Patient Reported Outcome Measures
Patient Reported Outcome Measures
Patient Reported Outcome Measures (PROMs) assess the quality of care delivered to NHS patients from the patient perspective. Currently covering four clinical procedures, PROMs calculate the health gains after surgical treatment using pre- and post-operative surveys.
The four procedures are:
- Hip replacements
- Knee replacements
- Groin hernia
- Varicose veins
PROMs have been collected by all providers of NHS-funded care since April 2009.
PROMs measure a patient's health status or health-related quality of life at a single point in time, and are collected through short, self-completed questionnaires. This health status information is collected from patients through PROMs questionnaires before and after a procedure and provides an indication of the outcomes or quality of care delivered to NHS patients.
Who is responsible for delivering the PROMs programme?
PROMs is co-ordinated by the Department of Health.
PROMs data are collected, processed, analysed and reported by a number of organisations, including hospital trusts which perform PROMs procedures, the Health and Social Care Information Centre and contractors.
The Health and Social Care Information Centre is responsible for scoring and publishing of PROMs data as well as linking it to other data sets such as Hospital Episodes Statistics.
PROMs national-level headline data are published every month with additional organisation and record-level data made available each quarter (typically in February, May, August, and November each year). Data are provisional until a final annual publication is released each year.
- 2013-14 Provisional data - released December 2013 (covering April 2013 to July 2013)
- 2012-13 Provisional data - released December 2013 (covering April 2012 to March 2013)
- 2011-12 Final data - released October 2013 (covering April 2011 to March 2012)
NEW - from December 2013 publication
Following feedback from PROMs users, it has been decided to report separately on primary operations distinct from revision operations for hip and knee replacements, and NHS England have led on developing new statistical methodologies to allow for this. Rather than wait until the next scheduled full statistical release in February 2014, we have issued an additional full publication, with primary/revision split reporting, with the December 2013 PROMs publication.
A methodology change note has been published which describes the changes in more detail. Find out more.
PROMs Special Topics
Special topics are published, typically in February, May and November each year, to highlight the richness of the PROMs data available.
Recent special topics:
- Aberdeen Varicose Vein Questionnaire - released November 2013
- Complications after surgery 2010-11 - released May 2013
- Satisfaction with and success of surgery 2010-11 - released February 2013
- EQ-5D descriptive system 2009-10 - released May 2012
Changes to PROMs methodology
Occasionally we update the way PROMs are calculated and analysed.
May 2012: The methodology used to calculate the casemix adjusted scores has been updated for the 2011/12 financial year.
August 2011: We changed the methodology used in the score comparison spreadsheet. Following a review by the PROMs programme, funnel plots are now being used instead of comparison charts.
- Department of Health guidance materials for NHS providers and details of other organisations' roles in PROMs (external)
- Information for patients, including a video clip and frequently asked questions (external)