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Medicine: Data Interpretation > NHS General: Structure Etc > Flashcards

NHS General: Structure Etc Flashcards

1
Q

Role of the department of health ?

A

Responsible for strategic leadership and funding of both health and social care in England

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2
Q

What is meant by a ministerial department ?

A

Ran by the government

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3
Q

Roles of NHS England ?

A
  • provides national leadership for improving outcomes
  • overseas operation of CCGs
  • allocates resources to CCGs
  • commissions primary care and specialist services
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4
Q

Who are responsible for planning and commissioning of healthcare services in their local area ?

A

CCGs

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5
Q

Who do CCG members include ?

A
  • GPs
  • nurses
  • consultants
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6
Q

What % of the NHS budget are CCGs responsible for ?

A

60%

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7
Q

What secondary care services are commissioned by CCGs?

A

(Most of it)

planned hospital care

  • rehab care
  • urgent and emergency care
  • most community health services
  • mental health and learning disabilities
  • can commission anything that meets NHS standards and costs e.g. NHS hospitals, social enterprise etc.. But must meet NICE and CQC standards
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8
Q

Whose job is it to strengthen work relationships between health and social care ?

A

Health and wellbeing boards

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9
Q

What organisations builds an evidence base to support local public health services and supports the public to make healthier choices?

A

Public health England

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10
Q

What is QOF?

A

Quality and framework outcome: awards surgeries for:

  • management of chronic disease e.g. Asthma, COPD
  • implementing preventative measures e.g. BP checks
  • the extra services offered e.g. Child and maternity services
  • the quality and productivity of the service, including avoidance of emergency admissions to hospital
  • compliance with minimum time a GP should spend with each patient at each appointment
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11
Q

What training/qualification a required to become a practice nurse?

A

3 years nurse training to achieve either diploma or degree

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12
Q

What qualification is required to be a HCA ?

A

National qualifications and credit framework (NCF) Level 2/3 in healthcare services

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13
Q

Roles of the practice manager in primary care ?

A

Mainly finance based: revolve monthly QOF /PMS budget

  • hitting deprivation pockets
  • patient list size
  • rent for services of premises
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14
Q

Who must GPs be registered with ?

A
  • GMC
  • indemnity body
  • royal college of GPs (if GP trainer)
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15
Q

What does it mean to be a GP partner ?

A
  • more managerial role

- financial interest

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16
Q

What do community nurses do ?

A

Care in the community e.g.:

  • insulin for diabetics
  • wound care
  • catheter
  • liaise with other Heath care professionals
  • venepuncture
  • syringe drivers (palliative care)
  • medicines admin
  • chronic disease management
  • ear irritations
17
Q

Who do community nurses most closely liaise with ?

A
  • social services
  • physio
  • OT
  • community matron
  • specialist nurses/hospice
  • GP
18
Q

Who do community nurses report to ?

A

District nursing sister

19
Q

What training do community staff nurses require?

A
  • qualified staff nurse can transfer

- must do continued development of knowledge

20
Q

What do practice nurses do ?

A
  • management of chronic disease
  • travel vaccinations
  • baby immunisations
  • health promotion
  • wound and ear care
21
Q

Can practice nurses prescribe ?

A

Only if nurse prescribers (6 month course)

- within spheres of competency which are registered with CCG and their practice

22
Q

Which member of the primary care team sees undifferentiated diagnoses ?

A

Practice practitioner (rather than practice nurse)

23
Q

How are practice nurses usually trained ?

A

Once employed by GP (nurse training 3 years at uni or diploma)

24
Q

What do HCAs do ?

A
  • venepuncture
  • BP
  • assist in minor surgery
  • weight management
25
Q

What training do HCAs do ?

A

Accredited courses which involve essays

- start with individual skills e.g. Phlebotomy is a separate course to dressing wounds

26
Q

Which members of the primary care staff does the practice manager work most closely with ?.

A

GP partners

27
Q

Who does the practice manager report to ?

A
  • appraisals
  • other practice managers in area
  • CCG
28
Q

What training does practice manger need ?

A

1 year Diploma in practice manager (lead by practice manager)
- need previous experience e.g. Start as PA- need management background

29
Q

Role of the Secretary of State ?

A

Has overall responsibility for the work of the department of health

Medicine: Data Interpretation (6 decks)

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