Primary health care team Flashcards

1
Q

Where did GPs originally work?

A

In the 1940s GPs worked from their own homes

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2
Q

What is the role of GPs?

A
  • Primary healthcare providers

- Gatekeepers to secondary healthcare

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3
Q

Who forms the primary healthcare team?

A
  • GP partners
  • GP assistants and other salaried doctors
  • GP registrars
  • Practice nurse
  • Practice managers
  • Receptionists
  • Community nurses
  • Midwives
  • Health visitors
  • Nurse practitioners
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4
Q

What is the role of a GP partner?

A
  • GPs are also the first point of contact for most patients.
  • GPs provide a complete spectrum of care within the local community: dealing with problems that often combine physical, psychological and social components
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5
Q

Whos responosihbilty is it to employ staff in a GP practice ?

A

GP partners

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6
Q

Whos responsibility is it to provide adequate premises for a GP practice?

A

GP partners

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7
Q

What give GP partners so much independence?

A

Most GPs are independent contractors to the NHS

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8
Q

What is the role of the practice nurse?

A

They might be involved in most aspects of patient care including:

  • Obtaining blood samples
  • ECGs
  • Minor and complex wound management including leg ulcers
  • Travel health advice and vaccinations
  • Child immunisations and advice
  • Family planning & women’s health including cervical smears
  • Men’s health screening
  • Sexual health services
  • Smoking cessation.
  • General practice nurses may also have direct supervision of healthcare assistants at the practice.
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9
Q

What is the role of District nurse?

A
  • They visit people in their own homes or in residential care homes, providing increasingly complex care for patients and supporting family members.
  • District nurses also have a teaching and support role for patients or their families
  • Keeping hospital admissions and readmissions to a minimum and ensuring that patients can return to their own homes as soon as possible.
  • Assess the healthcare needs of patients and families, monitor the quality of care they’re receiving and are professionally accountable for delivery of care.
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10
Q

What is the role of midwives?

A
  • Midwives provide care during all stages of pregnancy, labour and the early postnatal period.
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11
Q

Where do midwives work?

A
  • Many midwives now work in the community, providing services in women’s homes, local clinics, children’s centres and GP surgeries.
  • There is the option to be hospital based, where there are opportunities for midwives to work on antenatal, labour and postnatal wards and neonatal units.
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12
Q

What is the role of a health visitor?

A

Lead and deliver child and family health services (pregnancy through to 5 years) supporting and educating families.

Provide ongoing additional services for vulnerable children and families

Contribute to multidisciplinary services in safeguarding and protecting children

They also provide leadership to the child services team.

Retain the overview of the health and well-being of children and families in your area

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13
Q

In terms of Leading and delivering child and family health services what may a health visitor provide?

A

Common tasks include:
- Offering parenting support and advice on family health and minor illnesses

  • New birth visits which include advice on feeding, weaning and dental health
  • Physical and developmental checks
  • Providing families with specific support on subjects such as post natal depression.
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14
Q

In terms of Providing ongoing additional services for vulnerable children and families what may a health visitor provide?

A

The type of support can include:
- Referring families to specialists, such as speech and language therapists

  • Arranging access to support groups
  • Organising practical support - for example working with a nursery nurse on the importance of play.
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15
Q

In terms of Contributing to multidisciplinary services in safeguarding and protecting children what may a health visitor provide?

A
  • Trainedin recognising the risk factors, triggers of concern, and signs of abuse and neglect in children. They also knowwhat needs to be done to protect them.
  • First to recognise where actions need to be taken place to protect a child.
  • Maintain contact with families while formal safeguarding arrangements are put into place. This ensuresfamilies receive the best possible support during this time
  • They are sometimes called upon to appear in court to explain the action taken.
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16
Q

What is the role of a MacMillan nurse?

A

Macmillan nurses offer the following:
- Specialised pain and symptom control

  • Emotional support both for the patient and their family or carer
  • Care in a variety of settings – in hospital (both inpatient and outpatient), at home or from a local clinic
  • Information about cancer treatments and side effects
  • Advice to other members of the caring team, for example district nurses and Marie Curie nurses
  • Co-ordinated care between hospital and the patient’s home
  • Advice on other forms of support, including financial help.
  • Macmillan nurses do not carry out routine nursing tasks, such as personal hygiene, changing dressings and giving medicines, and do not focus on non-cancer patients.They will coordinate a team of people to do this.
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17
Q

What are MacMillon nurses specialists in?

A

Macmillan nurses specialise in cancer and palliative care, providing support and information to people with cancer, and their families, friends and carers, from the point of diagnosis onwards.

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18
Q

Give examples of allied healthcare professionals.

A

Physiotherapy

Occupational Therapy

Dietetics

Podiatry

Pharmacy

Counselling

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19
Q

What is the role of a pharmacist?

A

They advise medical and nursing staff on the selection and appropriate use of medicines. They provide information to patients on how to manage their medicines to ensure optimal treatment.

Pharmacists are able to undertake additional training in order to allow them to prescribe medicines for specific conditions.

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20
Q

Where do pharmacist work?

A

The majority of pharmacists practice in hospital pharmacy, community pharmacy or in primary care pharmacy, working to ensure that patients get the maximum benefit from their medicines.

21
Q

What are dietetics?

A

Dietetics is the interpretation and communication of nutrition scienceto enable people to make informed and practical choices about food and lifestyle in health and disease.

22
Q

Who do dieticians work for?

A

Most dietitians are employed in the NHS, but may also work in the food industry, education, research and on a freelance basis.

23
Q

What is the role of a dietician?

A

Dietitians have a wide range of responsibilities including:
- Working with people with special dietary needs

  • Informing the general public about nutrition
  • Offeringunbiased advice
    evaluating and improving treatments
  • Educatingpatients/clients, other healthcare professionals andcommunity groups.
24
Q

What is a physiotherapist?

A

Physiotherapists help and treat people with physical problems caused by illness, accident or ageing.

25
Q

What is the role of a physiotherapist?

A

They see human movement as central to the health and well-being of individuals and identify and maximise movement through health promotion, preventive healthcare, treatment and rehabilitation.

A physiotherapist’s core skills include manual therapy, therapeutic exercise and the application of electro-physical modalities. They also have an appreciation of psychological, cultural and social factors influencing their clients.

26
Q

What is an occupational therapist?

A

Occupational therapy is the assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independentfunction in all aspects of daily life.

27
Q

Who do occupational therapists work with?

A

Occupational therapists work with people of all ages to help them overcome the effects of disability caused by physical or psychological illness, ageing or accident:
- Physical rehabilitation

  • Mental health services
  • Learning disability
  • Primary care
  • Paediatrics
  • Care management
28
Q

What is the role of an occupational therapist?

A

Their aim is to help people improve their ability to function as independently as possible so that they can participate in whatever activities are meaningful and important to them. Occupational therapists do this mainly by identifying and eliminating environmental barriers to independence and participation in normal daily life.

  • Environmental adaptation
  • Equipment of daily living
29
Q

What are selected secondary care services?

A

Hospital consultants

Diagnostic imaging

Operating services

30
Q

What is a care manager?

A

Care managers are experts in working with individuals to identify their goals and locate the specific support services that enhance well-being.

When faced with the array of choices and challenging decisions, care managers provide support to find the best solutions.

They are highly trained social workers who work with the patient to advise on social and financial support services.

31
Q

What are examples of complimentary therapists?

A

Complimentary therapists, for example:

  • Acupuncture
  • Homeopathy
32
Q

What are examples of social services?

A

Social services, for example:

  • Social workers
  • Social care workers
33
Q

What are examples of health promotion?

A

Health promotion, for example:

  • Gyms
  • Education
34
Q

Which changes are there that affect the PHCT?

A
  • Which professional groups are part of the PHCT.
  • Which professional groups work alongside the PHCT.
  • The working relationship between these different professional groups.
35
Q

Economic factors surrounding GPs and PHCTs?

A

Economic factors will have a big impact on the development of healthcare premises. The development of healthcare premises affects the PHCT because:

  • About 60% of primary healthcare premises are still owned by GPs
  • Many existing premises are too small or unfit for purpose and growing numbers of new GPs need to be accommodated.
  • There is a trend away from smaller traditional doctor-owned premises to much larger buildings owned and developed by private companies.
  • There is a developing trend towards a much wider range of services within enlarged premises. The introduction of additional services is helping to fund new surgeries and this trend is likely to continue for both political and economic reasons.
  • This presents a massive challenge to successful teamwork.
36
Q

Political pressures surrounding GPs and PHCTs?

A

There are political pressures to:

  • Reduce the cost of treatments.
  • Provide more treatments closer to where patients live.
37
Q

What is an example of an extended role of nurses?

A

Nurse prescribing and triage

38
Q

What is an example of an extended role of pharmacists?

A

Medicine management and minor illnesses

39
Q

What issues surround a growing number of ageing patients?

A
  • More long term conditions put pressure on primary care services
40
Q

The principles of good team work is based upon what?

A

The Forum on Teamworking in Primary Healthcare was convened as a result of a joint initiative between the Royal Pharmaceutical Society, the British Medical Association, the Royal College of Nursing, the National Pharmaceutical Association and the Royal College of General Practitioners.

41
Q

The principles of good team work ?

A

1) Recognise and include the patient, carer, or their representative, as an essential member of the primary healthcare team at individual patient-centred team level or at practice level.
2) Establish a common agreed purpose (share understanding of teamworking).
3) Agree set objectives and monitor progress towards them.
4) Agree teamworking conditions, including a process for resolving conflict.
5) Ensure that each team member understands and acknowledges the skills and knowledge of team colleagues (and regularly reaffirms).
6) Pay particular attention to the importance of communication between its members, including the patient.
7) Take active steps to ensure that the practice population understands and accepts the way in which the team works within the community.
8) Select the leader of the team for his or her leadership skills (rather than on the basis of status, hierarchy or availability) and include in the membership of the team all the relevant professions serving a practice population.

9) Promote teamwork across health and social care.
Evaluate all its teamworking initiatives on the basis of sound evidence.

10) Ensure that the sharing of patient information within the team is in accordance with current legal and professional requirements.
11) Take active steps to facilitate inter-professional collaboration and understanding through joint conferences, education and training initiatives.
12) Be aware of other measures involving national organisations, educational measures, research and general guidance which impact on team working.

42
Q

What is another name for the PHCT?

A

The multi-professional team or the Health and Social Care Team.

43
Q

What is the role of the integration of health and social care?

A

An aim of the integration agenda is to help reduce unnecessary admissions to hospital and delayed discharges.

Integration is seen as a way to make more efficient and effective use of limited resources and is believed to be central to the challenge of improving outcomes for patients and service users.

44
Q

What is THE PUBLIC BODIES (JOINT WORKING) (SCOTLAND) ACT 2014?

A

Scottish Government’s plan to integrate adult health and social care.

“…improve the quality and consistency of services for patients, carers, service users and their families; to provide seamless, joined up quality health and social care services in order to care for people in their homes or a homely setting where it is safe to do so; and to ensure resources are used effectively and efficiently to deliver services that meet the increasing number of people with longer term and often complex needs, many of whom are older.”

45
Q

What did the THE PUBLIC BODIES (JOINT WORKING) (SCOTLAND) ACT 2014 do?

A

1) Created a number of new public organisations, known as integration authorities, with a view to breaking down barriers to joint working between NHS boards and local authorities (Audit Scotland, 2015).
2) It placed a requirement on NHS boards and local authorities to integrate health and social care budgets
3) It put in place nationally agreed outcomes and a requirement on partnerships to strengthen the role of clinicians and care professionals, along with the third and independent sectors, in the planning and delivery of services (Scottish Government, 2016a)

46
Q

What is the overall role of the Integrated services?

A

Integrated services

The 2014 Act required NHS boards and local authorities to integrate the governance, planning and resourcing of adult social care services, adult primary care and community health services and some hospital services.

These schemes are intended to achieve the National Health and Wellbeing Outcomes

47
Q

What are the two way in which THE PUBLIC BODIES (JOINT WORKING) (SCOTLAND) ACT 2014 integrate health and social care services?

A

1) The integrated joint board model

2) The lead agency model

48
Q

What is the integrated joint board model?

A

Under this model an Integration Joint Board (IJB) is set up and the NHS board and local authorities delegate the responsibility for planning and resourcing service provision for delegated adult health and social care services to the IJB. NHS boards and local authorities delegate budgets to the IJB which then decides how to use the resources.

49
Q

How are integrated joint boards maintained fair and just?

A

They must nominate at least three members each, but may nominate more as long as the same number is nominated by each group. Local authorities will nominate councillors and the NHS board will nominate non-executive directors (or other members of the health board if necessary).

They must nominate at least three members each, but may nominate more as long as the same number is nominated by each group. Local authorities will nominate councillors and the NHS board will nominate non-executive directors (or other members of the health board if necessary).