This part of the website includes resources for values-based practice that you are free to download for your own use in training, in developing services or in research
The resources available include Training Materials, Practice Guidance, Policy Reports and Literature Searching
We are grateful to those concerned for their generosity in making these materials available and would ask that you kindly acknowledge their origins in any use you make of them
Full citation references are given after each download
Values-Based Practice in Clinical Care: A Training Template
This training template is based on the training materials developed as part of the Values-based Surgical Care programme.
Many of the clinical examples used are thus from surgical care but the methods described can be readily adapted to other clinical contexts. Training materials based on this template are being developed in a number of other areas including radiology and paramedic practice.
The Training Manual is available to view at available for download for faculty partners. For information on becoming a Faculty partner please go to become a faculty partner. To preview the document please go to the training manual preview page.
Citation Reference: Values-based Practice in Clinical Care: a Training Template (2016). Eds: Bill Fulford and Ashok Handa. Oxford: The Collaborating Centre for Values-based Practice in Health and Social Care at St Catherine’s College. Available from the website for the Centre at valuesbasedpractice.org and follow the links to the Values-based Surgical Care programme.
Prática Baseada em Valores em Cuidados Clínicos
Prática Baseada em Valores em Cuidados Clínicos is a Brazilian-Portuguese translation of the training manual ‘Values-based Practice in Clinical care: a Training Template’.
The translation was completed by Carolina Colombo during a six months visit to Oxford and London in 2018. Carolina was supported in the translation by a number of Brazilian colleagues including the lead for VBP in Brazil Guilherme Messas and Rafael Alves Lima and Melissa Tameline.
Citation Reference: Carolina Colombo (translator) Prática Baseada em Valores em Cuidados Clínicos (2018). Brazilian-Portuguese translation of Values-based Practice in Clinical Care: a Training Template (2016). Eds: Bill Fulford and Ashok Handa. Oxford: The Collaborating Centre for Values-based Practice in Health and Social Care at St Catherine’s College. Available from the website for the Centre at valuesbasedpractice.org and follow the links to the Values-based Surgical Care programme
Values-based Practice in Diagnostic & Therapeutic Radiography – A Training Template
This Handbook is based on the original document, Values-based Practice in Clinical Care developed by the surgical care team of the Collaborating Centre for Values-based Practice in Health and Social Care; with the support of a wide range of colleagues, patients and Collaborating Centre Partners.
The main editors for this original work were Ashok Handa, Tutor for Surgery in Oxford and Co-director of the Collaborating Centre, and Bill Fulford, Director of the Collaborating Centre.
A small team, comprising of committee members of the Association of Radiography Educators (ARE) and other interested radiography educators, have adapted materials from the original Handbook for use by both diagnostic and therapeutic radiographers. The team members are:
- Dr Ruth Strudwick Associate Professor & Professional Lead: Radiography & IPL, University of Suffolk
- Dr Ann Newton-Hughes Lecturer in Radiography, University of Salford
- Sue Gibson Senior Lecturer, Canterbury Christ Church University
- Joanne Harris Macmillan Practice Educator for Oncology & Education Lead – pre-registration therapeutic students
- Mark Gradwell Senior Lecturer, Professional Lead for Diagnostic Radiography & IPE Director, Canterbury Christ Church University
- Emma Hyde Head of Diagnostic Imaging, University of Derby
- Jane Harvey-Lloyd Associate Professor in Radiography, University of Suffolk
- Tracy O’Regan Professional Officer Clinical Imaging, Society and College of Radiographers
- Julie Hendry Senior Lecturer and Course Director Therapeutic Radiography, Kingston & St George’s University of London
The scenarios included in this Handbook have been piloted with radiographers and students at study days and university teaching sessions. We are grateful to these individuals for their input.
The handbook was launched in October 2018 and has been used at study days and in training sessions since then.
Whose Values? A Workbook
‘Whose Values?’ is based on work by Kim Woodbridge-Dodd, Bill Fulford, Malcolm King, Toby Williamson and others at the Sainsbury Centre for Mental Health in London
Launched by Rosie Winterton, the Minister of State with Responsibility for Mental Health, in 2004, ‘Whose Values?’ went on to become the basis for a series of values-based and evidence-based policies and practice guidance in mental health from the UK Department of Health (see Reading Guide)
‘Whose Values?’ provides a series of practical and case-based exercises exploring each of the main process elements of values-based practice. It can be used for group work or individual study
Download Whose Values? A Workbook
Woodbridge, K., and Fulford, K.W.M. (2004) ‘Whose Values?’ A workbook for values-based practice in mental health care. London: The Sainsbury Centre for Mental Health.
Valores de Quem? Brazilian-Portugese Translation of ‘Whose Values?’ by Arthur Maciel (translator)
This is a Brazilian translation of the full text of ‘Whose Values?’. The translator, Arthur Maciel, is a psychiatrist who worked on the translation with Kim Woodbridge-Dodd and Bill Fulford during a visit to the UK in 2011.
Download Valores de quem?
Maciel, A., (2012) Valores de Quem? Brazilian-Portugese translation of Woodbridge, K., and Fulford, K.W.M. (2004) ‘Whose Values?’ A workbook for values-based practice
Who Needs Values? Approaching Values-based Practice in Medical Education Instructors Manual – Jennifer Chevinsky
‘Who Needs Values’ is an interactive seven-module (total of five hour and fifteen minutes) curriculum for teaching values-based practice to medical students. This values-based practice longitudinal curriculum aims not only to enhance students’ understanding of values within the healthcare field, but also to highlight the connection between evidence-based practice and other important topics such as cultural competency, bioethics, medical anthropology, public health, interdisciplinary teamwork, motivational interviewing, and simulation within a values framework.
Each module contains an Instructor’s Guide, Learner’s Guide, and a Valuable Resource document in addition to Cases that can be found at the end of the manual.
The manual is based on work that Jennifer Chevinsky completed during a six-week medical student placement with Bill Fulford and Ed Peile in Oxford and Warwick Universities.
Download Who Needs Values?
Chevinsky, J., Fulford, KWM (Bill), Peile, E., and Monroe, A., (2015) Who Needs Values?
Approaching Values-based Practice in Medical Education – Instructors Manual
A Teaching and Learning Framework
This Teaching and Learning Framework, which was developed by Ed Peile, was published originally as an Appendix to Fulford, Peile and Carroll’s Essentials of Values-based Practice.
It provides color-coded learning criteria for each of the key process elements of values-based practice together with suggestions for appropriate assessment methods
Download A Teaching and Learning Framework
Fulford, K.W.M., Peile, E., and Carroll, H (2012) Values-based practice teaching framework. Appendix B, pps 208 – 210 in Fulford, K.W.M., Peile, E., and Carroll, H Essentials of Values-based Practice: clinical stories linking science with people. Cambridge: Cambridge University Press
Values Based Practice and Interprofessional Education: A new Interprofessional Education Handbook
We share our Interprofessional Education (IPE) Handbook and a summary of our evaluation of a pilot introducing the Handbook to practitioners and educators through an interprofessional workshop. Values and Values Based Practice are integral to IPE, both guiding how practitioners work with patients or clients and defining the ways in which members of different professions work together. We present the development of the Handbook and workshops and possible uses of the Handbook.
The terms “interprofessional” and “IPE” are widely used, however, these terms are often used inaccurately. The UK Centre for the Advancement of Interprofessional Education (CAIPE) is recognised internationally as one of leading organisations in this field. CAIPE’s definition of IPE, ‘Occasions when two or more professions learn with, from and about each other to improve collaboration and the quality of care’ (CAIPE 2002), is accepted nationally and internationally. IPE is distinct from “mutiprofessional education” (or common learning), which is defined as, “Occasions when two or more professions learn side by side for whatever reason” (Barr, 2002).
Many people with a mental illness have a legal right to ask their employer to make changes known as ‘reasonable adjustments’ to their jobs and workplace. These adjustments enable the individual with a mental illness to overcome barriers to their being able to apply for and carry out a job for which they have the right skills.
The document sets out a number of practical ways in which employers may modify the work environment to support those who hear voices and thus enable voice-hearers to become more effective and engaged in the work they do.
Co-production, involvement and outcomes in mental ill-health prevention and mental health promotion: report of a scoping study.
3 Keys to a Shared Approach in Mental Health Assessment
The 3 Keys to a shared approach in mental health assessment came out of a wide-ranging consultation among service users and service providers sponsored by the UK’s Department of Health. The program was co-led by Laurie Bryant, Lu Duhig and Bill Fulford, the Department Leads at the time respectively for Service User (Laurie) and Carer (Lu) Perspectives and for Values-based Practice (Bill).
Besides defining the eponymous 3 Keys the document gives a rich variety of examples of good practice in mental health assessment under often challenging practical circumstances. These examples are the basis of on-going work by the Bristol Co-Production Group.
Download Three Keys to a Shared Approach
For a description of the 3 Keys Program and recent follow-up work building on its co- productive approach, see:
Fulford, K.W.M., Duhig, L., Hankin, J., Hicks, J., and Keeble, J.(forthcoming, 2015) Values-based Assessment in Mental Health: The 3 Keys to a Shared Approach between Service Users and Service Providers. Ch 73, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., (Eds) The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press
[Available also (from July 2015) to purchase as a free-standing chapter from www.oxfordhandbooks.com]
National Institute for Mental Health in England (NIMHE) and the Care Services Improvement Partnership (2008) 3 Keys to a Shared Approach in Mental Health Assessment. London: Department of Health
Foundation Module for the Workbook to support Implementation of the Mental health Act 2007
This is the Foundation Module for a suite of materials produced by the Department of health in the UK to support implementation of the then recently launched Mental Health Act 2007.
The 2007 Act covers the highly contentious area of involuntary psychiatric treatment. The Foundation Module set out a values-based approach to involuntary treatment. ‘Values-based decision making’ in this case means balanced decisions being taken on individual cases within a framework of shared values provided by a set of Guiding Principles defined in the associated Code of Practice and sanctioned by the Act itself.
The Module sets out this approach and gives a number of self-test exercises and worked examples.
Download MHA Handbook
For an account of how the Foundation Module was co-produced between service users and service providers and the challenges of making the approach work in practice, see
Fulford, K.W.M., Dewey, S., and King, M.(forthcoming, 2015) Values-based Involuntary Seclusion and Treatment: Value Pluralism and the UK’s Mental Health Act 2007. Ch 60, in Sadler, J.Z., van Staden, W., and Fulford, K.W.M., (Eds) The Oxford Handbook of Psychiatric Ethics. Oxford: Oxford University Press
[Available to purchase as a free-standing chapter from www.oxfordhandbooks.com]
Care Services Improvement Partnership (CSIP) and the National Institute for Mental Health in England (NIMHE) (2008) Workbook to Support Implementation of the Mental Health Act 1983 as Amended by the Mental Health Act 2007. London: Department of Health.
Values Based Practice Decision Making Protocol – User Guide
Reuben Woo’s Decision Making Protocol is based on his work at the Society of Rehabilitation and Crime Prevention, Hong Kong. It was launched in early 2014 for internal staff training on clinical decision-making but later became the basis of a series of supervision groups for social workers from different fields of practice.
The Decision Making Protocol User Guide provides a comprehensive explanation of the 16-step process with a case example and a procedural guide for using the Decision Making Protocol in case conferences.
Download Values Based Practice Decision Making Protocol
Woo Yan-wah, R., (2014) Values-based practice Decision Making Protocol – User Guide
The NIMHE Values Framework
NIMHE (National Institute for Mental Health England) was a UK government organization set up by the Department of Health in the first decade of this century to support implementation of mental health policy.
One of NIMHE’s first initiatives was to convene a small working party representing service users and a range of service providers to develop a framework of shared values to support its work. The Framework became the basis for a series of policy and service development programs combining values-based with evidence-based approaches (see Reading Guide).
Although produced in the context of a specific series of policy and practice initiatives the Framework itself and the process by which it was produced remain helpful exemplars for values-based mental health practice
Download The NIMHE Values Framework
For a more detailed account of how the Framework was developed and its contemporary relevance see:
Morgan A, Felton A, Fulford K. W. M, Kalathil J and Stacey G.
(forthcoming 2015). Values-based Practice, Chapter 4 in Values and Ethics: an Exploration for Mental Health Practice. Palmgrave Macmillan
National Institute for Mental Health England (2004) The National Framework of Values for Mental Health. Originally published on-line on the NIMHE website. Available on the values-based practice website (valuesbasedpractice.org) or in hard copy at p25 in Woodbridge, K., and Fulford, K.W.M. (2004) ‘Whose Values?’ A workbook for values-based practice in mental health care. London: The Sainsbury Centre for Mental Health.
VB CAHMs Commission Report
The report of the Commission for Values-based CAHMs (Child and Adolescent Mental Health System Commission) was launched on November 7th at a reception at the House of Lords hosted by Commission Chair Baroness Tyler
Among other findings the Commission emphasised the importance of building closer links between education and healthcare in the provision of services supporting the mental health of children and young people
The full report and a summary version can be downloaded here:
Summary Values-Based Child and Adolescent Mental Health System Commission (2016)
Full-report Values-Based Child and Adolescent Mental Health System Commission (2016)
or via the Royal College of Psychiatrists’ website at:
Citation reference: Values-Based Child and Adolescent Mental Health System Commission (2016) What Really Matters in Children and Young People’s Mental Health. London: Royal College of Psychiatrists.
The Anatomy of Collaboration
This report is based on the findings from a series of Round Table seminars in the House of Lords organized by Collaborate at South Bank University in partnership with The Collaborating Centre
The paper argues that strong collaboration to support better citizen outcomes must be built on five components: leadership, values, infrastructure, delivery and behaviours, which are represented in the paper as parts of the body. All must be interwoven with the voice and influence of citizens. Failure to take the collaborative process seriously will result in the promise of integrated care and joined-up commissioning through devolution being wasted.
The full report can be down loaded here: REPORT Collaborate_Anatomy-of-Collaboration-Digital-Report or from Collaborate’s website at: ADD http://wordpress.collaboratei.com/wp-content/uploads/Collaborate_Anatomy-of-Collaboration-Digital-Report.pdf
Citation reference: Henry Kippin and Bill Fulford (2016) The Anatomy of Collaboration: a Resource for Leaders in Health, Social Care and Beyond. Report based on House of Lords Roundtable Seminars co-organised by Collaborate and the Collaborating Centre for Values-based Practice. London, South Bank University: Collaborate
Use of the Guiding Principles for the Mental Health Act 2007 – Report on the findings from a sample review
The CQC Mental Health Policy Team is tasked with drawing together information on the MHA Code of Practice for the CQC’s submission to the Independent MHA Review Panel chaired by Sir Simon Wessely. As part of a wider consultation, the CQC Mental Health Policy Team asked the Collaborating Centre for Values-based Practice in Oxford to report on the use of the MHA Guiding Principles.
This report sets out the findings from a review of the use of the Guiding Principles for the Mental Health Act 1983 [amended 2007] (MHA) including the findings and conclusions.
The Guiding Principles currently have little impact on the way the MHA is used (or at least, there is an absence of evidence for this effect). Giving the Guiding Principles statutory force by moving them from the Code of Practice to the face of the MHA is likely to strengthen their role in driving good practice Legislative changes should be accompanied by a package of measures designed to support services in implementing good practice in the use of the MHA including good practice examples in the Code of Practice and/or supplementary guidance.
Citation Reference: Use of the Guiding Principles for the Mental Health Act 2007 – Report on the findings from a sample review. A Report for the CQC Mental Health Act Team by The Collaborating Centre for Values-based Practice in Health and Social Care
VaST Values Search Tools: a manual for searching electronic databases for health-related values
Searching for values-related literature is difficult for many reasons but notably because relevant search terms are not sufficiently specific (if you search on ‘value*’ you get millions of ‘hits’ on the lines of ‘the values of the hemoglobin’!)
Mila Petrova developed this manual working with Jeremy Dale, Paul Sutcliffe, Bill Fulford and others at Warwick Medical School. It includes a summary string of terms that is helpful as a values filter for a first-level search.
Download Manual Searching Electronic Databases
Further information on identifying literature on values is given in:
Fulford, K.W.M., Peile, E., and Carroll, H (2012) ‘A Smoking Enigma: getting and not getting the knowledge.’ Ch 6, pps 65 – 82 in Fulford, K.W.M., Peile, E., and Carroll, H Essentials of Values-based Practice: clinical stories linking science with people. Cambridge: Cambridge University Press
Petrova, M., (2012) VaST Values Search Tools: a manual for searching electronic databases for health-related values.
The search string was published in:
Petrova, M., Sutcliffe, P., Fulford, K. W. M., and Dale, J. (2011) Search terms and a validated brief search filter to retrieve publications on health-related values in Medline: a word frequency analysis study. Journal of the American Medical Informatics Association, doi:10.1136/amiajnl-2011-000243.
Read More about literature searching at retrieving values-related literature