Always Events


Always Events are those aspects of the patient's experience that should occur when patients, service users, their family members and carers, interact with health care professionals and the health care delivery system.


Always events, developed in the United States by the Picker Institute and now led by the Institute for Healthcare Improvement (IHI), laid the foundation for the development of IHI’s Always Events framework. 

IHI's Always Events framework provides a strategy to help health care providers identify, develop, and achieve reliability in person- and family-centered care delivery processes.

NHS pilot

NHS England has been working with the Institute for Healthcare Improvement (IHI) and Picker Institute Europe to look at how NHS organisations in England can develop consistent ways to meet the individual needs of patients to make sure that care is patient centred and delivered in partnership with them and those close to them.

The pilot phase of this programme began in February 2015 and ran until April 2016 and engaged ten provider pilot sites across England. The purpose of the programme was: 

  • to evaluate the implementation of Always Events in these locations
  • assess the impact on improvement of quality in health care settings
  • develop a tool kit to support them

Always Events toolkit PDF, 1.2 MB

This toolkit is for any organisation wanting to implement an Always Event using the Always Event methodology.

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