We have been working with the Institute for Healthcare Improvement (IHI) and Picker Institute Europe to look at how NHS organisations in England can develop consistent ways to meet the individual needs of patients to make sure that care is patient centred and delivered in partnership with them and those close to them.
Always events, developed in the United States by the Picker Institute and now led by the Institute for Healthcare Improvement (IHI), laid the foundation for the development of IHI’s always events framework. This framework provides a strategy to help health care providers identify, develop, and achieve reliability in person- and family-centred care delivery processes.
NHS England, IHI and Picker Institute Europe have with a small number of provider organisations to test out the always events methodology. Organisations have now been enrolled for phase two of the project that will, from November 2015, test out a toolkit on how to develop always events within the NHS. We will also be working with NHS commissioners to develop effective ways of includingthis approach in the commissioning processes.
Great work has been done as staff members have engaged with patients and carers as partners, not just a token patient, with the pioneer Trusts aiming to have 50% staff and 50% patients/carers in the room when developing their always event. This has led to some great ideas that have made sure care is focused on what matters to the patient.
Always Events has been included in ‘Building the right support: A national plan to develop community services and close inpatient facilities for people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition’ (published in October 2015) as a key way for the transforming care partnerships to demonstrate the responsiveness and accountability of services.
Always events toolkit
We have been working with IHI and Picker Institute Europe to pilot always events in 10 Trusts across England, and develop a toolkit to support them.
This toolkit is for any organisation wanting to implement an always event using the always event methodology.