16. Applying the guidelines to ensure Shared Decision Making
Whilst every aspect of the guidelines assumes an emphasis on Shared Decision Making. Guideline four specifically addresses the need to apply this principle.
Select each guideline title for a more detailed description of how it applies.
Practical application of Shared Decision Making and Supported decision making.
A clear definition and practical application of both Shared Decision Making1 and Supported Decision Making2 with emphasis on maximising patient autonomy and reducing substitute decision making by healthcare professionals. The model will set out how the patient’s voice (including their beliefs, values and past and present wishes and feelings) will be placed at the centre of the process, including through mechanisms such as advocacy.
1 Shared Decision Making is defined by the NHS as ‘a process in which clinicians and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences’. 2 Supported Decision Making is the process of supporting people, whose decision-making ability may be impaired, to make decisions and so promote their autonomy and prevent the need for substitute decision making.