Skip to main content
Publication

Provisional Monthly Patient Reported Outcome Measures (PROMs) in England - April 2015 to June 2015

This is part of

Official statistics
Publication date:
Geographic coverage:
England
Geographical granularity:
Country, NHS Trusts, Hospital Trusts, Independent Sector Health Care Providers, Clinical Commissioning Groups
Date range:
01 Apr 2015 to 30 Jun 2015

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.

Extended analyses of the latest finalised data are published three times a year as 'special topics'. The latest, 'Time-series Analysis: PROMs from 2009-10 to 2014-15', was published on 12 November 2015.

Key facts

Click this screenshot to see average casemix-adjusted health gains and statistical outliers by hospital providers:

For the coverage period 1 April 2015 to 30 June 2015.

Chart 1

Participation and Coverage

  • There have been 66,125 PROMs-eligible procedures carried out in hospitals1 and 47,660 pre-operative questionnaires returned so far, a headline participation rate of 72.1 per cent (76.2 per cent for 2013-14).
  • For the 47,660 pre-operative questionnaires returned, 6,843 post-operative questionnaires were sent out2, of which 2,899 have been returned so far - a return rate of 42.4 per cent3 (73.6 per cent for 2013-14).

Unadjusted 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:

  • 48.8 per cent of groin hernia respondents (49.7 per cent for 2013-14)
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 52.2 per cent of varicose vein respondents (51.8 per cent for 2013-14)

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:

  • 36.1 per cent of groin hernia respondents (37.3 per cent for 2013-14)
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 36.8 per cent of varicose vein respondents (39.9 per cent for 2013-14)

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

  • [There is no condition-specific scoring for groin hernia patients.]
  • [Insufficient data for hip replacement4.]
  • [Insufficient data for knee replacement4.]
  • 82.1 per cent of varicose vein respondents (82.9 per cent for 2013-14) ['Aberdeen Varicose Vein Questionnaire']

Methodology Change

Figures produced for this and subsequent publications may differ slightly from previous figures in part because of a change in methodology.


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 19 of the 66,125 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.

Resources

Related links

Last edited: 11 April 2018 5:12 pm