Shared Decision Making programme

The idea that people should have a strong voice in decisions about their health and care remains a policy goal of NHS England.

Evidence shows that where people are more involved in their health care decisions their experience of care is improved. In addition, more informed people tend to choose less treatment which can result in less waste and harm, as well as better use of resources.

The NHS RightCare Shared Decision Making (SDM) programme supports implementation of shared decision making across care pathways at national and local level.

The Personalised Care Group leads the shared decision making work programme for NHS England; NHS RightCare is leading a specific programme of work to accelerate implementation at local level.

What is Shared Decision Making?

Shared Decision Making is where individuals and clinicians work together to understand and decide what tests, treatments, management or support packages are most suitable bearing in mind the persons individual circumstances. It brings together the individuals expertise about themselves and what is important to them together with the clinician’s knowledge about what is known about the benefits and risks of the available options.

More information about shared decision making is available from the NHS England team shared decision making team.

NHS RightCare and Shared Decision Making

Shared decision making is an integral part of NHS RightCare. Its function is to improve outcomes for individuals by focusing on:

  • Value
  • Addressing overuse and underuse
  • Recognising that informed individuals choose less interventions
  • Tackling unwarranted variation
  • Improving outcomes for individuals

NHS England personalised care team

NHS RightCare is working in collaboration with NHS England’s Personalised Care team to ensure shared decision making is embedded into practice and people are empowered to make informed decisions about their health and care thereby better meeting their individual care and treatment needs and preferences.

How to implement Shared Decision Making

The diagram below shows the four essential elements needed to adopt, embed and sustain shared decision making.This diagram shows the four essential elements needed to adopt, embed and sustain shared decision making.

The National Shared Decision Making Collaborative

This collaborative aims to connect teams nationally to share, learn, drive and support local adoption of shared decision making into optimal care pathways

In December 2017, NHS RightCare commenced a series of national, yearlong shared decision making learning collaboratives that provide national support to embed shared decision making at local level across a number of pathways including musculoskeletal and respiratory services.

Delivery partners

NHS RightCare Delivery Partners support implementation of the RightCare approach within local health economies. Delivery Partners contribute to the shared decision making collaboratives and offer support to teams involved at local level.

Decision aid resources

Abdominal Aortic Aneurysm (AAA) Repair decision aid:

Abdominal Aortic Aneurysm (AAA) screening decision aid:

Acne decision aid:

Birth options after previous caesarean section decision aid:

Bladder cancer decision aid:

Carpal tunnel:

Cataracts decision aid:

Chronic obstructive pulmonary disease decision aid:

Depression decision aid:

Down’s Edward’s and Patau’s Syndromes decision aid:

Established kidney failure (kidney dialysis) decision aid:

Established kidney failure decision aid:

Gallstones decision aid:

Glue ear decision aid:

Heavy menstrual bleeding (menorrhagia) decision aid:

High blood pressure decision aid:

Inguinal hernia decision aid:

Lung cancer decision aid:

Obesity decision aid:

Osteoarthritis of the hip decision aid:

Osteoarthritis of the knee decision aid:

Prostate specific antigen (PSA) testing decision aid:

Rectal cancer (without distant spread) decision aid:

Recurrent sore throat decision aid:

Rheumatoid arthritis decision aid:

Smoking cessation decision aid:

Stable angina decision aid: