to a somewhat congested and fragmented field of actors, particularly in the fields of inspection and performance monitoring. A tension, perhaps more pronounced than in other OECD health systems, is now evident between top-down quality management approaches and bottom-up quality improvement techniques. What should the United Kingdom do to resolve this tension and ensure that its quality architecture remains one that is studied and emulated by other OECD health systems? This report recommends three key actions. First, greater emphasis on professionalism should be reinstated as a key driver of excellence. As the same time there is scope to simplify the range of institutions and policies regulating health care quality. Finally, renewed focus on the quality at the interfaces of care, as well as on community-based services, is needed.
The challenge before us is clear. It is no longer possible for us to think about inequalites and growth separately. We need to promote more Inclusive Growth to ensure the recovery and lay the foundations for a shared and affluent future.
Selon une nouvelle étude publiée par l'OCDE, la crise économique mondiale a eu d’importantes répercussions sur le bien-être des populations, qui s’étendent bien au-delà des suppressions d’emplois et de la perte de revenus puisqu’elles influent sur la satisfaction des individus à l’égard de leur vie et sur leur confiance dans les pouvoirs publics.
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Gains in female education attainment have contributed to a worldwide increase in women’s participation in the labour force, but considerable gaps remain in working hours, conditions of employment and earnings. More specific data for the United Kingdom are available in this country note.
Les États doivent accroître leurs dépenses au titre des enfants de moins de six ans afin de réduire les inégalités sociales et de permettre à tous d’être plus heureux, selon le premier rapport de l’OCDE qui ait jamais été écrit sur le bien être des enfants dans ses 30 pays membres.