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ACC_09AchievingAccess and Flexibility

Extended consultations for complex needs

Summary

Offer longer appointments for Focus Patients who need or will benefit from this.

Supporting information

Standard 10-minute appointments often fail Focus Patients, particularly those with multiple conditions, communication needs, or trauma histories. Extended consultations provide time to address complex needs, preventing repeated visits for unresolved issues. Approaches to implementation: - Establish a system to identify Focus Patients who need more time due to complexity - Create systems for offering double or even triple appointments for identified patients - Train clinicians to use extended time therapeutically - Monitor impact on patient satisfaction and clinical outcomes - Protect extended slots from being used for routine care when demand is high Key benefits: Improves quality of care for patients with the greatest needs, reduces inequality by providing time proportionate to complexity, and often prevents more costly emergency care.

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