Issue 134 - Small Changes, Lasting Impact ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­    ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­  
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FEBRUARY 2026 //  ISSUE 134 

Small changes, lasting impact 

approved Picker_260313504

Welcome to our February PENLetter.

 

This month we mark Rare Disease Day (28th February) with a blog from Molly Hopson of Picker, reflecting on what lived experience teaches us about visibility, voice and partnership. We also highlight World Cancer Day through a case study that explores how experience insight can shape more compassionate and coordinated cancer care.

 

Looking ahead, World Kidney Day (12th March) offers an opportunity to reflect on continuity, communication and long-term condition management. We’ll be revisiting past case studies and resources in this area, alongside examples that highlight inclusive design and neurodiversity in practice.

 

In our news roundup, we focus on the everyday: how organisations are designing calmer, kinder care environments and bringing care closer to home. From sensory spaces in emergency departments to virtual ward models, the theme is consistent - small, thoughtful changes that make a tangible difference to how care is experienced. 

 

Having heard how AI is impacting complaints in our inaugural Independent Sector Experience Leaders network we have also shared a recent article looking at the AI complaint phenomenon which is being experience in healthcare and beyond, and presents new challenges.   

As always, please do send through any feedback and best wishes for the month ahead. 


The PEN Team

CASE STUDY

For this month's Case Study, we thought we would highlight an older submission to the PEN Awards 2022.

 

Nottingham University Hospitals NHS Trust were Runner's Up in the Cancer Experience of Care category with their project, Improving our Colorectal Cancer Pathways. 

 

Based on feedback, they saw an opportunity to truly personalised stratified care, particularly during the period before treatment starts. They did this by creating bespoke, innovative and high-quality digital content (animations + social media) to guide and support patients through their colorectal cancer treatment journeys.

Click here to read the Case Study in full

AWARENESS DAYS

Some dates for your diary coming up that you may want to make a note of:

March 2026

  • 12th March – World Kidney Day
  • 16th–22nd March – Neurodiversity Celebration Week
  • 21st March – World Down Syndrome Day
  • 24th March – World TB Day

April 2026

  • 7th April – World Health Day
  • 2nd April – World Autism Awareness Day
  • 27th April – 1 May – Patient Experience Week
  • 28th April – World Day for Safety and Health at Work

May 2026

  • 5th May – International Day of the Midwife
  • 12th May – International Nurses Day
  • 18th–24th May – Mental Health Awareness Week (UK)
  • 31st May – World No Tobacco Day

PATIENT EXPERIENCE WEEK

Just a quick reminder that it is Patient Experience Week in April (27th April – Friday 1st May) and we have a range of resources and ideas for how to bring this to life at your organisation available via the button below. 

 

Please get in touch if you’d like to discuss how we can support you – or to let us know about the amazing things you are planning.

Patient Experience Week is a wonderful opportunity to celebrate progress, be inspired by best practice, gain practical tools, and connect with a national and international community, all grounded in evidence and insight.

Click here to find out more

PICKER & PARTNER EVENTS 

Confident and Effective Management of Unreasonable Behaviour and Vexatious Complaints
Healthcare Conferences UK
3rd March 2026

VIRTUAL, ONLINE

Recent years have seen a seismic shift in patient expectations and how consumers across society express their concerns, and this is a highly interactive and effective workshop, to improve confidence and consistency in handling vexatious complaints.

 

With multi-faceted challenges across healthcare, team can feel that patient behaviours have become more challenging. During this masterclass, delegates will explore the current reality, consider our perceptions of the patient/healthcare provider interaction and then develop confidence and strategies & practical tips through case studies to ensure our skills and approach to communication can be further honed, developed or adapted.

 

Newsletter subscribers can get a 20% discount with code hcuk20pi

Book Now

Experience Based Co-Design (EBCD) Course
Picker

11th March, London

IN-PERSON

 

Are you working to improve patient experience or care quality?


Join our one-day Experience Based Co-Design (EBCD) and you'll leave with a clear, practical method and tools to co-design meaningful improvements with patients and service users. Our EBCD courses offer structured training in person centred service design techniques and quality improvement. It is open to anyone with an interest in co-design, patient involvement, clinical and non-clinical staff and researchers.

Book Now

Unlocking Funding for Patient Experience Improvement
Picker
17th March, 12:30 - 14:00

FREE, VIRTUAL, ONLINE

Too many promising patient experience projects never get off the ground or get the recognition they deserve, not because of a lack of ideas, but because teams cannot secure the funds to deliver them or to enter their work into the Picker Experience Network Awards. At the same time, some organisations consistently find creative, repeatable ways to secure grants, mobilise charitable funds, and build partnerships that pay for impactful work. 

 

This webinar is designed to bridge that gap. By connecting you with colleagues who have successfully sourced funding or written strong bids with teams looking to take their projects forward, this session aims to give you the knowledge, confidence, and practical tools to progress work and projects you believe in, and to then showcase it through the awards if you choose.

 

By the end of the session, participants will: 

- Understand some viable funding routes available, with real examples of how others have accessed them. 

- Recognise the characteristics of a strong bid and the avoidable pitfalls that weaken applications. 

- Gain practical hints, tips, and advice they can adapt immediately for their own context. 

- Make connections with individuals who have successfully sourced funding and who may be open to informal peer support. 

- Leave with greater clarity, confidence, and direction for taking forward projects that could contribute to improved patient experience and potential award submissions. 

Register for your free place now

Best Practice from the Picker Experience Network Awards
Picker
26th March, 12:00 - 13:30

FREE, VIRTUAL, ONLINE

Each year exceptional patient experience work emerges from the Picker Experience Network Awards, projects that have delivered meaningful improvements, shifted culture, strengthened partnerships, and demonstrated tangible outcomes for patients and staff. Yet many organisations never get the chance to learn from these exemplars in depth.

 

This webinar is designed to close that gap. By bringing together the overall winner and a selection of category winners, we aim to showcase what “great” looks like: the thinking, the methods, the leadership behaviours, and the practical steps that elevated these projects above the rest. The session will give you insight into the approaches that deliver real-world impact, and inspire you to adapt and apply these ideas in your own settings. 

 

By the end of the session, participants will: 

- Gain a clear understanding of what distinguishes award-winning patient experience work. 

- Hear directly from teams who have implemented high-impact interventions and sustained them. 

- Identify transferable practices, tools, and templates that can be applied immediately. 

- Understand the journey from concept to delivery: hurdles, enablers, and lessons learned. 

- Strengthen their capability to design and deliver improvement that is meaningful and award-ready.

Register for your free place now

Patient Involvement & Partnership for Patient Safety
Healthcare Conferences UK

17th April
VIRTUAL, ONLINE

This conference focuses on patient involvement and partnership for patient safety including implementing the New National Framework for involving patients in patient safety, and the role of the Patient Safety Partner (PSP) in your organisation or service. The conference will also cover engagement of patients and families in their own safety, and patient involvement under the Patient Safety Incident Response Framework.

 

Newsletter subscribers can get a 20% discount with code hcuk20pi

Book Now

Chief Nursing Officers: Empowering the workforce to deliver exceptional patient experience 
Picker
22nd April, 12:00 - 13:30

FREE, VIRTUAL, ONLINE

This inaugural CNO Round Table, built around the four DAISY Lifetime Achievement Award shortlist, will focus on a key leadership question: How do Chief Nurses empower, enable and equip their workforce to deliver exceptional patient experience - culturally, emotionally and practically? 

 

The session explores the cultural, behavioural and structural conditions that allow staff to feel confident, skilled, supported and proud to deliver person-centred care.

 

By the end of the session, attendees will: 

- Understand leadership practices that empower staff to deliver exceptional experience. 

- Gain insight into cultural and behavioural enablers of person-centred care. 

- Learn about replicable approaches such as shared governance. 

- Access high-value PX Week resources and leadership reflections. 

Register for your free place now

International Best Practice from the Picker Experience Network Awards  
Picker
6th May, 12:00 - 13:30

FREE, VIRTUAL, ONLINE

Each year, the Picker Experience Network Awards spotlight patient experience initiatives that have not only improved care, but reshaped cultures, strengthened partnerships, and delivered measurable results for patients and staff. 

 

Rather than focusing solely on what makes an award winner stand out, this session will explore what we can learn from one another across borders. By bringing together the overall winner and shortlisted finalists, we will look beyond geography to uncover the shared barriers, common ambitions, and familiar constraints that shape patient experience work in every system.

 

Different countries. Different structures. Strikingly similar challenges.

 

By the end of the session, participants will:

  • Recognise the common challenges and enablers that shape patient experience improvement across different national and organisational contexts.

  • Hear directly from teams who have implemented high impact interventions in diverse health systems.

  • Identify transferable practices, tools, and approaches that can be adapted across countries and cultures.

  • Understand how collaboration and shared learning can accelerate progress beyond local boundaries.

This is an opportunity not only to see what “great” looks like, but to discover how much we share and how much stronger our work becomes when learning flows across borders.

Register for your free place now

How to prepare a successful entry for the Picker Experience Network Awards 2026
Picker
13th May, 12:00 - 13:30

FREE, VIRTUAL, ONLINE

The Picker Experience Network (PEN) Awards recognise best practice in patient experience across all areas of health and social care in the UK.  The aim of the awards is to improve patient and staff experience by sharing and celebrating best practice.  With 20 categories this year, there is an opportunity for a diverse range of teams to showcase their work.

 

In this webinar, we discuss what makes a successful entry.  Our panellists, consisting of judges and previous winners, share how to use the judging criteria to create an impressive case study from your work and top tips on how to ensure you effectively demonstrate the impact of your work on patient and staff experience.

Register for your free place now

Measuring, Understanding and Acting on Patient Experience Insight: From Insight to Improvement
Healthcare Conferences UK

21st May 
VIRTUAL, ONLINE

The 10 Year plan for health highlights the importance of the effective use of patient feedback putting patient experience as a key determinant of quality and performance. This timely conference will focus on measuring, understanding and acting on real time patient experience insight, and demonstrating responsiveness to that insight to ensure patient feedback is translated into quality improvement and assurance. Through national updates and case study presentations the conference will support you to measure, monitor and improve patient experience in your service, and ensure that insight leads to improvement.

 

Newsletter subscribers can get a 20% discount with code hcuk20pi

Book now

PICKER NEWS 

Curious about co-design?

We can help.

 

We train individuals, teams and organisations in Experience Based Co-Design (EBCD). Our accredited courses can be delivered online, in-person, or in-house.

 

Whether you're just getting started or looking to build on your knowledge and skills, we offer:

  • Free Toolkits to guide your work
  • Coaching and support for your improvement projects
  • A welcoming Community of Practice

You can get in touch with our Learning and Development Lead for an informal chat, or join one of our free taster sessions to find out more!

 

State of Person Centred Care Webinar

If you missed it we ran a short webinar earlier in the month to share a new Picker report which brings together, for the first time, findings from nine national NHS patient and staff surveys commissioned by CQC and NHS England, mapping them against the eight Picker Principles of Person Centred Care. Set against the government’s Ten Year Plan for Health, it highlighted broadly positive perceptions of care quality alongside persistent challenges in areas such as waiting times, continuity of care, mental health, maternity and urgent care.

 

You can watch back the webinar anytime by clicking here.

 

Throughout, it points to practical examples of what works, drawing on winners and runners up from the Picker Experience Network (PEN) Awards 2025 to show how engagement and co-production can turn insight into improvement.

 

Rare Disease Day

Rare diseases are defined as conditions that affect fewer than 1 in 2,000 people. Yet with more than 7,000 conditions identified, around 3.5 million people in the #UK and 30 million across Europe are living with a rare disease. 

 

As Rare Disease Day approaches on 28th February 2026, it’s a timely reminder of why listening to and understanding people’s experiences of care is essential to improving quality, equity, and access.

 

People living with rare conditions often face:

  • Long delays to diagnosis

  • Limited awareness among healthcare professionals

  • Fragmented or poorly coordinated care

  • Significant emotional, social, and practical strain

While the UK Rare Diseases Framework sets out priorities such as improving awareness, reducing diagnostic delays, and strengthening care coordination, the real impact on lived experiences is still unclear. Strengthening the evidence base is crucial.

 

In her latest blog, our Senior Research Associate, Molly Hopson, explores why capturing and amplifying patient voice matters, highlighting findings from our recent national survey with the Marfan Trust on the experiences of people living with Marfan syndrome and Loeys-Dietz syndrome.

 

Read the full blog here.

 

Q Evaluation

We’re excited to share the summary findings of the independent evaluation of the The Q community that Picker has delivered in collaboration with Researching People and Healthcare Priority Solutions.

 

The Q Community is a free membership community connecting thousands of people working to improve health and care across the UK and Ireland through learning, sharing and collaboration.

 

Over a two-year evaluation, our research team explored how Q creates impact for individuals, organisations and wider health systems, and how that impact could grow beyond 2025. Using a robust mixed methods approach, the evaluation drew on:

  • 48 in-depth interviews
  • 7 detailed case studies
  • 5 participatory workshops
  • 2 surveys with 680 combined responses

This builds a strong evidence base about what works, for whom, in what context and why.

 

From this work, the team has identified 21 recommendations to inform Q’s future strategic direction. The learning from this evaluation is already shaping the community’s strategic choices.

 

Read the summary report here.

 

Read Molly Hopson’s blog reflecting on the findings.

 

Update from the Picker Inaugural Independent Experience Leaders Network 

The Independent Sector Experience Leaders Network held its inaugural meeting in February, bringing together senior leaders from across the sector to share challenges, successes and priorities. The discussion was open, practical and energising, a strong foundation for a peer-led community focused on turning experience insight into action. We plan a future meeting in April and will keep you posted on our activities.

 

PATIENT EXPERIENCE BOOK CLUB

patient experience book club
Becoming a Specialist Paramedic

Becoming a Specialist Paramedic; From Fountain Road to Frontline

by Ray Chapman 

 

In his memoir Ray describes how 'Becoming s Specialist Paramedic' is more than just a job title. It’s a journey of resilience, growth, and purpose. In this deeply personal and honest autobiographical account, Ray Chapman shares how his life experiences shaped his decision to step into the world of emergency medicine. From his early years, Ray faced challenges that would later fuel his determination to help others.

Buy the book >

PATIENT EXPERIENCE NEWS

Patient Association Survey

The Patients Association works directly with patients to inform our recommendations that influence health and care policy, hold decision-makers to account, and improve how services partner with patients. That’s why we are asking patients to tell us about their experiences of the NHS, as this feedback can drive real change. 

 

In their latest survey, they want to hear about patients’ experiences with NHS services over the last six months: what’s working well, what isn’t, and what needs to change. 
 
These responses will be used in a report to support their campaigning and advocacy work, helping them make the strongest possible case to government, the NHS, and policymakers for the improvements patients need and deserve. 

Click here to access the survey

 

NHS England 2026 Survy Result Publications

Look out for the following survey result publications which are due out this year.

(All dates are provisional.)

  • 2024 CQC Adult Inpatient Survey qualitative thematic report – March 2026
  • 2025 CQC Community mental health survey – March 2026
  • 2025 CQC Maternity Survey qualitative thematic report – April 2026
  • 2026 GP Patient Survey – July 2026
  • 2025 National Cancer Patient Experience Survey – July 2026
  • 2025 CQC Adult Inpatients Survey – August 2026
  • 2025 Under 16 Cancer Patient Experience Survey – October 2026
  • 2026 CQC Urgent and Emergency Care Survey – November 2026
  • 2026 CQC Maternity Survey – November 2026
  • 2025 National Neonatal Care Experience Survey - Autumn 2026

 

Patient Experience Library

We spotted this from the Patent Experience Library which feels highly relevant with Neurodiversity Celebration Week due 16th–22nd March. This paper spotlights the ongoing issue for people with learning disabilities for whom, it says, 'Cancer is one of the leading causes of death'. It states that people with learning disabilities 'are disadvantaged at every stage of the cancer pathway'. Problems include inadequate communication, late diagnosis, a lack of choice of treatment and a lack of involvement in decision-making. 

 

Click here to read the paper in full. 

Several PEN case studies look at what can be done to address this gap.

 

Designing calmer, kinder care environments

Sensory room opens in an emergency department (Causeway Hospital)
A dedicated sensory space has opened within the Emergency Department at Causeway Hospital, designed to reduce distress for people with additional needs in what can be an overwhelming environment. It’s a reminder that improving experience doesn’t always require major redesign, sometimes it’s about recognising who the system currently disadvantages, and making practical adjustments that support dignity and calm.

Click here to read more. 


The therapeutic power of bringing art to patients (Royal Free Charity / Arts Professional)
This feature explores how structured arts programmes are being embedded into hospital settings to support emotional wellbeing, connection and recovery. Rather than treating art as decoration, the focus is on how environment shapes experience — influencing anxiety, mood and even clinical engagement
Click here to read more. 

 

Hospital helps a terminally ill patient see her son marry (University Hospital Crosshouse, Scotland)
Staff at University Hospital Crosshouse helped a terminally ill patient see her son marry, adapting routines to make a deeply personal moment possible. It’s a powerful example of compassionate flexibility — and a reminder that patient experience is as much about humanity as it is about systems.
Click here to read more.

 

New Project Open Call is now open until June 2026

Hospital Rooms is a charity working in collaboration with artists, service users and NHS staff to commission ambitious artworks and creative programmes that improve experiences of mental health care.⁠ We’re seeking to partner with NHS Mental Health Trusts interested in collaborating on a project beginning in 2027.

Click here to find out more. 

 

Care Closer to Home 

Virtual ward care ‘brings comfort and confidence’ for a 91-year-old patient (Mid Yorkshire)
A 91-year-old patient and her family describe the reassurance of receiving hospital-level monitoring at home. Beyond efficiency, the story highlights something more important: the experience of feeling safe, informed and supported outside traditional hospital walls.

Click here to read more. 

Virtual ward and EPR teams shortlisted for national digital awards (UHDB)
University Hospitals of Derby and Burton’s digital and virtual ward teams have been recognised nationally for advancing care delivery. More interesting than the recognition itself is the underlying message: digital infrastructure only matters when it strengthens continuity, responsiveness and patient confidence.

Click here to read more. 

 

How to manage complaints

Ai transforming an already messy industry

Patient complaints about clinical care are a function and cost of the business of healthcare. Patients are being empowered by Ai. Finally they have the tools to better question and challenge the institutions that have somehow failed to meet their needs. That has to be a good thing. Right? The result is organisations, not just healthcare, experiencing a growth in complaints, length of complaints, complexity of complaints.

Click here to read more.



RESOURCE LIBRARY

1-4

Cinapsis SmartReferrals
Cinapsis 


Innovatiove Use of Technology, Social and Digital Media - Finalist PEN 20219

Listen here
Patient Experience Radio - Templates (LinkedIn Post) (3)

Improving the 'Hospital to Home' Parent and Family Experience for Children on long term vventilation via Tracheostomy
Royal Brompton and Harefield NHS FT


Communicating Effectively with Patients and Families Finalist PEN 2015

Learn here
2-Jan-21-2026-04-05-36-7452-PM

Developing Care Coordination with People with Multiple Long-Term Conditions
NHS Southwark CCG

Commissioning for Patient Experience Runner Up PEN 2017

Watch here

We look forward to connecting with you.

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