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Consultation Models Roger Neighbour

Consultation Models Roger Neighbour. Sam Rezk GP ST3. Neighbour’s Consultation Model. 5 checkpoints: 1- Connecting Building rapport Greeting, meeting and joining with the patient- not just at the superficial level but at a level where real empathy can develop

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Consultation Models Roger Neighbour

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  1. Consultation ModelsRoger Neighbour Sam Rezk GP ST3

  2. Neighbour’s Consultation Model 5 checkpoints: 1- Connecting • Building rapport • Greeting, meeting and joining with the patient- not just at the superficial level but at a level where real empathy can develop • Being able to see the world as if through the patients’ eyes

  3. 2- Summarising making sure you’ve understood the patient’s needs and that patient and you are on the same track by: • Listening to and eliciting the patient’s story ( include symptoms, ideas, concerns and expectations) • explaining back to patient what they have told you or offering them a summary of what you’ve understood to be the problem • allowing for correction/development of ideas & understanding

  4. 3.Handing Over At this point the patient feels well equipped to depart, adequately informed and sufficiently confident of progress. Strategies for handing over: 1- Negotiating 2- influencing 3 gift wrapping ( presenting your plan in an attractive package which the patient is pleased to receive) This is achieved by: • agreeing a management plan, and checking that the patient accepts it • sharing decision-making & responsibility • negotiating and compromising on options

  5. 4- Safety Netting This checkpoint reminds you to consider, before the patient leaves, a few ‘what if?’ questions. checking you’ve not missed anything, and making a contingency plan This includes: • Thinking ahead to plan for the unexpected- considering ‘what if?’ • Acknowledging uncertainty and risk “General Practice is the Art of Managing Uncertainty”

  6. 5- House Keeping ( taking care of your own well-being) This checkpoint reminds you to attach no less importance to looking after your own physiological and mental health than you do to patients. • During consultations • In between patients • Before and after surgeries • At intervals during the course of your career This includes: • identifying any left-over feelings or needs after the patient leaves • Doing what you need to do (e.g. stretch, relax, having a cup of coffee, talking to someone, releasing feelings)

  7. Neighbour’s ‘Inner Consultation’ model:‘the consultation as a journey with 5 checkpoints’ Take care of your own physical & mental wellbeing Establish working rapport with the patient 5 - HOUSE-KEEPING 1 - CONNECT Check, by offering a summary, that you’ve understood what the patient has come for 2 - SUMMARISE Make sure the patient is happy with the agreed management plan 3 - HAND-OVER 4 - SAFETY-NET Anticipate the unexpected and make a contingency plan

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