Post-Turing clinical relationships: how AI is reshaping patient behaviour before the consultation (9 March 2026)

Summary

Medicine is still debating whether artificial intelligence will match or exceed human diagnostic skill. But the most consequential change is already happening elsewhere. It is unfolding quietly in the relationships patients are forming with AI systems, and in the narratives they bring with them before a clinician ever enters the room. If general practice only looks for it inside the consultation, it will be reacting to consequences rather than causes.

Adam Phillips is a UK medical student and former IBM technology consultant, and Simon Rudland, visiting professor of integrated digital health at the University of Suffolk, describe these dynamics as post-Turing clinical relationships (PTCRs). In these relationships, patients develop sustained, functionally supportive interactions with AI tools that influence how they interpret symptoms, regulate anxiety, decide when to seek care, and engage with clinicians. The changes are uneven, but they are already reshaping consultations and continuity in ways general practice is only beginning to notice.