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Surveys & Toolkits

Picker develop surveys and toolkits to assist organisations with quantitative research into understanding views and experiences of their patients, service users and staff in order to facilitate quality improvement. Some of these tools are available to access either under a licence agreement or by commissioning Picker to collect and report on survey data on your behalf. Picker are also keen on discussing use of the tools in wider research projects and evaluations, and would welcome conversations about potential collaborations.
  • How can you use near real-time feedback to improve patient experience of compassionate care?

    Our toolkit is designed for anyone wanting to improve patient experiences in hospitals. It provides full implementation support for a near real-time feedback approach to allow hospitals to understand and act on patient experiences of compassionate care more quickly. Additionally, the toolkit can help organisations showcase they are addressing current policy directives, and demonstrate their organisation’s commitment to improving compassionate care.

    The toolkit includes:

    • A validated questionnaire which allows for comparison across wards. The instrument can also be used as a “common core”, to which ward specific questions or the Friends and Family Test can be added.
    • Questionnaire implementation guide
    • Recommendations on cost-efficient implementation, detailed information about volunteer training, reporting and evaluation.
    • Case studies on the experiences of six case study sites. These include challenges, lessons learnt and impacts.

    For further information about the survey, please email

  • Our NHS Friends and Family Test (FFT) form for children and young people is freely available to use. It has been developed and extensively tested with children and young people to ensure that the wording is appropriate, and the form is appealing to a younger audience. Focus groups and interviews were used to obtain children’s views on question text, response options and overall design – including the use of colour and illustrations.

    The question wording was incorporated into the national FFT guidance as the recommended question for children and young people. The form is consistent with national guidelines and includes

    • The FFT question
    • Follow-up freetext questions
    • Demographics (age and gender)
    • A question asking who completed the form (young patient, parent/carer or both)

    This form has been updated (March 2020) to ensure the main question aligns with the revised national guidance effective from 1st April 2020.

  • Do you work with children and young people in acute care settings? Do you want to understand their care experiences as they transfer to adult services?

    Our transition survey is available to licence and has been developed with young people to gather actionable feedback about their care experiences. It is relevant to those with a long-term physical health condition and focuses on their needs and priorities in relation to transferring to adult services.

    The surveys have been developed with young patients and stakeholders, and cover key aspects of person-centred care including:

    • Planning & involvement in the transfer (including timing);
    • Access to information, advice & support;
    • Opportunities to visit the new place of care and new care team prior to transfer;
    • Experiences of hospital wards & outpatient clinic appointments;
    • Self-management of condition.

    There are two versions of the transition survey, one for people to self-report on their experiences as they approach transfer to adult services or are currently in transition (i.e. in the process of transferring), and another for those who have recently transferred to adult services.

    For further information about the survey, please email

  • Do you provide care for people living with sickle cell disease and want to understand their experiences?

    Our sickle cell surveys have been developed with patients and their families, in addition to those providing their care. The surveys are available to licence (free of charge to eligible care providers in England). They focus on patients’ needs and priorities, and can be used to gather actionable feedback on care delivery.

    The surveys cover key aspects of person-centred care and focus on what is most important to patients with sickle cell disease. They ask about:

    • Access to advice & support
    • Information – for themselves and for others (e.g. friends, peers and colleagues)
    • Experiences of urgent care, hospital ward admission and outpatient clinic appointments
    • Communication with staff
    • Involvement in care and self-management of sickle cell disease

    There are three survey versions for the following groups:

    • Adults aged 16 and older with sickle cell disease
    • Parents of children aged 0-15 with sickle cell disease
    • Children aged 8-15 with sickle cell disease

    The content of each survey is age appropriate in terms of design and wording, and has been thoroughly tested (using cognitive interviews). Findings from the pilot across England can be viewed here, and a link to the full report here

    For further information about the survey, please email

  • Are you a health visiting lead? Do you want to understand the experiences of your service users to help improve services and provide valuable feedback to your board, staff, commissioners, patients and the public?

    Our free toolkit is available to all providers of health visiting services in England under licence. The toolkit has been provided by NHS England in collaboration with Picker Institute Europe. To have free access to the toolkit, each service provider will need to complete a licence agreement with Picker Institute Europe.

    The toolkit comprises the following comprehensive guides and documents to allow providers of health visiting services to implement the survey themselves:

    • Survey Implementation Guide; Sample Compilation Guide
    • Mailing Letters; Questionnaire
    • Data Capture Instructions; Data Entry Template
    • Data Analysis & Interpretation Guide

    For further information about the survey, please email

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