Shared decision making

Overview
Shared decision making is a collaborative process where clinicians and individuals consider treatment options based on evidence about their potential benefits and harms in order that the person can decide the best course for themselves. The conversation and decision made should be informed by the person’s priorities and concerns, wishes, preferences and goals.
 
When people are listened to, given the information they need and the time and support to make informed decisions about their care and treatment, they have the potential for better outcomes and experiences of care.
 
The draft standard

PRSB has now developed a draft standard based on smaller scale consultation and testing with role plays in phase 1 of the project with people who use services, carers and professionals. 
 
The draft standard was developed to align with the GMC guidance on decision-making and consent as well as the NICE guidelines on shared decision-making and is available on request.  Further work is being planned to test the standard in practice, consult more widely on it, gain professional body and key stakeholder endorsement and publish a first version of the standard.

The consultation process

A working group was established to discuss the contents of the draft standard, so that information about care and treatment options including benefits and risks can be discussed, questions addressed and decisions recorded.

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

We conducted a series of tests to determine how the standard might work in practice with a series of simulated patient-doctors decision-making discussions conducted online. The purpose of this exercise was 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. 

The next stage of consultation will include pilot testing and wider consultation to reach a Version 1 standard.

For more information 

For more information or to request to view the draft standard, please contact info@theprsb.org

External resources