Online Outcome Tool

Therapy Outcome Measures



As you may already be aware, at the RCSLT we are currently in the process of transitioning the RCSLT website and other online tools and resources across to a new digital platform as part of the RCSLT’s digital transformation. We have updated the design of the ROOT for consistency across our digital estate, including use of the new RCSLT digital logo. We’d love to hear what you think!

Recent changes to the ROOT

The next time that you log in to use the ROOT, you will be asked to give consent for your personal data to be collected and used in relation to your use of the ROOT, confirm that your details are correct and complete an acceptable use agreement.

Our new Privacy Policy will make it easier for you to find out how we collect, use and protect your personal data in relation to the ROOT. Click here to view the privacy policy.

Erratum for the TOMs AAC adapted scale

The third edition of 'Therapy Outcome Measures for Rehabilitation Professionals' (Enderby and John, 2015) details on page 102 that it is necessary to consider and score the activity, participation and well-being without AAC and with AAC. This has not been found to be practical and it has been decided that clients should be rated in the same way as on other adapted scales i.e. as they present at a particular time point: initial, intermediate (if required) and at end of episode of care or discharge. The ROOT has been adapted to accommodate this change in the TOMs. For further information, please contact

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