Patient involvement in medicines choice: improving policy and practice

Lead Research Organisation: King's College London
Department Name: Education and Professional Studies


This proposed knowledge exchange project involves the applicants working in partnership with the Medical Director, Director of Nursing and Chief Pharmacist at the Hammersmith Hospitals NHS Trust. The partners will bring together lessons from applied philosophy and healthcare practice to develop policy guidelines and supporting case study materials on the subject of patient involvement in medicines choice. These developments will be undertaken in consultation, and shared, with bioethics colleagues and national policy organisations, including the National Prescribing Centre, the Royal College of Physicians, the Picker Institute and the Association of the British Pharmaceutical Industry.

The project is based on two premises: first, that the gap between idealisations of patient involvement and what happens in practice reflects deficiencies in the idealisations as much as any 'professional deficits'; and second that better idealisations have the potential to contribute to better practice if they are based on realistic engagement with the demands of policy making and practice.

The principal applicant has undertaken work in philosophy of health and bioethics and both applicants have applied and developed this work in empirical research and policy-oriented publications. The Hammersmith Hospitals NHS Trust has a strong patient and public involvement strategy with well established implementation structures. The applicants and the professional leads at the Trust believe that the proposed knowledge exchange project will not only produce learning benefits for all project partners but will have significant policy impacts institutionally and nationally.


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Cribb A (2010) Translational ethics? The theory-practice gap in medical ethics. in Journal of medical ethics

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Cribb A (2010) Whatever suits you: unpicking personalization for the NHS. in Journal of evaluation in clinical practice

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Owens J (2012) Conflict in medical co-production: can a stratified conception of health help? in Health care analysis : HCA : journal of health philosophy and policy

Title Annotated bibliography on Shared Decision Making, Case Study Material and selected project Publications, including a revised version of the final report, Kings College London Website. 
Type Of Material Database/Collection of data 
Provided To Others? No  
Description Co-applicant, with colleagues, University of Birmingham Medical School, named collaborators Universities of Oxford, Manchester & Liverpool, to Welcome Trust for capacity-building grant. 
Organisation University of Oxford
Country United Kingdom 
Sector Academic/University 
PI Contribution Information taken from Final Report
Description Named collaborator on Prevention of Medication-Related Harm project, Submitted to NIHR by colleagues in the Centre for Medicines Safety and Service Quality, Imperial College NHS Healthcare Trust. 
Organisation Imperial College Healthcare NHS Trust
Country United Kingdom 
Sector Hospitals 
PI Contribution Information taken from Final Report