Value based health and care action plan: measurement framework

Overall progress and impact of the VBH&CAP

Monitoring Metrics

The monitoring metrics for this section draw on survey data from health and care professionals, and qualitative insights from the Health and Care Experience Survey. They provide views on organisational and professional support for RM and VBH&C, as well as practitioners’ experiences of delivering person‑centred care. The qualitative evidence highlights patient‑reported experiences of person‑centred care and shared decision making.

Metric 14.1: Around six-in-ten health and care professionals surveyed reported that their organisation strongly (15%) or somewhat (46%) promotes Realistic Medicine and Value-Based Health & Care.

Metric 14.2: A little more than four-in-ten health and care professionals surveyed reported that their professional body strongly (12%) or somewhat (32%) promotes Realistic Medicine and Value-Based Health & Care.

Metric 14.3: Around half of health and care professionals surveyed reported that they had been very well supported (11%) or had received some support (40%) from peers and leaders across the Health and Care system to practice Realistic Medicine and Value-Based Health & Care.

Metric 14.4: Around seven-in-ten health and care professionals surveyed agreed (49%) or strongly agreed (20%) that they are ‘able to take the time to get to know the people [they] care for and what is important to them’.

Metric 14.5: Most health and care professionals surveyed agreed (58%) or strongly agreed (28%) that they are ‘able to involve the people [they] care for in decisions about their care’.

Metric 14.6: A majority of health and care professionals surveyed agreed (58%) or strongly agreed (29%) that they are ‘able to listen to the people [they] care for and understand the outcomes that matter to them’.

Metric 14.7: Qualitative Evidence from the Health and Care Experience Survey 2023/24 survey relating to respondents’ experiences of person-centred care and shared decision making in General Practice and Out of Hours Healthcare:^[20]

Respondents described mixed experiences of person‑centred care, with some feeling respected and supported through attentive, coordinated treatment, while others encountered dismissive interactions and poor communication that left them feeling unheard and poorly supported.

“[I] feel that all of the team I have met in the practice adopt a helpful friendly and proactive approach to care. This instils confidence in me as a patient. Knowing that I am being listened to and involved in my own care relieves any anxiety about asking for help.”

“I've never been made to feel more invisible, unheard and uncared for.”

Respondents reported mixed experiences, with some noting positive communication and collaboration, while others felt uninformed and excluded from shared decision‑ making.

“I felt empowered about my decision making and supported by the healthcare professionals.”

“I felt I was being dismissed as an old person, barely listened to and pushed into hospital procedures without any explanation.”