AQuA

Creating a receptive culture for SDM.

This element of the programme was led by AQuA (Advancing Quality Alliance)

The biggest challenge to embedding SDM in routine NHS care is to create a nationwide paradigm shift so patients expect routinely to be involved in decisions about their care.  This required a change in the current patient-clinician dynamic so that clinicians work with patients to encourage and respond to their greater involvement and patients take a stronger interest in being involved.

Harnessing a multi-media approach to foster a social movement for SDM, the programme raised awareness amongst patients, their carers and the wider public, working with partners such as Patient Opinion and advocates within the voluntary sector.

The ‘Ask 3 Questions’ approach originally developed by The Health Foundation in collaboration with Cardiff and Newcastle University was seen as a positive, simple and widely applicable tool. ‘Ask 3 Questions’ has now been adopted as a key tool for engaging the public and supporting a culture change. It was launched on 6th September 2012 and the supporting materials available to download can be found here.

Presentation on Shared Decision Making in the NHS: Sue Kennedy, National Shared Decision Making Programme Manager

• Shared Decision Making in the NHS – Sue Kennedy

The Advancing Quality Alliance (AQuA) which is a  North West membership improvement body for health and social care, launched its ‘Ask 3 Questions’ campaign on 6th September 2012 as part of its national Shared Decision Making (SDM) collaborative.

•  AQuA SDM Press Release A3Q for Third Sector – 6th Sept 2012

The latest Ask 3 questions poster.

• Ask 3 Questions – Final Poster 2

The latest Ask 3 question leaflet.

• A3Q A5 leaflet inside
•  A3Q A5 leaflet outside

Presentations from the Webex held on 11th October 2012:-

• AQuA SDM Webex Oct 11th – National SDM Programme: The GP Perspective
• AQuA SDM webex – Implementation of SDM in Primary Care

Your Health – Your Decision

Evaluation and Output Report of the AQuA Workstream within the National Shared Decision Making Programme is now available.

“AQuA was delighted to win part of the Department of Health QIPP Right Care National tender for Shared
Decision Making in the crucial area of culture change. The programme has been very successful in delivering
culture change, patient empowerment and tools to measure Shared Decision Making in everyday clinical
practice, in a range of settings and clinical pathways.”

This report tells the story of AQuA’s work over the past year 2012/2013.

• Your-Health-Your-Decision-Evaluation-Report

AQuA – SDM Case Studies 2013/2014

AQuA have produced a number of case studies illustrating the successes and challenges experienced by those implementing Shared Decision Making and Self-Management Support in practice. Clinical Teams involved in the 2013/14 SDM Collaborative have contributed to these case studies.

• 5 Boroughs Partnership NHS Foundation Trust – Podiatry
• 5 Boroughs Partnership NHS Foundation Trust – Intermediate Care 1
  
• 5 Boroughs Partnership NHS Foundation Trust  – End of Life Care
• 5 Boroughs Partnership NHS Foundation Trust – Intermediate Care 2
• Personal experience – Orthopaedic Care
• NHS Eastern Cheshire Clinical Commissioning Group – Integrated Care
• Liverpool Community Health NHS Trust – Lymphoedema
• The Walton Centre NHS Foundation Trust, Liverpool – Epilepsy
• University Hospital of South Manchester NHS Foundation Trust – Pain
• Wrightington, Wigan and Leigh NHS Foundation Trust – Cancer
• Wrightington, Wigan and Leigh NHS Foundation Trust – Diabetes
• Wrightington, Wigan and Leigh NHS Foundation Trust – Maternity
• Wrightington, Wigan and Leigh NHS Foundation Trust – Sleep apnoea

To find out more information about these projects, you can access the AQuA website:-

• www.advancingqualityalliance.nhs.uk/sdm

or contact AQuA by email at:

•  aqua@srft.nhs.uk

AQuA – SDM Case Studies 2012/2013

Several of the clinical teams that were involved in the National SDM Collaborative in 2012/13 contributed to case studies about their experiences:

• Patient and GP case study
• 5 Boroughs Partnership NHS Foundation Trust – MSK
• Aintree University Hospital NHS Foundation Trust
  – MSK and Nephrology
• Blackpool Teaching Hospitals NHS Foundation Trust – Maternity
• Heart of England NHS Foundation Trust/West Midlands Renal Network –
  Renal
• The Pennine Acute Hospitals NHS Trust (North Manchester General Hospital)
  – Maternity
• Pennine MSK Partnership Ltd – MSK
• The Pennine Acute Hospitals NHS Trust (Royal Oldham Hospital) – Maternity
• Salford Royal NHS Foundation Trust – Renal
• NHS Trafford – MSK
• Wrightington, Wigan and Leigh NHS Foundation Trust – Maternity