Patient choice for older people in English NHS primary care : theory and practice

Harding, Andrew and Frances, Sanders and Medina Lara, Antonieta and van Teijlingen, Edwin and Wood, Cate and Galpin, Di and Baron, Sue and Crowe, Sam and Sharma, Sheetal (2014) Patient choice for older people in English NHS primary care : theory and practice. ISRN Family Medicine, 2014: 742676.

[thumbnail of Harding et al 2014]
PDF (Harding et al 2014)
Harding_et_al_2014.pdf - Published Version
Available under License Creative Commons Attribution.

Download (1MB)


In the English National Health Service (NHS), patients are now expected to choose the time and place of treatment and even choose the actual treatment. However, the theory on which patient choice is based and the implementation of patient choice are controversial. There is evidence to indicate that attitudes and abilities to make choices are relatively sophisticated and not as straightforward as policy developments suggest. In addition, and surprisingly, there is little research on whether making individual choices about care is regarded as a priority by the largest NHS patient group and the single largest group for most GPs—older people. This conceptual paper examines the theory of patient choice concerning accessing and engaging with healthcare provision and reviews existing evidence on older people and patient choice in primary care.

Item Type:
Journal Article
Journal or Publication Title:
ISRN Family Medicine
ID Code:
Deposited By:
Deposited On:
09 Jan 2017 16:52
Last Modified:
28 Nov 2023 11:24