From: An alternative approach to implementing patient-reported outcome measures
Service | Participants | Drivers | Methods of administration |
---|---|---|---|
Hospital sports and exercise medicine | SEM, consultant | No PROM data currently collected. 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. Present data stakeholders—the Board and institution, faculty members, students, patients and General Medical Council | Paper-based administration and electronic scan using optical recognition software. 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. Postal paper-based and electronic via text and/or email |
Spine pathway | GP with special interest in MSK; senior physiotherapist, GP | Aggregate data to compare between clinicians and interventions and CCG requirement | Postal questionnaire (by email or text) 10 days before appointment and entry in to service then following discharge (3 months) |
Intermediate diagnostic MSK service | Specialist service manager, GP commissioner | Aggregate data to feedback to managers and commissioners | Paper-based completion in clinic |
Hospital physiotherapy/occupational health | Physiotherapy and physiotherapy-led orthopaedic triage clinics. Primary and secondary care patients | Patient-level data to inform clinical care and aggregate data to feedback to team members | Paper-based completion in clinic |
Musculoskeletal pain and podiatry | Clinical physiotherapy specialists and service improvement teams | Implement as part of quality improvement programme. Patient-level data to inform clinical care and aggregate to improve services | Exploring integration with clinical systems |