Skip to main content
. 2019 Mar 12;69(681):e224–e235. doi: 10.3399/bjgp19X701861
1 Ten-minute appointments or ‘one symptom per appointment’ are not sufficient to share subtle, intermittent changes or symptoms, and can lead to selective or limited disclosure.
2 Vague symptoms need thorough exploration by family doctors. Take a good history from family and friends if not forthcoming from the patient as patients may not notice all the symptoms themselves.
3 Improve how patients present their symptoms in the consultation (for example, encourage patients to bring written lists of symptoms, track multiple symptoms, and voice any concerns).
4 Aim at continuity of care so that GPs can have increased awareness of symptom changes over time.
5 Encourage follow-up appointments by making them before a patient leaves the surgery or giving a time limit for symptoms to resolve.
6 Empower patients to return if they think something is wrong or if they are unhappy with the plan.
7 Identify patients with repeated consultations with vague symptoms and have lower threshold for referral based on GP intuition.
8 When ordering investigations, most patients would rather be told that cancer is a differential diagnosis.