Secondary Logo

Journal Logo

Letters to the Editor

Re: Key Performance Indicators Using Outcome Evidence in the United Kingdom

Preece, Richard M. MB, ChB, MBA, FACOEM

Author Information
Journal of Occupational and Environmental Medicine: February 2013 - Volume 55 - Issue 2 - p 119
doi: 10.1097/JOM.0b013e318278261e
  • Free

To the Editor:

Dr Guidotti1 has provided valuable advice about measuring and reporting performance in occupational health. It is important that occupational health teams can demonstrate their value and impact.

Although it is important to measure service activity, timeliness, and cost efficiency, ideally teams should also measure performance indicators linked to improved outcomes for their clients. These outcome indicators should be based on research evidence where it is available.

In England, we have been developing evidence-based outcome indicators.2 These are the foundation for a new clinical registry for occupational health for the Management of Health at Work Knowledge (MoHaWK) where teams can share service performance with colleagues in the United Kingdom, as well as internationally.

Outcome indicators have been developed for several areas of practice: infection control, occupational illness, absence, back pain, mental well-being, and health promotion.

MoHaWK was launched in April 2012 and already several hundred teams have registered from the United Kingdom and several other countries. At present, MoHaWK is freely available to all (

Richard M. Preece, MB,


Director of Organisational Development

NHS Plus

Bristol BS1 6EA, United Kingdom


1. Guidotti TL. What key performance indicators can be used in occupational health? J Occup Environ Med. 2012;54:1042–1043.
2. Stilz R, Madan I, Baker A. Evidence-based quality indicators for the NHS standards—core services. 2012. Available at: Accessed September 25, 2012.
©2013The American College of Occupational and Environmental Medicine