Changing the culture: resources developed by AQuA

AQuA (Advanced Quality Alliance), one of the partners in the Rightcare SDM programme, helped to deliver culture change, patient empowerment and tools to measure Shared Decision Making in everyday clinical practice, in a range of settings and clinical pathways. Their Evaluation and Output Report for the 2012-13 work programme is available here. Your-Health-Your-Decision-Evaluation-Report

Ask 3 Questions

As part of the programme, they developed films, posters and other materials that can be displayed in patient areas, consultation rooms and other public places. The ‘Ask 3 questions’ campaign also includes information leaflets which can be included in appointment letters to encourage patients to ask three key questions when they are asked to make a choice about treatment.

The three questions are:

  • What are my options?
  • What are the pros and cons for each option?
  • What support is available to help me make a decision?

The ‘Ask 3 Questions’ campaign has been shortlisted for the HSJ Efficiency Award. The campaign is among nine entries shortlisted in the Communicating Efficiency category and the winner will be announced in September.

Videos of conversations

To show Shared Decision Making in action, AQuA has produced a series of short films showing both good and bad clinical experiences. The filmed scenarios demonstrate clinicians and patients engaged in consultations and decision making for a variety of conditions including maternity, musculoskeletal (MSK), and benign prostatic hyperplasia (BPH), which is the most common prostate disorder, as well as a renal scenario demonstrating decisions to be made in regards to options for dialysis.

GPs, charities and public sector organisations are encouraged to use the materials which can be shown in hospital and GP waiting rooms as well as embedded in both public and third sector websites of organisations with a public health mandate.

Online Shared Decision Making Training – e-learning resource

This e-learning resource provides guidance on what Shared Decision Making (SDM) is and how to implement it in practice. It also provides resources to help health professionals learn the required skills. The e-learning sessions include films to illustrate examples of good and bad consultations and prompts, along with resources to aid health professionals with their work.

The e-learning package is suitable for all healthcare professionals, health improvement personnel and patient engagement representatives to inform and educate them on Shared Decision Making in order to embed it in day to day clinical practice. Shared Decision Making represents a cultural change in behaviour and this tool will aid and assist in changing  an environment of medical paternalism to a more inclusive approach based on the 2012 Health Act ‘Liberating the NHS: ‘No decision about me without me’.

Case studies of clinical teams involved in the National SDM Collaborative with AQuA in 2012-13 can been found on the AQuA website.