• Decide which outcomes are key to core/frequent activity, high risk, expensive, externally rated, most important for patients.
• There must be measured generic and sub-specialty outcomes.
• Provide comparisons against benchmarks or standards where possible.
• Create a system for urgent action if outcomes fall below acceptable levels.
• Move to an electronic patient record with inbuilt auditing facilities to reduce the burden of manual audit.
• PROMs can provide a patient-led assessment of health and quality of life.
• Find ways to spread best practice across the network.
• Ensure there is a critical mass of staff and patients to enable sufficient sub-specialisation.

“Really important outcomes must be made available regularly, ideally in real time, to all services and sites.”

“We need outcomes that are really important for patients.”