The resource pack for commissioners outlines the steps to embedding Shared Decision Making across the local health economy. Capita tested the resource pack on the ground with commissioners, including Clinical Commissioning Groups, who focussed on developing a Shared Decision Making approach across their health economy. It aims to provide practical advice and support, and recommends that appropriate people are needed to support the implementation of change. For the approach to be successful, it is vital to have a clinical lead with commitment to the principles of Shared Decision Making and influence across the health system.