All Measures

The following page details all measures. Use the navigation to jump to any specific measure

Patient Measures

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Outcome Patient Measures

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Quality of Life

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Health Status

The howRu health status measure is a short generic Patient-Reported Outcome Measure (PROM) to track and compare patients’ perceptions of how they feel and what they can do. (PROM, 24 words, 8 years).

Benson T, et al. Evaluation of a new short generic measure of HRQoL: howRu. Inform Prim Care 2010;18:89–101. (pdf)

Personal Well-being

The Personal Well-being Score (PWS) is a simplified version of the ONS4. It covers life evaluation, worthwhileness, happiness and anxiety. (PROM, 29 words, 9 years)

Benson T, et al. Personal Wellbeing Score (PWS) – a short version of ONS4: development and validation in social prescribing. BMJ Open Qual 2019;8:e000394. (pdf)

Patient-specific

Sleep patterns are an important determinant of health and well-being. (PROM, 29 words, 6 years)

 

Sleep

Sleep patterns are an important determinant of health and well-being. (PROM, 29 words, 6 years)

Fatigue

Fatigue is a common complaint in primary care and has a big impact on quality of life. (PROM, 27 words, 9 years)

Individual care

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Health confidence

The Health Confidence Score (HCS) captures what people think about their health literacy, self-efficacy, access to care and shared decision-making. (PROM, 38 words, 7 years)

Benson T, et al. Development and initial testing of a Health Confidence Score (HCS). BMJ Open Qual 2019;8:e000411. (pdf)

Self-care

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

 

Self-care

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Shared decisions

This measure is based on guidance from the Office of National Statistics (ONS) and is an alternative the measure listed in Patients 2. (PROM, 17 words, 5 years)

Behaviour change

Behaviour change covers your capability, opportunity and motivation (conscious and unconscious) to change what you do, based on Michie’s COM-B model. (PROM, 29 words, 6 years)

Adherence

Adherence includes remembering to take medications, do treatments and to follow instructions, given side-effects, recovery and satisfaction. (PROM, 32 words, 8 years)

Acceptance of loss

Acceptance of loss covers how you cope with loss, learn to live with events, including recognition of capabilities and change, how to do things differently and to move on with life, along the lines of the grief cycle. (PROM, 32 words, 6 years)

Community

Social determinants

Social determinants of health (SDH) impact health and care outcomes but are outside the clinical system. Education, self-esteem (status), housing and poverty all play a big role. (PROM, 31 words, 7 years)

Loneliness

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Neighbour relationships

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Personal safety

Personal safety includes physical safety (from injury) and emotional safety (from verbal abuse or discrimination), which may take place either inside your own home or when you go out. (PROM, 30 words, 10 years)

Loneliness (ONS)

Experience patient measures

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Care provided

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Patient experience

The howRwe Patient-Reported Experience Measure (PREM) measures patients’ perception of service provided (kindness, communication, promptness and organisation). (PREM, 18 words, 7 years)

Benson T, Potts HWW. A short generic patient experience questionnaire: howRwe development and validation. BMC Health Serv Res 2014;14:499.

Service integration

Service integration captures patients’ perceptions of how well different services work together to help them. (PREM, 35 words, 8 years)

Benson T. Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs). BMJ Open Qual 2020;9:e000789. (pdf)

Provider Culture

Privacy

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Innovation

Digital confidence

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Product confidence

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

 

User satisfaction

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Digital readiness

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Staff Measures

R-Outcomes’ family of short generic staff-reported measures cover job satisfaction (work well-being) and confidence and their view of the service provided, staff relationships, how well services work together and shared decision-making.

In many situations, staff are well placed to judge the quality of services provided, because they see patients all day. Staff measures are usually collected anonymously. All R-Outcomes measures require a license.

Outcome staff measures

Quality of life

Health status

The howRu health status measure is a short generic Patient-Reported Outcome Measure (PROM) to track and compare patients’ perceptions of how they feel and what they can do. (PROM, 24 words, 8 years).

Benson T, et al. Evaluation of a new short generic measure of HRQoL: howRu. Inform Prim Care 2010;18:89–101. (pdf)

Work wellbeing

The Work Wellbeing Score (WWS) measures staff satisfaction in four ways: overall satisfaction, worthwhileness, happiness and anxiety. The WWS is based on ONS personal wellbeing questions.

Staff-specific

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

 

Assessed need

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

 

Individual care

Job confidence

The Job Confidence Score (JCS) is a short measure of staff confidence to do their job, addressing knowledge, ability to manage the work, access to help and involvement in decisions.

Experience staff measures

Care provided

Service provided

This measure captures staff perceptions of the care they provide to patients, in a way that is independent of specialty or type of treatment.

Service integration

Better care integration is essential to improve the efficiency and effectiveness of new models of care.
Provider culture
Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Staff relationships

Good relationships and communication between staff working in different services are critically important for patients seeking joined up care.

Shared decisions

This measure covers staff views on their patients involvement in clinical decisions, including the risks and benefits of each option.

Patient safety

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Staff safety

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Privacy

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Innovation

IT capability

IT capability, which is also called digital confidence, assesses how staff feel about using IT at work in terms of confidence, learning, getting help and solving problems.

Product confidence

The Digital Confidence Score (DCS) is a short generic measure of people’s self-efficacy in using digital devices including smartphones, tablets, laptops and PCs.  The purpose of the DCS is to help is to group people according to their level of digital self-efficacy and digital inclusion, so that people who need more help get it, and those that do not need help with digital devices can get on with it.

User satisfaction

Self-Care includes self-management of diet, physical activity, weight and medication. (PROM, 28 words, 9 years)

Innovation readiness

People and organisations vary in how ready they are to adopt innovations. People may or may not be open to the need for change or be well-informed about what is possible. Organisations may or may not be receptive to new ideas or have the capability to make change work well.

Innovation process

Innovation process is based on Normalisation Process Theory (NPT), which focuses on project management and engagement. (PREM, 35 words, 7 years)

Carer Measures

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue.  These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers.  All use the standard R-Outcomes format of four question items with four response options each.

Cared for

This measure captures the amount of help needed by the person being cared for, including unpredictable needs and behaviour problems. (PROM, 28 words, 9 years)

Carer Wellbeing

Carer well-being measures how being a carer impacts their quality of life. (PROM, 31 words, 9 years)

Carer Confidence

Carer confidence measures people’s perception of their capability in the carer role. (PROM, 29 words, 8 years

Shared Decisions

Shared decisions focus on the carer’s perception of being involved in decisions that affect them and the person they care for. (PROM, 28 words, 9 years)

Carer Experience (howRwe)

Carer experience focuses on the support carers receive from the health and care services. (PREM, 19 words, 7 years)

Service Integration

Service integration measures how well services collaborate to help carers and the people they care for. (PREM, 30 words, 8 years)