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How can we use existing knowledge and evidence to facilitate patient and public involvement in a quality improvement programme?

2014 Conference

Abstract: National Institute for Health Research (NIHR) Colloboration for Leadership in Applied Health Research and Care (CLAHRC) Northwest London facilitates a particular approach to healthcare improvement, with Patient and Public Involvement (PPI) being a core part. We believe involving patients leads to more appropriate and long-lasting improvements. We’ve observed improvement teams benefit from a facilitated approach to develop patient and public involvement (PPI) practice.

Mechanisms already exist to support this approach, but there is a tendency to create new ones; either because people do not know previous ones exist, or they do not feel they work in a specific context. We were interested in how existing mechanisms can be adapted/adopted to work for healthcare improvement teams.

We introduced three items to these teams to strengthen their PPI practice:

  1. an emancipatory framework
  2. a set of national standards for involvement
  3. a guide to support the assessment of impact in involvement.

We tested various adaptations of them, observing the impact the items had in supporting PPI become everyday practice in the various teams’ specific contexts.

The poster will summarise:

  • Why we selected the items
  • What they aimed to achieve versus what actually happened in practice
  • The extent which items support PPI to become part of everyday practice
  • The impact of testing the items on their creators and facilitators
  • Evidence that is already available
  • Our process of adopting/adapting existing items into practice
  • How to rapidly evaluate to improve implementation of PPI.

Authors

Kaur ~ Meerat

Meerat Kaur is Associate Lead for Patient and Public Involvement at National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Northwest London. She has over 10 years’ experience in the health, human rights and disaster relief settings, working in the UK, East and West Africa and India. Meerat has a strong expertise in patient, public, staff and community engagement and development, quality improvement and action research. She has a MA in Human Rights.

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Matthews ~ Rachel

Rachel Matthews is Programme Lead for Patient and Public Engagement at National Insitute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Northwest London. She completed postgraduate studies in Health Education and Health Promotion at King’s College London. Rachel is a registered nurse with over 20 years’ experience in the NHS.

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