A workshop at the 2022 meeting of the Royal College of Paediatrics and Child Health used the fictitious case of Shelly (box 1) to highlight how generalism could help a single child at different ages, and potentially nudge their health and well-being trajectory towards a different destination. There were two contrasting ‘destinations’ for Shelly.

Shelly is a 7-year-old girl who attends your clinic following a recent asthma admission. She is prescribed low-dose beclomethasone …