50 likes | 151 Views
Summary of Learning Richard Thomson On behalf of MAGIC Cardiff and Newcastle. Key learning: Summary. SDM is so much more than tools; more to do with skills and new ways of consulting (aided by decision support)
E N D
Summary of Learning Richard Thomson On behalf of MAGIC Cardiff and Newcastle
Key learning: Summary • SDM is so much more than tools; more to do with skills and new ways of consulting (aided by decision support) • Complex PDAs have a role, but also need simpler in-consultation support (Option Grids/Brief Decision Aids). • Need to embed within clinical pathways (or adapt) and show value to clinicians • Need for wider PPI at all levels
Key learning: Summary • Important emerging role of patient activation (provided service is ready to respond) • Measurement of patient experience hard at local level, but local measures likely to be of value if they stimulate change and inform clinical practice (e.g. DQM) • Link to QI/service improvement – local context
Wider policy and systems issues • SDM needs to be incentivised within the system (e.g. key metrics/performance management; national/ professional body support; commissioner buy in; board buy in) • Tensions exist • Rapid progress through cancer care pathways • QOF ( e.g. for hypertension treatment targets) • Tendering processes within the English market • Criterion based models of referral management and NICE guidance may create tensions with SDM
Wider policy and systems issues • Need for national coordination around education and training • Coordination nationally between patient experience/SDM and LTC/SSM • Access to resources at the time needed – e.g. within info systems • Use of routine data for monitoring and QI • Research needed (e.g. NIHR) to develop valid and reliable measurement of SDM