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Professor Nick Black NHS England Discuses PROMs in England Progress and Challenges

Professor Nick Black Professor of Health Services Research,  London School of Hygiene and Tropical Medicine  & Chair, National Advisory Group on Clinical Audit and Enquiries (NAGCAE)  NHS England Discuses PROMs in England Progress and Challenges:

  • PROMs: current developments
  • existing evidence to support the value of PROMs in practice, for commissioning and to improve patient care


The approach in England to PROMs has comprised a national, top-down programme aimed at comparing provider performance and uncoordinated local applications aimed at improving clinical management of patients and services. What has been achieved through the national programme will be summarised. The principal challenges will be discussed: need to clarify the uses of PROMs; methodological challenges of using PROMs in long-term conditions, dementia and emergency conditions; bringing the top-down and bottom-up approaches together; adopting new data collection methods; preventing mis-interpretation of PROMs outputs; improving outputs; and collecting and sharing good local applications.

After qualifying in medicine from Birmingham University in 1974, Nick Black worked in NHS hospitals before joining Save the Children Fund to run a child health programme in Nepal.  He then underwent post-graduate training at Oxford, including a doctorate on reasons for the epidemic in surgery for glue ear in the UK, before spending three years as a lecturer at the Open University writing a distance-learning course 'Health and Disease' with a biologist, sociologist and economist. 

In 1985 Nick Black moved to a Senior Lectureship at the LSHTM and was promoted to a Chair in Health Services Research in 1995.  His main research interests are the use of clinical databases for evaluation and audit of health services (particularly in the field of surgery and critical care), patient-reported outcomes, non-randomised methods of evaluation and, recently, dementia care. In 1996, together with Nick Mays, he founded the Journal of Health Services Research & Policy, which they continue to edit and, in 2005, was elected Chair of the newly created UK HSR Network (part of the NHS Confederation). In 2006 he published Walking London’s Medical History (new edition 2012) to raise public understanding of health services and health care policy through seven walks through London. In 2007 he was appointed the first chair of the DH National Clinical Audit Advisory Group (now National Advisory Group for Clinical Audit & Enquiries.)

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Events of interest: 

Patient Experience Insight: Demonstrating Responsiveness to Feedback
Wednesday 4 February 2015, Birmingham

A Practical Guide to Improving Outpatient Services
Thursday 12 February 2015, London

Setting Up and Running Virtual Clinics
Monday 20 April 2015, London

Download: Nick Black Full Presentation

3 December 2014


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
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