This document discusses shared decision making initiatives in England. It describes 3 key programs - the Health Foundation's MAGIC program which developed decision aids and trained clinicians, the NHS Right Care program which created 38 online decision aids for conditions like cancer and joint replacements, and Bupa UK's treatment options service which engaged over 10,000 members through health coaching. It outlines successes of each program like cost savings, high patient satisfaction, and policy influence, but also challenges of sustainability, embedding in healthcare systems, and overcoming cultural barriers. The document advocates for further adoption of shared decision making in the NHS, expanding decision aid availability, and building awareness among patients.