An evaluation of patient and public involvement (PPI) experience in NHS Talking Therapies for Anxiety and Depression services: a framework analysis and practical recommendations

Objective: Patient and public involvement (PPI) refers to the active participation of people, patients, and carers in all stages of research and service delivery development. The aim of this study was to evaluate the PPI experiences in an NHS TTad (Talking Therapies for anxiety and depression) setting and to offer practical recommendations to support PPI activity in service development. Method: A semi-structured focus group was conducted with five participants who had previously attended a series of PPI groups in TTad services in the Northwest of England. The qualitative data collected were analysed using the INVOLVE framework, incorporating both inductive and deductive coding. Results: Twelve subthemes emerged, reflecting positive PPI experiences: appreciating PPI contribution, respect for mental health experiences, learning opportunity for PPI members, flexibility and guidance, reimbursement for PPI time, expectations of PPI role in TTad services, availability and commitment, inclusive participation in TTad development, responding to PPI input, diversity, peer support and continued involvement in TTad service development. An additional theme, safe space, emphasised the importance of a comfortable environment and discretion. Conclusion: Practical recommendations are provided to enhance recruitment, engagement, empowerment and the impact of PPI in TTad services.