An integrated metrics approach - module

Monitoring progress towards achieving a sustainable health and social care sector will not be possible without measurement. Well-chosen indicators can help us understand sustainable development in the health and care system, compare progress and improve. They can also demonstrate performance against the level of ambition set out in the Sustainable Development Strategy, Climate Change Act and Public Services Act by capturing the economic, environmental and social benefits.

The purpose of module is to set out a vision for measuring progress in continually improving health and wellbeing in England, now and for future generations within available financial, social and environmental resources. The content has been developed by the national sustainable development metrics steering group that has representatives from across the NHS, public health and social care system.

This module is divided into four parts:


  1. Measurement approach
  2. Proposed set of core indicators for use across the system
  3. Focus on what is important
  4. Proposals for improving measurement


You can download the module document, along with implementation notes and indicators tables for specific areas below.

Metrics Steering Group

The metrics steering group is leading on methods for monitoring of progress on sustainable development for the NHS, public health and social care system. The role includes routine monitoring and reporting of existing measures including SDMP, energy, waste and water and ongoing development of an approach to measurement for sustainable development. In developing measurement, the group has based this on principles of alignment with existing measurement frameworks and reporting along with transparency of where there are gaps in evidence or action. Going forward the group will make recommendations for research, evidence and opportunities. Through this process there will be greater transparency about where we are, the resource and carbon limits, what scale of change is needed along with options for measuring and quantifying these opportunities.

For more information please contact the SDU - england.sdu@nhs.net


  • An integrated approach to metrics
    An integrated approach to metrics

    Module to support the delivery of the Sustainable Development Strategy

    Download Document

  • Metrics implementation note - commissioners V2 Sep 2016
    Metrics implementation note - commissioners V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Metrics implementation note - communities V2 Sep 2016
    Metrics implementation note - communities V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Metrics implementation note - independent providers - V2 Sep 2016
    Metrics implementation note - independent providers - V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Metrics implementation note - large providers - V2 Sep 2016
    Metrics implementation note - large providers - V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Metrics implementation note - national - V2 Sep 2016
    Metrics implementation note - national - V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Metrics implementation note - Small providers - V2 Sep 2016
    Metrics implementation note - Small providers - V2 Sep 2016

    This implementation note accompanies the innovation module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - commissioning
    Optional indicators - commissioning

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - Communities
    Optional indicators - Communities

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - independent providers
    Optional indicators - independent providers

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - large providers
    Optional indicators - large providers

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - National
    Optional indicators - National

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module.

    Download Document

  • Optional indicators - small providers
    Optional indicators - small providers

    This list of indicators accompanies the Metrics module developed for the Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014 – 2020. It provides examples of practical approaches, actions, guidance and tools to help deliver the measures of success outlined in the module

    Download Document