• This case study was provided by Newcastle upon Tyne NHS Foundation Trust.
  • The project was run by the Newcastle urology team, and the patient pathway was amended for North Tyneside and the Freeman Hospital.
  • The project set out to help patients with enlarged prostate understand their condition and types of treatment available.
  • The team implemented decision aids developed by the NHS, adding them to the clinical pathway.



The NHS has developed an information booklet and DVD to help patients with enlarged prostate understand their condition and the types of treatment available. These patient decision aids, derived from US tools, have been developed with UK clinicians and patients.

The Newcastle urology team identified the potential benefit of these tools and chose to implement them as part of MAGIC. They held initial team discussions to identify when best to offer the tools.

The patient pathway was amended for two sites to include a telephone follow-up appointment. Patients were given decision aid materials at a clinic consultation with a specialist nurse. They took these home where they could consider each treatment’s benefits and risks. A final supported decision was then made during a follow-up phone call. If the patient was undecided at this point, they were offered another face-to-face appointment.

Patient responses have been very positive and attitudes are changing in response to this supported shared decision making. They are asking more questions about their condition and the treatment options. North Tyneside patients have shown increased interaction with their consultation and more Freeman Hospital patients have been taking the lead in deciding their treatments.

Face-to-face appointments are in less demand thanks to the pathway changes. A follow-up appointment is now only needed when the patient is struggling to make a decision.

This positive impact has helped change clinicians’ attitudes to patient decision aids. Clinicians are proud of their overall success and are facilitating shared decision making in other urology clinics.

Further reading

Research report

The MAGIC programme: Evaluation

April 2013
Research report

An independent evaluation of the first phase of the MAGIC programme, aimed at encouraging clinical...

About this programme


MAGIC: Shared decision making


This programme ran in two phases, from 2010 to 2013, at sites across Newcastle and Cardiff. It...

You might also like...

Press release

Latest figures suggest the NHS is being tested to its very limits

Press release

Health Foundation response to NHS England’s monthly performance statistics.


Surviving COVID: The impact of the pandemic on the mental health of NHS workers


This film illustrates the impact of the pandemic on the mental wellbeing of NHS workers and...


Surviving COVID: COVID-19 and the long road to recovery


This film explores the complex care needs of people who have been severely ill with COVID-19, many...

Kjell-bubble-diagramArtboard 101 copy

Get social

RT @Reema__Patel: *****Job Klaxon! ***** New @AdaLovelaceInst Senior Researcher role on Justice and Equalities, which includes working wit…

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more