Practice Management Flashcards
Which form is used to register patients permanently?
GMS1
Which form is used to register patients temporarily
GMS3
When a patient submits a request for access to their health records (or gives consent for a 3rd party e.g solicitor to have access to their health records on their behalf) how long does the practice have to supply the information?
28 days
What are the eligibility criteria to apply for Industrial injuries disablement benefit for occupational deafness?
Hearing loss must be *sensorineural hearing loss of at least 50db bilaterally * be related to occupational exposure in at least one ear and * the average of losses at 1, 2 and 3 kHz frequencies (main speech frequencies)
How many weeks of combined leave and pay are parents entitled to under Shared Parental Leave?
Shared parental leave (SPL)
= entitled to upto a combined total of 50 weeks of leave and upto 37 weeks of pay
This leave and pay can be shared between parents in the first year of a child’s life (biological, surrogate, adopted or fostered)
If the parents choose to take shared parental leave, then the amount taken must be deducted from the woman’s maternity leave and pay
(Woman is entitled to 52 weeks of maternity leave and 39 weeks of maternity pay / maternity allowance)
What is the minimum mandatory maternity leave that a woman MUST take after having a baby?
Must take at least 2 weeks off (or 4 weeks off if working in a factory)
For how long is a woman entitled to statutory maternity pay and how much does she receive?
Statutory maternity pay = paid for 39 weeks. Must have been in continuous employment with your employer for at least 26 weeks prior to the 15th week before the baby is due.
Initial 6 weeks is 90% of your weekly earnings, and then £184 per week or 90% of your weekly earnings (whichever is lower) for the remaining 33 weeks
If not eligible for SMP, then may be eligible for maternity allowance
For how long is a woman entitled to statutory maternity leave?
52 weeks
Which are the 8 conditions that should be reported as occupational diseases to the The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)?
Occupational dermatitis
Occupational Asthma
Occupational cancer
Cramps of the forearm or hand
Carpal tunnel syndrome
Hand arm vibration syndrome
Tendonitis or tenosynovitis
Exposure to biological agent
What changes did the 2022 Health and Care Act make to the death certification process?
It made mandatory that any cause of death could only be reported after either scrutiny by a medical examiner or investigation by a coroner?
Applies to England and Wales
What is the role of the medical examiner?
Medical examiner should scrutinise every death that is not investigated by the coroner - their role is to answer 3 questions:
1. What caused the death of the deceased
2. Does the coroner need to be notified of the death
3. Was the care before death appropriate
They should answer these Qs by reviewing the medical notes, interacting with bereaved relatives and the doctor who completed the Medical Certificate of Death (MCCD). The doctor should send the provisional MCCD to the ME to confirm they are happy, in which case the MCCD can be sent electronically to the ME who will send it to the registrar’s office. The death must then be registered within 5 days of the registrar receiving the MCCD.
The death can be registered by a relative or by anyone that was there at the time of the death
Medical examiners can be GPs that have undergone further training. They must have had at least 5x years of full GMC training
If MEs identify an issue with care before death they should normally raise this with the GP practice directly
Who are medical examiner officers and what is their role?
Medical examiner officers assist medical officers by liaising with bereaved relatives and obtaining the medical notes
What are the criteria needed for the doctor that signs the medical certificate of cause of death?
Any doctor who knows the cause of death and has EVER seen the patient in their lifetime can complete the MCCD
(Medical examiners can complete the MCCD but this would only be in exceptional circumstances e.g if no doctor that knows the patient available)
(definition of having ‘seen’ the patient includes video consultations but NOT telephone consultations)
MCCD can be completed by GP registrars OR F2s
They do NOT have to have seen the patient in the last 28 days of life
They do NOT have to have seen the patient in their final illness
What new additions to the MCCD were added with the new regulations in Sep 2024.
Now the MCCD a 1d line (for further antecedents to death), ethnicity, if pregnant or if within 1 year postpartum, presence of hazardous medical devices eg pacemakers
There is also no more cremation form 4 - the GP doesn’t need to have physically seen the body so long as someone verified the death
What rules are present for when filling out cause of death in the MCCD?
No abbreviations
As specific as possible (e.g include site and histolgoy of cancer if known)
Frailty of old age is allowed if > 80
Cannot write probable or possible
Them mode of dying e.g cachexia or cardiac arrest can be in 1a but ONLY if supported by an underlying cause of death in the further sections in 1
Organ failure CANNOT be used independently as 1a with the exceptions of congestive cardiac failure, heart failure or cardiac failure which are classed as medical conditions and so can be used alone if needed
Under what circumstances should the GP refer directly to the coroner?
- Anyone in custody / state detention
- Death related to poisoning or intake of a toxic substance or non-toxic substance taken in excess e.g salt
- Death related to trauma violence or injury self-harm or self-neglect
- Death related to a medical procedure
- An injury or death related to current or past employment at any time
- Cause of death is unknown or agreement cannot be reached between GP and ME
- Identify of the patient is unknown
- other unnatural circumstances
True or false - patients and relatives cannot opt out of medical examiners getting access to their notes?
True
There is no option to opt out of MEs or coroners accessing the medical notes of dead patients
