The purpose of this project is to deliver a shared decision-making Train-the-Trainer course to members of Lymphoedema Wales. This is part of a service improvement initiative, supporting shared decision-making. The training supports the Value-Based healthcare agenda of the Lymphoedema network, measuring the impact of the staff training on patients’ outcomes and the impact on their care utilisation and experience.
As part of the project, the team will also develop decision aid/s to stimulate co-production of care with patients. To further support the shared decision making process within the clinical environment, the decision aid will help patients review their care options ranging from conservative management options such as compression garments or exercise, to surgical intervention. Cedar staff will be involved in all aspects of this project and will lead qualitative data collection, undertaking interviews with staff and patients before and after the training has been delivered. At the end of this pilot, the Train-the-Trainer course will enable rollout of shared decision making to all Lymphoedema Services in Wales using the developed decision aids to support.