How to make your consults more effective

The Working Alliance system measures psychologists' relationships with their clients. Could it work for GPs?

We all have days in practice that don’t go as well as we hope — the consultations that don’t seem to go anywhere, the patient who gets annoyed with
a management plan, and that ‘heartsink feeling’ with particular patients.1

Doctor patient consult

These tricky consultations can be difficult to manage wihout a framework to address the problems and ways to address them.

However, it is possible to develop a structured approach to difficult consultations and this reframing may help to progress things for both patients and