Embedding SDM in NHS systems and processes.

This was being led by Capita (Capita Business Services ).

Making SDM a reality for patients can only be achieved if it is systematically streamlined into routine NHS processes. Activities in this workstream included a focus on integrating SDM so that it became an integral part of the patient and clinician pathway. The Patient Decision Aids (PDAs), for example, needed to be easily accessible on recognised NHS platforms, such as Choose and Book, NHS Choices, GP patient record systems and the Map of Medicine.

As well as embedding SDM from the provider perspective, this workstream integrated SDM into policies, commissioning systems and consent procedures.  The programme provided information, insight and advice about how the NHS Commissioning Board and Clinical Commissioning Groups (CCGs) could deliver on their statutory duties, including practical tools and processes, and indicators of what ‘good commissioning of SDM would look like’ at NHS Commissioning Board and CCG level.

Capita worked with two CCG’s within South of England- Southampton City and Newbury and District. Further local updates regarding this work, and opportunity to review and test out emerging tools will be made available to colleagues.

The following documents are available to download:-


Embedding Shared Decision Making: A Resource Pack for Commissioners

This document was developed by Capita as part of the national Shared Decision Making Programme, whichwas part of the Right Care Programme. This document is a resource pack for commissioners and outlines the steps to embedding Shared Decision making across your local health economy.

This resource pack has been tested on the ground with commissioners, including Clinical Commissioning Groups, who focussed on developing a Shared Decision Making approach across their health economy. This resource pack aims to provide practical advice and support. You will need to consider having appropriate people to support the implementation of change. Having a clinical lead for this work with commitment to the principles of Shared Decision Making and influence across the health system is vital.

If you have any problems opening any documents in the resource pack then please contact:-


Decision Point Maps

To embed Shared Decision Making and Patient Decision Aids (PDAs) into the commissioning processes, a series of decision point maps were produced by Capita. A decision point map is a matrix for a specific clinical pathway, and for each PDA, it identifies the likely relevant patient decision points and the relevant professional, e.g. GPs, secondary care clinicians, midwives, advanced practitioners who will interact with the patient/carer at that point in the pathway.


SDM Programme Research Framework and Evidence Baseline

This report includes the evidence baseline that sets out a number of proposed measures that can be used to evaluate the impact of PDAs and SDM more broadly. The research framework used alongside the evidence baseline recommends short, medium and long-term projects that can support the measurement of the impact of SDM going forward.


Measuring Shared Decision Making – A review of research evidence

This is a report for the Shared Decision Making programme, In partnership with Capita Group Plc.

There is a wealth of research evidence around Shared Decision Making: its purpose, the need for it and evidence of its benefits and challenges.  This report aims to complement existing literature and evidence, by focusing on measurement and evidence of implementation in England to date. In doing so, our objective is to support those with an interest in developing Shared Decision Making within their organisations, to help them to understand:

• What elements of the decision making process should be measured, including for example, decision readiness and decision quality
• What measures exist and what research evidence supports their use
• What evidence is there of the implementation of  these measures, and in what contexts?
This report provides a summary of the types of  measures that are available, a recommendation of which measures might be appropriate for the national programme as well as a rationale for the suggested approach.


SDM Programme Herts Valley Case Study

The evaluation of PDA usage in Herts Valley was done to understand how two PDAs may be implemented in general practice as well as the acceptability of the concept of SDM/ PDAs among commissioners, clinicians and patients in a local health economy.







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