Dr Shanker Vijay: The wider consultation

from Problems Worth Solving · host Healthia

Last year, GP teams in England delivered over 380 million appointments — and the pressure is on to deliver even more. But maybe the bigger opportunity isn't making each consultation faster? What if it's rethinking the relationship between a person and their GP?Dr Shanker Vijayadeva is a practising GP and lead for digital transformation in London at NHS England. He lives on both sides of the system - in clinic seeing patients and leading change across the capital.In this episode, we explore what he calls "the wider consultation" - the idea that care should start before a patient walks in and continue long after they leave. We talk honestly about what AI is and isn't doing in general practice, why COVID proved the NHS can move fast when it has to, and what happens when you get Age UK to train GP practices on their own technology.Problems Worth Solving is brought to you by Healthia, the collaborative service design consultancy for transformation in health, care and public services. Find out more about our work at healthia.services.

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This episode is 36 minutes long.

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This episode was published on February 25, 2026.

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