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Int J Qual Health Care. 2014 Apr;26(2):151-7. doi: 10.1093/intqhc/mzu003. Epub 2014 Feb 20.

The Warwick Patient Experiences Framework: patient-based evidence in clinical guidelines.

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Royal College of Nursing Research Institute, Warwick Medical School, University of Warwick, Coventry, UK.



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'.


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.


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.


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.


NICE; Warwick Patient Experiences Framework; clinical guidelines; patient experiences; quality

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