ABSTRACT

In the first of three case study chapters, I apply the building blocks of advanced generalist practice from Chapters 1 and 2 to consider how we can practically change front-line professional practice. Chapter 3 focuses on Wise People – the work that happens in the consultation between patient and clinician. I discuss three examples of introducing advanced generalist principles into everyday practice: the Flipped Consultation (used in the BOUNCEBACK project), Goldilocks Medicine (used in the Complex Needs project) and the Generalist Gatekeeper or Guru (with patient examples). I use each to illustrate the 4Es in action, highlighting the impact on the generation of trusted understanding-in-context of whole person healthcare needs.