Health Services

Everyone in the National Health Service is responsible for delivering high-quality care. As announced in the 10-Year Health Plan, as well as an overall quality strategy, the National Quality Board will oversee the development of a new series of service frameworks.

Between 1997 and 2010, national service frameworks were a clinically led approach to developing guidance that supported sustained improvement in major condition outcomes, including by narrowing inequality and reducing unwarranted variation. As set out in the 10-Year Health Plan, we will reintroduce and modernise this approach. These modern service frameworks will define an aspirational, long-term outcome goal for a major condition and then identify the best evidenced interventions and the support for delivery.

Modern service frameworks will work with the National Institute for Health and Care Excellence and others to identify the best evidenced interventions that would support progress towards the outcome goal and set standards on how those interventions should be used.

Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia. The Government will consider other long-term conditions for future waves of modern service frameworks. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.

Plans to introduce a modern service framework for cancer will be considered as part of the development of the National Cancer Plan.