The Chief Nursing Officer for England shares an update on NHS England’s Always Events programme and celebrates the fact that 100 organisations are now using it to improve outcomes and experiences for patients and those we care for:
Co-production is a way of working that sees people who use services, their families and carers, being involved in helping design improvements to those services.
It builds on the principle that people who use a service are best placed to help design and improve it.
Always Events is a quality improvement methodology which uses co-production to improve their experience of care. NHS England has been working with the Institute of Healthcare Improvement, the Picker Institute, Europe and NHS Improvement to help grow a community of organisations since the first pilot sites went live in 2015.
I am very pleased to announce that there are now over 100 organisations with senior support and commitment working with NHS England to co-design, test and implement Always Events, meaning that our target, as set out in the NHS Mandate 2017-18 has been met. This represents over 40% of all NHS trusts using the methodology to improve the experience of care of people who use their services.
We’ve seen some great examples of patients being involved in co-designing changes to improve their experiences of care; from flexible visiting, improved communication at discharge, to patients feeling involved in their care planning, through to service users being supported in moving on in care (transitions in care).
Always Events is effective in a vast range of settings such as maternity, children’s services, learning disability and mental health services, out-patients, acute inpatient wards, and community nursing. Some examples include:
- Central London Community Healthcare NHS Trust have been working with people using their community nursing service to ensure that patients, relatives and carers are always involved in the planning and delivery of their care.
- Lancashire Care NHS Foundation Trust has worked with people in a secure mental health setting to ensure that “My Voice Always Matters” encouraging feedback and timely responses.
- Humber NHS foundation Trusts has worked with people in Townend Court Assessment and Treatment Unit for people with learning disabilities to ensure that patients on the unit are able to contact people who are important to them 24 hours a day.
The success of the Always Events work has clearly demonstrated that both patients and staff benefit from using co-production methodologies to improve services but we are not resting on our laurels.
A set of case studies and evaluation of the scale-up and spread of Always Events, undertaken by Picker Europe, will soon be added to the Toolkit and evaluation of the Pilot Programme available through the link below. In 2018-19 we are exploring how we can spread this approach into Primary Care.
We want this to become more of a social movement, spreading genuine partnerships with people who use our services to improve experience of care to all parts of the NHS. If your organisation is not already working in this way, get in touch with the Team, view more information, or watch this video about Always Events.