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.”