MAking Good Decisions In Collaboration with patients / Shared Decision Making



Health Foundation  

Principal / Lead Investigator
Prof G Elwyn

Prof A Edwards, Prof PR Kinnersley

Profesor Alun Preece (COMSC at CU) Dr Allison Cooper (OPAN)

Type of study

Shared decision making recognises that while clinicians are the experts about different treatment options available, the individual is also an expert about her or his own circumstances. This includes their personal preferences (what is important to them) and their attitudes to risk. Shared decision making invites clinicians and patients to pool their differing expertise and work together as active partners when making choices about care. This works particularly well in situations where there is more than one reasonable course of action. Often difficult decisions need to be made based on the amount of risk involved and the potential outcome of each choice.

The Making Good Decisions in Collaboration (MAGIC) programme is a joint venture between Cardiff School of Medicine, Newcastle University, Cardiff and Vale University Health Board and Newcastle-upon-Tyne Hospitals NHS Foundation Trust.

Phase I
The 18-month programme will explore how clinicians can engage patients in shared decision making and how it can be embedded into mainstream health services. The programme will design and test interventions to encourage the use of shared decision making and runs from August 2010 to January 2012. Professor Glyn Elwyn at Cardiff University and Professor Richard Thomson at Newcastle University will together lead a multidisciplinary ‘design team’ made up of senior academics, clinicians and managers. The team will design and test interventions across a range of sites and clinical areas

Phase II
MAGIC entered it's second phase in April 2012, and is now exploring how shared decision making can be embedded in the core clinical practice of mainstream health services. The teams are looking for practical solutions that work and are transferrable across the health service. This means more than just working with practical decision-making tools, it means creating a culture where shared decision making thrives.

The aims and objectives of Phase II of the programme will focus on:

  • Leadership and Commissioning
  • Patient and Public Involvement
  • Education and Training
  • Clinical Engagement
  • Quality Metrics and Demonstrating Value.

Group role / contribution
WSPCR supported

Start date
August 2010

End date
November 2013