Recommendation 25

Developing measures of outcome

It should be considered the duty of all specialty professional bodies, ideally together with the National Institute for Health and Clinical Excellence, to develop measures of outcome in relation to their work and to assist in the development of measures of standards compliance.

The Academy of Royal Medical Colleges and Faculties are committed to delivering consistent and high quality patient experiences and outcomes and will continue to support the design, implementation and review of clinical standards and the processes for assuring their use. The Academy will do this in a patient-focused way and in conjunction with key partners. The Academy of Royal Medical Colleges and Faculties have always taken an active leadership role in setting clinical service delivery standards. In addition, with individual Royal College and Faculty activity such as accreditation schemes and invited reviews and the Academy’s membership of the National Institute for Health and Care Excellence’s Implementation Collaborative, involvement in assuring compliance with clinical standards is continuing to strengthen.

In response to the inquiry, the Academy and the National Institute for Health and Care Excellence are also working to agree and implement how medical and other Colleges will contribute to the development of outcomes measures. For example, on staff suitability and competence; evidence based tools for establishing what each service is likely to require as a minimum in terms of staff numbers and skill mix; and measures of standards compliance.

The Care Quality Commission will look at the implementation of the National Institute for Health and Care Excellence clinical and other guidelines as part of their inspection process and there is a move to greater transparency of clinical outcomes – NHS England has for the first time published clinical outcomes by consultant for ten medical specialties and has also begun to publish data on the friends and family test.


The medical Royal Colleges and Faculties continue to develop standards within their specialist areas and provide direct input to the development of the National Institute for Care and Health Excellence’s guidance with the aim of driving improvement in health and patient care.

The Colleges are working with the Care Quality Commission on their contribution to the regulator’s standards and inspection processes.

The relevant Colleges have been actively involved with NHS England in the publication of consultant treatment outcomes data for specific specialties.

Work is also being taken forward to develop the scope and remit of Colleges’ supported service accreditation schemes and, particularly to ensure consistency of approach, including a common framework and set of standards for accreditation across services and specialties.