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.
This case study presents the UK legislation, the Political Parties, Elections and Referendums Act, which controls the funding of political parties and campaigns. It also presents some key election statistics collected by the UK Electoral Commission.
This database provides information on environmentally related taxes, fees and charges, tradable permit systems, deposit refund systems, environmentally motivated subsidies and voluntary approaches used in environmental policy in OECD member countries and a number of other countries. Developed in co-operation between the OECD and the European Environment Agency.
English, PDF, 2,371kb
There are an estimated 9 million working aged adults in England (more than a quarter of adults aged 16-65) with low literacy or numeracy skills or both. This reflects England’s overall performance in the Survey of Adult Skills - around average for literacy, but well below average for numeracy relative to other OECD countries in the Survey (OECD, 2013).
English, PDF, 183kb
Agricultural research fellowship award grants and international conferences sponsorships of the Co-operative Research Programme (CRP): Biological Resource Management for Sustainable Agricultural Systems; advice for applicants for funding.
Biographical note of the United Kingdom's Permanent Representative to the OECD
This report examines the ongoing development of education policy, practice and leadership in Scotland, by providing an independent review of the direction of the Curriculum for Excellence (CfE) and emerging impacts seen in quality and equity in Scottish schooling.
English, PDF, 106kb
The tax burden in the United Kingdom declined by 0.3 percentage points from 32.9% to 32.6% in 2014. The corresponding figures for the OECD average were an increase of 0.2 percentage points from 34.2% to 34.4%.
English, PDF, 954kb
This 4-page online document presents the key findings from OECD Pensions at a Glance 2015 and why it is important for the United Kingdom. It also identifies two key pension policy measures which would help improve the performance of pension systems in the United Kingdom
The 2015 edition introduces more detailed analysis of participation in early childhood and tertiary levels of education. The report also examines first generation tertiary-educated adults’ educational and social mobility, labour market outcomes for recent graduates, and participation in employer-sponsored formal and/or non-formal education.