Sites

Sites

MAGIC is working with sites located across Newcastle and Cardiff.

In both Cardiff and Newcastle we are working with:

general practice: antibiotic prescribing and use of generic decision-support tools for other key primary care decisions.

breast unit: the choice between mastectomy and breast conserving surgery for women with early breast cancer.

In Cardiff we are working with the:

ear nose and throat department: decision support for patients considering tonsillectomy and treatment choices for patients with head and neck cancer.

In Newcastle we are working with the:

obstetric unit: choice related to repeat caesarean section and using generic decision support tools for other key obstetric decisions.

urology department: benign prostatic hypertrophy - the choice between self-monitoring, drugs and surgery for men with urinary symptoms.

In Newcastle the lead organisation for the overall project is Newcastle upon Tyne NHS Foundation Trust. A large tertiary care organisation, it also delivers the full range of secondary care services. The trust is based on six sites, of which four have inpatient beds. There are 100 wards/specialist units creating a bed capacity of almost 2000. The clinical lead is Professor Richard Thomson.

In Cardiff, the lead organisation will be the Cardiff and Vale University Health Board, which is a new body. Cardiff and Vale University Health Board covers a population of over 700,000. There are over 80 general practices and secondary care is provided by the University Hospital of Wales at the Heath and Llandough sites, these are also tertiary centres with teaching and training responsibilities. The clinical lead is Professor Glyn Elwyn.

Read more about the work at our sites:

I applaud this initiative. In evaluating tools however it will be easy to miss the tools already being used by patients themselves. One such tool is BaseLine© which is endorsed by the NHSI for use by clinicians and managers when monitoring and improving the performance of critical processes, pathways and commissioning interventions. It is now being adapted for use by patients and will be tested later next year by EMIS in GP Practice trials. More than trying to empower clinicians and patients, the tool enables individuals to self-empower. By following this link you will be able to see two patient case studies where patients are using BaseLine© to transform the conversation they have with their physician – and their outcomes. http://threewinsacademy.com/An_Information_System_For_The_Self-Managing_Patient.pdf
The paper incidentally is also a polemic that argues not just for wider patient access to their physician’s notes, but also for the joint creation of those notes.

MAGIC: Shared decision making