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Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England, April 2016 to March 2017 - February 2018 Release

Publication date: 09:30 February 08, 2018

Summary

Patients undergoing elective inpatient surgery for hip and knee replacement, funded by the English NHS are asked to complete questionnaires before and after their operations to assess improvement in health as perceived by the patients themselves. This publication is for Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England - April 2016 to March 2017. 

PROMS data on Groin Hernia and varicose vein surgery ceased to be collected on 1 October 2017 following the consultation on the future of PROMs by NHS England. Full year, finalised data for 2016/17 has been published for these procedures in a separate statistical release.


Key Facts

For the coverage period 1 April 2016 to 31 March 2017.

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Participation and Coverage

  • There have been 169,127 PROMs-eligible hip and knee replacement procedures carried out in hospitals1 ,and 153,015 pre-operative questionnaires returned so far, a headline participation rate of 90.5 per cent (91.9 per cent for 2015-16).
  • For the 153,015 pre-operative questionnaires returned, 145,244 post-operative questionnaires were sent out2, of which 103,227 have been returned so far - a return rate of 71.1 per cent3 (75.7 per cent for 2015-16).

Web Platform Tool

NHS Digital are using Microsoft's Power Bi to create an interactive web platform tools to surface our data. PROMs data can be accessed by clicking the image below. 

PROMs Google Map Tool

Google Mapping Tool

Search for providers by postcode/area and choose the procedure type and measure to view the current and historical average casemix-adjusted health gains and statistical outliers by hospital providers by clicking the image below.

PROMs Google Map Tool


National Scores

Comparing pre- and post-operative 'EQ-5D Index' scores (a combination of five key criteria concerning patients' self-reported general health), an increase in general health was recorded for:

  • 88.8 per cent of hip replacement respondents (88.4 per cent for 2015-16)
  • 80.9 per cent of knee replacement respondents (80.7 per cent for 2015-16)

Comparing pre- and post-operative 'EQ-VAS' values (the current state of the patient's self-reported general health), an increase in general health was recorded for:

  • 67.2 per cent of hip replacement respondents (65.6 per cent for 2015-16)
  • 57.5 per cent of knee replacement respondents (56.4 per cent for 2015-16)

Comparing pre- and post-operative responses to condition-specific questions, improvements in patients' conditions were recorded for:

  • 96.4 per cent of hip replacement respondents (96.5 per cent for 2015-16) ['Oxford Hip Score']
  • 93.5 per cent of knee replacement respondents (93.6 per cent for 2015-16) ['Oxford Knee Score']

Footnotes

  1. An 'eligible procedure' is counted for each episode in HES in the period in question which has been clinically coded with relevant hip, knee, varicose vein or groin hernia OPCS procedure codes which make it suitable for inclusion in PROMs. Some patients may have undergone more than one PROMs procedure in a single eligible episode, hence there will be more procedures than episodes: this is the case for 69 of the 264,120 procedures.
  2. Not every pre-operative questionnaire will have a post-operative questionnaire sent out, for various reasons including the cancellation of an operation or the death of the patient.
  3. This will be an underestimate of the true rate due to the time delay in returning post-operative questionnaires.

Coverage

Date Range: 01 April 2016 to 31 March 2017
Geographical coverage: England
Geographical granularity: Country, NHS Trusts, Hospital Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups

Have a question? Call us on 0300 303 5678 or contact enquiries@nhsdigital.nhs.uk.

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