roles in primary care

Question 1

Nurse practitioners

Answer 1

see patients with undifferentiated symptoms - essentially see patients with new symptoms

Give out results

report to nurse manager, practice manager, and GP partners

They are governed by the nursing and midwifery council not GMC

Question 2

Prescriber nurses

Answer 2

allowed to prescribe by consulting BNF but never prescribing controlled drugs

encouraged to prescribe within their sphere of competency

Question 3

QOF

Answer 3

quality and outcomes framework

encourages preventative medicine

rewards money when reaching individual targets and receives points - checking asthma patients inhaler techniques annually

Question 4

practice managers

Answer 4

Undergo a diploma and annual appraisal and other training.

Role:
predomnantly finance based
deal with patients complaints
CCG meetings
Staffing issues
meeting with patients to look at issues of patient care

Question 5

Health care assistants (HCA)

Answer 5

assist in minor surgery

run smoking cessation clinics

record vital signs

help with weight management

carry out immunizations

Question 6

HCA Training

Answer 6

Attend accredited courses

Essays

Practical tests

Question 7

GP daily rolse

Answer 7

Co-coordinating patient care

paperwork including referrals and correspondence with hospital

organising and signing prescriptions

Home visits

do not directly oversee colleagues

Question 8

GP registration

Answer 8

GMC

Royal college of general practitioners (RCGP)

and to an indemnity body such as medical protection society (MPS) or medical defense union (MDU)

Question 9

GP partners

Answer 9

have a financial interest in the practice

employ members of staff reception, nurses

more say in how the GP run

no need to be salaried GP nor there is a limit to how many partners are there in a GP

Question 10

Community nurses

Answer 10

Wound care

venepuncture

ear irrigation

give insulin

injections

administer medications

operate syringe drivers

palliative care

Question 11

Community nurses training

Answer 11

3 year nurse training at degree level

then go to community nursing from general training

must show continued developpment

Question 12

practice nurse

Answer 12

carries out formal annual reviews of chronic disease

Dont diagnose but can prescribe after 6M course

eg- COPD diabetes asthma

Question 13

Midwife and health visitor

Answer 13

Midwife 8 weeks

Health visitors after