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BGS Clinical Quality Steering Group (CQSG) work with NHS Benchmarking to develop PREM for Older People in Hospital

Tools such as the National Audit In-patient Survey and the Family and Friends Test provide users with the opportunity to give feedback but are unlikely to capture the experiences of older people adequately.  Dr Jackie Morris and Dr Fiona Thomson were charged with designing a Patient Reported Experience Measure (PREM) specifically for older people in hospital. Fiona Thomson is a Consultant Geriatrician from Hull and Dr Jackie Morris is a retired Consultant Physician, Vice President of the Patients Association and an Honorary Research Associate at University College London, both are members of the BGS Clinical Quality Steering Group. 

Members of the CQSG were aware of excellent work done by NHS Benchmarking (NHS BM) in relation to the National Audit of Intermediate Care (NAIC) and the data collection for their newer topic of Older People’s Care in Acute Settings. The NAIC included a validated PREM questionnaire but although it had the advantage of being readily available, not all questions were relevant to the acute setting. 

A collaborative piece of work was undertaken by representatives from NHS BM and BGS CQSG - the PREM used in NAIC was adapted to take account of work by the Patient Association, NICE (1) and Age UK (2).

The PREM is intended for use on older person wards and includes questions on treatment, information given to the patient and End of Life Care. 

The PREM was tested at 4 acute hospital sites and administrators were asked to complete a feedback form. Feedback from the sites was positive; the PREM was easy to use on an acute ward, , questions were relevant and participants were not upset by the question around End of Life discussions. Validation of the PREM is ongoing.

The PREM and supporting guidance is now available on both the BGS and NHSBM websites as a resource for organisations to use (data analysis is the responsibility of the user).

The PREM tool may be accessed here. Please send any comments to Joanna Gough



1. Patient experience in adult NHS services (QS15): NICE  2012

2. Measuring Dignity in Care for Older People – a research report for Help the Aged by the Picker Institute Europe (2008).



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