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Clinical outcomes

Great Ormond Street Hospital (GOSH) always aims to provide the best possible care. To help us monitor the quality of our services, we measure what we do and how we do it. This is presented in our Quality Account.

One aim of the <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218878 0 oLinkInternal Quality Account Quality Account archive false /health-professionals/clinical-outcomes/quality-account-archive/ true false%> is to make sure our clinical outcomes keep us among the world’s top five children’s hospitals.

A clinical outcome is the “change in the health of an individual, group of people or population which is attributable to an intervention or series of interventions”.*

* Taken from: Frommer, Michael; Rubin, George; Lyle, David (1992). "The NSW Health Outcomes program". New South Wales Public Health Bulletin 3: 135. doi:10.1071/NB92067. 

We recently undertook expert service user consultations with a small group of patients attending GOSH services and their family members as a first step to exploring patient and parent views of patient reported outcome and experience measures (PROMs and PREMs), and to inform a multiprofessional workshop on PROMs and PREMs in paediatric health care. The consultations were held in form of two focus groups, one with young people who are currently, or have been, patients of GOSH, the other with their parents or carers and wider family members. The report summarising key findings from these focus groups  is available here.

Measuring clinical outcomes

All the clinical services in the hospital are developing ways to measure the outcomes of their care to show how well they are doing.

We have provided examples of clinical outcomes from some of our specialties:

  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218486 0 oLinkInternal Adolescent medicine Adolescent medicine clinical outcomes false /health-professionals/clinical-outcomes/adolescent-medicine-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 270988 0 oLinkInternal BMT BMT clinical outcomes false /health-professionals/clinical-outcomes/bmt-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 194709 0 oLinkInternal Children's Acute Transport Service (CATS) CATS clinical outcomes false /health-professionals/clinical-outcomes/cats-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 249465 0 oLinkInternal Cleft Cleft clinical outcomes false /health-professionals/clinical-outcomes/cleft-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218491 0 oLinkInternal Clinical genetics Information for clinical genetics clinical outcomes false /health-professionals/clinical-outcomes/clinical-genetics-clinical-outcomes/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218495 0 oLinkInternal Dermatology and occupational therapy Information for Dermatology and Occupational Therapy clinical outcomes false /health-professionals/clinical-outcomes/dermatology-and-occupational-therapy-clinical-outcomes/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 274979 0 oLinkInternal Haemophilia Haemophilia clinical outcomes false /health-professionals/clinical-outcomes/haemophilia-clinical-outcomes/ true false%>
  • Immunology
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 203446 0 oLinkInternal Infectious diseases&#160; Link to infectious diesease results false /health-professionals/clinical-outcomes/infectious-diseases-clinical-outcomes/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218498 0 oLinkInternal Interventional radiology Information on interventional radiology clinical outcomes false /health-professionals/clinical-outcomes/interventional-radiology-clinical-outcome/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 274922 0 oLinkInternal Ophthalmology Ophthalmology clinical outcomes false /health-professionals/clinical-outcomes/ophthalmology-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 203445 0 oLinkInternal Orthopaedics and physiotherapy Link to orthopaedics and physiotherapy clinica outcomes false /health-professionals/clinical-outcomes/orthopaedics-and-physiotherapy-clinical-outcomes/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 149984 0 oLinkInternal Rheumatology and physiotherapy Rheumatology and physiotherapy clinical outcomes false /health-professionals/clinical-outcomes/rheumatology-and-physiotherapy-clinical-outcomes/ true false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 205192 0 oLinkInternal Specialist neonatal and paediatric surgery Information for results of specialist neonatal and paediatric surgery clinical outcomes false /health-professionals/clinical-outcomes/specialist-neonatal-and-paediatric-surgery-clinical-outcomes/ false false%>
  • <%$Linker: Internal <?xml version="1.0" encoding="utf-16"?><dictionary /> 2 218876 0 oLinkInternal Links to national or international outcome measures for Cardiac, Paediatric Intensive Care, Cystic Fibrosis and Nephrology Links to national or international outcome measures false /health-professionals/clinical-outcomes/links-to-national-or-international-outcome-measures/ true false%>

Specialist care

The specialised care we provide sometimes means we cannot compare what we are doing with other UK centres.

So we have looked for ways to compare our clinical performance both against agreed standards or, where possible, with other organisations nationally and internationally to look at how we are doing over time.

Please let us know if you found this section helpful and easy to understand, or if there is any additional information you would like but couldn't find, by emailing Meredith Mora, Clinical Outcomes Development Lead.