Shared-decision making

Shared decisionmaking means that individuals can be supported by clinicians and other professionals to make health and care decisions that are right for them, based on their personal aims and goals.  

PRSB has developed a draft standard in consultation with multidisciplinary healthcare professionals, patients, and the public and informed by a review of the SDM evidence including best practice guidance from NICE (National Institute for Health and Care Excellence) and the GMC (General Medical Council).

Consultation process

We set up a working group to discuss what will need to be included in the standard, so that information about care and treatment options including benefits and risks can be discussed, questions addressed and decisions recorded. This would include  consent for treatment, when it is agreed, and any pre-operative assessments and requirements. 

This short video summarises the workshop that was held and the feedback we received


We have now started to test how the standard might work in practice with a series of simulated patient-doctors decision-making discussions conducted online. The purpose of this exercise is to simulate various shared decision-making discussions using different examples in healthcare and test whether the standard captures the right information to record from the shared decision-making process and areas where it could be improved. This is intended to test if the standard is practical to complete (respecting patient and clinician time) and if it has all the relevant entries to record the information that the clinician and patient would like to see recorded.  The output will be used to refine the draft standard.

We are working on agreeing a plan and funding for the next stage of work after the role plays which should include pilot testing and wider consultation to reach a v1 standard.

Our aim

Shared decision making should improve relationships between professionals and people using services and ensure people are more involved in decisions about their care and health generally. It should help people to have a clear understanding of the benefits and risks of treatment options. Greater use of shared decision making should also reduce variations in care and ensure resources are used more effectively across the health and care system.

For more information on getting involved please contact