About Shared Decision Making (SDM)

Shared decision making (SDM) ensures that individuals are supported to make decisions that are right for them.  It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment.

The conversation brings together:

  • the clinician’s expertise, such as treatment options, evidence, risks and benefits
  • what the patient knows best: their preferences, personal circumstances, goals, values and beliefs.

Shared decision making is a key component of Universal Personalised Care.

summary guide has been developed by NHS England for people and organisations leading local implementation of shared decision making.

For more information about Shared Decision Making


About This Tool

This is a Survey Tool designed to make the collection and reporting of the information Fast and Easy.

The tool is designed for clinical staff to user with patients to get a "temperature check" on patients perception of Shared Decision Making  

There are two types of surveys that can be generated : 
  • CollaboRATE - for Single clinican contact 
  • IntegRATE for MDT contact
The System will generate survey requests to patients, these can be via e-mail or SMS/Text

NHS England is currently testing approaches to measuring shared decision making with a view to developing future guidance.

The aim is to support and develop localised approaches to implementing SDM, by outlining tools and approaches that can be used.

Patient feedback questionnaires CollaboRATE and IntegRATE have been developed by Professor Glyn Elwyn MD MSc FRCGP PhD (The Dartmouth Institute for Health Policy and Clinical Practice, USA; Scientific Institute for Quality of Healthcare, University Nijmegen Medical Centre, Netherlands; Cochrane Institute for Primary Care and Public Health, Cardiff University, UK).

Glyn leads a research group which focuses on the implementation of shared decision making.

Specifically, they are researching both interventions for improving patient engagement and empowerment in health care and ways of measuring patient engagement and shared decision-making in routine practice.

CollaboRATE and IntegRATE were developed and pilot tested with end users and have been simulated and real-world tested.
NHS England are now testing the use of these fast and frugal patient survey measurement tools along with some others and BSW partnership have undertaken a pilot to develop an online tool using these measures to help us understand how well we are involving patients in what matters to them.
BaNES, Swindon and Wiltshire are working together over the next five years to progress the involvement of people in their own care and this SDM patient survey is our first project to test where we are, how we are doing and to help us plan how we can progress in delivering personalised care.