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Study of Clinical Outcomes Recording and Evaluation


SCORES - the Study of Clinical Outcomes Recording and Evaluation System - is a measurement tool developed by Fortius. For it to be really useful, and benefit future patients, we need the involvement and cooperation of existing patients to help us collect, record and analyse the results of our work, and to measure the quality of the service we offer.

To gather information for SCORES, we ask each patient to answer some short questionnaires about their condition and general health both at their first Fortius appointment and later on, to monitor any changes. Although no one is obliged to take part, we encourage all our patients to do so as the information is used to review our clinical work, treatment guidelines and to help improve the quality of care we provide.

Although we may publish our results or share information with our health partners, this involves only aggregated, anonymous data and it is not personally identifiable. To read our data protection policy click here.

If you have any queries or comments about SCORES, please contact our Outcomes Team.

Please choose a category below for more information:

Clinical Outcomes

Patient Involvement




Clinical outcomes

What are clinical outcomes?

Clinical outcomes are defined as a “change in health likely to be due to a medical/clinical intervention or series of interventions”. They can be measured by examining the impact treatment has on important areas of daily life ─ such as levels of pain and the ability to carry out normal activities.

The change is measured by collecting information from patients before and after treatment. These results are put into context by also collecting details about their general health, age, gender and level of physical activity.

Why is collecting clinical outcomes important?

Unless we systematically measure clinical outcomes, we cannot be sure what effect our treatments have. SCORES allows us to audit and evaluate our treatment and to determine the standard of care we provide. It helps us to identify any problems or undue complications, to prevent these happening again. In the long term, evaluating the outcomes of treatment provides evidence of its benefits, risks and results. Patients and clinicians can use this information to determine the most appropriate treatment for their condition.

Do clinical outcomes have to be collected?

Collecting clinical outcomes is not a legal requirement but at Fortius we believe it is an important part of ensuring the highest standards of treatment and it is an important part of our commitment to providing excellent care.

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Patient involvement

Which patients are included in SCORES?

Our aim is that all patients receiving treatment from clinicians at Fortius will be invited to participate in SCORES.

What are patients asked to do?

Patients are invited to complete questionnaires before and after treatment. Timing and frequency will depend on the specific condition. Patients complete the questionnaires themselves, without including any Fortius assessment, to provide a more accurate picture of how they really feel and their level of satisfaction with Fortius treatment, advice and care.

Is taking part compulsory?

No, we don’t insist patients complete the questionnaires, although we do encourage them to do so. The greater the number of patients completing questionnaires, the more accurate and insightful the results and findings will be. This will then benefit future patients.

How are the questionnaires completed?

The questionnaires are generally completed online. We send a link to the SCORES patient portal before every patient’s first appointment. If this is not convenient, the initial questionnaire can be completed at Fortius. Patients who would prefer this method are asked to arrive at least 15 minutes before their first scheduled appointment when clinic staff will be pleased to help.

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We use three types of questionnaire, each measuring different elements of your health. Some questionnaires are also referred to as ‘PROMS’ (Patient Reported Outcome Measures) or ‘scores’.

Condition specific scores

These scores measure factors directly related to the problem you have, such as a knee or shoulder condition. They are used throughout the world and have been developed specifically to detect and measure changes in musculoskeletal conditions. Although you may feel that not all the questions apply to you, it is important that you still answer them if you can.

Patients are invited to complete this type of score questionnaire before their first appointment and at various stages after treatment. Sometimes patients may be asked to complete a different score questionnaire once a diagnosis has been made.

Patient history questionnaire

This form gathers information about your condition as well as your general health and activity levels. It helps us to evaluate the effect of your treatment in more depth, for example by showing that the outcome is better if surgery is done at a specific time after an injury, or when patients are in good health. We appreciate that you may be asked these questions again during your consultation – this is because the surgeon likes to hear about these matters directly from you; however, systematically collecting this information as part of SCORES means it can be analysed more easily. Patients will only be asked to complete this form at the start of treatment.


The EQ-5D is a very short, simple online measure of general health developed by an international health outcomes organisation. It allows us to measure any changes in a patient’s general health and wellbeing.

What happens to the information that patients provide?

We analyse the data to audit and evaluate the care we give. It gives us a greater understanding of the benefits and risks of the treatments we provide, giving us an opportunity to improve and develop these as required.

Although we may publish our results or share information with our health partners, this will involve aggregated, anonymous data only and it will not be personally identifiable. Amplitude, the company which runs the SCORES software, also runs some national orthopaedic registries and, with a patient’s permission, their data may be passed to them.

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How secure is my personal data?

The information is securely stored by Amplitude, the company running the SCORES software. Their data centre is ISO 270001 certified which means that the information they store is secure.

Although we require personal information such as your name and date of birth, this is only so that we are able to link the questionnaires answered to the treatment that is given.

Under no circumstances will any personally identifiable data will be passed to any other parties without your permission.

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