The six stages of development of the ASPiH Standards The six stages of development of the ASPiH Standards. ASPiH, Association for Simulated Practice in Healthcare; HEE, Health Education England; SBE, simulation-based education. The six stages of development of the ASPiH Standards. ASPiH, Association for Simulated Practice in Healthcare; HEE, Health Education England; SBE, simulation-based education. Makani Purva, and Jane Nicklin BMJ STEL 2018;4:117-125 ©2018 by The Association for Simulated Practice in Healthcare