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)
