Intended for healthcare professionals

Letters Guidelines and clinicians’ time needed to treat

Guidelines: safety netting and gut feeling should be factored in to time needed to treat

BMJ 2023; 380 doi: (Published 09 February 2023) Cite this as: BMJ 2023;380:p308
  1. Claire Friedemann Smith, senior researcher,
  2. Brian D Nicholson, NIHR academic clinical lecturer
  1. University of Oxford, Radcliffe Observatory Quarter, Oxford, UK
  1. claire.friedemann{at}

Johansson and colleagues’ article on guidelines1 recalled two areas from our own work where time needed to treat (TNT) could be useful.

Firstly, “safety netting”—or advice to support self-care when appropriate and encourage help seeking when necessary—is regarded as best practice but tends to be delivered poorly, in a rush, and at the end of the consultation.2 Dedicated …

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