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.’

Our 'Reality and Impact' project

Recently, we wanted to take stock of where people were up to with these standards – how widely were they being used, and what difference were they making in practice. In the first instance, we decided it would make sense to check in with the organisations that had signed up to them, as well as check out which NHS Mental Health Trusts knew of them and were using them.

We put together an online survey which was followed by informal telephone interviews with people who were keen to tell us more. We were pleased to discover that not only are the standards being used (rather than getting dusty on an actual shelf or a virtual shelf), they are also making a difference!

You can read the full report here, and if you haven't already you can sign up to the 4Pi standards.

Support and sign up to 4Pi here.

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. Oxfordshire Mind

  52. RehabWorks

  53. Rethink Mental Illness

  54. Rotherham, Doncaster and South Humber Foundation Trust

  55. Self Help Services

  56. Shaping Our Lives

  57. Social Care Institute for Excellence (SCIE)

  58. South Eastern Hampshire CCG

  59. South London and Maudsley NHS Foundation Trust

  60. South Staffordshire and Shropshire Healthcare NHS Foundation Trust

  61. Spectrum Centre for Mental Health Research, Lancaster University

  62. Springfield Mind

  63. St Andrews Healthcare

  64. Strategic Clinical Network London

  65. Stroke Association

  66. Sheffield User Survivor Trainers (SUST)

  67. Sussex Partnership NHS Foundation Trust

  68. Together for Mental Wellbeing

  69. Tyneside Mind

  70. UKCP

  71. University of Worcester

  72. WISH - A Voice for Womens Mental Health

  73. West London Collaborative

  74. 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