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National Performance Framework: Changes to the National Indicator set

New National Indicators added to the National Performance Framework

IndicatorReason for Inclusion
Improve digital infrastructureAccess to the internet for business is key to developing the economy. A core element of the Digital Strategy for Scotland is to increase uptake of the internet and ensure that next generation broadband is available to all by 2020.
Improve levels of education attainment

The NPF already contained indicators of the quality of education in Scotland, through measures such as the proportion of school leavers in positive destinations and the proportion of schools, and pre-school centres, receiving positive inspection reports. This new indicator measures the performance of the Scottish school system in an international context.

It will be measured using data from the Programme for International Student Assessment (PISA). PISA is an international assessment of student attainment in reading, maths and science at age fifteen. What is particularly valuable is that PISA focuses on testing the knowledge and skills required for participation in society and assessing the extent to which pupils can apply skills gained in school in everyday adult life, thus moving beyond the pupil's ability to master the school curriculum.

Increase the proportion of babies with a healthy birth weightBirth weight is an important indicator of foetal and neonatal health. There is significant evidence of the correlation between maternal health and social circumstances and birth weights which are out with the normal birth weight range. Birth weight that is not within normal ranges also has a strong association with poor health outcomes in infancy, childhood and across the whole life course, including long term conditions such as diabetes and coronary heart disease.
Increase physical activity

Increasing the proportion of the population meeting physical activity levels is a key legacy aspiration for the Commonwealth Games. There is also a strong health benefit as increases equate to addressing the impact on sedentary lifestyles which can lead to reductions in health issues such as type 2 diabetes, heart disease and blood pressure.

There is also emerging evidence that physical activity delivers better outcomes for mild depression than prescribed medication.
Reduce deaths on Scotland's roadsRoad Safety is an issue that affects everyone in Scotland. We all need to use roads to get around - to school, to work, to the shops. Most of us use the roads every day as drivers, passengers, cyclists and pedestrians and for many people driving is the main part of their job. It is essential therefore to ensure that, as far as possible, we can all use the roads in safety. Road accidents in which people are killed or injured result in high social and economic costs including a devastating impact on families, human pain and suffering, damage to vehicles and property, loss of productivity, demands on the emergency services as well as medical and insurance costs.
Improve the responsiveness of public services

The quality of public services is crucial in shaping a flourishing, productive and equitable Scotland. Public services have the power to improve people's quality of life and enhance their opportunities. It is important, therefore, that they are high quality, efficient, continually improving and responsive to the needs of local people.

Responsiveness is a key aspect of the quality of public services, reflecting the extent to which services are designed around the needs of the individual. It relies upon organisations having mechanisms in place for people, particularly users of services, to communicate with service providers and to be heard so that their ideas can go into the redesign of more tailored services.
Reduce children's deprivationGrowing up in poverty can have a profound and lasting impact on children's outcomes - income poverty and material deprivation are strongly associated with poorer outcomes for children. Evidence tells us not only of the cost to individuals, but also of the great cost to society caused by child poverty, and of the economic case for shifting resources into early intervention and prevention.
Widen use of the internetThe advantages of accessing the internet can have an impact on an individual's wellbeing, education, financial situation and employment opportunities. Evidence shows that the key group who do not take advantage of the internet in their lives are mainly older people, those who are not employed, those on low incomes and those with a disability or long standing illness. These groups could benefit substantially from being online, for example from cheaper online purchasing, opportunities to keep in touch via social media and Skype, and awareness of employment vacancies.
Increase cultural engagementCultural engagement impacts positively on our general wellbeing and helps to reinforce our resilience in difficult times. Cultural participation is known to bring benefits in learning and education; there is a significant association with good health and satisfaction with life.
Improve end of life careThe indicator will represent the wishes and choices for patients and their carers and also demonstrate the effectiveness of having a planned approach to end of life care. An increase in this measure will reflect both quality and value through more effective, person centred and efficient end of life care with people being better able to be cared for at home or closer to home with a planned approach to end of life care resulting in less time in an acute hospital setting.
Reduce pre-mature mortalityPre-mature mortality - defined as death from all causes, aged under 75 - is an important indicator of the overall health of the population. Scotland has the highest rates of pre-mature mortality in the UK, as well as significant inequalities in pre-mature mortality within Scotland.
Improve self-assessed general healthSelf-assessed health is a useful measure of how individuals regard their own overall health status. It is strongly related to the presence of chronic and acute disease, as well as being a good predictor of hospital admission, mortality and a key marker of health inequalities.

National Indicators removed from the National Performance Framework

IndicatorReason for being removed
Improve public sector efficiency through the generation of 2% cash releasing efficiency savings per annum

Improving public sector efficiency is a key part of achieving the National Outcomes and with the Scottish Budget facing significant reductions, we will continue a programme of public service reform, that aims to deliver improved, more effective and efficient services in the coming years. However, recording aggregate efficiency across delivery of all public services is not consistent with understanding the performance against each particular National Outcome, and for this reason this National Indicator has been removed from the National Indicator Set.

Ministers have stated that they expect every public body to deliver efficiency savings of at least 3% in 2011-12 and to report publicly on the actions taken and the results achieved.
Reduce the number of Scottish public bodies by 25% by 2011By definition this target is time limited and is a process measure, making it less suitable for inclusion in the National Performance Framework, an outcomes based framework. It has therefore been removed from the National Indicator Set.
Increase the social economy turnover

As we move forward with the reform of public services, the Government is committed to engage with the third sector who have a crucial role to play in the design and delivery of public services. We particularly value the contribution of the third sector because of its specialist expertise, its ability to engage with vulnerable groups and its flexible and innovative approach.

The National Performance Framework previously contained a National Indicator measuring the social economy turnover. We do not feel, however, that the turnover of the sector fully reflects the extent to which it is contributing to delivery of the National Outcomes and have therefore removed this indicator from the National Performance Framework.
Increase healthy life expectancy at birth in the most deprived areas

This national indicator, and coronary heart disease, have been replaced by the new 'Reduce premature mortality' indicator.

See Q&A on why deprivation specific indicators have been removed.
Reduce mortality from coronary heart disease among the under 75s in deprived areas

This national indicator, and healthy life expectancy, have been replaced by the new 'Reduce premature mortality' indicator.

See Q&A on why deprivation specific indicators have been removed.
Achieve annual milestones for reducing inpatient or day case waiting times culminating in the delivery of an 18 week referral to treatment time from December 2011

Reducing waiting times remain a key priority for the Scottish Government. Shorter waits can lead to earlier diagnosis and better outcomes for many patients as well as reducing unnecessary worry and uncertainty for patients and their relatives.

Waiting Times performance will continue to be monitored through a NHSScotland HEAT target, which is for 90 per cent of patients to wait no longer than 18 weeks from referral to treatment from 31 December 2011. The NHSScotland HEAT target data are available through the Scotland Performs website.

Information will continue to be published quarterly by ISD Scotland on waiting times for stage of treatment - first outpatient consultation, 8 key diagnostic tests and for inpatient and day case treatment. This will ensure that there continues to be openness and transparency on aspects of waiting times for acute hospital care.

Within the NPF the result of meeting waiting time targets will be measured through the National Indicators: 'improve self-assessed general health', 'reduce premature mortality' and 'reduce emergency admissions to hospital'.
Increase the percentage of criminal cases dealt with within 26 weeks by 3 percentage points by 2011By definition this target is time limited and has been delivered. The percentage of cases completed within 26 weeks increased by 8 percent between 2006/07 and 2010/11. This indicator is also very much a process measure, and while it will still be monitored by SG, is not ideally suited for the NPF, an outcome based framework.