RCSLT Outcomes project

The Royal College of Speech and Language Therapists (RCSLT) has embarked on an innovative and ambitious project to support speech and language therapists with delivering and measuring effective outcomes.

RCSLT Bulletin articles about the project

RCSLT members can find out how to get involved and access more information and resources about on the outcome measures webpages.

Identifying the approach

In 2013, RCSLT members devised a list of eleven criteria to identify an existing outcome measurement tool to enable comparable, valid and reliable data to be gathered from across the profession.

Members identified that an outcome measure should be reliable, valid, easy to access and appropriate for use across key client groups.

Over 60 outcome measures, frameworks and systems commonly used by SLTs were appraised against this set of criteria. Therapy Outcome Measures for Rehabilitation Professionals 3rd Edition (TOMs, Enderby and John, 20151) was selected as the ‘best fit’. The adoption of TOMs by the profession was acknowledged to be an ‘opt-in’ process, enabling members to monitor local performance as well as contributing to a national dataset that could be used for benchmarking and promoting the role and the impact of the profession.

In 2015 the RCSLT Council approved the development of a proof of concept online tool to support collection of TOMs data. In response to the challenges described by members in relation to measuring and reporting outcomes, the RCSLT Online Outcome Tool (ROOT) has been developed to collect and collate TOMs data and generate aggregated data reports.  

RCSLT Online Outcome Tool

The RCSLT Online Outcome Tool (ROOT) is a stand-alone online tool that has been developed to collect, collate and report on outcomes data. Members from adult and paediatric SLT services across the UK have been piloting the ROOT.

Users of the tool can input TOMs data for service users directly into the ROOT, or upload data that has been extracted from databases within existing electronic systems. The ROOT collects data about the individual’s age, gender and diagnoses and TOMs ratings at different points in time.

Clinicians can use the tool to record and monitor outcomes for individual service users and access reports that show change over time in association with SLT interventions.

The ROOT also aggregates data across an SLT service and generates reports. These can be used by service managers to evaluate the outcomes delivered and support them with monitoring outcomes for specific clinical groups and evidencing the impact of SLT. Filters can be applied to the reports to drill down to specific clinical groups at the required level for data analysis and reporting.

Further information and resources

To find out more about the RCSLT’s journey with outcome measurement, please contact RCSLT Outcomes Project Officer kathryn.moyse@rcslt.org.

RCSLT Outcomes Project Presentations

  • RCSLT Outcomes Project - Powerpoint presentation: TOMs CONNECT conference 17 November 2016. Overview of the RCSLT’s approach to outcomes and outcome measurement presented by the project team.

RCSLT Bulletin articles on Outcomes

The RCSLT Online Outcome Tool
– RCSLT Bulletin February 2017

Kamini Gadhok and Kathryn Moyse report on initial feedback from the ROOT pilot sites.

Proof of concept – RCSLT Bulletin August 2016, p25
Kathryn Moyse reports on the latest Outcome Measures Project developments.

Overcoming the challenges of outcomes – RCSLT Bulletin June 2016, pp18-19
Kathryn Moyse reports on the culture change around delivering and measuring effective outcomes.

TOMs: A ‘best fit’ tool - RCSLT Bulletin January 2015, p21
Gaye Powell, Amy Ward and Dominique Lowenthal outline the progress of Phase 1 of the RCSLT Outcomes Project.

Outcomes and outcome measures: Phase 1 - RCSLT Bulletin October 2014, p18-19
Gaye Powell and Dominique Lowenthal consider the appraisal of potential outcome measures for the profession.

Outcomes and outcome measures - RCSLT Bulletin September 2014, p22 -24
Gaye Powell and Dominique Lowenthal present an update on the RCSLT Outcome Measures Project.

It’s time to stand and act together - RCSLT Bulletin May 2014, p21
Gaye Powell says we need to influence how our services are measured in a meaningful way – while we still can.


Enderby, P. and John, A. (2015) Therapy Outcomes Measures for Rehabilitation Professionals, Third edition. J&R Press Ltd.


Information and resources for RCSLT members

Outcome Measurement in Speech and Language Therapy

National Policy Context


Get involved


Webpages last reviewed: June 2017

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