Engagement, Participation and Communication


Health Priorities Decision Making Audit Tool

Based on research by Professor Peter Littlejohns and Dr Katharina Kieslich (King’s College, London), DMAT aims to help patients and interested members of the public work alongside NHS, local authority and other professionals to make decisions about what services to commission or fund (or stop funding).  It is also designed to demonstrate to the wider public how these decisions have been made. We have tested the contents and concept of DMAT with a number of CCGs and patient and public representatives in England and created a prototype online version for further review. There are plans to see whether it will be useful in other countries with different health systems, governance and ways of involving people in decisions about health priorities.

In association with Uscreates.


You can read more about the background to DMAT and the ongoing research in the BMJ Open article Does accountability for reasonableness work?


Health Education England:  Framework 15, Values‑Based Recruitment and Health Careers

Health Education England (HEE) is responsible for the education, training and personal development of every member of staff, and recruiting for values across the healthcare system. We worked with HEE on the development and communication of their long-term strategy Framework 15 and their associated values-based recruitment framework.  We conducted research into the use of HEE’s Health Careers literature by school and university students, careers advisors and HR professionals, and refreshed their content and design to ensure they meet current user needs.

In association with Uscreates.


Connecting With Our Values

Connecting With Our Values is a major programme driving cultural change across the Department of Health in the context of the 2012 health and care system reforms and the Francis Report. The programme recognises the particular importance of staff attitudes, beliefs and values in delivering priorities effectively, embedding a more open and transparent culture and connecting with patients and service users. The focus of our work was (i) enabling staff to connect with and exemplify the Department’s values and (ii) the co-production of a behaviours framework which will inform recruitment, induction and appraisal at all levels. We trained a cohort of volunteer staff ‘Ambassadors’ in engagement techniques, designing staff events, and provided a range of additional support during 2013/14.

In association with Uscreates and the National Centre for Social Marketing.


It All Starts With You!

We worked with clinical commissioning groups NHS Mid-Essex, NHS Swindon and NHS South Devon and Torbay, along with local Healthwatch organisations and patient participation groups, to develop a guide for patients and the public to help them influence health and care service improvement. Other tools aim to help professionals engage the public. Our interactive guide was designed with the public in mind, and offers different entry points depending on what an individual would like to do and which type of service they are interested in.

In association with Uscreates.

NHS Service Improvement


Commissioned by NHS Englandand Primary Care Commissioning.


Transforming Participation in Health and Care

NHS commissioners have statutory duties to involve patients and the public in commissioning decisions and decisions with respect to their treatment and care.

We worked with NHS England Patients and Information Directorate to produce guidance for commissioners setting out these duties and a shared vision of participation which will lead to better services and, ultimately, better health.

The guidance is an innovative interactive format, incorporating videos of patient and community representatives, commissioners and NHS Chief Executive Sir David Nicholson, as well as a range of supporting materials and good practice.

In association with Uscreates.

Tim Kelsey


Tim Kelsey, NHS England’s National Director for Patients and Information, launched the guidance and blogs here about personalised care planning and giving patients control over their health.