David Paynton is RCGP National Clinical Commissioning Lead and can be contacted on david.paynton@nhs.net
A revolution is starting to sweep through clinical practice. Clinicians, exhausted as they are in dealing with a seemingly endless tide of demand, are testing out new ways of working: trying to move upstream, developing proactive care plans with the person with long term conditions and their carer and changing the conversation from “how can I help” to “what is important to you”.