Recommendation 264

Information by speciality

In the case of each speciality, a programme of development for statistics on the efficacy of treatment should be prepared, published, and subjected to regular review.

The Mandate to NHS England states that, ‘the NHS should measure and publish outcome data for all major services by 2015, broken down by local clinical commissioning groups where patient numbers are adequate, as well as by those teams and organisations providing care.’

To meet this commitment, the government stated in Patients First and Foremost that, ‘from 2015, [NHS England] will ensure that data on services at specialty level is increasingly available.  To do this they will work with providers, patient groups and specialty level organisations and those bodies such as the Health and Social Care Information Centre and the Care Quality Commission…’

In June 2013, NHS England published the first two specialities level data, cardiac surgery and vascular, and announced the publication schedule for a further eight specialties.  All specialties have now been published.  NHS England will widen this programme to include other specialties over time and the data published will, initially, be refreshed annually.  The data can be accessed via NHS Choices.

Recommendations 265, 266 and 267 relate to this programme of work and are responded to accordingly.


Medical Royal Colleges have actively supported the publication of individual consultant outcome data in the relevant specialties. The Consultant Outcomes Publication began with ten national clinical audits in June 2013; the information published is available on the NHS Choices Website and 2014 data will be published on My NHS. So far, over 99 % of consultants have agreed or not objected to information regarding their practice being published and compliance with plans to report consultant-level data became mandatory, through the NHS standard contract, in 2014/15. Consultant data for neurosurgery and upper gastro-intestinal has also now been published. NHS England is looking into which outcomes data could be most usefully and feasibly collected to extend the programme. In addition, the Academy of Medical Royal Colleges’ 2013 publication “i-care: Information, Communication and Technology in the NHS” reiterated the commitment to transparent collection and provision of information and the involvement of clinicians in the provision and use of clinical data.