Jess’s Rule

As a practice, we take patient feedback seriously. We have discussed Jess’s rule as a team and reflected carefully on the consultations we have with our patients. These reflections help us continuously improve the care and service we provide.

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Jess’s Rule

Three strikes and we rethink

If a patient presents three times with the same symptoms or concerns, particularly if symptoms unexpectedly persist, escalate, or
remain unexplained, it’s time to rethink.

Reflect: Think back on what the patient has said and consider what has changed or been missed. Offer ongoing continuity of care with follow-up. If previous consultations have been remote, see the patient face-to-face and conduct a physical examination.

Review: Where underlying uncertainty exists, consider seeking a view from a peer and review any red flags that may suggest another diagnosis, regardless of the patient’s age or demographic.

Rethink: If appropriate, refer onwards for further tests or for specialist input.