In this section you will find a range of ‘trigger films’ we have created for use in service improvement projects, including experience-based co-design and experience-led commissioning. Trigger films are designed to be used as part of a facilitated quality improvement process; their purpose is to to get local people, patients, families and NHS staff talking together about how they can jointly improve people’s experience.

You can find out more about experience-based co-design here kingsfund.org.uk and experience-led commissioning here experienceledcare.co.uk

The Point of Care Foundation has developed a training course in experience-based co-design with support from NHS England. pointofcarefoundation.org.uk

This film was developed for health services to use as part of an experience-based co-design (EBCD) process. EBCD is a patient-centred quality improvement process, and if you are planning to implement it in your organisation we recommend you use the online EBCD toolkit to guide you. The Point of Care Foundation is also developing a learning programme on EBCD supported by NHS England. We anticipate that it could also be used as part of an experience-led commissioning process. The film is a ‘trigger’ film which is intended to get local people, patients, families and NHS staff talking together about how they can jointly improve people’s experience.

If you plan to show this film, we suggest the person facilitating the session use the following introduction to set the scene.

This film was put together from analysis of a number of interview collections that are part of a national sample of people talking about their experiences of different health conditions.   Researchers at the University of Oxford collected interviews with people all round the country, many on video, some audio or written only. They present findings from these interviews on the patient information website www.healthtalk.org  The interviews are not just about NHS care but also much wider experiences for example the impact that a particular health condition has had on their family, work and social lives.

For this project, we looked again at the whole interview collections and this time pulled out specific themes around experiences of services and ‘touchpoints’ (points of contact with the NHS) on a cross cutting topic about inpatient medical ward experiences.  The film includes people talking about their experiences with a range of health conditions or circumstances including; cancers, neurological conditions, TIA (transient ischaemic attack) and stroke, diabetes, heart attack, and carers of people with a terminal illness.
Obviously these are not people from your local area and everybody has a different experience, though some patterns do start to emerge from looking at many stories. Some of the things they say you may think aren’t relevant to local services or what happened to you. But our hope is that listening to them will help you reflect on your own memories and spark some ideas for what could be done differently here.

There may be some where people are frustrated or angry, because of the distress they have experienced. You will hear some negative comments, because we can learn a lot from looking at when things went wrong and what could have been done to make that a better experience. Even when people are largely positive about the rest of their care, one damaging bad moment can colour the whole thing. But listen out for positive comments too, where people remember some small act of kindness or a particularly good moment that made all the difference to them.

This film was made with funding from the NHS National Institute for Health Research Health Services and Delivery Research (HS&DR) Programme, as part of research project14/156/06.
The views and opinions expressed are those of the authors and do not necessarily reflect those of the NHS, the NIHR, or the Department of Health.
The original interview studies on which it is based were supported by various organisations (visit healthtalk.org for more information), and interviews were undertaken by researchers at the Health Experiences Research Group from the University of Oxford.
Re-analysis of the interviews to produce this film was led by Louise Locock, guided by the input of a lay panel of ten people.