Table 1 Skills assessed in the observation tool

1. Makes appropriate greeting / introduction and demonstrates interest and respect

2. Identifies and confirms the patient’s problem list or issues

3. Encourages patient’s contribution / story

4. Makes an attempt to understand the patient’s perspective

5. Thinks family, and obtains relevant family, social and occupational information

6. Obtains sufficient information to ensure no serious condition is likely to be missed

7. Appears to make a clinically appropriate working diagnosis

8. There is a clear explanation of the diagnosis and management plan

9. Gives patient an opportunity to ask for other information and / or seeks to confirm patient’s understanding

10. The explanation takes account of and relates to the patient’s perspective

11. Involves the patient where appropriate in decision making

12. Chooses an appropriate management plan

13. Show a commitment to co-ordination of care

14. Shows a commitment to continuity of care

15. Closes consultation successfully

16. Provides appropriate safety netting for the patient