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Outcome measurement in speech and language therapy: a digital journey. BACKGROUND: Evidencing the impact of speech and language therapy interventions is challenging. The UK's professional body for speech and language therapists (SLTs) is supporting a consistent approach to outcome measurement and analysis using Therapy Outcome Measures (TOMs). OBJECTIVE: To develop a digital solution for collecting TOMs data, evaluate the impact of therapeutic interventions and explore contributing factors to outcome variation across clinical areas. METHOD: Agile methodology was applied to software development. Organisations were recruited to provide data. Criteria were identified to exemplify outcome variability. RESULTS: A digital tool was developed. 21 organisations provided data on 16 356 individuals. Improvement in at least one domain of TOMs occurred in 77.1% of instances. Data for two clinical areas exemplify the tool's effectiveness in highlighting the impact of speech and language therapy. CONCLUSION: This established outcomes data set can be used to evaluate the impact of speech and language therapy, and explore variation in outcomes.