Shared Principles

'Improving quality is about making healthcare safe, effective, patient-centred, timely, efficient and equitable' – The Health Foundation

What do we mean by quality?

  • Care that is safe; effective; with positive patient experience. (Darzi)
    This is the current legal definition for quality in the context of health in England, forming the basis from which we view evaluation.
  • “The degree to which a set of inherent characteristics fulfills requirements” - ISO 9000:2005, section 3.1.1
    An international standard and makes the point that quality is relative and in the eye of the beholder.
  • “No needless deaths; no needless pain or suffering; no helplessness in those served or serving; no needless waiting; no waste; no-one left out” (IHI)
    Perhaps begins to make it more ‘real’ and how it might look to patients – and staff.

Shared Principles

  • Busting the pre‐conceptions;
  • Valuing the public (patients, service users, carers) as an ‘expert by experience’;
  • Balancing the power between patient and clinician;
  • Embracing principles of co‐production and the value of feeling/being listened to;
  • Creating a shared understanding, developing clarity of purpose;
  • Capturing the human element embedded rather than ticking the box;
  • Building the necessary supportive systems and processes;
  • Sharing best practice, learning and working together.

These underpin public engagement in health and social care education and research.


Our ethos for the things that really matter for putting the principles into practice is ACE.


Having a genuine commitment to collaborative partnerships from a base of shared values embracing our common human experience and our diversity.


Capacity building for all partners and adequate resourcing to ensure this.


Evaluation that measures the things that really matter, not just the things that are easy to count; showing social and financial impact.

  • Improve the teaching and listening skills of all involved
  • Develop strategies that include service users and carers at their heart
  • Ensure there is a clear action plan and identified people responsible for its implementation
  • The quality of education
  • Demonstrate bravery to try and creativity of / in learning
  • Harness opportunities for more diversity, understanding people from different backgrounds / religions
  • Listen, really listen, take on board what is being said and make a difference
Capacity Building
  • Harness flexibility in involvement approaches to increase diversity / representation across communities e.g. reaching out to work with groups, not just inviting in
  • See involvement as a whole team / school / organisational commitment (not just ‘enthusiasts’)
  • Value professional knowledge and lived experience in equal measures
  • Share knowledge, information and resources about what works well / or not in practice e.g. HEI Challenge website, networks etc.
  • Consider evaluation and impact from the beginning of an intervention
  • Measure the things that really matter, not just the things that are easy to count
  • You may find it helpful to use these principles in conjunction with HEI CHALLENGE PRINCIPLES FOR EVALUATION
  • (Keep it) SIMPLE!