** For use with AHP Patient Information Leaflets **
•
AUTHOR drafts Patient Information Leaflet in liaison with Communications
• Peer Review : AUTHOR shares with professional colleagues and / or service users for comments
•
AUTHOR submits draft leaflet with completed
RATIFICATION PROCESS REQUEST FORM to
Joyce.hodson@5bp.nhs.uk
• Joyce Hodson to circulate to AHP PAG members for comments and specify date for return
•
AHP PAG members to send comments back to
AUTHOR by return date
•
AUTHOR to make any amendments and submit
Finalised Leaflet with completed APPROVAL
REQUEST FORM to AHP Chair Professional
Lead (c/o joyce.hodson@5bp.nhs.uk
)
•
APPROVED Finalised Leaflet to be minuted at next AHP PAG Meeting for record purposes
ATTACHED: Ratification Process Request Form
Approval Request Form

AHP Patient Information Leaflets
Leaflet Title
Service
Author
Date Submitted for
Ratification
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Next Review Date
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Quality Assurance please identify how and / or by whom this leaflet has been reviewed for
Content
Format
Peer Review
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Other
Request to AHP PAG
Return Date for
Comments
If no date specified then leaflets will be circulated for return of comments within 2 weeks of receipt of request
If you are asked to make a choice, you may have lots of questions that you want to ask. You may also want to talk over your options with your family or friends. It can help to write a list of the questions you want answered and take it to your appointment.
To begin with, try to make sure you get the answers to three key questions if you are asked to make a choice about your healthcare.
1. What are my options?
2. What are the pros and cons of each option for me?
3. How do I get support to help me make a decision that is right for me? http://www.advancingqualityalliance.nhs.uk/SDM/
* Ask 3 Questions is based on Shepherd HL, et al. Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial.
Patient Education and Counselling, 2011;84: 379-85
These resources have been adapted with kind permission from the MAGIC Programme, supported by the Health Foundation
PLEASE RETURN COMPLETED FORM TOGETHER WITH DRAFT LEAFLET(S) TO:
Joyce.hodson@5bp.nhs.uk
(PA to Norah Flood)

AHP Patient Information Leaflets
Leaflet Title
Service
Author
Date Submitted for
Ratification
Creation Date
Next Review Date
Target Audience
QUALITY ASSURANCE
Date Circulated
Comments Received
Summary of
Amendments made
Does this leaflet meet formatting requirements
Does this leaflet include information on
Correct Logo(s)
Correct type font
Shared Decision Making
Access to Alternative Formats ( if YES, please specify) …………………………..
APPROVAL
Author Name &
Signature
Date Recorded as
Approved for Use
Chair Name & Signature
Date of AHP PAG for minuting
YES / NO
YES / NO
YES / NO
YES NO
PLEASE RETURN COMPLETED FORM TOGETHER WITH FINAL COPY OF
LEAFLET(S) TO: Norah Flood (AHP PAG Chair) c/o Joyce.hodson@5bp.nhs.uk