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 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.
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:
- Depression: should I stop taking my antidepressant?
- Depression: should I take an antidepressant?
- Depression: Should I take antidepressants while I’m pregnant?
- Depression: Should my child take medicine to treat depression?
Down’s Edward’s and Patau’s Syndromes decision aid:
Established kidney failure (kidney dialysis) decision aid:
- Healthwise – Kidney failure: what type of dialysis should I have?
- Healthwise – Kidney failure: when should I start dialysis?
- Healthwise – Advance care planning: should I stop kidney dialysis?
Established kidney failure decision aid:
Gallstones decision aid:
Glue ear decision aid:
- Healthwise – Ear problems: should my child be treated for fluid buildup in the middle ear?
- Healthwise – Ear infection: should I give my child antibiotics?
Heavy menstrual bleeding (menorrhagia) decision aid:
High blood pressure decision aid:
Inguinal hernia decision aid:
Lung cancer decision aid:
- Roy Castle Lung Foundation
- Chemotherapy after surgery stage 2 non-small cell lung cancer via NICE Evidence Search and Chemotherapy after surgery stage 3 non-small cell lung cancer via NICE Evidence Search
- Healthwise – Lung cancer: should I have screening?
Obesity decision aid:
- Healthwise – Obesity: should I have weight-loss surgery?
- Healthwise – Obesity: should I take weight-loss medicine?
- Healthwise – Obesity: should I use a diet plan to lose weight?
- Healthwise – Weight management: should I use over-the-counter diet aids?
Osteoarthritis of the hip decision aid:
- Cochrane Musculoskeletal – Osteoarthritis decision aid: should I have ultrasound for osteoarthritis?
- Cochrane Musculoskeletal – Osteoarthritis Decision Aid: Should I use TENS (transcutaneous electrostimulation) for osteoarthritis?
- Cochrane Musculoskeletal – What are my options for managing hip or knee arthritis?
- Healthwise – Arthritis: should I have hip replacement surgery?
Osteoarthritis of the knee decision aid:
- Cochrane Musculoskeletal – Osteoarthritis decision aid: should I have ultrasound for osteoarthritis?
- Cochrane Musculoskeletal – Osteoarthritis Decision Aid: Should I use TENS (transcutaneous electrostimulation) for osteoarthritis?
- Cochrane Musculoskeletal – What are my options for managing hip or knee arthritis?
- Healthwise – Arthritis: should I have knee replacement surgery?
Prostate specific antigen (PSA) testing decision aid:
Rectal cancer (without distant spread) decision aid:
Recurrent sore throat decision aid:
Rheumatoid arthritis decision aid:
- Cochrane Musculoskeletal – Rheumatoid arthritis Decision Aid: Should I take methotrexate (Rheumatrex®) for rheumatoid arthritis?
- Cochrane Musculoskeletal – Rheumatoid arthritis Decision Aid: Should I take abatacept (Orencia®) for rheumatoid arthritis?
- Cochrane Musculoskeletal – Rheumatoid arthritis Decision Aid: Should I take tocilizumab (Actemra®) for rheumatoid arthritis?
- Cochrane Musculoskeletal – Rheumatoid arthritis Decision Aid: Should I take etanercept (Enbrel®) for rheumatoid arthritis?
- Cochrane Musculoskeletal – Rheumatoid arthritis Decision Aid: Should I take methotrexate (Rheumatrex®)for rheumatoid arthritis alone or with other disease-modifying anti-rheumatic drugs (DMARDS)?
Smoking cessation decision aid:
Stable angina decision aid: