This decision tool can help you found out how well organisations are making decisions on your behalf

The Decision Making Audit TOOL


What is the DMAT ?

How can you use it  ?

Use it as an educational support in group work

Many countries are introducing ways to prioritise health services which involves making difficult decisions concerning who gets (and who does not get) health interventions. Priority setting requires technical judgements of clinical effectiveness (what works) and cost effectiveness (is it worth the money). But these judgements are embedded in a wider set of social (societal) value judgements that underlie justifiable reasoning about priorities, including fairness, responsiveness to need and nondiscrimination and obligations of accountability and transparency.  We have been exploring how to make sure that institutions approach this in a fair and robust manner. At a workshop in london (see research page on this website) we have developed a social values framework that has been converted into a decision making audit tool (the DMAT).   See attachment below for  its content values. Working with a design company we have now created an interactive digital online version which consists of a series of questions that will allow internal and external audit of how an institution is incorporating values into its decision making 

The online DMAT is designed to be used by anyone interested in how an organisation has made a health prioritisation decision that interests them eg a new service is being introduced or one is being closed  down.The detailed instructions are in the DMAT itself ( click on button below)It is free but you will need to register your email address so that you can come back to your analysis later. It is a prototype so we are keen to hear from you if you have used it and also if you have any suggestions on how to improve it 

The DMAT can be used by individuals or as a group. It can be used as part of an education session where different people are assessing the same institution and then you can discuss any results that seem to show variation in the values that an organisation bases its decisions on. Organisations may want to do it as a Board or Executive team and then compare results over time to see if there has been any improvement. Instructions on how to register as a group are in the DMAT itself. The DMAT is a prototype and we would be keen to hear from you when you use it and if you have any suggestions on how it can be improved


This website was developed as part of a Rockefeller Academic Residency  in February 2018 by Peter Littlejohns. It  collates the research endeavors of the Social Values Group that was a joint venture between Kings College London and University College London and the research  programme supported by the Collaboration for Leadership  in Health and Research Care South London funded by the National Institute for Health Research in the UK. It features vistas of the Bellagio Centre to celebrate that man made structures can enhance rather than detract from the natural environment

For more information contact Professor Peter Littlejohns

Peter is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London (NIHR CLAHRC South London) at King’s College Hospital NHS Foundation Trust. The views expressed on this website and research articles are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. The first workshop was supported by the Wellcome Trust and Nuffield Trust and the second workshop by the Brocher Foundation 

Website designed February 2018 at the Rockefeller Foundation  Bellagio Centre by Peter Littlejohns as his Residency Project