Pharmacist, Jonathan Underhill is a consultant clinical advisor for the Medicines Optimisations team at the National Institute for Health and Care Excellence (NICE). His work is focussed on evidence-based medicine but, as he explains, this is more than simply telling people what to do. One of the particular focuses of Jonathan’s work is the process known as ‘shared decision making’ between the clinician and the patient and he’s interested in how you involve a person in choices and decisions about their own healthcare.
Jonathan outlines some of the reasons NICE was originally set up – to reduce uncertainty and variation in prescribing – and with Louise, he evaluates whether this has been the outcome 6 years down the line, after the release of the NICE guidelines on menopause diagnosis and management.
Jonathan’s tips for shared decision making as a patient:
And for healthcare professionals:
The NICE guidelines on menopause can be read in full here and more about shared decision making can be found here.
If you are a healthcare professional, the following link offers 4 hours of free online learning in shared decision making from NICE and Keele University:
https://www.nice.org.uk/guidance/ng197/resources/shared-decision-making-learning-package-9142488109
091 - Being Young & Menopausal - Hayley Etherington & Dr Louise Newson
090 - Talking About Menopause with Women From Ethnic Minorities - Rushna Mia & Dr Louise Newson
089 - The Benefits of HRT - Professor Isaac Manyonda & Dr Louise Newson
088 - Endometriosis and the Menopause - Chris Mann & Dr Louise Newson
087 - Menopause Education for GPs - Dr Tosin Taiwo & Dr Louise Newson
086 - Lockdown & Weight Loss - Emma Ellice-Flint & Dr Louise Newson
085 - Medical Menopause - Emma McAuley & Dr Louise Newson
084 - Menopause and Health - Dr Annice Mukherjee & Dr Louise Newson
083 - The Importance of Lifestyle During the Menopause - Amanda Thebe & Dr Louise Newson
082 - The Personal & Professional Costs of the Menopause - Chris Oglesby & Dr Louise Newson
081 - Pilates & the Menopause - Dinah Siman & Dr Louise Newson
080 - ”How My Work Was Affected by the Menopause” - Kate Halfpenny & Dr Louise Newson
079 - Media & the Menopause - Nadia Sawalha & Dr Louise Newson
078 - Urogenital Symptoms of the Menopause - Lavinia Winch & Dr Louise Newson
077 - Spoon-Fed: Food & Tim Spector - Tim Spector & Dr Louise Newson
076 - Menopause and Employment Law - Victoria Duddles & Dr Louise Newson
075 - Premature Menopause & Fertility - Dr Rebecca Gibbs & Dr Louise Newson
074 - HRT Prescriptions in England - Dr Sarah Hillman & Dr Louise Newson
073 - Menopause in the Media - Kaye Adams & Dr Louise Newson
072 - The Menopause Charity - Vanessa Barnes & Dr Louise Newson
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