Always events

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 ensure that care is patient centred and delivered in partnership with them and those close to them.

Always Events, initially conceived 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 initially worked in 2015 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 embedding this approach in 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 so great ideas that have ensured 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.