Table 1.

NHS England SDM implementation framework

Shared decision making
Prepared public	Supportive systems and processes	Commissioned services	Trained teams
Ask three questions	Leadership at every level including clinical	Redesign pathways to incorporate SDM	Accredited training and SDM champions
It's ok to ask	Health-literate decision support tools	Align measures and incentivise SDM in local delivery plans and operational models	Mixed learning methods and mixed levels of learning