Choice; Further proposals

Closed 31 Aug 2012

Opened 23 May 2012


The White Paper, Liberating the NHS: Equity and excellence, set out the Government’s ambition to achieve healthcare outcomes that are among the best in the world by involving patients fully in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone, making “no decision about me, without me” a reality.

We’ve been looking at how we can achieve this and at those areas where we can give patients and service users, their carers and families more say. We want to provide  more choice all along the healthcare pathway, enabling patients and their representatives to share in decisions about their care in clinical areas such as mental health services, maternity care, long-term conditions and community services.

This consultation document, Liberating the NHS: No decision about me, without me, sets out detailed proposals to achieve this. It follows on from the earlier Liberating the NHS: Greater choice and control consultation, which asked a number of open questions about how the commitments to give patients more say as set out in the White Paper could be implemented.  

 The document, Liberating the NHS: Greater choice and control, A summary of responses, published alongside this document, summarises the feedback we received from a range of respondents including patients, the wider public, third sector and other organisations, healthcare professionals and the NHS.  The evaluation of these responses has informed our detailed proposals set out in this further consultation document.

 We are seeking views on these proposals and advise that the full consultation document  No decision about me, without me: Further consultation on proposals to secure shared decision-making should be read prior to answering the questions.   

A link to the consultation document is accessible through related documents

What Happens Next

Responses to this consultation will help inform further steps for the implementation of choice within the NHS


  • Voluntary groups
  • Community groups
  • Charities
  • Civil society
  • Advocacy or support organisations
  • GPs
  • Nurses
  • Clinicians
  • Managers
  • Commissioners
  • Directors of Public Health
  • Pharmacists
  • Doctors
  • Midwives
  • Chiropodists/ podiatrists
  • Dieticians
  • Prosthetists
  • Physiotherapists
  • Diagnostic radiographers
  • Foundation Trusts
  • Members of the public
  • Patients
  • Carers
  • Service users
  • Information professionals


  • Health inequalities
  • Public health
  • Health improvement
  • Public mental health
  • Public Health England
  • NHS Health Checks
  • Screening
  • Prevention
  • Primary care
  • Mental health
  • End of life care
  • Maternity services
  • GP consortia
  • Carers
  • Personal health budgets
  • Innovation
  • Education
  • Continuing Professional Development
  • Training
  • Health and well-being boards
  • Commissioning