| The alcohol one I found useful, purely because it feels less like nagging, so you can actually ask questions you can sort of, it’s like sexual health questions if you have a pro-forma you can… we ask these questions to everyone, and you can ask things that you wouldn’t be comfortable going through normally and you can get a lot more information out… I think the problem is and I sort of watched it on videos as well, is that they are very vulnerable and for them to start opening up and I have seen it on video and then you start tap, tap, tapping at a screen, it is partly it is that thing of all the stuff I am telling you is going onto that screen, there is that element of it, and it breaks the consultation. I have watched it and you can see patients just start to shrink back again because it’s I am just trying to tell you something really difficult, for me to talk and you are tapping away on your bloody computer it just, I hate, that is why I hate using them. FG2R5 (family physician, medically qualified 18 years) But it might introduce the idea in the first instance, which if you had continued intervention might sustain so like I know that in one of the family physician surgeries I worked at, you could make the QRisk into like a grid of 100 like sad faces, for like a bad outcome or a happy face to a good outcome, and I think that does help the patient because you could change like if you changed the smoking and you could suddenly have like a million more happy faces, like it seems really basic but it gives them like a pictorial representative which I think can help with the initial stages but it won’t like you said it is not going to be a sustained thing if you just expect that to carry on. FG1R7 (family physician trainee, medically qualified 3 years) |