Evaluating the work we do is crucial for continuous improvement and resource optimisation, ensuring that our processes and outcomes are always improving.
Here are useful metrics that can help with measuring outcomes and evaluation.
Patient Record Outcome Measures (PROM)
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 before and after a procedure and provides an indication of the outcomes or quality of care.
Pre-operative questionnaires are offered to all patients undergoing one of the four procedures at an NHS trust or a private trust doing work for the NHS. Completion of the questionnaire is completely voluntary. The procedure should take place within 18 weeks of the questionnaire being completed or a second questionnaire should be offered to the patient closer to the date of treatment.
Post-operative questionnaires are sent out to the patient’s home address by one of the accredited PROMs data suppliers on behalf of the provider trust.
PROMs provides an indication of the outcomes or quality of care delivered to NHS patients that enables providers, commissioners and other stakeholders to make informed changes to the delivery of their services. These changes aim to improve outcomes and measurable benefits.
Resources
Background information about PROMs – NHS England Digital
Friend and Family Test
The NHS Friends and Family Test (FFT) was created to help service providers and commissioners understand whether patients are happy with the service provided, or where improvements are needed. FFT data is published by NHS England every month.
Resources:
Friends and Family Test (FFT) – NHS
NHS England » Friends and Family Test data
Emergency admissions and hospital attendance
The NHS’ concerns for avoiding unnecessary emergency hospital admissions and effective management of those who are admitted is currently a major healthcare topic. Working towards resolving these issues will not only reduce the substantial cost of emergency hospital admissions on the NHS, but will also help to reduce the pressure and disruption on both healthcare services and individual.
If you need access to the Frailty Power BI dashboard please contact glicb.informationteam@nhs.net. ICBBI0004.02 – Frailty CPG Report – Power BI
Statistics » A&E Attendances and Emergency Admissions 2025-26
Primary Care Attendance
ICBBI0004.02 – Frailty CPG Report – Power BI
The Frailty Power BI dashboard illustrates the demography of the current frail population 65+ registered within Gloucestershire using the eFI frailty index.
For enquiries contact the business intelligence team inbox- glicb.informationteam@nhs.net
MYCAW (Measuring My Concerns and Wellbeing)
MYCaW is an individualised questionnaire designed for evaluating holistic and personalised approaches to supporting people. It only takes a few minutes to complete and can routinely be incorporated into a consultation to understand and prioritise what a person most wants support with. MYCaW allows a more rigorous approach to capturing the voice of service users beyond the anecdotal.
Resources:
MYCaW® – Meaningful Measures – The home of MYCaW® and MYMOP®
Patient Activation Measure (PAM)
There is central ambition for the NHS to become better at helping people to manage their own health and wellbeing. To meet this commitment, NHS England has been working to scale up support for people living with LTCs (Long Term Conditions). Patient activation
is a measure of a person’s knowledge, skills and confidence to manage their own
health and wellbeing, and is a core enabler for supporting self-management and
personalising care.
The Patient Activation Measure, or PAM, provides a structured way to measure and address the diversity of patient needs, moving away from a generic approach and towards a more personalised and effective model of care.
The PAM also helps identify the levels of person or patient activation, which enables healthcare providers to tailor support and interventions accordingly, leading to better patient engagement and outcomes.
It is now widely acknowledged that people who have the knowledge, confidence and skills to manage their own health tend to have better health outcomes than those who have a more passive approach. Patients with high levels of activation understand their role in the care process and feel capable of fulfilling that role. Individuals with long term conditions, who are more highly activated, are more likely to engage in positive health behaviours and to manage their health conditions more effectively. On the other hand, people who have low levels of activation are less likely to play an active role in staying healthy. They are less good at seeking help when they need it, at following advice given by healthcare professionals and at managing their health when they are no longer being treated. Their lack of confidence and their experience of failing to manage their health often means that they may prefer not to think about it.
The PAM can make a valuable contribution to assessing a patient’s ability to self care at any given time. This assessment helps support next steps on what would be needed to increase their levels of knowledge, skills and confidence in order to improve their health and wellbeing outcomes. It can be used to tailor interventions to individual needs, significantly increasing the likelihood that people will adopt behaviours that contribute to better health. It can also help commissioners to make available the kinds of interventions needed, especially for those with low levels of activation who have most to gain.
The PAM should be used in conjunction with care and support planning and a range
of interventions to support self care. It comprises of 13 questions that match the respondent to one of four levels of activation.
10 Steps to implementing PAM
- Identify need
- Involving people and co-production
- Clarify the reason for its use
- Develop options for supporting self care
- Micro-planning
- Use the process map to identify resources needed
- Complete your implementation plan
- Provide ongoing support
- Plan continuous monitoring and evaluation
- Be prepared to support healthcare professionals in the
implementation
Resources
patient-activation-measure-quick-guide.pdf NHSE