
The general physician service is often the first point of contact for adults with medical concerns that are not clearly surgical. Patients are assessed, investigated and referred to the appropriate specialist when needed. The service also supports medical assessment for patients scheduled for surgery.
About the general physician department
The general physician service provides assessment and management of a broad range of adult medical concerns, from acute problems such as fever and infection to longer-term conditions such as diabetes and high blood pressure.
The focus is on understanding the whole picture, reaching a diagnosis, and planning medical care that fits the patient.
A general physician is often the first specialist to assess a medical problem that does not clearly fall under one particular specialty. After evaluation, you may be treated by the physician directly or referred to a more specialised service if needed.
Common reasons patients seek care
Patients are commonly referred to general physician for assessment of concerns that may include:
- Fever that is persistent, unexplained or not responding to initial treatment
- Fatigue or persistent tiredness
- General weakness or feeling unwell without a clear cause
- Headaches that are recurrent or worsening
- Dizziness or light-headedness
- High blood pressure (hypertension) or blood pressure concerns
- Diabetes-related concerns, including blood sugar control and complications
- Digestive symptoms such as persistent nausea, vomiting, diarrhoea or constipation
- Respiratory symptoms such as cough, shortness of breath or wheezing
- Persistent cough lasting more than a few weeks
- General or unexplained pain that needs assessment
- Unexplained symptoms that need a medical opinion
- Chronic disease follow-up and management
- Health concerns that need an initial medical assessment before referral to a specialist
Common conditions
The general physician specialty commonly involves the assessment of conditions that may include:
- Diabetes mellitus (type 1 and type 2)
- Hypertension (high blood pressure)
- High cholesterol (dyslipidaemia)
- Respiratory infections, including pneumonia and bronchitis
- Asthma and other airway conditions
- Thyroid disorders, including hypothyroidism and hyperthyroidism
- Digestive disorders and gastric conditions
- Common infections, including urinary, respiratory and skin infections
- Anaemia and other blood count abnormalities
- Chronic kidney disease (early stages)
- Metabolic conditions
- Electrolyte and fluid balance problems
Treatments and procedures
Treatment options depend on your individual condition. Depending on the diagnosis, your doctor may discuss approaches that can include:
- General medical assessment, diagnosis and treatment planning
- Chronic disease management, including diabetes and hypertension
- Medication management and dose adjustment
- Lifestyle guidance, including diet, exercise and smoking cessation
- Preventive health discussions and screening advice
- Monitoring of chronic conditions with regular follow-up
- Referral to relevant specialists when a condition needs more specialised care
Diagnostic approaches
To reach a clear diagnosis, your doctor may use one or more of the following:
- Blood tests including full blood count, blood sugar, HbA1c, liver and kidney function, thyroid function and lipid profile
- Urine tests
- Chest X-ray where respiratory conditions are suspected
- ECG (heart tracing) where cardiac assessment is needed
- Referral for further imaging or specialist investigations where indicated
When to seek specialist care
Adults may seek assessment for ongoing or unexplained symptoms, fever or infection, difficulty managing conditions such as diabetes or high blood pressure, or general health concerns that need a medical opinion. If you are unsure which specialist to see, a general physician can assess you and guide you to the right service.
What patients can expect
The physician reviews your history, examines you, and may arrange blood tests or other investigations to reach a diagnosis. Management is tailored to your individual condition and general health, and follow-up is arranged where ongoing monitoring is needed.
Areas of care
The general physician service assesses and manages a broad range of adult medical concerns. Depending on your symptoms and diagnosis, areas of care can include:
- Diabetes and blood sugar management
- High blood pressure (hypertension)
- Fever and infections
- Respiratory and chest conditions
- Gastric and digestive disorders
- Thyroid and other endocrine concerns
- General medical conditions that need assessment
- Preventive care and routine health checks
Not every concern needs long-term treatment. After an assessment, your doctor can explain whether a condition can be managed directly or whether a referral to another specialty would help.
Booking a consultation
You can request an appointment with the General Physician team using the appointment form, or by calling the hospital on 0300 9687763. If you have previous imaging or reports, please bring them to your appointment.
Consultants in General Physician
Ready to book an appointment?
Speak to the team about the right specialist for your care.