Introduction to Primary Care Flashcards
What is the first point of contact for patients within the NHS?
Primary care
What are the 3 different aspects of the NHS structure?
Primary care
Secondary care
Tertiary care
What is secondary care?
Hospitals
What is tertiary care?
Specialist centres
What are different services that bridge primary and secondary care?
Public health specialties
Occupational medicine
Some hospital specialties (such as mental health and palliative care)
Management of long term conditions
Community hospitals
Roughly, how many patients does each GP have?
1700 patients
What percentage of patient contact takes place in primary care?
90%
What are some out of hours (OOH) services?
NHS 24
GMED
Who are some people in the primary care team?
General practitioners (GPs)
General dental practitioners (GDPs)
NHS 24/associated staff
Nurses
Midwives
Allied health professionals (AHPs)
Physician associates (PAs)
Opticians
Integrated Joint Boards
What are examples of Allied Health Professionals (AHPs)?
Physiotherapy
Occupational therapists
What are Integrated Joint Boards composed of?
Health board and local council
What does the typical GP day involve?
Morning and afternoon surgeries
Paper work
Phone calls
House calls
Duty doctor/emergencies
Specialist clinics
Practice business/staff issues
What are examples of specialists clinics GPs might perform?
Minor surgery
Coils
Joint injections
What are some aspects of primary care, that you may opt to do or not do?
Out of hours care
GPs with special interests
Portfolio careers
BASICS (British Association for Immediate Care, pre hospital care)
What does BASICS stand for?
British Association for Immediate Care
What do GPs see in consultations?
Huge variety of symptoms
Undifferentiated symptoms and associated uncertainty
Generalist approach
Fascinating insight into patients lives
10 minute appointments
What is the length of an appointment?
10 minutes
What are some examples of presenting symptoms?
Back/joint pain
Sore throat/headaches/fever/earache
Cough/breathlessness/wheezing
Anxiety/depression/stress
Skin rashes
What are some examples of different hospital specialties?
Gynaecology
ENT
Musculoskeletal
Neurology
Urology
Dermatology
Psychiatric
Paediatrics
Geriatrics
Respiratory medicine
Cardiology
Endocrine
What are some examples of things that influence health?
Education
Occupation
Water and sanitation
Food
Housing
Health care services
Culture
What does OEM stand for?
Occupational and Environmental Medicine
What does PH stand for?
Public health
Who does a long term condition impact?
Patient and their family
