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Copy of NG197 - Shared Decision Making Patient Decision Aids

Page 1 of 3

Closes 30 Jun 2025

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Patient Decision Aid Survey

1. Name

Name (Required)

2. Email Address

Email (Required)

3. Organisation

(Required) Belfast Health and Social Care Trust Northern Health and Social Care Trust South Eastern Health and Social Care Trust Southern Health and Social Care Trust Western Health and Social Care Trust Northern Ireland Ambulance Service Public Health Agency SPPG RQIA Patient and Client Council Community and Voluntary Sector Independent Sector e.g. Nursing or residential home

4. If you selected Community and Voluntary Sector, which organisation do you work for?

CandV

5. Role

(Required) Staff Service User Family Carer

6. In which programme of work is the Patient Decision Aid being used?

(Required) Mental Health Learning Disability Acute Women and Children's Older People's Services Physical and Sensory Disability Health Improvement Carer Support Services Cancer Services Cardiology Services Community and Social Care Emergency Department Urgent Care Respiratory Services Surgery Quality Improvement Trust Governance Complaints Other

7. If you selected 'Acute' or 'Surgery' can you please select which of the below areas apply?

Plastics Orthopaedics Gastro intestinal Vascular ENT Cardiac Thoracic Neuro

8. Where was this PDA developed or accessed?

(Required) NICE NHS England AQuA Developed internally within Trust Profession specific body Other

9. If you selected 'Other', please state below where the PDA was accessed from.

PDA Source Other

10. Please attached a copy of the PDA being used

No file chosen

Please upload a copy of the PDA being described in this survey.

PDA Upload

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Choose a new file under 10MB.
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clear file

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