The document discusses expanding patient choice and involvement in their own healthcare. It outlines that patients should have more say in decisions about their care and treatment before diagnosis, when referred to secondary care, and after diagnosis. It lists several types of services where more choice could be provided, including diagnostic services, musculoskeletal services, hearing services, wheelchair services, podiatry services, psychological therapy, mental health services, maternity services, and choice of consultant-led team. The document encourages patients to visit a website for more information.

1. No decision Choice of provider for
community services which
could include:
about me
without me Musculoskeletal
services
Hearing
services
Diagnostic
services
We want patients to be fully
involved in their own care, making Choice after Wheelchair
services
Podiatry
services
Psychological
therapy Choice before
decisions in partnership with diagnosis diagnosis
doctors and other clinical staff.
For patients and service users,
there should be ‘no decision
about me without me’. Patients
and service users should have  Choice of treatment
Choice of
 An alternative provider if diagnostic test
more say and choice in decisions provider
waiting longer than the GP practice choice
about their care and treatment maximum waiting time
in primary care, before diagnosis,  Choice in end of life care
when referred to secondary care  Personal health budgets
and after a diagnosis is made. Choice at referral
These are the types of services
My
where we would expect you to name
is...
have more choice.
Choice of mental Choice in Choice of named
To find out more go to: health services maternity
services
consultant-led
team
www.dh.gov.uk/consultations
You already have a choice of hospital for
most non-urgent services as set out in the
NHS Constitution