Developed by people with lived experience as part of the National Involvement Partnership (NIP) project, the 4Pi National Standards ensure effective co-production, thus really improving experiences of services and support.

The 4Pi National Involvement Standards (developed and produced by people with lived experience) were formally launched at the NSUN AGM 29 January 2013.

4Pi was the result of an NSUN hosted project, the National Involvement Partnership (NIP), which was funded by the Department of Health (Innovation, Excellence, Strategic Development) voluntary sector funding. The aim of the three year project was to strengthen and 'hard-wire' involvement in to the planning, delivery and evaluation of the services and support we use for our mental health and wellbeing needs.

This framework established some basic principles to encourage people to think of involvement in terms of principles, purpose, presence, process and impact(4Pi).

The 4Pi National Involvement Standards continue to influence people beyond the boundaries of NSUN. We have a long list of articles, newsletters, resources and websites where 4Pi has received a mention or recommendation - even receiving international acclaim!

During 2015/6 we worked with South London and Maudsley NHS Foundation Trust and Rethink Mental Illness to enable them to further develop their involvement charter and strategy; and Alison Faulkner and Debbie Roberts continued to work with Lincolnshire Partnership NHS Foundation Trust through their Head of Patient and Public Engagement, Linda O'Hara.

The Five Year Forward View for Mental Health describes 4Pi as a framework that ‘…will help ensure services and interventions are accessible and appropriate for people of all backgrounds, ages and experience’ and should support CQC inspection of ‘the quality of co-production in individual care planning, carer involvement and in partnership with communities to develop and improve mental health services.’

Support and sign up to 4Pi

We are asking organisations to support the standards and help to ensure effective involvement that leads to real improvement in our experiences of services and support.

The Organisations listed below have already endorsed the 4Pi National Involvement Standards. It is easy to Join them - the standards are explained in full in the statement of intent.

Documents which will help you sign up to 4Pi:

Among the organisations which have already subscribed to 4Pi, you will find survivor / user-led Launchpad as well as Maternal OCD, Bristol CCG, Healthwatch Swindon, the Institute of Health and Society (University of Worcester), the Angelou Centre, the National Stroke Association, and many more.

4PI signatories

  1. The Advocacy Project
  2. The Angelou Centre
  3. Anxiety UK
  4. Avon and Wiltshire Mental Health Partnership NHS Trust
  5. BASW
  6. BAND
  7. Bipolar UK
  8. Bristol CCG
  9. Building A New Direction (BAND)
  10. Canterbury Christ Church University
  11. Capital
  12. Centre for Mental Health
  13. Council of Somali Organisations
  14. Disability Rights UK
  15. East Kent Mental Health Commissioning, part of South Kent Coast CCG (works with all 4 East Kent CCGs)
  16. Fitness In Mind Brentwood
  17. Everyone's Business Campaign
  18. Gateshead Advice Centre
  19. Healthcare Quality Improvement Partnership (HQIP)
  20. Healthwatch Enfield
  21. Healthwatch Hertfordshire
  22. Healthwatch Northamptonshire
  23. Healthwatch Swindon
  24. Healthwatch Tower Hamlets
  25. Hertfordshire Partnership University NHS Foundation Trust (HPFT)
  26. Institute of Health and Society, University of Worcester
  27. Jami UK
  28. Launchpad
  29. Like Minded North West London (NHS)
  30. Lincolnshire Partnership NHS Foundation Trust
  31. Local Survivors in Partnership (LSIP) - A service user and carer led group based in Leicester, they currently have no website
  32. London Borough of Hounslow
  33. Making Space
  34. Maternal OCD
  35. Mental Health Alliance South West
  36. McPin Foundation
  37. Mental Health Investment Programme - Camden CCG
  38. Mental Health Foundation
  39. Mental Health Providers Forum
  40. Mind BLMK
  41. National Deaf Children's Society
  42. National Institute for Health and Care Excellence (NICE)
  43. National MIND
  44. National Voices
  45. Newcastle West CCG
  46. NIHR CLAHRC Northwest London
  47. NIWE Eating Distress Service
  48. North East Together
  49. North West London Collaboration of CCG's
  50. Northamptonshire Foundation Trust
  51. Rethink Mental Illness
  52. Rotherham, Doncaster and South Humber Foundation Trust
  53. Self Help Services
  54. Shaping Our Lives
  55. Social Care Institute for Excellence (SCIE)
  56. South Eastern Hampshire CCG
  57. South London and Maudsley NHS Foundation Trust
  58. South Staffordshire and Shropshire Healthcare NHS Foundation Trust
  59. Spectrum Centre for Mental Health Research, Lancaster University
  60. Springfield Mind
  61. St Andrews Healthcare
  62. Strategic Clinical Network London
  63. Stroke Association
  64. Sheffield User Survivor Trainers (SUST)
  65. Sussex Partnership NHS Foundation Trust
  66. Together for Mental Wellbeing
  67. Tyneside Mind
  68. UKCP
  69. University of Worcester
  70. WISH - A Voice for Womens Mental Health
  71. West London Collaborative
  72. Young Minds North East

4Pi in practice - real life examples

4PI in practice - Bristol
4PI in practice - Northamptonshire
4PI in practice - McPin
4PI in practice - NIHR CLAHRC Northwest London
4PI in practice - West London Collaborative
4PI in practice - Turning Point
4PI in practice - National Voices Wellbeing Our Way

Complete list of involvement resources

These useful resources are available in this document for you to read online or print (format: PDF. You can read this in your browser. If you wish to download the pages and save them to your computer or print them, you will need software such as Adobe Acrobat Reader).

Essential 4Pi documents

4PI National Involvement Standards Executive Summary
4PI National Involvement Standards Full Report
Why Use 4Pi National Involvement Standards
The Language of Mental Wellbeing
Service User Involvement in Health and Social Care Policy and Legislation