Conference Summary

Date: 25th Mar 2019 - 26th Mar 2019
Venue: The Weston Hall, University of West London, Ealing Site, London W5 5RF, UK.
Booking is closed due to event expiration.

Shared Decision Making: Person-Centred Care and The Values Agenda (SDM-I)

 

A 2-Day Conference jointly organised by the European Society for Person Centered Healthcare (ESPCH), London, UK, the Collaborating Centre for Values-based Practice in Health and Social Care (VBP) at St. Catherine’s College, Oxford, UK, and the European Institute for Person Centered Health and Social Care (EIPCHSC), University of West London, UK.

 

As UK NICE guidelines note, shared decision-making involves health professionals and patients working together with the goal of putting people at the centre of decisions about their own treatment and care. The 2015 Montgomery ruling makes shared decision-making based on values and evidence the basis of consent to medical treatment, with wide-ranging implications for healthcare practices, law and policy. The conference will bring together clinicians, policy-makers, patient experts and academics from a range of disciplines to consider the challenges health providers face in this new environment. What shifts are necessary in our current thinking and practice to make shared decision-making a reality? What barriers are there to establishing shared decision-making as the norm in health practice and policy? How do we measure success – or the lack of it – in these contexts? What are the other philosophical and empirical research questions which warrant urgent consideration? 

 

Enquiries 

 

The Delegate Brchure of the SDM-I Conference is available for download, and it contains SDM-I Conference agenda, abstracts of the presented talks and biographies of the speakers. Further enquiries of an academic or clinical nature should be made to Professor Michael Loughlin (michael_loughlin@ymail.com) or Professor Andrew Miles (andrew.miles@pchealthcare.org.uk).

 

 

Conference Description 

 

The Conference, the very first of its type to examine the inter-relationship between decision sharing, person-centred care and the values agenda, brought together a stellar line-up of speakers and chairpersons from across the globe, including the United States of America, Germany, Spain, Italy, Australia, Denmark and Norway. From the UK, we are delighted to welcome senior colleagues from the National Institute for Health and Care Excellence (NICE), the Academy of Medical Royal Colleges, the Universities of Oxford and Cambridge, the London School of Hygiene and Tropical Medicine, University College London, the University of West London, City University London, Kingston University and St. George’s London, Canterbury Christ Church University, University of Warwick,  Manchester Metropolitan University, Swansea University and the General Osteopathic Council, UK.

 

Patients, when becoming ill and asking for help, present not as subjects, objects or complex biological machines, but rather as persons. They possess a narrative of illness, values, preferences, psychological and emotional needs, existential and spiritual complexities, worries, anxieties, fears, goals, psychosocial and psychosexual/relational dysfunctions, work and economic stressors – and a great deal more. It stands to reason that any approach to care that can be considered adequate, let alone optimal, must surely take all such factors into full and proper account, avoiding a concentration simply (and reductively) on the biological body alone. Rather, clinicians and carers, within the modern health and social care systems in which they operate, must strive to attend to the person of the patient as an integral whole. It is in this context that the value and necessity of shared decision-making becomes, we assert, immediately clear.

 

At its simplest, shared clinical decision-making (SDM) is a process through which both patient and clinician (or patient and family and clinicians) share the decision-making process in the face of multiple investigative and treatment options. The concept is not new, with the term ‘shared decision-making’, as an ethical imperative, having been first employed by Veatch in 1972. Since that time, the evolution of SDM has progressed slowly but surely, accelerating, over the last 10 years or so, as a function of the influence of major SDM work programmes, such as those of the Dartmouth Institute for Health Policy and Clinical Practice, USA, and elsewhere. At the time of writing, SDM is now well recognised as a central ethical and methodological component of the person-centered approach to health and social care, with increasing interest in how the basic tools of SDM, such as patient education, option grids and decision aids (etc), can be shifted, against barriers, from experimental clinical settings, into routine, operational clinical care.

 

Keywords

person centered medicine, evidence-based guidance, values-based practice, the values agenda, shared decision-making, conceptual clarifications, patient and person empowerment in healthcare decision making, decision support tools, public involvement, language and communication, positive experience, end-of life & palliative care, medical ethics,  health policy, mental health, surgical practice, implementation of shared decision making in health practice and policy, barriers and limitations, health literacy and education, VENUS MODEL, transformation, leadership, NICE, healthcare, clinical practice, health philosophy, empirical research, health provider, health services, healthcare ethics, healthcare law, informed consent, Montgomery ruling, patient expertise, competence, paternalism, autonomy, health and social care, epistemic injustice