Quality statement 3: Shared decision-making and self-management

Quality statement

People using mental health services are actively involved in shared decision-making and supported in self-management.

Quality measure

Structure:

a) Evidence of local arrangements to ensure that service users are actively involved in shared decision-making.

b) Evidence of local arrangements to ensure that service users are supported in self-management.

Process:

a) Proportion of service users actively involved in shared decision-making.

Numerator – the number of people in the denominator actively involved in shared decision-making.

Denominator – the number of people using mental health services.

b) Proportion of service users supported in self-management.

Numerator – the number of people in the denominator supported in self-management.

Denominator – the number of people using mental health services.

Outcome:

a) Evidence from experience surveys and feedback that service users feel actively involved in shared decision-making.

b) Evidence from experience surveys and feedback that service users feel supported in self-management.

What the quality statement means for each audience

Service providers ensure systems are in place to actively involve service users in shared decision-making and support self-management.

Mental health and social care professionals ensure service users are actively involved in shared decision-making and supported in self-management.

Commissioners ensure they commission services which actively involve service users in shared decision-making and support self-management.

People using mental health services feel actively involved in making decisions about their care and treatment and supported in managing their mental health problem(s).

Source guidance

'Service user experience in adult mental health' (NICE clinical guidance 136) recommendation 1.1.2.

Data source

Structure: a) and b) Local data collection.

Outcome:

a) Local data collection. Providers may be able to use questions contained within the national patient surveys available from NHS Surveys. The NHS mental health inpatient survey (Q27) collects information on involvement in care and treatment decisions. The NHS community mental health survey (Q5, 10, 25 and 33) collects information on taking account of service user views.

b) Local data collection.