4Pi Involvement Standards

4Pi is a framework for the involvement of service users and carers - in our own care, in our communities, in service delivery and evaluation and in organisational governance and strategy.


  • 4Pi is a simple framework on which to base standards for good practice, and to monitor and evaluate involvement.
  • The framework builds on the work on many people: mental health service users and carers and others who have lived and breathed involvement and shared their experiences in various ways, both written and unwritten.
  • Meaningful involvement means making a difference: it should improve services and improve the mental health, wellbeing and recovery of everyone experiencing mental distress.

4Pi is a simple framework that can help services meet their statutory obligations. Apart from the benefits and the moral imperative to involve people in their care and treatment, development and delivery of services, services also need to meet the requirements of national regulatory and inspection bodies such as NICE, the CQC and the Health and Social Care Act. The 4Pi National Involvement Standards have been signed up to by over 70 organisations and were cited in the NHSE Five Year Forward View for Mental Health report and the Department of Health Social Work for Better Mental Health Programme.

Why sign up?

The core purpose of involving people must be to improve lives. Developing good practice policies and procedures for involvement has no meaning if those policies and procedures do not improve individual experiences and the quality and efficiency of services. Good involvement has many benefits for all concerned - for individuals, communities, services, professionals and organisations. These are the benefits we identified in our main report ‘Involvement for Influence: the 4Pi Standards for Involvement’:

  • Involvement in individual care and treatment can increase self-esteem, improve individual outcomes and increase people’s satisfaction with services. The greatest benefits result when people agree with the purpose of their treatment and when they have choice and control.
  • Involvement in communities can build resilience, provide opportunities for peer support and mentoring and increase our social capital.
  • Involvement in services can lead to enhanced quality of care, improved quality of life, a reduction in compulsory admissions, improved relationships between staff and service users, and improved outcomes for service users; it can also lead to improved outcomes for providers.
  • Involvement in planning, commissioning and governance can improve information and access for service users, and have positive effects on decision-making processes and staff attitudes and behaviour.

It is vital that service users are involved in defining the outcomes of services for these benefits to be maximised.

Email [email protected] to sign up. Please also contact us at this address if you are interested in 4Pi training.