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the nhs constitution for england states that people have the right to be involved in planning and making decisions about their health and care and to be given information to support and enable this the threshold for what information us clinicians need to share with patients has also changed the montgomery versus language case in 2015 set a new post-bollam legal standard to protect peoples rights to make informed decisions on care and treatment prior to this ruling the bowling versus freyan hospital management committee in 1957 was said to provide a protective shield if the practice in question is accepted by a reasonable body of medical opinion the law now requires clinicians to make reasonable care to ensure that the patient is aware of any material risks involved in any recommended treatment and of any reasonable alternative or variant treatments