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 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. Manchester Users Network
  35. Maternal OCD

  36. Mental Health Alliance South West

  37. McPin Foundation

  38. Mental Health Investment Programme - Camden CCG

  39. Mental Health Foundation

  40. Mental Health Providers Forum

  41. Midlands Partnership NHS Foundation Trust
  42. Mind BLMK

  43. National Deaf Children's Society

  44. National Institute for Health and Care Excellence (NICE)

  45. National MIND

  46. National Voices

  47. Newcastle West CCG

  48. NIHR CLAHRC Northwest London

  49. NIWE Eating Distress Service

  50. North East Together

  51. North West London Collaboration of CCG's

  52. Northamptonshire Foundation Trust

  53. Oxfordshire Mind

  54. RehabWorks

  55. Rethink Mental Illness

  56. Rotherham, Doncaster and South Humber Foundation Trust

  57. Self Help Services

  58. Shaping Our Lives

  59. Sheffield Health and Social Care NHS Foundation Trust
  60. Social Care Institute for Excellence (SCIE)

  61. South Eastern Hampshire CCG

  62. South London and Maudsley NHS Foundation Trust

  63. Spectrum Centre for Mental Health Research, Lancaster University

  64. Springfield Mind

  65. St Andrews Healthcare

  66. Strategic Clinical Network London

  67. Stroke Association

  68. Sheffield User Survivor Trainers (SUST)

  69. Sussex Partnership NHS Foundation Trust

  70. Together for Mental Wellbeing

  71. Turn2Us

  72. Tyneside Mind

  73. UKCP

  74. University of Worcester

  75. Viewpoint
  76. WISH - A Voice for Womens Mental Health

  77. West London Collaborative

  78. Young Minds North East