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Healthcare Leadership
 

Patient Engagement

 

Overview

Involving patient and service users and their families in designing and improving healthcare services leads to improvements in health outcomes, builds trust between patients and healthcare services, helps keep the patient experience in focus and increases public confidence. Patients can make essential contributions to medical education including in curricula development. The Royal College of Physicians of Ireland acknowledges this important role and has agreed several principles which underpin RCPI’s approach to this work.  

doctor discussing results with patient
 

Principles

  • Centering the patient experience is paramount in improving healthcare.
  • Patient and public involvement can support RCPI's mission to enhance postgraduate medical education, and improve healthcare quality and safety.
  • We should aim for the highest level of involvement - empowerment/partnership when possible.
  • Inclusivity and diversity are paramount. Design of approach to involving patients should facilitate this.
  • Barriers to participation should be acknowledged and addressed.
  • Resourcing and practical support are essential for successful patient and public involvement.
 

Areas of patient involvement

There is ongoing patient involvement in the following areas of RCPI’s work:

National Speciality Quality Improvement Programmes 

RCPI manages four National Specialty Quality Improvement (NSQI) Programmes in GI Endoscopy, Histopathology, Radiology and Bronchoscopy. Two patient and public interest (PPI) representatives sit on the NSQI steering committee for these programmes. In 2024 they actively collaborated with the programmes to produce first summary reports designed to put the GI Endoscopy, Histopathology and Radiology annual data report findings into people’s hands in a more digestible wayThese reports were presented by one of the PPIs during NSQI Annual Conference 2024This work continues in 2025. 
Find out more about NSQI's work

National Clinical Programmes 

The National Clinical Programmes are a joint initiative between the HSE, medical training colleges, and healthcare professionals, and have input from service users/patient representatives. RCPI contributes to around 15 of the 30 programmes by nominating senior doctors as National Clinical Leads and forming advisory groups. It also manages some programmes directly, working closely with patient representatives. 
Find out more about National Clinical Programmes

RCPI Research Ethics Committee 

Two PPI contributors sit on this committee, bringing patient expertise to review of research ethics applications. This is particularly helpful in reviewing intended impact of projects. Patient perspective is also helpful in identifying potential repercussions of projects on patients and determining relevance and clarity of project communications and information e.g., leaflets.
Find out more about RCPI's Research Ethics Committee

Quality Improvement 

Patients are actively involved in the design and delivery of Quality Improvement (QI) programmes, as well as at QI conferences. They have contributed to a range of educational initiatives, including the COPD Collaborative. Since the inception of QI educational programmes at RCPI, patients have participated through steering groups and working groups, helping to shape programme content and structure. Additionally, patients regularly share their experiences as speakers in the majority of our educational programmes, providing valuable perspectives that enhance learning for all participants. 

In 2018, RCPI led a flexible QI collaborative to improve acute COPD care. Patient involvement through co-design was a fundamental driver for change through this project. Patients shaped programme design, acted as co-faculty in Learning Sessions, with personal stories supporting enhanced communication. This involvement helped to ensure care pathways reflected real needs at presentation, admission, and discharge, and supported self-management. 
Find out more about QI

Education 

At RCPI, it is common practice to involve patient or lay representatives in the design of education interventions where the patient experience forms a key part of the education material. 

In 2024-2025, RCPI is demonstrating its commitment to patient involvement in curricula development through a review of the Core Professional Skills element of postgraduate training, which underpins safe, ethical, and effective care across all specialties. Patient Advocacy and Representation Groups are contributing structured feedback through workshops, ensuring the emerging framework reflects patient priorities and experiences.

RCPI is also developing an Education Framework for Inclusion Health, using a co-design approach. This involves interviews and workshops with Health Equity and Advocacy Organisations, represented by people with lived experience and those working directly with them. The framework will help identify the skills doctors need to address health inequities and will inform curricula, fellowships, training resources, and a pilot simulation programme. 
Find out more about RCPI's education offering

There is also lay involvement (professional non-physician) on Council and other RCPI Boards and Committees.  

 

Roadmap

“Develop a clear, strategic and inclusive approach to patient engagement across the college’s activities that aligns with the WHO Patient Safety Rights Charter and integrates health literacy principles.”

(RCPI Strategic Plan 2025-2029)

RCPI’s new strategy strengthens its commitment to deliver the highest standards of postgraduate medical training and education, while incorporating the lived experience of patients to improve quality and safety in healthcare delivery and adopting an innovative approach to navigate present and future challenges. 

We look forward to working directly with patients and patient organisations in the coming months and years to realise this vision.