6 August, 2018

News > Always Events®: what have we learned so far?

Picker has published a report which outlines the key learnings from NHS trusts involved in the scale-up and spread of Always Events.

Always Events are aspects of the patient experience that are so important to patients and family members that health care providers must aim to perform them consistently for every individual, every time. Understanding what matters most to patients, and co-designing the changes with them, is at the heart of Always .

NHS England, in collaboration with Picker and the Institute for Healthcare Improvement (IHI), have been leading an initiative to support trusts to reliably integrate Always Events into their routine care processes.

Our report outlines the key learnings from trusts that have piloted an Always Event and have sought to spread the approach to other areas in their organisation. These include:

  • The importance of having an oversight team and senior staff level support to provide accountability and commitment
  • Linking the Always Events framework to organisational strategies and quality improvement work aids spread and sustainability. Similarly, aligning the work with other quality improvement projects/teams can be useful
  • Staff engagement is key to success
  • The importance of promoting the Always Event to increase awareness and engage staff
  • Understanding that it can take time for changes to be tested and embedded and that support from other people/teams/departments can be helpful
  • It can be challenging to ensure the Always Event is truly co-designed with patients; it requires staff to start with a blank canvas and not come up with their own solutions.
  • The importance of considering early on how the changes will be measured for reliability (process measures) and impact (outcome measures). This is important for sustainability.

In addition to the report, we have worked in partnership with four trusts to produce case studies that summarise their Always Event journeys. These case studies are an excellent resource for trusts wishing to learn more about some of the challenges and solutions experienced by teams implementing Always Events.

Jenny King, Picker’s Chief Research Officer, commented:

“Picker are privileged to have been involved in the Always Event programme. The dedication and commitment from trusts to listening to patients and improving person centred care has been clear to see. Putting patients and service users at the heart of care should be a priority for all.”

The full report is available here, and on the right of this news page.

For more information about the Always Events programme, please visit: https://www.england.nhs.uk/always-events

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