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Embedding Shared Decision Making – Lot 2 work programme

Embedding Shared Decision Making – Lot 2 work programme . The challenge.

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Embedding Shared Decision Making – Lot 2 work programme

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  1. Embedding Shared Decision Making – Lot 2 work programme

  2. The challenge The key message is that we could do better and we need to do better. Effective shared decision-making is not yet the norm and many patients want more information and involvement in decisions about treatment, care or support than they currently experience. The biggest challenge now is to devise effective ways for supporting shared decision-making and ensuring it is embedded in mainstream clinical practice. Angela Coulter, Alf Collins, Making Shared Decision Making a Reality, No Decision About Me Without Me, Kings Fund 2011

  3. Lot 2: embedding Shared Decision Making • Embed Shared Decision Making and related interventions in NHS provider systems • Embed Shared Decision Making in routine commissioning systems, frameworks, and informed consent procedures • Provide information, insight and advice that would enable the NHS Commissioning board and CCGs to deliver on their duties • Develop and implement appropriate measures of Shared Decision Making and use of interventions designed • Produce UK based scientific evidence on the effect of shared decision making and related interventions on health outcomes, intervention rates, patient experience, litigation costs and other validated measures of Shared Decision Making

  4. Principles underpinning our delivery plan … • Ensuring it is as easy as possible for clinicians and patients to access Patient Decision Aids • Building on progress to date and existing behaviours • Developing knowledge working with specific localities and pathways, that can be replicated elsewhere • What we can realistically achieve within a short timeframe • Providing a strong foundation for the programme after year 1

  5. Key deliverables and milestones: embedding SDM within provider systems

  6. Key deliverables and milestones: embedding SDM in routine commissioning systems

  7. Key deliverables and milestones: guidance for CCGs and the Commissioning Board

  8. Key deliverables and milestones: KPIs and evaluation

  9. What we’re looking for … • An innovative, forward thinking health economy (CCG and possibly provider organisations) interested in Shared Decision Making • Some understanding of local priorities, commissioning processes and any relevant process improvement initiatives – so we can design a programme that meets local demands as well as what we’ve been commissioned to do nationally • Real, practical engagement with local commissioning processes and systems • Potential opportunities for collaboration on research and evaluation at a local level

  10. What are the possible benefits for local health economies? • improved knowledge and understanding • more accurate risk perceptions • greater comfort with decisions • more participation by patients • fewer patients choosing major surgery • better treatment adherence • improved confidence and coping skills • improved health behaviours • more appropriate service use Angela Coulter, Alf Collins, Making Shared Decision Making a Reality, No Decision About Me Without Me, Kings Fund 2011

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