@furrypaul I think I see your point – sometimes an appointment may have medical benefit even if the patient doesn’t see it – but I’d argue that if this is the case, part of the role of the clinician is to help the patient to see the the benefit of the appointment ie what did we learn from this? What’s changed as a result?
Personally, my GP diabetes appointments fall into the category of delivering a benefit to the clinician (it gets their notes up to date and enables them to get paid for providing diabetes care) but delivers no noticable benefit to me (I knew the results anyway and am more competent to decide what actions to take than my GP is).