FoPC-The Team around the Patient Flashcards
How community medicine and parimary care team are organised?
Primary care team?
- Independent Contractors
- The Wider Primary care team
- Non-clinical roles
Give example and explain Independent Contractors?
General Practioners GPs provide a complete spectrum of care within the local community: dealing with problems that often combine physical, psychological and social components. They increasingly work in teams with other professions, helping patients to take responsibility for their own health.
- Most GPs are independent contractors to the NHS. This independence means that in most cases, they are responsible for providing adequate premises from which to practise and for employing their own staff. These GP’s are classified as GP partners. Within the practice they can employ GP’s (Salaried GP)
- Community Optometrists carry out eye examinations on patients of all ages with all kinds of conditions, and advising them on how to look after their eyes and vision.
- Community pharmacists; dispense medications , counsel patients on use of their prescriptions and over the counter medications.. They also provide health promotion and also minor illness services.
Give an example and explain Community dentists?
Community dentists - are healthcare professionals responsible for providing oral health guidance and instruction to patients and carrying out preventative and restorative care; they treat a variety of diseases affecting not only the teeth but the gums and the mouth as a whole
Give an example and explain community Optometists?
Community Optometrists carry out eye examinations on patients of all ages with all kinds of conditions, and advising them on how to look after their eyes and vision.
Give an example and explain Community pharmacists?
Community pharmacists; dispense medications , counsel patients on use of their prescriptions and over the counter medications.. They also provide health promotion and also minor illness services.
Who are the wider primary care team?
- Practice nurses
- District Nurses
- Advanced Nurse Practitioners/Paramedic Practitioners
- Community Mental Health Nurses
- Health Care Assistants
- Community Midwives
- Health Visitors
- Allied Health Professionals
- Pharmacy Technicians
- Dental workforce
- Optometry workforce
Who are the Allied healthcare Professionals?
Allied Healthcare professionals- distinct from nursing , dentistry, medicine and pharmacy – they provide a range of diagnostic, technical, therapeutic and support services
- Dieticians
- Occupational Therapists
- Paramedics
- Physician Associates
- Physiotherpaists
- Podiatrists
- Radiographers
- Speech and Language therapists
Who are the non-clinical team and what they do?
- Practice Managers: oversee and develop the work of the GP surgery. They essentially run the business side of the practice by supporting the GP Partners. They are involved with managing the finances, employment of staff and compliance with regulations.
- Practice administration staff: same as above
- Care Managers: Same as above
- Social Workers: Social Workers support individuals and families through difficult times and ensure that vunerable people (adults and children) are safeguarded from harm. Help improve outcomes. Act as an advocate for individuals.
- Community link workers: relatively new role, not every practice has access. Act as signpost to other services that may be beneficial to the patient. They play a role in social prescribing and provide support and information on housing, debts, benefits, referral to activities and community groups.
How the is modern general practice, is different than the old GP?
The modern GP has:
- Community team
- Multidisciplinary team
- Changing roles
- Developing and expanding roles
- New models of care
development of advanced nurse practitioners, paramedic practitioners, physician associates – more diverse primary care team. To meet demand of community and patient needs
What is driving the change in primary care team?
- Increase complexity of pts
- Long term conditions
- Advancing medicine
- Ageing population
- increased demand on healthcare
- Response to covid-19
The Primary care team has had to evolve in response to advancements in medicine leading to the increased number of long term conditions. Thois has led to increased complexity and increased demand on healthcare.
In addition with an ageing population we are faced with challenges of complexity and polypharmacy and managing multimiorbisity.
We have also had to adapt and respond to covid. ? New General Practice- no return
Exam Qs:
- All members of the wider primary health care team and their roles?
- Consider a patient with long-term conditions and multimorbidity and how the various members of the team might be involved with their care across their lifetime?
test yourself…