Stott & Davis - East Sussex VTS

Stott and Davis Komal Gill ST3 (OMG!)

1979 Professor Nicholas Stott and RH Davis Journal of the RCGP “The Exceptional Potential of each Primary Care Consultation.” 4 tasks that can take place in any consultation

The Big 4 1 . Management of Presenting problems

2.Modification of Help Seeking Behaviour 3.Management of Continuing Problems 4. Opportunistic Health Promotion

Management of Presenting Problems This is the commonest task carried out in a consultation. An example would be a consultation for an intercurrent infection.

Modification of Help-Seeking Behaviour An example might be to suggest that someone who repeatedly presents within

24 hours of the onset of a sore throat might consider self medication for future episodes

Management of Continuing Problems After managing the presenting problem of the sore throat it can be a good opportunity to ask about ongoing problems such as diabetes or depression.

Opportunistic Health Promotion Every consultation creates an opportunity to ask about and record such information, for example about smoking, weight, cervical smears, immunisation etc.

“The Exceptional Potential of each Primary Care Consultation.”