It is important to make sure the work undertaken in response to the strategy makes a difference and has an impact on the local priorities. The outcomes of importance to Devon have been selected and will be used to track measurable improvements in health and wellbeing and inform commissioning for health and social care and wider local authority services. Figure 6 outlines the commissioning cycle which demonstrates that the work is ongoing and as improvements are made and evidence of better ways of working become available the priorities will change.
Figure 6: The Commissioning Cycle for Health and Wellbeing in Devon. (Based on Local Government Association and Department of Health Guidance 2012)
Work will be undertaken to cross-reference the priorities with the relevant three outcomes frameworks for the NHS, Adult Social Care and Public Health (see Table 1). In 2013/14 there will be a focus on some specific areas but monitoring will continue across all of the priorities
Table 1: Domains within NHS, Adult Social Care and Public Health Outcomes Framework
| NHS Outcomes 2012/13 | Adult Social Care Outcomes 2011-12 | Public Health Outcomes 2013-2016 |
| Preventing people from dying early
Enhancing quality of life for people with long term conditions Helping people to recover from episodes of ill health or following injury Ensuring people have a positive experience of care Treating and caring for people in a safe environment and protecting them from avoidable harm |
Enhancing quality of life for people with care and support needs
Delaying and reducing the need for care and support Ensuring people have a positive experience of care and support Safeguarding people whose circumstances make them vulnerable and protecting from avoidable harm |
Improving the wider determinants of health
Health improvement Health protection Healthcare public health and preventing premature mortality |