Realising the Value: Ten actions to put people and communities at the heart of health and wellbeing

Document type
Finnis, Annie; Khan, Halima; Ejbye, Johanna
Date of publication
15 November 2016
Health Services, Social Work, Social Care and Social Services
Social welfare
Material type

Download (3.9MB )

This is the final report of the Realising the Value programme, an 18-month programme funded by NHS England in support of the NHS Five Year Forward View vision to develop a new relationship with people and communities.

The report sets out ten key actions on what should be done and how people need to work differently to put people and communities at the heart of health and wellbeing.

Key recommendations:

  • Implement person and community-centred ways of working across the system, using the best available tools and evidence.
  • Develop a single, simplified outcomes framework across health and care and community provision, focused on what matters to people.
  • Continue to learn by doing, alongside further research.
  • Make better use of existing levers such as legislation, regulation and accountability.
  • Trial new outcomes-based payment mechanisms to support person and community-centred approaches, and implement these as part of wider national payment reform.

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