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
041 - You Are Feeling Sleeeepy - Kathryn Pinkham & Dr Louise Newson
040 - ’Supporting Your Immunity’ - Emma Ellice-Flint & Dr Louise Newson
039 - Oestrogen Matters - Dr Avrum Bluming & Dr Louise Newson
038 - Research on Testosterone & Menopause - Lauren Redfern & Dr Louise Newson
037 - Ageing Well, Menopause and Yoga - Claudia Brown & Dr Louise Newson
036 - Sex and the Menopause - Samantha Evans & Dr Louise Newson
035 - Hair Loss and Hormones - Dr Sajjad Rajpar & Dr Louise Newson
034 - Menopause Taboo in Women from Different Ethnic Groups - Dr Nighat Arif & Dr Louise Newson
033 - Bone Health, Osteoporosis & the Menopause - Professor David Reid & Dr Louise Newson
032 - Taking HRT Forever - Ann Newson & Dr Louise Newson
031 - Pelvic Floor Health - Jane Simpson & Dr Louise Newson
030 - Early Menopause and POI - Dr Sarah Ball and Dr Louise Newson
029 - Life after Breast Cancer - Kirsty Lang and Dr Louise Newson
028 - Menopause and Friendship - Kate Parr & Dr Louise Newson
027 - Menopause and the Skin - Dr Sajjad Rajpar and Dr Louise Newson
026 - Surgical Menopause - Dr Rebecca Lewis & Dr Louise Newson
025 - Missing my Perimenopause - Katie Taylor & Dr Louise Newson
024 - Menopause & West Midlands Police - Yvonne Bruton & Dr Louise Newson
023 - Menopause & the Pelvic Floor - Nicola Mulkeen & Dr Louise Newson
022 - Menopause for Partners - Leigh Goulding & Dr Louise Newson
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