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.
Resources
- CARE Plus Study
- See for example the approach of Kirketon Road Centre - Building equitable care toolkit
- Inclusion Health Action in General Practice - Evaluation Report
Links open on other organisations' websites.