Ongoing Training Resources

Managing Frequent Attenders

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About the Course

Patients who frequently attend health and care services can present a complex challenge for staff, who may be unsure how to best provide care. With often conflicting needs, it is important to understand how these patients feel and the experiences that lead to their actions.

In this session, you will learn about reflective practice and how it can be useful when considering patients who frequently attend services or who may present with chaotic attachments and health seeking behaviours. Reflective practice can be a useful tool when working with these patients and may reduce the strain on staff and teams by providing new insights into a patient’s behaviour.

The session has been created by the Tavistock and Portman NHS Foundation Trust with the support of Health Education England, the Royal College of Psychiatrists and the Royal College of General Practitioners. It is mainly aimed at primary care and frontline staff including ambulance staff, GPs, practice nurses and Accident and Emergency Department Staff.

The session takes around twenty minutes to complete and the key learning points are:

  • understanding some of the reasons patients might present frequently to services
  • having the introductory-level of knowledge needed to apply reflective practice in day to day scenarios
  • understanding how reflective practice may be a useful tool in helping staff understand their emotional responses when working with patients who frequently attend or who may have chaotic attachments to services
  • understanding how reflective practice can help professionals and teams as a whole foster meaningful relationships with patients who frequently attend or who may have a chaotic attachment to services.

Throughout the session, you will be guided by a worked example scenario. You are encouraged to apply your own experiences with this patient group throughout the module.

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