Members of the Team Flashcards
What does PHCT stand for?
Primary Health Care Team
What are the members of a traditional PHCT?
GP partners GP assistants and other salaried doctors GP registrars Practice nurses Practice managers Receptionists Community nurses Midwives Health visitors Nurse practitioners
Describe the role of a GP partner
Consultations in surgery
Home visits
Independent contractors to the NHS = provide adequate premises from which to practice, employing their own staff
Describe the role of a practise nurse
Direct supervision of healthcare assistants at the practice
Obtaining blood samples
ECGs
Minor and complex wound management including leg ulcers
Travel health advice and vaccinations
Child immunisations and advice
Family planning and women’s health including cervical smears
Men’s health screening
Sexual health services
Smoking cessation
Describe the role of a district nurse
Visit people in their own homes or residential care homes
Provide complex care for patients and support family members
Teaching and support role to help patients care for themselves/family members
Keep hospital admissions to a minimum
Assess healthcare needs of patients and families
Describe the role of a midwife
Care during all stages of pregnancy labour and early postnatal periods
Work in community, providing services in women’s homes, local clinics, children’s centres, GP surgeries, hospital based
Describe the role of a health visitor
Lead and deliver child and family health services (pregancy-5yrs)
Offer parental support/advice
New birth visits and advice on feeding, weaning and dental health
Physical and development checks
Referring families to specialists e.g. speech and language therapists
Ongoing additional services for vulnerable children and families
Contribute to safeguarding and protecting children
Describe the role of a Macmillan Nurse
Specialise in cancer and palliative care
Support and information for those with cancer
Specialised pain and symptom control
Emotional support
Care in variety of settings
Information about treatments and side effects
Advice to other members of MDT
Coordinated care between hospital and patient’s home
Advice on other support e.g. financial
What are examples of allied health professionals?
Physiotherapy Occupational therapy Dietetics Podiatry Pharmacy Counselling
Describe the role of a pharmacist
Expert in medicines and their use
Working to ensure patients get maximum benefits from their medicines
Advice medical and nursing staff on selection and appropriate use of medicines
Provide information to patients on how to manage their medicines
Can take training to prescribe medicines
Describe the role of a dietician
Enable people to make informed and practical choices about food and lifestyle in health and disease
Work with people with special dietary needs
Informing the public about nutrition
Offering unbiased advice
Evaluating and improving treatments
Educating healthcare professionals
Describe the role of a physiotherapist
Help and treat people with physical problems caused by illness, accident or ageing
Maximise movements through health promotion, preventative healthcare, treatment and rehabilitation
Manual therapy, therapeutic exercise, application of electro-physical modalities
Describe the role of a occupational therapist
Assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function in daily life
What are selected secondary care services that PHCT might ask to get involved?
Hospital consultants
Diagnostic imaging
Operating services
Describe the role of a care manager
Experts in working with individuals to identify their goals and locate the specific support services that enhance well-being
Highly trained social worker who work with the patient to advise on social and financial support services
What are examples of complimentary therapists?
Acupuncture
Homeopathy
What are examples of social services?
Social workers
Social care workers
What can be used as health promotion?
Gyms
Education
What do changes affecting the PHCT affect?
Which professional groups are part of the PHCT
Which professional groups work alongside the PHCT
Working relationship between these different professional groups
How do economic factors affect PHCT?
Impact on development of healthcare premises
e.g. premises which are too small, unfit for purpose, growing numbers of new GPs need to be accommodated
What is the trend with GP premises?
Trend away from smaller doctor-owned premises to much larger buildings owned and developed by private companies
Wider range of services within enlarged premises
What are the current political pressures?
Reduce the cost of treatments
Provide more treatments closer to where patients live
What is included in the development of new and extended professional roles?
Development of healthcare assistants from existing staff
Extended role of pharmacists in medicines’ management and minor illness
Development of nurse prescribing and triage
What are the issues for GP surgeries with growing numbers of ageing patients?
More long term conditions
Greater demand for healthcare generally
What are the priniciples for good team work as recommended by the Forum on Teamworking in Primary Healthcare?
Recognise and include the patient, carer or their representative, as an essential member of the PHCT
Establish a common agreed purpose
Agree set objectives and monitor progress towards them
Agree team working conditions, including a process for resolving conflict
Ensure that each team member understands and acknowledges the skills and knowledge of team colleagues
Pay particular attention to the importance of communications between members, including the patient
Take active steps to ensure the practice population understands and accepts the way in which the team works within the community
Select the leader of the team for his or her leadership skills
Promote teamwork across health and social care
Evaluate all its team working initiatives on the basis of sound evidence
Ensure that the sharing of patient information within the team is in accordance with current legal and professional requirements
How has PHCT changes?
Now increasing involvement of wider professional groups and others belong traditional PCHT
Structural changes to the services provided e.g. centralisation of District Nursing services
What is the aim of the integration of health and social care?
Help reduce unnecessary admissions to hospital and delayed discharges
Make more efficient and effective use of limited resources and central to improving outcomes for patients
What the Public Bodies (Joint Working) (Scotland) Act 2014?
Integration of adult health and social care
Improve quality and consistency of services for patients, carers, service users and their families
Seamless joined up health and social care services
Ensure resources are used effectively and efficiently to deliver services to increasing number of those with long term/complex needs
NHS boards and local authorities integrated health and social care budgets
What is the Integration Joint Board (IJB)?
NHS boards and local authorities delegate budgets to the IJB which then decides how to use the resources for health and social care
How many minimum members of the IJB from the local authority and NHS board?
Three members each
What must the IJB include?
Carer representative GP represenative Nurse representative Secondary medical care practitioner Service user representative Staff-side representative Third sector representative Officer responsible for financial administration Chief Officer Chief Social Worker
