Online Outcome Tool

Therapy Outcome Measures


COVID-19 speech and language therapy data collection

The RCSLT has developed a dataset to support the speech and language therapy profession with capturing data on the management of patients with confirmed and suspected COVID-19. This data will help us to understand the impact on patients and those that care for them, be that in an acute, clinic or community setting.

Speech and language therapy teams/services interested in using this dataset may do so by using one of the following two options: 

  • SpreadsheetA spreadsheet is available for you to download and begin collecting data on individuals with confirmed and suspected COVID-19. Click here to download the spreadsheet. In the longer term, the RCSLT would be interested in collating the data gathered by teams/services across the UK, to clarify lessons learned and inform preparations for future events. More information about this will follow in due course.
  • RCSLT Online Outcome Tool: If your team/service already uses the ROOT, you can record the COVID-19 status of each patient there with each rating. It is also possible to collect the additional fields included in the dataset on the ROOT. For more information, please contact

A guidance document has been developed, containing more information about the two data collection methods, along with a detailed set of definitions that accompany the dataset. Download the document here.

Please note that both the dataset and accompanying guidance are likely to change over time in response to feedback.  If you have any feedback or suggestions, please contact

It is recognised that this is an extensive dataset, and it is not necessary for services to collect all of the suggested data fields. Locally, you may wish to identify which are most relevant to your local needs. More information about this is available in the guidance document.

New TOMs scales now available on the ROOT

The newly developed condition-specific TOMs scales published in the Therapy Outcome Measure User Guide (Enderby & John, 2019) are now available on the ROOT. This includes scales for selective mutism, acquired dyspraxia of speech and cognitive communication disorder.

It is possible to record outcomes using all 21 of the new scales on the ROOT, but please be aware that it is not yet possible to generate reports for data collected using the following scales:

  • Velopharyngeal dysfunction
  • Auditory impairment/deafness/partially hearing
  • Equipment services
  • Hearing impairment/deafness

If you currently using any of these four TOMs scales, we would be interested in hearing from you. Please contact

You will also notice some other changes, including changes to the reports and new end of episode/discharge codes.

Please get in touch with any comments or suggestions using the ‘Leave Feedback’ button at the bottom of your screen.

Therapy Outcome Measures for Rehabilitation Professionals

Pamela Enderby and Alexandra John

The Therapy Outcome Measure (TOM) allows professionals from many disciplines working in health, social care and education to describe the relative abilities and difficulties of a patient/client in the four domains of impairment, activity, participation and wellbeing in order to monitor changes over time. TOM has been rigorously tested for reliability and clinical validity. It is quick and simple to use, taking just a few minutes to complete, and is used for treatment planning, clinical management, audit and research. It allows for the aggregations of data so that comparisons can be made for the purposes of internal and external benchmarking.

© Royal College of Speech and Language Therapists