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hi Cassander.
1. Peer reviewed lit for NPS is health is a little thin on the ground. there is more from the US but of course that is a more commercial model than here. initiatives such as the east midlands have picked up on n the simplicity of NPS but not the real bloodline - which is cultural. They are also walking into the scenario i outline above.
2. expanding PROMS would be a good plan irrespective of robust methodologies for patient experience. the real focus of PROMS is outcome not experience and because of the length of survey and funding model for it, the mandated way the surveys are set up it would be potentially more expensive than it would need to be. also PROMS would need to be far more ubiquitous than the current 6 or so procedures. A fine idea but in practice it might prove a bit costly - when net patient score is so simple and easy.

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