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Right care sdm_launch_presentation_sept_2011
- 1. The Right Care Shared Decision Making Programme Dr Steven Laitner GP and National Clinical Lead for Shared Decision Making
- 2. Why? % Wanted more involvement in treatment decisions: Source: NHS inpatient surveys
- 3. Doctor always gives information about treatment choices and elicits preferences
- 4. Dialysis or not? A comparative survival study of patients over 75 years with chronic kidney disease stage 5.( “ wrong patient error ” ) Whole Group High-Comorbidity Murtagh et al. NDT 2007
- 5. Variation in UK Awareness is the first important step in identifying and addressing unwarranted variation; if the existence of variation is unknown, the debate about whether it is unwarranted cannot take place.
- 6. London Variation in knee replacement activity
- 10. NHS Direct Patient Decision Aids NHS Direct Patient Decision Aids
- 13. Thank you Give people the care they need and no less, the care they want and no more [email_address] www.rightcare.nhs.uk
Notes de l'éditeur
- The aim of the National Shared Decision Making (SDM) Programme is to promote patient centred care, to increase patient choice, autonomy, involvement and empowerment in clinical decision making - “ no decision about me without me” - and to embed SDM in routine NHS care . The SDM Programme is part of QIPP Right Care and comprises three workstreams, which will also be described as Lots, for the purpose of the competitive tender process: Lot 1: Developing a suite of Patient Decision Aids (PDAs) and related tools, together with Patient Decision Support (e.g. telephone coaching); Lot 2: Embedding Patient Decision Aids and Shared Decision Making in routine NHS Systems (commissioning and provision); Lot 3: Creating a receptive culture among physicians, patients and the general public for Shared Decision Making;
- PDAs Are self administered tools that prepare patients for making informed decisions about medical test or treatments They are designed to increase a patient ’s awareness of expected outcomes and their own personal values