Exploring and monitoring outcomes within routine clinical practice is
central to high quality patient care. It is however a complex and chal
lenging task. Multiple interests in outcomes information are apparent
and different perspectives on what counts as an 'effective' interventi
on or 'successful' outcome. The paper provides insight into ways to ex
plore and monitor the desired outcomes of key participants to the heal
th care process. In particular, it outlines the approach of the outcom
es grid, and applies this to services for genitourinary medicine.