An alternative approach to implementing patient-reported outcome measures

Abstract

Essential for revalidation Paper-based completion in clinic Community physiotherapy department (GP referrals/hospital discharge rehabilitation) Physiotherapists (n = 7) and service lead To provide evidence to CCG for re-commissioning of service, competitive benchmarking and audit Paper-based completion in clinic Hospital physiotherapy department and ankylosing spondylitis clinic Physiotherapist and AS lead Individual patient care but feedback to GPs and CCG Paper-based completion in clinic Chronic pain clinic: pain management course Service lead and clinical psychologist Baseline and completion following pain management course Paper-based completion in clinic Osteopathy (non-NHS) Vice principal of research and senior osteopath Clinical monitoring and provide aggregate data for benchmarking. Link with an ID to the patient’s clinical electronic record and generate an automated email at 6 and 12 weeks MSK services Programme lead Aggregate data for benchmarking and service improvement Remote electronic data capture baseline and 3 months Integrated MSK service GP commissioner, patient partner lead and quality manager CCG and for benchmarking with other services providers and for specific patient pathways of care External company employed to capture and process data. Where problems were identified, this was thought to be useful to address at an individual level with the patient or potentially to provide evidence for referral to other services. Because there are a couple of things around mental health as well, especially for physiotherapists I think it’s sometimes a difficult subject to broach and if you have – oh you scored relatively low on this question, can you tell me a little bit more about why that is? (Spine pathway, Consultant physiotherapist) Furthermore, the inclusion of items capturing patients’ understanding of their condition and confidence to self-manage was thought novel and valuable. Because I am used to using a more narrative approach, the patient’s story and delve in where it’s appropriate.