How COVID-19 can Catalyse Informed Consent Shared Decision-Making

25th May 2020


The RCSEd educational initiative, Informed Consent Shared Decision-Making (ICONS) was developed as a response to the UK Montgomery ruling which put patients, not surgeons, at the core of surgical decision-making.

This webinar draws on lessons learnt from ICONS and takes participants on a journey from “consenting” to shared decision-making, “consulting” to conversation and from the primacy of face to face clinic appointments towards a greater and meaningful surgical decision pathway. The unique occurrence of Covid19 has catalysed the opportunity to drive the development of virtual clinics. The uncertainty of its added complications spotlights the irrelevance of single event probabilities when communicating surgical risk.

We hope you can join us for what should be a lively discussion with great learnings for all.


  • Professor Janet Wilson
    Consultant ENT Surgeon, Newcastle upon Tyne, Council Member RCSEd
  • Mr David W Hamilton
    Consultant in Head and Neck Surgery at the Freeman Hospital, Newcastle upon Tyne. He completed posts as Academic Fellow and Clinical Lecturer at Newcastle University, working as part of the Decision Making and Organisation of Care research group. His PhD in 2014 explored patient involvement and shared decision making in the context of the multidisciplinary team. He has published and presented extensively in the area of patient involvement and decision-making in head and neck cancer. David also has an ongoing research interest in patient related treatment outcomes, individualisation of care and trial recruitment.
  • Mr Lech Rymaszewski
    Clinical Advisor, Scottish Government - Outpatient redesign 2014-20. MPPP (Modernising Patient Pathways Programme). Retired Consultant Orthopaedic Surgeon, Glasgow Royal Infirmary 1988 - 2017. In 2010 Lech initiated and developed the “Virtual Fracture Clinic” - a patient-focused, clinician-led, safe and effective system. Additional investment is not required, and time and resources are freed-up to deal with more complex cases. It is based on collaboration with Emergency Departments and utilises available e-healthcare resources and modern communication methods. The Scottish Government has promoted this model for many years, and it has been extensively adopted in Units across the UK and even abroad.


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