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FOPC > Team Around the Patient > Flashcards

Team Around the Patient Flashcards

1
Q

What members may make up the traditional primary health care team (PHCT)?

A 
GP partners
GP assistants and other salaried doctors
GP registrars
Practice nurses
Practice managers
Receptionist
Community nurses
Midwives
Health visitors
Nurse practitioners
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2
Q

Discuss some aspects of the role of a GP partner

A
  • First point of contact for most patients

- Provide a spectrum of care - including physical, psychological and social.

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3
Q

How do most GPs operate?

A

As independent contractors to the NHS.

Responsible for providing adequate premises and employing their own staff.

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4
Q

Discuss some aspects of the role of a practice nurse

A

May have direct supervision of healthcare assistants

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.
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5
Q

Discuss some aspects of the role of a district nurse

A
  • Home visits, providing increasingly complex care
  • Teaching and support roles for patients
  • Help to keep hospital admissions/readmissions to a minimum
  • Assess healthcare needs of patients and families
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6
Q

Discuss some aspects of the role of a midwife

A
  • Providing care through all stages of pregnancy, and early postnatal period
  • May work in the community - homes, clinics etc OR hospital based (antenatal, labour and postnatal wards)
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7
Q

Discuss some aspects of the role of a health visitor

A
  • Lead and deliver child and family health services (up to 5 yrs)
  • Provide ongoing services for vulnerable children and families
  • Contribute to MDT in safeguarding and protecting children
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8
Q

What are some common tasks of a health visitor?

A
  • Offering parenting support /advice on family health/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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9
Q

Discuss some aspects of the role of a Macmillan nurse

A

Specialising in cancer - providing support/info from diagnosis onwards.

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 financial help etc.

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10
Q

List some roles that would be considered Allied Health Professionals (AHPs)?

A

Physiotherapy

Occupational Therapy

Dietetics

Podiatry

Pharmacy

Counselling

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11
Q

Discuss some aspects of the role of a pharmacist

A
  • Advise medical/nursing staff on selection and appropriate use of medicines.
  • Provide information to patients on how to manage their medicines
  • Prescribe medicines for specific conditions (with additional training)
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12
Q

Discuss some aspects of the role of a dietician

A
  • 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.
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13
Q

Discuss some aspects of the role of a physiotherapist

A
  • Help physical problems caused by illness, accident or ageing.
  • Manual therapy, therapeutic exercise and application of electro-physical modalities,
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14
Q

Discuss some aspects of the role of an occupational therapist

A
  • Using specific activity to prevent disability and promote independent function in daily life.
  • Help overcome effects of disability caused by physical or psychological illness, ageing or accident.
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15
Q

Discuss some aspects of the role of a care manager

A

Highly trained social workers - identify goals and locate specific services. Advise on social and financial support.

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16
Q

List some other professions allied to healthcare provision?

A

Complimentary therapists, for example:
Acupuncture
Homeopathy

Social services, for example:
Social workers
Social care workers

Health promotion, for example:
Gyms
Education

17
Q

What aspects does factors changing the PHCT affect?

A
  • Which professional groups are part of the PHCT
  • Which groups work alongside
  • The working relationship between these professional groups
18
Q

Why does the development of healthcare premises affect the PHCT?

A
  • Most are still owned by GPs
  • Many existing places are too small/unfit
  • Trend away from smaller to larger, private owned buildings
  • Trend towards much wider range of services within enlarged premises
19
Q

What political pressures may affect the PHCT?

A

Pressures to:

  • Reduce costs of treatments
  • Provide treatments closer to where people live
20
Q

What are some professional role development changes that could affect the PHCT?

A
  • Development of healthcare assistants
  • Extended roles of pharmacists in medicine’s management and minor illness
  • Development of nurse prescribing and triage.
21
Q

Why may the growing number of ageing patients affect the PHCT?

A
  • More long term conditions (managed largely in primary care)
  • A greater demand for healthcare generally
22
Q

What are some of the principles of establishing an effective primary care team?

A
  • Recognise the patient, as an essential member of the PHCT.
  • Establish a common agreed purpose
  • Agree set objectives and monitor progress towards them.
  • Agree teamworking conditions, including process for resolving conflict.
  • Ensure that each team member understands and acknowledges the skills/ knowledge of colleagues.
  • Importance of communication between its members.
  • Ensure practice population understands and accepts the way in which the team works.
23
Q

Give some more of the principles of establishing an effective primary care team?

A
  • Select leader for leadership skills.
  • Promote teamwork across health and social care.
  • Evaluate all its teamworking initiatives.
  • Ensure sharing of patient information within the team is in accordance with current legal and professional requirements.
  • Facilitate inter-professional collaboration and understanding through joint conferences, education and training initiatives.
  • Be aware of other measures which impact on teamworking.
24
Q

What is an aim of the integration agenda of health and social care?

A

Reduce unnecessary admissions to hospital and delayed discharges.

Make more efficient/effective use of limited resources.

25
Q

What is the policy ambition of the Public Bodies (Joint Working) (Scotland) Act 2014?

A
  • Improve the quality and consistency of services for patients etc
  • To provide health and social care services in order to care for people in their homes
  • To ensure resources are used effectively and efficiently
26
Q

What organisations were created following the Public Bodies (Joint Working) (Scotland) Act 2014?

A

Integration authorities

27
Q

What aspects needed to be integrated following the 2014 act?

A

Integrate governance, planning and resourcing of adult social care services, adult primary care and community health services and some hospital services

28
Q

What is the integrated joint board model?

A

Integrated Joint Board is set up. NHS boards and local authorities delegate budgets to the IJB which then decides how to use the resources

29
Q

What must the IJB include?

A 
3 member each from local authorities and NHS board
Carer rep
GP rep
Nurse rep
Secondary Medical care rep
Service user rep
Staff-side rep
Third sector rep
Financial Admin Officer
Chief Officer
Chief social worker

FOPC (9 decks)

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