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
177 - Families, relationships and the power of connection with Julia Samuel
176 - Introducing new Chief Medical Director, Dr Magnus Harrison
175 - Mood, mental health and hormones with Dr Clair Crockett
174 - World Menopause Day Special with Dr Louise Newson
173 - The challenges of accessing menopause treatment as a young woman
172 - Learning to make empowered choices after cancer with Dani Binnington
171 - Finding hope with hormones after 20 years of struggling with my mental health
170 - Recognising and reversing osteoporosis with Dr Taher Mahmud
169 - The unfair choice for elite female athletes with Janet Birkmyre
168 - The facts and fiction about menopausal skin with Dr Sajjad Rajpar
167 - The benefits of yoga (revisited) with Lucy Holtom
166 - Researching suicide in perimenopause and menopause with Dr Pooja Saini
165 - When menopausal symptoms persist, with Dr Anna Chiles
164 - When ADHD collides with perimenopause with Margaret Reed Roberts
163 - When night sweats are not the menopause with Dr Susanna Crowe
162 - Divorce, perimenopause and menopause with Farhana Shahzady
161 - Jill’s experience of heart attacks and hormones
160 - Thinking hormones in psychiatric consultations with Dr Devika Patel
159 - Raising awareness of HRT in the community in Ireland with Pharmacist, Victoria Jones
158 - Pushing against social and political constraints on women’s health with Dr Heather Hirsch
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