The Friends and Family Test review

The Friends and Family Test was fully reviewed between November 2013 and March 2014, after the first six months of data collection in the A&E and inpatient settings.

The review drove a number of key decisions about how the FFT would operate as it was rolled out for implementation across further areas of the NHS. It contained a number of recommendations designed to promote the effectiveness and value of the FFT for the NHS, and for the public.

The review had the following specific purposes:

  • To assess the implementation, publication, use and reception of FFT during the first six months of national data collection, focusing on what worked well and what could be improved
  • To collect and present evidence of best practice across the settings
  • To judge whether the test in its present incarnation matches its original ambitions and, if necessary, to highlight any changes required to fulfil all of these functions, specifying any associated risks or barriers
  • To ensure that future NHS England guidance on FFT was evidence-based and reflected best practice

The review report was based on two main sources of evidence:

  1. Large-scale qualitative research with NHS staff, stakeholders, patients and the public, conducted independently by Ipsos MORI.
  2. Quantitative analysis of existing FFT data conducted by NHS England analysts and peer reviewed by the Office for National Statistics.

The FFT Review report

There are three appendices which are available on request to  These cover details of the quantitative research, the qualitative strand and the review of FFT suppressions.