MAGIC: Shared decision making

MAGIC worked with frontline health care professionals in various clinical settings on different ways of encouraging shared decision making and spreading learning across the health care community

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This programme is closed for applications.

  • MAGIC stands for ‘making good decisions in collaboration’ and looked at how to embed best practice in shared decision making.
  • Phase 1 of the programme ran from August 2010 to January 2012. Phase 2 of the programme ran from May 2012 to October 2013.
  • Worked with frontline health care professionals in various clinical settings on different ways of encouraging shared decision making and spreading learning across the health care community.
  • Worked with sites located across Newcastle and Cardiff.

 


Our MAGIC programme worked with frontline health professionals and their priority projects to test how to embed best practice in shared decision making and overcome the barriers to change. From the work MAGIC is doing, we discovered that positive things happen when clinicians and patients work together to make decisions, and along the way we saw attitudes and behaviours changing.

Impact

MAGIC has great potential for improving individuals’ health care experiences such as helping patients feel involved and listened to, and giving them a say in what happens to them. Getting patients engaged can bring added benefits. When patients are engaged and follow their treatment plans, their health outcomes improve and resources tend to be used more effectively. Some of the ways MAGIC has been helping patients include:

  • helping men with enlarged prostate choose between taking drugs, surgery or making changes to their lifestyle (Newcastle)
  • helping women with early breast cancer choose between mastectomy and breast conserving surgery (Cardiff and Newcastle)
  • helping people with head and neck cancer choose the type and aggressiveness of treatment appropriate for them, balancing the risks and side effects with the possible benefits (Cardiff)
  • working in general practice on antibiotic prescribing and use of generic decision-support tools for other key primary care decisions (Cardiff and Newcastle)
  • obstetric unit: choice related to repeat caesarean section and using generic decision support tools for other key obstetric decisions (Newcastle)

Approach

The teams used a range of approaches to tell patients and staff about the benefits of shared decision making, including:

  • information campaigns
  • short lunchtime presentations open to staff at all levels
  • sharing news and information through intranets, blogs and Twitter
  • giving training through face-to-face workshops that use role-play to enhance practical skills.

Methods for changing clinician behaviour

Improvement project

This case study was provided by Newcastle upon Tyne NHS Foundation Trust and discusses its project to find additional ways of reminding clinicians about shared decision making and encouraging more of ...

Newcastle Urology: changing attitudes with information for patients

Improvement project

This case study was provided by Newcastle upon Tyne NHS Foundation Trust about their project to help patients with enlarged prostate understand their condition and the types of treatment available. 

Newcastle Obstetrics: Shared decision making with women considering vaginal birth after a previous caesarean section

Improvement project

This case study was provided by Newcastle upon Tyne NHS Foundation Trust and discusses the project was run by the Newcastle obstetrics team, focusing on women considering vaginal birth after a previou...

Cardiff breast care: tools measuring changing behaviour

Improvement project

A project carried out by the breast care team in Cardiff, measuring patient involvement in shared decision making in breast care.

Cardiff and quality improvement: using action learning sets

Improvement project

This case study was provided by Cardiff and Vale University Health Board and discusses how action learning sets were built in to the MAGIC programme to facilitate collaboration with primary care teams...

Cardiff head and neck cancer: developing short decision support tools

Improvement project

This project was run by Cardiff and Vale University Health Board and set out to enable patients to take part in active decision making through the use of decision support tools. They agreed priority a...

MAGIC: Shared decision making in breast cancer care

Improvement project

This case study was supplied by Newcastle upon Tyne NHS Foundation Trust and is an example of shared decision making from the Newcastle breast care team. The aim of the intervention was to help a pati...

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