Skip Navigation

Provisional Quarterly Patient Reported Outcome Measures (PROMs) in England, April 2017 to September 2017

Publication date: 09:30 February 08, 2018

Summary

Patients undergoing elective inpatient surgery for four common elective procedures (hip and knee replacement, varicose vein surgery and groin hernia surgery) 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 2017 to September 2017 and covers groin hernia and varicose vein. There is currently insufficient data to present on hip and knee replacement procedures.


Key Facts

For the coverage period 1 April 2017 to 30 September 2017.

Chart1718v2

Participation and Coverage

  • There have been 135,125 PROMs-eligible procedures carried out in hospitals1 ,and 95,058 pre-operative questionnaires returned so far, a headline participation rate of 70.3 per cent (75.3 per cent for 2015-16).
  • For the 95,058 pre-operative questionnaires returned, 14,964 post-operative questionnaires were sent out2, of which 3,938 have been returned so far - a return rate of 26.3 per cent3 (72.1 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:

  • 51.6 per cent of groin hernia respondents (49.8 per cent for 2015-16) 
  • [Insufficient data for hip replacement4.] 
  • [Insufficient data for knee replacement4.] 
  • 51.3 per cent of varicose vein respondents (52.5 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:

  • 40.5 per cent of groin hernia respondents (37.6 per cent for 2015-16) 
  • [Insufficient data for hip replacement4.] 
  • [Insufficient data for knee replacement4.] 
  • 37.0 per cent of varicose vein respondents (41.0 per cent for 2015-16) 

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

  • [Insufficient data for hip replacement4.] 
  • [Insufficient data for knee replacement4.] 
  • 79.4 per cent of varicose vein respondents (82.1 per cent for 2015-16) ['Aberdeen Varicose Vein Questionnaire']

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.
  4. Due to the length of time before post-operative questionnaires are sent out for hip and knee replacements, there are not yet sufficient data to calculate unadjusted scores for these procedures.

Coverage

Date Range: 01 April 2017 to 30 September 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.

Tell us what you think of the new website beta.

We use cookies to provide you with a better service. Carry on browsing if you're happy with this, or find out how to manage cookies. Find out more