NHS Patient Involvement Policy 2012

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Questions and Answers

What concept relates to ensuring that patients are included in decisions regarding their care?

  • Shared decision-making (correct)
  • Informed consent
  • Health promotion
  • Patient empowerment

What is identified as a vital part of empowering patients to manage their condition?

  • Creation of a care plan (correct)
  • Personalized medication
  • Access to specialists
  • Follow-up appointments

What change does the Health and Social Care Act 2012 enforce regarding patient involvement?

  • It removes any duties regarding patient care.
  • It mandates patient choice be optional.
  • It promotes patient and carer involvement in care decisions. (correct)
  • It requires transparency in treatment options.

Why is it important to provide accurate and accessible information to patients?

<p>To assist in making informed decisions about their care. (B)</p> Signup and view all the answers

What cultural change is necessary for patient involvement to become routine in the NHS?

<p>A shift towards patient-centered care practices. (A)</p> Signup and view all the answers

What is a concern related to the implementation of proposals for patient choice?

<p>Potential exacerbation of health inequalities. (D)</p> Signup and view all the answers

What does the Care and Support Bill focus on regarding healthcare?

<p>Personalizing care with patient control. (D)</p> Signup and view all the answers

What does the phrase 'no decision about me, without me' signify?

<p>Patient autonomy and involvement in care decisions. (D)</p> Signup and view all the answers

What is the primary aim of empowering patients in the context of care and treatment?

<p>To provide patients with greater choice and flexibility (A)</p> Signup and view all the answers

What is the primary aim of the Health and Social Care Act 2012 regarding patient care?

<p>To ensure patient choice in both physical and mental health (A)</p> Signup and view all the answers

Which of the following is NOT listed as a potential benefit of shared decision-making (SDM)?

<p>Reduced emergency room visits (A)</p> Signup and view all the answers

What does the NHS Constitution state about patient choices?

<p>People have the right to make choices about their NHS care (B)</p> Signup and view all the answers

How does greater patient involvement relate to shared decision-making?

<p>It facilitates better care planning and support for self-care (C)</p> Signup and view all the answers

What was a major concern highlighted in the responses to the consultation?

<p>The importance of providing information for informed decisions (C)</p> Signup and view all the answers

According to the content, how should information be provided to ensure accessibility?

<p>In various formats for different groups (A)</p> Signup and view all the answers

What is a significant concern regarding the proposals to increase choice in diagnostic testing?

<p>Lack of interoperability among certain systems (C)</p> Signup and view all the answers

What does the phrase 'no decision about me, without me' signify?

<p>Patients must be included in the decision-making process regarding their care (C)</p> Signup and view all the answers

Which systems are specifically mentioned as having compatibility issues?

<p>Radiology Information Systems and Choose &amp; Book (A)</p> Signup and view all the answers

What is a key issue regarding patient choice mentioned by respondents?

<p>It does not necessarily imply effective shared decision-making (B)</p> Signup and view all the answers

What should be central to the vision of patient-centered care?

<p>Offering a wide range of accessible information (B)</p> Signup and view all the answers

What does Section 1 of the NHS Act 2006 focus on?

<p>Equal priority for physical and mental health (A)</p> Signup and view all the answers

What aspect of healthcare does Bupa support according to their statement?

<p>Involving patients fully in their own care decisions (B)</p> Signup and view all the answers

What type of care settings are patients allowed to choose diagnostic test providers from?

<p>Community care settings and secondary care (B)</p> Signup and view all the answers

Which of the following describes a potential advantage of better risk communication in shared decision-making?

<p>Improved understanding of treatment options (D)</p> Signup and view all the answers

Which of the following categories is NOT confirmed as a priority area for diagnostic testing?

<p>Genetics (A)</p> Signup and view all the answers

Since April 2011, what requirement has been placed on healthcare providers?

<p>To publish information about their services (C)</p> Signup and view all the answers

What role do National Clinical Directors play in the context of diagnostic testing?

<p>They confirm priority areas for patient choice in diagnostic tests (D)</p> Signup and view all the answers

What is a significant barrier to patient choice identified in the document?

<p>Limited access to information for certain groups (B)</p> Signup and view all the answers

What benefit does improved confidence in patients' own care decisions provide?

<p>Greater compliance with ethical care standards (A)</p> Signup and view all the answers

Which diagnostic tests are listed under the category of imaging?

<p>CT, MRI, and non-obstetric ultrasound (A)</p> Signup and view all the answers

What is currently being considered by the Department of Health regarding diagnostic testing?

<p>Different tariff options for testing (D)</p> Signup and view all the answers

Which of the following diagnostic testing categories does NOT have a defined list of priority tests yet?

<p>Other diagnostic tests (A)</p> Signup and view all the answers

What does shared decision-making involve?

<p>Involving both the patient and their carers in care decisions (C)</p> Signup and view all the answers

What is one benefit of allowing patients to choose their GP practice?

<p>It increases accountability of services to patients. (C)</p> Signup and view all the answers

What is one aspect of patient choice mentioned in the content?

<p>Choosing the provider of their care (B)</p> Signup and view all the answers

What does patient's self-care entail?

<p>Patients being supported to manage their health (D)</p> Signup and view all the answers

What did the Health and Social Care Act 2012 emphasize regarding GP selection?

<p>Patients should have the freedom to select practices that meet their personal needs. (C)</p> Signup and view all the answers

What principle is emphasized by the phrase 'no decision about me, without me'?

<p>Patients and providers must collaborate in decision-making (D)</p> Signup and view all the answers

What is currently being piloted in three areas in England?

<p>The ability for patients to select their GP practice. (D)</p> Signup and view all the answers

What is an outcome of the policies being put forward?

<p>More control for patients over their care decisions (A)</p> Signup and view all the answers

What concern was raised regarding mental health services?

<p>Public perception may be that non-consultant-led teams are inferior. (C)</p> Signup and view all the answers

Which of the following best describes care planning?

<p>A collaborative agreement on care between patient and clinician (B)</p> Signup and view all the answers

How does the Handbook to the NHS Constitution currently limit patient choice?

<p>Choice is restricted to elective services only. (A)</p> Signup and view all the answers

Which organization is NOT listed as responding to the policies?

<p>World Health Organization (B)</p> Signup and view all the answers

What new right is being extended concerning mental health services?

<p>The right to choose the named professionally led team for outpatient appointments. (D)</p> Signup and view all the answers

What would be a significant outcome of the proposed changes discussed?

<p>More responsive services tailored for different communities. (D)</p> Signup and view all the answers

Which of the following does NOT indicate patient involvement?

<p>Patients having no say in treatment options (A)</p> Signup and view all the answers

What type of evaluation was associated with the pilot scheme for choosing GP practices?

<p>Independent evaluation. (D)</p> Signup and view all the answers

Flashcards

Patient Choice

The ability of patients to have a say in their care, including decisions about their clinical team, setting, location, or provider.

Shared Decision-Making

A process where patients actively participate in decisions about their health care, working collaboratively with clinical teams.

Patient Involvement

The active participation of patients in decisions concerning their care and treatment.

Care Plan

A written record of the care-planning discussion between a patient and clinician, empowering patients to manage their health conditions.

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Health and Social Care Act 2012

A law emphasizing the NHS Commissioning Board and clinical commissioning groups to promote patient involvement in decisions about their care.

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Care and Support Bill

Proposed legislation focusing on personalized care, putting people in control of their care and support.

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"No decision about me, without me"

A patient-centered principle ensuring patients have a say in decisions about their care.

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Health Inequities

Differences in health status or access to healthcare between different population groups.

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Patient Choice in Mental Health

Patients should have similar choices in mental healthcare as in other areas of secondary care.

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Comprehensive Healthcare

Healthcare that attends to both physical and mental health needs.

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Informed Decisions

Patients need information to make choices about their healthcare.

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Patient-Centred Care

Care focusing on the patient's needs and choices.

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Accessible Information

Information should be available in different formats for diverse patient groups.

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NHS Act 2006

Mandates the NHS to equally prioritize physical and mental health.

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Information for Choices

Providers must give patients info about their services to allow informed decisions.

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Variety of Formats

Information must be accessible in multiple formats (e.g., visual, audio, different languages).

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GP Choice

Patients' ability to choose which GP practice to register with.

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Mental Health Team Choice

Right of mental health service users to select a specific team led by a suitable professional.

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NHS Choice Framework

A framework to improve NHS services by making them more accountable to patients.

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Pilot Scheme (GP Choice)

A trial program in three English areas to test patient choice of GP practice.

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Independent Evaluation

A comprehensive assessment of the results of a pilot program, providing data for future decisions.

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Secondary Care Choice

Expanded patient right to choose a named consultant-led or professionally-led team for initial outpatient appointments in secondary care.

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Health & Social Care Act 2012

Law that enabled patient choice in elective services.

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Consultants-led Model

A model of healthcare in which consultations are primarily led by doctors.

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Diagnostic Testing Interoperability

The ability of different diagnostic testing systems to share data seamlessly, allowing for easy access to test results by clinicians.

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RIS and Choose & Book

Radiology Information Systems (RIS) and the online booking system (Choose & Book) are two distinct systems.

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Patient Diagnostic Test Choice

Patients have the option to choose where and from whom to receive diagnostic tests.

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Priority Diagnostic Tests

A list of specific types of diagnostic tests prioritized for patient choice.

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Tariff Options

Different pricing structures for diagnostic testing, possibly influencing patient choices.

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Endoscopy Tests

Tests that examine the internal structures of the digestive tract.

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Imaging Tests

Diagnostic tests using imaging technology to visualize internal body structures.

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Physiology Assessments

Diagnostic evaluations focused on the body's functions, such as heart rate, or hearing.

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Shared Decision-Making

Patients and carers deciding on care and treatment together with clinicians.

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Self-Care

Patients taking more responsibility for improving their health.

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Care Planning

Jointly agreed plan for patient care, including end-of-life.

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Patient Choice

Patients selecting care providers, settings, and timing.

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"No decision about me, without me"

Patient-centered principle, putting patients first in decisions.

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Patient Involvement

Active participation of patients in care decisions.

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NHS

National Health Service in the UK

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End-of-life care

Care provided to terminally ill patients

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Shared Decision-Making

A process where patients and healthcare providers work together to make health decisions based on patient values and preferences.

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Patient Choice

Patients' ability to select aspects of their care, like the healthcare professional or location.

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Patient Involvement

Active participation by patients in decisions related to their care, including treatment plans and care coordination.

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"No decision about me, without me"

A philosophy emphasizing patient involvement in healthcare decisions.

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Greater Patient Choice

Expanding patient options in selecting their healthcare providers, settings, and treatment approaches.

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Consultation Responses

Feedback received from individuals and groups regarding proposed healthcare changes.

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Implementation Issues

Challenges encountered when putting healthcare proposals into practice.

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Key Themes

Recurring topics that emerged from consultation feedback.

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Study Notes

NHS Consultation Response: No Decision About Me, Without Me

  • Document Title: Liberating the NHS: No decision about me, without me
  • Publication Date: 13 December 2012
  • Purpose: Government response to consultation on NHS patient involvement
  • Policy Focus: Shared decision-making, greater patient choice
  • Target Audience: PCT Cluster CEOs, NHS Trust CEOs, SHA Cluster CEOs, Care Trust CEOs, Foundation Trust CEOs, Medical Directors, Directors of Public Health, Directors of Nursing, Local Authority CEOs, Directors of Adult Social Services, PCT Cluster Chairs, NHS Trust Board Chairs, Special Hospitals CEOs, Directors of HR, Directors of Finance, Allied Health Professionals, GPs, Communications Leads, Emergency Care Leads, Directors of Children's Services, and Voluntary Organizations/ NDPBs

Consultation Details

  • Initial Consultation (2010): Focuses on patient choices, when and how they are made, and the support people need.
  • Further Consultation (2012): Extends consultations to primary care, diagnosis, referrals, and treatment. Asks whether the proposed actions meet objectives, are realistic, and if more is needed.
  • Response Themes: Supporting informed decisions, culture change, accessability of information, and addressing inequalities.

Key Themes

  • Patient Involvement: Key theme in consultation; ensuring patients are central to decisions about their care & treatment is vital.
  • Patient Choice: Supporting patient choice for care providers, settings, and timings is important for choice and control.
  • Shared Decision-Making: Recognizing this key concept; patient involvement in decision making is essential.
  • Information: Importance of providing accessible information, support is crucial for enabling patients' participation in decisions about their care.
  • Cultural Change: Requires changes in how healthcare professionals operate to enable greater patient participation.
  • Continuity of Care: Preventing fragmentation of care is needed; choice should not cause problems in care delivery.
  • Mental Health: Underscoring the importance of mental health & equal treatment.
  • Maternity Care: Supporting women to plan their maternity care through all stages of the process.
  • Diagnostic Testing: Ensuring patients have choice in how and where they receive diagnostic tests.

Implementation

  • Legal Framework: Health and Social Care Act 2012 mandates promotion of patient involvement.
  • Care & Support Bill: Expected to be introduced to Parliament, emphasizing personalization of care, emphasizing the role of patients.
  • National Target: Setting out the required information & care available to ensure choice.
  • Telehealth/Telecare: A key component in improving the support for patients and services, specifically for those with long-term conditions.
  • Personal Health Budgets: To enable greater patient autonomy in care management.
  • Choice of GP: Pilot program in place to enable patients to choose their GP.
  • Mental Health Services: Clarifying that mental health services receive equal priority.
  • Children & Young People: Inclusion of children and young people in care planning.

Key Information

  • Number of Responses: 172 valid responses received, 47 from individuals & 125 from various organizations.
  • Consultation Period: 8 weeks initially, extended to 14 weeks.

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