Administration and health infomatics Flashcards
Requirements for universal credit are: (must satisfy all requirements)
low income or out of work
>18
< State Pension age
You and your partner have £16,000 or less in savings between you
live in the UK
Prescription exemption certificate (in England) - conditions that do not require payment for medication
hypoparathyroidism
Addisons (hypoadrenalism)
diabetes insipidus (hypopituitarism)
diabetes mellitus
myasthenia gravis
hypothyroidism
epilepsy
Cancer related treatments - medication, dressings, fistula
DVLA: drug and alcohol misuse
“misuse”
“Abuse”
“misuse” = 6 months no drive
“Abuse” = 12 months no drive - eg heroine, cocaine, alcohol dependency
What are local medical comittees?
Local Medical Committees (LMCs) are independent bodies that represent all NHS general practitioners, including GP Registrars, in a specified area. They act as a conduit between the General Practitioners and the NHS health authorities. GP Registrars, who are trainee GPs in their final year of training, have representation in LMCs because they form an integral part of the primary care workforce.
Key Facts about foster care (2)
limit of 3 foster children per family
all children in long-term foster care require a 6-monthly medical examination until 5yo. then 12 monthly unless child refuses.
Consultation method Calgary-Cambridge
CLASSIC Consultation
initiating the session
gathering information
building the relationship
giving information, explaining and planning
closing the session
Consultation method Stewart
EXPERIENCE - exploring both the disease and the illness experience
UNDERSTANDING THE PERSON - understanding the whole person
HEALTH PROMORTION + PREVENTION - incorporating prevention and health promotion
enhancing the doctor-patient relationship
being realistic (with time and resources)
Consultation metho Pendleton
ICE - define the reason for the patient’s attendance (ideas, concerns and expectations)
SHARED - achieve a shared understanding of the problems with the patient
RESPONSIBILITY - involve the patient in the management and encourage him/her to accept appropriate responsibility
Consultation method - Fraser
CLASSIC
interviewing and history-taking
physical examination
diagnosis and problem-solving
patient management
relating to patients
anticipatory care
record keeping
Consultation Method - Neighbough
connecting
summarising
handing over
safety netting
housekeeping
Consultation method - Tuckett
DOCTORS = MEDICINE
PATIENT = OWN HEALTH
seek understanding of each other
Consultation Method - Stott and Davies
management of presenting problems
management of continuing problems
modification of help-seeking behaviour
opportunistic health promotion
Coroner Office definitions
Inquest
Confidential enquiry
Inquest - investigate the circumstances of death. eg who, where, when - establish the facts
Enquiry - aim to improve patient care through learning from different cases
Controlled drugs schedule (1-5)
2 - diamorph, morph
3 - gabapentin, barbituates, buprenorph
4 - benzo, zolpidem, steroids
5 - oramorph
What is the Personal Independence Payment (PIP)
Has two components: daily living and mobility.
The daily living component is for people who need help with tasks like preparing meals, washing, dressing or communicating.
The mobility component is for people who have difficulty moving around or going out. PIP does not include a housing component.
Fitness to fly CVD
Unstable angina/ Uncontrolled HTN/ Arrythmia/ Decompensated heart failure
MI (uncomplicated)
MI (complicated)
CABG
PCI
Stroke
Severe Angina/ htn/ arrythmia - do not fly
MI (uncompl) - 7-10 days
MI (compli) - 4-6 week
CABG - 10-14 days
PCI - 3 days
stroke - 10 days
Fitness to fly Respiratory
pneumothorax
pneumo - no fly. can fly after two weeks if successful drainage and cxr shows no residual air
Fitness to fly Pregnancy
36 weeks - single preg
32 weeks - multiple preg
Fitness to fly surgery
Abdominal surgery
Laparoscopic
colonoscopy
abdominal - 10 days
lap - 24 hr
colonoscopy - 24 hr
Fitness to fly haematology
Must have Hb >8 to fly
Caldicott guardian role
Protect patient data
Income support criteria
16-59 yo
low income
working less than 16 hours per week and not receiving Job Seekers Allowance
Job Seeker Allowance
> 18 years old to state pension age (currently 66yo)
Claimants must be capable of working and agree to actively seek work
Personal Independence Payment (PIP)
Replaced the Disability Living Allowance (DLA)
16-64 yo
Need help with personal care due to physical or mental disability
For children there is still the ‘DLA for children’
If >65yo = Attendance Allowance
Statutory Sick pay
For employees unable to work due to illness. Unable to work for > 4 days in a row. Paid up to a maximum of 28 weeks
Incapacity Benefit & Employment and Support Allowance
Employment and Support Allowance replaced Incapacity Benefit for new claimants from October 2008. Claimable by those NOT entitled to Statutory Sick Pay (SSP), for example self-employed, or when SSP has ended
Bereavement support payment
Replaced ‘Bereavement payment’ and ‘Bereavement allowance’
Lump sum followed by 18 monthly payments
Spouse must be under state pension age when their partner died
Depends on national insurance contributions
Must claim within 3 months of your partner’s death to get the full amount.
You can claim up to 21 months after their death but you’ll get fewer monthly payments.
Data protection act principles (8)
- used for the specific purpose
- can NOT be disclosed to other parties without consent
- individuals have right of access to the information held about them
- information may be kept for no longer than is necessary and must be kept up-to-date
- information may NOT be transmitted outside the European Union unless consent has been given
- all entities must register with the Information Commissioner’s Office
- adequate security measures must be in place.
- subjects (i.e. patients) have the right to have factually incorrect information about them corrected
Notifiable death criteria - when to refer to Coroner (12)
- unexpected/ sudden deaths
- attending Dr did not see them within 28 days before death
- death occurs within 24 hours of hospital admission
- accidents and injuries
- suicide
- industrial injury or disease (e.g. asbestosis)
- result of ill treatment, starvation or neglect
- death during an operation or before recovery from the effect of an anaesthetic
- poisoning, including taking illicit drugs
- stillbirths
- prisoner or people in police custody
- service disability pensioners
Post operative recovery times
Laparoscopic Open
Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks
Appendicectomy 1 - 2 weeks 2 - 3 weeks
Cholecystectomy 2 - 3 weeks 3 - 5 weeks
Hysterectomy 3 weeks 7 weeks
Forms to register patients to the GP Practice
Temporary
Permanent
Temp - GMS3 (up to 3 months)
Permanent - GMS1
General Medical Services (GMS) contract is…
is a contract between general practices and primary care organisations (PCOs).
The contract is negotiated nationally every year between NHS England and the General Practice Committee.
Working Hours mandatory breaks
11 hours within 24 hour period
20 minutes if working longer than 6 hours shift
Parental leave Fx
Unpaid time off work for parental care
Criteria:
employee >1 year
up to 18 weeks unpaid leave for each (adopted) child up to 18th birthday
up to 4 weeks per child per year
named on Birth/ Adoption certificate
Not Foster parent
Mefloquine - how long before to start and after travel to continue
Start 2-3 weeks prior to travel
Finish 4 weeks after travel return
Shingles vaccination criteria
All 65-79 years old
>50 with weakened immunity (eg chronic disease)
Positive predictive value of FIT
7%
Abdominal aorta screening age
Men >65 yo
Learning styles: Honey and Mumford Questionnaire
4 Learning styles:
Activist
Reflector
Theorist
Pragmatist
Consultation methods: Calgary-Cambridge Observation guide
5 Tasks of a consultation:
initiating
gathering information
building the relationship
giving information (explaining and planning)
closing the session (summary)
Caldicott Guardian is..
A senior person who protects confidentiality of patient information
Industrial Injuries Disablement Benefit claim requirements
Sensorineural deafness > 50 dB in each ear
The average of losses at 1, 2 and 3 kHz frequencies (main speech frequencies)
>1 occupational noise hazard
Controlled drugs schedules
Schedule 1 – ONE love Bob Marley and his spliff: Cannabis
Schedule 2 – TWO pupils pin-point/ dilated: Strong Opioids and Cocaine
Schedule 3 – THREE “B”ees in a bonnet: Buprenorphine, Benzos (Midaz + Temaz), Barbituates PLUS GaBapentin and PregaBalin
Schedule 4 – FOUR poster bed for sleep and muscle rest: all other Benzos, Z-drugs (Zopiclone, Zolpidem), Anabolic steroids
Schedule 5 – high FIVE (drugs that make you feel high): Oramorph, Codeine
Requirements for universal credit
Live in UK
>18 + low wage/ no income
<£16,000 collectively in savings
<65
16-17yo can claim if carer
Procedure and recovery time (laprascopic vs open)
Abdominal hernia
Appendicectomy
Cholecystectomy
Hysterectomy
Procedure Recovery time
Laparoscopic Open
Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks
Appendicectomy 1 - 2 weeks 2 - 3 weeks
Cholecystectomy 2 - 3 weeks 3 - 5 weeks
Hysterectomy 3 weeks 7 weeks
