PROJECT SUMMARIES FOR NHS NETWORKS

North East

Aims

To deliver a programme of work to build support for shared decision-making across north-east England.

To provide a stimulus for widening interest in, and implementation of, SDM across North East England

Objectives

  1. Community of Interest - Set up and support a Community of Interest across the North East aiming to increase clinical engagement, share experiences, promote best practice examples, support clinical implementation and nurture clinical champions.
  1. Awareness and Consultation Event - Organise a one day regional consultation/conference event to share the background to SDM, the case for change, exemplar best practice and academic understanding across the region (in morning), then consider the opportunities and barriers to implementation using an established consultation methodology
  1. Promotion and publicity – Promote the essence of SDM and elements of best practice in an effort to ‘make it easier it to do the right thing’
  1. Public involvement – Engage with the public, patients and carers across the North East to share and inform our work. This would take a variety of forms and include strengthening links both with and between established groups and forums.

Phase 1

  • Establish the steering group and agree detailed plan for phase 1
  • Arrange 2 to 3 community of interest meetings. These would be late PM/early evening meetings with some catering, and with a focused programme and outputs for each.
  • A regional event in late June/early July for approximately 100 people, including national involvement (e.g. QIPP, NHS Direct, DH, Health Foundation)
  • Setting up a communication platform for the community of interest including a mailbase list and possible website
  • Initiate appropriate patient and public involvement
  • Develop a firm plan for phase 2

Phase 2

Develop an implementation and spread strategy that will seek to create sustainability in the community of interest as well as ongoing provider and Commissioner leadership for shared decision-making.

Contact: Tony Baldasera Tel: 0191 210 6406 or 07775 760418

Email:

East Midlands

The SHA is running a programme to enable clinicians to develop an approach that supports shared decision-making with people who require ongoing clinical care or who require a clinical intervention.

Using multiple initiatives to develop a culture of “expert to expert” dialogue in clinical consultations with GPs the approaches used aim to increase patient engagement in their management of health care utilisation as well as the clinicians approach to the patient in enabling the decision making process.

NHS East Midlands plan to;

  • Provide 5 action learning events on shared decision making for GPs, delivered by Continuing Medical Education tutors;
  • Use the information gained from the action learning eventsdevelop a social marketing approach;
  • Use the learning from the above to design an accelerated learning event with patient and clinical input.

NHS East Midlands will also raise awareness of the outputs at other opportunities that might be available using the clinical forums and structures already in existence, e.g. clinical cabinet.

Additional plans include:

  • Engage GPs in shared decision-making using the GP commissioning forum;
  • Engage current Directors of Commissioning to consider how shared decision-making would be reflected in commissioning specifications;
  • Seek out clinical champions across the East Midlands;
  • Evaluate the information resources to support shared decision-making; and,
  • Seek out GP volunteers to establish local evidence of improvements i.e. reduced referral rates for surgery.

Contact: Anthony Kealy Tel: 0115 968 4598 Email:

East of England

The project is entitled ‘What does a patient engaged organisation look like, and how do we get there?’. It aims to explore the following areas:

  • Building support for shared decision-making and information-giving, through focused engagement and for example the appointment of clinical champions.
  • Exploring with clinicians how commissioning could maximise patient involvement in their own health and care, considering shared decision-making and information-giving as outcomes, and how these might be reflected in commissioning specifications.
  • Building an understanding that shared decision-making is the same principle as that behind personalised care planning and the wider personalisation agenda (no decision about me without me) that is a key priority of government – in order to support spread and implementation across the regional systems.

East of England are working with 3 commissioning consortia. Dissemination of learning will take place throughout the project.

Contact: Heather Ballard Tel: 01223 597668 or 07506 739665

Email:

South Central

South Central has successfully recruited three pilot sites to trial the use of Patient Decision Aid (PDA) tools to help patients make an informed choice about their care.

The overall aim is to determine where and when they have the most impact and benefit for the patient. The study will also examine how the PDA may or may not influence a patient’s decision once they are fully informed and how beneficial the patient has found the process.

South Central are working with three local health communities.

Contact: Rachel Wakefield, Associate Director Programme Planned Care

Tel: 01635 275564 or 07825448205 Email:

South West

Principles & Content

  • Accelerated Learning Events x 3, that build upon each other
  • Focused on the 3 drivers for change for LTC
  • Risk profiling of the population
  • Multi-organisational multidisciplinary neighbourhood care teams
  • Maximising the number of patients who self manage by the more systematic implementation of care planning, personalisation and shared decision making
  • Consortia led, team approach, multi agency, multi disciplinary
  • Consistent team attending all three accelerated learning events
  • Members responsible for spread of learning within sphere of influence
  • Outcome focused: tangible progress made at end of day with action plans
  • Use of local and national case studies
  • Developing measures for improvement to maximise potential
  • Aim to reach to 20% SW workforce

Accelerated Learning Events likely to include:

  • Taught elements
  • Shared learning through casestudies
  • Action learning set approach; problem solving
  • Availability of experts and facilitation

Contact: Karen Tanner Tel: 01823 361236 Email:

West Midlands

Project to deliver a shared decision making e-learning module for professionals, particularly GPs in training, to increase understanding and competency in shared decision-making (SDM). Real patient stories will be used to identify a range of SDM scenarios, for example, common conditions and different patient perspectives towards the idea of SDM. The learning module will explore these scenarios through drama based role-play to illustrate how professionals can maximise SDM.

Contact: Julia Holding Tel 0121 695 2469

Email:

London

A project to assess the effectiveness of health coaching on patients with long term conditions; and develop a health coaching training resource that can be disseminated widely through primary care education networks and inform pathfinder GP clinical commission consortia commission plans.

Twelve GP specialty trainees will be trained in motivational health coaching approaches and the effectiveness of these techniques on a cohort of patients with long-term conditions will be evaluated to produce further educational materials for dissemination through the Deanery educational network and the London pathfinder clinical commissioning consortia

Contact: Lisa Dickenson Tel: 0207 866 3670

Email:

South East Coast

This project will identify GP consortia to test and define critical success factors for shared decision-making (SDM) through piloting of decision aids within a musculoskeletal pathway. This work is likely to focus on reviewing and agreeing the place of SDM in the pathway, evaluating SDM from a patient, clinician and commissioner perspective, and looking at practical implementation issues such as the resource required to support the patient and the clinicians through SDM.

The project will also aim to identify effective evaluation tools to look at the impact of shared decision making, for example, if shared decision making reduces surgical conversion rates.

Contact: Paul Carter Email:

North West

A project to explore understanding and attitudes to shared decision-making. This is being taken forward in a programme of engagement at two levels; firstly, across a range of professional groups through a series of focus groups and, secondly, through in-depth work within a local practice to scope understanding, issues, obstacles, opportunities and actions needed to make ‘no decision about me without me’ a reality.

The project will be looking at the practical implications from an individual and behavioral perspective and these insights will be brought together in a learning event as part of building support for professionals to implement approaches to shared decision making.

Contact:Susan Summers Tel: 0161 625 7212

Email: