title: The Warwick Patient Experiences Framework: patient-based evidence in clinical guidelines.
abstract: OBJECTIVE
  This paper presents the development of the Warwick Patient Experiences Framework (WaPEF) and describes how it informed the development of the NICE Guidance and Quality Standard, 'Patient experience in adult NHS services: improving the experience of care for people using adult NHS services'.
  
  
  METHODS
  The WaPEF was developed using a thematic qualitative overview that utilized a systematic review approach. Search strategies were developed, inclusion and exclusion criteria developed and data extracted from papers.
  
  
  RESULTS
  The WaPEF identifies seven key generic themes that are important to a high-quality patient experience: patient as active participant, responsiveness of services, an individualized approach, lived experience, continuity of care and relationships, communication, information and support.
  
  
  CONCLUSIONS
  The WaPEF is the first patient experiences framework with an explicit link to an underpinning patient evidence base, linking themes and sub-themes with specific references. The WaPEF informed the structure and content of the NICE Patient Experiences Guidance. The guidance, published in February 2012, will form a key part of the NHS Outcomes Framework in the UK for the future evaluation of health and social care. The proposed framework could be adapted to other country contexts and settings.
authors.affiliation: Royal College of Nursing Research Institute, Warwick Medical School, University of Warwick, Coventry, UK. staniszewska@warwick.ac.uk.
authors.forename: Sophie
authors.initials: S
authors.lastname: Staniszewska
authors.forename: Felicity
authors.initials: F
authors.lastname: Boardman
authors.forename: Lee
authors.initials: L
authors.lastname: Gunn
authors.forename: Julie
authors.initials: J
authors.lastname: Roberts
authors.forename: Diane
authors.initials: D
authors.lastname: Clay
authors.forename: Kate
authors.initials: K
authors.lastname: Seers
authors.forename: Jo
authors.initials: J
authors.lastname: Brett
authors.forename: Liz
authors.initials: L
authors.lastname: Avital
authors.forename: Ian
authors.initials: I
authors.lastname: Bullock
authors.forename: Norma
authors.initials: N
authors.lastname: O' Flynn
mesh_terms: D003142:Communication; D003266:Continuity of Patient Care; D003362:Cost-Benefit Analysis; D019538:Health Care Surveys; D006801:Humans; D010358:Patient Participation; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000458:organization & administration* / Q000592:standards; D013222:State Medicine / Q000458:organization & administration* / Q000592:standards; D013997:Time Factors; D006113:United Kingdom
keywords: NICE; Warwick Patient Experiences Framework; clinical guidelines; patient experiences; quality