This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Neighbour (checkpoints)

Authoring team

Neighbour - The Inner Consultation

Neighbour proposed five checkpoints in the consultation:

1. Connecting: have we got rapport?

2. Summarising: could I demonstrate to the patient that I've sufficiently understood why he's come:

  • the patient's reason for attending
  • the patient's ideas and feelings, concerns and expectations are explored and acknowledged adequately
  • listening and eliciting
  • the clinical process - assess, diagnose, explain, negotiate and agree

3. Handing over: has the patient accepted the management plan we have agreed?

4. Safety netting: What if...? General practice is the art of managing uncertainty:

  • predict what could happen if things go well
  • allow for an unexpected turn of events
  • plans and contingency plans

5. Housekeeping: Am I in good condition for the next patient? - stress, concentration and equanimity

Reference:

  • (1) Roger Neighbour, The Inner Consultation, MTP, 1987

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.