Background Marie Curie has 9 hospices and hospice care at home services across the UK. The hospices are at varying degrees of implementation and confidence in the use of Patient Reported Outcome Measures (PROM). PROM are currently not in use within nurse-led hospice care at home services.

Aims Using a national, cross departmental steering group to drive and support the roll out of PROM across all 9 hospices.

Methods A national PROM steering group was established with representation from quality improvement, caring services, policy, impact, analytics and senior management. A survey was conducted to provide a baseline of each hospice’s level of implementation, training and use. A programme of work was established to support delivery of PROM to all hospices:

1. The analytics team worked closely with private analytics company (BLUEFish) and the clinical lead to develop a data dashboard.

2. The clinical lead recorded a training video that was edited by the learn and develop team.

Results

1. A standardised operating policy was created with clear guidance on which PROM were to be used, timings for completion within each service and expected documentation on the electronic systems.

2. A PROM lead was identified from each hospice.

3. A training video was created bespoke to Marie Curie using the Hull and York Medical School videos within it.

4. A PROM community of practice was created with representation from all hospices and pertinent departments.

5. A new analytics dashboard was created with data pulled from all services completing PROM.

Conclusion The programme of work has produced tools, guidance and put the necessary support in place for the 9 Marie Curie hospices to implement PROM.

Impact on practice: PROM have the power to improve patient care at an individual, local and national level.