Care Philosophy
General practice involves assessment of the patient's presenting concerns, medical history, and clinical context.
Six principles, every appointment.
Relevant lifestyle factors, family history, medication, and clinical context are considered alongside the presenting symptom. The assessment is guided by the reason for attendance and the information needed to decide the next step.
Investigations and prescriptions follow current clinical evidence. Investigations are selected according to clinical assessment, current evidence, and the information required for ongoing management. Prescriptions are clinically indicated, at the lowest effective dose.
We explain what is likely going on, what the options are, and what each one involves — including the option of watchful waiting, where that is clinically reasonable. Clear explanations support informed decision-making and discussion of available management options.
Continuity of care may assist with monitoring changes over time and reviewing treatment where clinically appropriate. We schedule review appointments when clinically appropriate rather than leaving management open-ended.
Age-appropriate screening, vaccinations, and lifestyle discussion are part of a routine appointment — not an add-on. Preventive care, including appropriate screening, vaccination, and lifestyle discussion, forms part of routine general practice where clinically appropriate.
Clear communication supports accurate assessment and informed decisions. Patients should mention the main concern when booking and raise the most important symptoms at the start of the appointment.
“Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.”
— Constitution of the World Health Organization
This definition is seventy-five years old. It is the frame within which we think about what a consultation should accomplish.
Our Commitment
These six principles describe how we think. Our Commitment page describes the specific clinical standards that follow from them — on prescribing, investigations, antibiotics, and patient-centred care.