My Clinical Outcomes
Patient Reported Outcome Measures (PROMs)
are vital to hospitals and Consultants in
providing insight into how a patient perceives
their health, treatment, recovery and quality of
life. PROMs have been traditionally collected
on paper through short, self-completed
questionnaires, and then utilised to quantify
quality care and health gains from treatments.
They have previously only focused on four
areas – hip and knee replacements, varicose
veins, inguinal hernia repairs and cataracts.
London Bridge Hospital has taken this to
the next level, by adopting a new, state-of-
the-art feedback system. Built primarily for
orthopaedics, but now encompassing other
specialties, the system promotes communication
between primary care and tertiary care,
as well as involving the patient throughout.
This new, award-winning tool is called
‘myClinicalOutcomes’, and has the added
bonus of being completely paper-free.
The programme was conceived in 2010 in
the absence of a collection mechanism for
feedback from orthopaedic patients, and was
initially created, implemented and tested with
clinicians in 2011/12 in Cornwall.
Patients are encouraged to access and
register through a personalised portal,
completing a short, clinically validated,
condition-specific assessment, to assess
the severity of their current symptoms.
Over time, patients can update their
scores at leisure, and track their progress.
Otherwise, they will be prompted by
email to revisit the website every three
months, depending on their condition.
The system allows clinicians to monitor
patients’ progress remotely, and initiate
a consultation or treatment review if
necessary; providing vital feedback for
Consultant-specific clinical outcomes,
and long-term results. The system not
only informs clinicians of patients’
perception of treatment, but also
conveys the actual outcome and success
(or otherwise) of treatments. Patients
can continue to access their information
in the months and years beyond their
initial treatment, and it is currently the
only programme for data collection
that continues to involve the patient
London Bridge Hospital initially completed
a four-month pilot of the system in a small
group, to ensure the programme was
suitable and acceptable to patients, and
that it fitted in alongside care pathways.
Mr Spicer, Consultant Orthopaedic
Surgeon and part of the London Bridge
Orthopaedics Group, was part of
the pioneering pilot, and continues to
promote the system due to its success
so far. London Bridge Hospital is now
offering the programme to all orthopaedic
surgeons, and myClinicalOutcomes is in
the process of being adopted across other
specialties to encourage patient outcome
collection throughout the hospital.
The system has also been built with the
ability to include General Practitioners
and primary referrers. This exciting feature
enables GPs to register and follow their
patients’ progress. Patients are asked to
identify and share their information with
their General Practitioner, which then
allows them access to their records – a
functionality that London Bridge Hospital
is looking to introduce in the near future.
At London Bridge Hospital, we strive to constantly evaluate the quality of care we provide, and to achieve
better results for our patients. We are rising to the challenge of providing the highest quality care by
asking patients to feedback their experience and progress after treatment, in the form of clinical outcomes.
London Bridge Hospital
Quality of Care
Quality of Care
For more information, please visitwww.myClinicalOutcomes.co.uk
or contact Sarah Bailey, Orthopaedic
Clinical Nurse Specialist on:
T: 020 7234 2754