Outcome Measures 

What are Outcome Measures?

Outcome measures are tools that clinicians use to measure changes in people or communities that is attributable to an intervention or series of interventions.

Why do we need Outcome Measures?

In healthcare, outcome measures are important as they tell us many things about the person receiving treatment and also the service being provided.  In a broad sense, they significantly improve health and the experience of receiving treatment and care.

  • Outcome measures can tell us whether our plan of intervention had the intended effect for the recipient;
  • Outcome measures can also inform people about the quality and how effective the service is.  Outcome measures can also help service users in making decisions about which service or company to use;
  • Outcome measures can also reduce staff burnout and also reduce the cost of treatment.


Ben Holden Ltd

Historically our case managers have used outcome measures with a focus on client performance; most commonly the Canadian Occupational Performance Measure (COPM), Brain Injury Community Rehabilitation Outcome Scales (BICRO-39) and the Care and Needs Scale (CANS).

Therapy Outcome Measure (TOM)

Since 2020, we have been implementing the TOM with all new clients referred to Ben Holden Ltd.  The case manager will complete the TOM when completing the first assessment and then again at regular 3-month intervals.

The TOM has 4 key elements which are based on the World Health Organisation’s International Classification of Disability and Function (WHO, ICF, 2001).

The 4 elements are:

  1. Impairment – the underlying condition;
  2. Activity – ability to complete daily activities;
  3. Participation – social participation;
  4. Wellbeing – emotional heath.


At present we are collecting and analysing the data, later in the year we will have more results to share, please come back and visit this page soon!


We are proud to be an official supporter of the Institute of Registered Case Managers

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What do our clients & referrers say?

Before I was supported by Jo Forrest at Ben Holden Ltd, I was struggling with EVERYTHING caused by the RTA. I was incapacitated in a hospital bed in my dining room worried about the traumatic impact on my husband and family, not just following the accident, but the reality of my lack of independence, my ongoing care and my own physical rehabilitation.

Please pass on my thanks to all at Ben Holden for their help and patience with me over the past few years. Things are so much better for me now compared to when I came to you and you have all played a part in that, no matter how small, and I greatly appreciate it. Credit where it’s due in my eyes, and everyone at Ben Holden have been kind, courteous but perhaps more importantly understanding of my difficulties if/when I’ve been confused or remiss in remembering an invoice or some such. It is much appreciated.

Christa came to visit me numerous times in the Royal Free Hospital. Having assessed my needs, she organised repair of my wheelchair, hospital bed on my return home. Organised private physiotherapy and stay in care home. Once home, she came with me to private therapist in Harley Street.

Very kind, understanding and caring.

Before I started working with Ben I was struggling with the everyday tasks e.g. getting myself dressed, walking any distance, lifting, getting in and out of bed, bending. Within six months, Ben and his team enabled me to do all these things and return to work gradually, which resulted in me being able to do my pre-injury job.

My life began to significantly change. Ben treated me with the upmost dignity and respect. He coordinated a team of professionals experienced in working with neurological disorders, especially with people who had experienced an accidental severe traumatic brain injury or through illness. I felt confident that Ben would and did manage to select professionals who he somehow knew would manage my challenging eccentric behaviour and complex needs.

It was very reassuring to know that Ben was always at the end of the phone.  He was there when I needed him most. He always responded quickly and kept everybody involved well-informed of what was happening with Progress Reports.

I could trust Ben and felt reassured by his knowledge and patience.  He has a great and appropriate sense of humour. I would highly recommend Ben to others who would surely benefit from his expertise.

Ben was very helpful and promptly organised a good local physiotherapist for me. There I was given exercises specific to my problem, along with acupuncture and massage. This was invaluable, as nothing had been offered to id my recovery by my local hospital. In addition, Ben organised a six-month gym membership at my local leisure centre.

I always found Ben easy to talk to and he regularly called to check on my progress. I would not hesitate to recommend Ben Holden td, who gave me a very friendly and professional service.

My experience working with Ben was excellent. I felt very at ease, relaxed and confident with him. If I had any queries or needed extra support, he was always on the end of the telephone. Nothing was ever too much trouble.

I highly recommend Ben Holden, for his professionalism, friendliness and for the individual support I got. I would like to take this opportunity to thank Ben and his team for all their work getting me where I am today, leading a normal life again, and being able to put my accident behind me.

Before Ben Holden started working with me on my injuries, I was struggling daily and unable to progress with my rehabilitation back into normal life. Since Ben Holden Ltd took on my case I have been able to focus on getting my life back together following my accident.

Working with Ben made me feel confident and in control again, his relaxed and easy style made me feel I could talk to him freely about my concerns. I wouldn’t hesitate in recommending Ben Holden Ltd to anyone facing the prospect of life following a life changing accident.

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