Moving towards personalised care

We are changing the way that care is delivered across the trust, with an aim to make it meaningful to the people using our services and what is happening in their lives, enabling them to be in charge of their own care.

The use of three core patient rated outcome measures (PROMs) are recommended to help assess a persons mental health and wellbeing needs, namely:

scale of 11 questions (DIALOG)
recovering quality of life (ReQOL-10)
goal based outcomes (GBO)

Nationally, all three PROMs have been chosen to work alongside each other because they all do different things that compliment each other and will allow us to measure effectively quality and safety, inclusion and equity, education and learning and research and innovation, with a focus on quality of life measures and meaningful outcomes for people using our NHS services. Patient reported outcome measures are a valuable tool in supporting professionals to offer personalised and appropriate care that focuses on and responds to people’s needs, helps structure a person’s care but considering what is important to the person themselves, meaning a holistic and patient centres approach, which truly reflects the ethos presented in the Rotherham, Doncaster and South Humber NHS Trust (RDaSH) clinical strategy.

What are DIALOG+ and the patient rated outcome measures?

DIALOG

DIALOG is a scale of 11 questions which allow a service user to rate their overall quality of life and experience of the care they receive. It identifies a PROM on the initial 8 questions on life domains, and a Patient reported experience measure (PREM) from the final 3 questions on the treatment they are receiving. It helps structure a person’s care by considering what is important to the person themselves, enabling a holistic and patient-centred approach.

DIALOG+

DIALOG+ builds on the DIALOG scale to provide a full therapeutic intervention using a 4-step approach based on solution focused therapy and has been specifically developed to make routine patient-clinician meetings therapeutically effective. DIALOG+ focuses on the patients’ desired future, not their past problems or current conflicts and is personalised and outcome driven.

ReQOL-10

Recovering quality of life (ReQOL-10) assesses the quality of life for people with different mental health conditions, specifically quality of life, an enabling tool for users.

Goal based outcome (GBO)

GBO is a way of evaluating progress towards goals across all aspects of clinical work.

When should DIALOG be completed?

Episode start

At the start of a new treatment episode, for example, admission to an inpatient treatment, home treatment service, or other community service, referral to new provider organisation.

For acute treatment DIALOG should be carried out within 48 hours.

For community settings it should be obtained within the first or second meeting.

Review

Every four weeks for acute treatment, inpatients and crisis teams and no longer than six months for ongoing treatment in community services and other outpatient clinics.

More frequent DIALOGs maybe carried out when carrying out DIALOG is clinically indicated.

Episode end

At the end of treatment episode (discharge from a team, service or provider organisation).

Useful resources

We have also developed an 11 questions video animation (opens in new window) to explain in more detail what each of the 11 questions in DIALOG is asking, enabling a more in-depth conversation of different elements of a persons life and what they may need the most support with.
Dialog patient leaflet (easy read)

Page last reviewed: September 30, 2024
Next review due: September 30, 2025

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