Can we apply more generalism in child health?

Abstract

To cite: Turner SW, Shah R, Dharmarajah K, et al. Arch Dis Child Educ Pract Ed Epub ahead of print: [please include Day Month Year]. doi:10.1136/archdischild2022325268 © Author(s) (or their employer(s)) 2023. No commercial reuse. See rights and permissions. Published by BMJ. INTRODUCTION TO GENERALISM Generalism has been defined as ‘an approach to the delivery of health care, be it to individuals, families, groups or to communities. Its principles apply wherever and whenever people receive care and advice about their health and wellbeing. The generalist approach applies equally to individuals and to clinical teams. It is one facet of medical professionalism’. Generalism has been advocated by numerous bodies including the Royal College of Physicians, the Academy of Medical Royal Colleges and Health Education England. Generalism is part care provision for children and young people, but we are not aware of any publications which describe generalism in the context of child health or highlight the benefits and limitations of generalism to paediatricians. Central to generalism is the understanding that connecting children, young people and their families to the correct activities and services in their community can help mental and physical health and address social needs. Social prescribing is a term used to describe this process of connection. The aims of this article are to (i) raise generalism in the mind of the reader, (ii) use case studies to identify how healthcare staff can improve child health and well being and (iii) provide examples of social prescribing. The reader is encouraged to identify local social prescribing options and consider becoming involved in local health and social care partnerships.