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FOPC > The team around the patient > Flashcards

The team around the patient Flashcards

1
Q

Who is part of the primary healthcare team (PHCT)?

A 
GP Partners
GP Registrars
Other salaried doctors
Practice nurses
Practice managers
Receptionists 
Community Nurses
Midwives
Health visitors
Nurse practitioners...
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2
Q

Are GPs employed by the NHS?

A

No, most are independent contractors

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3
Q

Describe 8 potential roles of a practice nurse.

A 
Travel health
Sexual health 
ECGs
Smoking cessation 
Bloods
Minor and complex wound management 
Family planning and women's health
Chronic disease management
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4
Q

What does the district nurse do?

A

Home visits
Teaching and support role
Own patient case loads
Reduce hospital admissions and readmissions
Assess healthcare needs and quality of care

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5
Q

What is the role of the midwife?

A 
All stages of pregnancy, labour and postnatal period
Visit homes
Local clinics
Children's centres
GP surgeries
Hospital based
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6
Q

What is the role of the health visitor?

A

Lead and deliver child and family health services
Pregnancy –> 5 years
Ongoing additional services for vulnerable children and families
Safeguarding and protecting children
Court hearings
Support and education
Work closely with nurseries

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7
Q

Name 4 specialities of a health visitor.

A

Parenting support
Weaning and dental advice
Physical and developmental checks
Postnatal depression

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8
Q

Who are Macmillan nurses?

A 
Specialise in cancer and palliative care
Pain and symptom control 
Emotional support 
Hospital, home or clinic
Financial support
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9
Q

What AHPs are part of the PHCT?

A 
Pharmacist
Dietetics
Physiotherapist
OT
Podiatry 
Counselling 
Social services
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10
Q

What is the role of the pharmacist?

A

Medicines expert

Advice medical and nursing staff

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11
Q

What is the role of physiotherapists?

A

Help physical problems of illness, accident or ageing
Maximise movement
Therapeutic exercises
Manual therapy

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12
Q

What is the role of the OT?

A

Assess and treatment of physical and psychiatric conditions using specific activities to prevent disability and promote independent function

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13
Q

What is the role of the care manager?

A

Identify individual goals and locate support services that enhance well-being
Advice on social and financial support services

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14
Q

What changes affect the PHCT?

A

Economic factors
Political pressures
Ageing population
Greater demand for healthcare

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15
Q

How is primary healthcare premises changing?

A

From small traditional GP surgeries to larger developments owned by private companies with more services

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16
Q

Describe some political pressures that the PHCT faces.

A

Reduce treatment costs

Provide more treatment close to where patient lives

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17
Q

Who is part of the forum of team working in primary healthcare?

A

GMC, RCN, NPA, RCGP and The Patients Association

18
Q

The forum on team working has 11 recommendations. Describe 6 of these.

A
  1. The patient should be recognised as part of the PHCT
  2. Agree set objectives
  3. Agree process of resolving conflict
  4. Evaluate all team-working initiatives
  5. Joint conferences, education and training
  6. Importance of communication
19
Q

What is the aim of the Scottish Government’s integration of health and social care (2016)?

A

Reduce unnecessary admissions and delayed discharges

More effective and efficient use of resources

20
Q

What was the aim of the Public bodies (Joint Working) bill introduced in 2013?

A

Improve quality and consistency of services for patients, carers, service users and families
Ensure resources used effectively and efficiently
Deliver services to meet need of increased number of people with long-term conditions

21
Q

What did the Public Bodies (Joint Working) Scotland Act 2014 create?

A

New public organisations –> Integration authorities

22
Q

How many integration authorities are there?

A

31 in Scotland

23
Q

Who make up the integration authorities?

A

NHS Boards + Local authorities

24
Q

What is integrated in local authorities?

A

Budgets, governance, planning and resourcing of adult social care, primary care and some hospital services

25
Q

The integration authorities have to achieve the national health and wellbeing outcomes by following one of two models. What are they?

A
  1. Integration joint board model

2. Lead agency model

26
Q

Who make up the Integrated Joint Board (IJB)?

A 
3 from NHS joint board 
3 from local authority
Counsellors from local authority
Non-executive directors from NHS board
Carer 
GP
Nurse
Secondary medical practitioner
3rd sector representative
Financial admin
Chief officer
Chief social worker
27
Q

What is the lead agency model?

A

Either NHS board or local authority will take the lead with a joint monitoring committee

28
Q

The majority of Integration authorities use the IJB model with only one using the lead agency model. Where is this?

A

Highland Partnership (NHS Highland = lead)

29
Q

Give an example of a IJB.

A

NHSGGC

30
Q

What do most legal claims on doctors focus on?

A

Poor communication

31
Q

Who founded the NHS and in what year?

A

Aneurin Bevin (1948)

32
Q

What does the department of health set?

A

Quality Outcomes Framework

33
Q

What is clinical governance?

A

Framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding standards of care

34
Q

Give an example of clinical governance.

A

Doctors and hospital managers should always be constantly seeking to reduce the incidence of HAIs by ensuring staff adhere to screening programs

35
Q

What is the purpose of a clinical audit?

A

To formally compare your care to best practice

36
Q

What is a significant event analysis?

A

Educational tool used by team to encourage reflection and aim understanding when things go wrong/go well

37
Q

What are the seven stages of significant event analysis?

A 
Awareness and prioritisation of significant event 
Information gathering 
Facilitated team based meeting 
Analysis of significant event 
Agree
Implement and monitor change
Write it up, report, share and review
38
Q

Describe 4 things that play an important part in clinical governance.

A

Clinical audit
Significant event analysis
Appraisal and revalidation
Patient satisfaction questionnaires

39
Q

What percentage of patient contact results in harm?

A

Approx 10%

40
Q

Name two initiatives that aim to reduce patient harm.

A

Good Medical Practice (GMC)

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FOPC (10 decks)

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