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R - FoPC - Year 2 (Liam Lennox) > The Team Around the Patient > Flashcards

The Team Around the Patient Flashcards

1
Q

GPs play what role?

A

GPs play a role as ‘gatekeepers’ to secondary healthcare as well as managing many health problems within primary healthcar

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2
Q

What does PHCT stand for?

A

Primary health care team

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3
Q

Who does the traditional primary health care team consist of?

A
  • GP partners
  • GP assistants and other salaried doctors
  • GP registrars
  • Practice nurses
  • Practice managers
  • Receptionists
  • Community nurses
    • District nurses
    • Macmillan nurse
  • Midwives
  • Health visitors
  • Nurse practitioners
  • Allied health professionals
    • Physiotherapist
    • Occupational therapy
    • Dietetics
    • Podiatry
    • Pharmacist
    • Counselling
  • Care manager
  • Complimentary therapists
    • Acupuncture
    • Homeopathy
  • Social services
    • Social workers
    • Health care workers
  • Health promotion
    • Gyms
    • Education
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4
Q

What are examples of community nurses?

A

District nurse

Macmillan nurse

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5
Q

Where do district nurses visit patients?

A

There own homes

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6
Q

What are Macmilllan nurses specialists in?

A
  • Specialise in cancer and palliative care, giving support to people with cancer
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7
Q

What do Macmillan nurses offer?

A
  • Specialised pain and symptoms control
  • Emotional support both for patient and family
  • Care in a variety of settings (hospital, home or local clinic)
  • Information about cancer treatments and side effects
  • Advice to other team members of the caring team
  • Co-ordinate care between hospital and the patient’s home
  • Advice on other forms of support, including financial help
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8
Q

Who do midwives provide care to?

A
  • Provides care during all stages of pregnancy, labour and early postnatal care
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9
Q

What do health visitors do?

A
  • Lead and deliver child and family health services (pregnancy though to 5 years)
  • Provide ongoing additional services for vulnerable children
  • Contribute to MDT services in safeguarding and protecting children
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10
Q

What ages do health visitors care for?

A

Pregnancy through to 5 years

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11
Q

What are examples of allied health professionals?

A

Physiotherapist

Occupational therapy

Dietetics

Podiatry

Pharmacist

Counselling

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12
Q

What do physiotherapists do?

A
  • Teat people with physical problems caused by illness, accident or ageing
  • Identify and maximise movement through health promotion, preventative healthcare, treatment and rehabilitation
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13
Q

What are some core skills of physiotherapists?

A
  • Manual therapy
  • Therapeutic exercise
  • Application of electro-physical modalities
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14
Q

What do occupational therapists do?

A
  • Assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent functions in all aspects of daily life
  • Work with people of all ages to overcome effects of disability caused by physical or psychological illness, ageing or an accident
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15
Q

Who do occupational therapists typically care for?

A
  • Can work with young children, adolescents, adults and other people in these areas
    • Physical rehabilitation
    • Mental health services
    • Learning disability
    • Primary care
    • Paediatrics
    • Environmental adaptation
    • Care management
    • Equipment for daily living
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16
Q

What do dietetics do?

A
  • Communication of nutritional science to enable people to make informed choices about their food and lifestyle in health and disease
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17
Q

Who are most dietetics employed by?

A
  • Most are employed by the HS but some work in the food industry, education, research and on freelance basis
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18
Q

What are some responsibilities of dietetics?

A
  • Working with people with special dietary needs
  • Informing the general public about nutrition
  • Offering unbiased advice
  • Evaluating and improving treatments
  • Educating patients/clients and other healthcare professionals and community groups
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19
Q

Where can pharmacists work?

A
  • Work in hospital, community or primary care pharmacy
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20
Q

What do pharmacists do?

A
  • Expert on medicines and there uses
  • Advice medical and nursing staff on selection of appropriate use of medicines
  • Prove information to patients on how to manage their medicines
  • Can undertake additional training to allow them to prescribe medicines for specific conditions
21
Q

What do care managers do?

A
  • Experts in working with individuals to identify their goals and locate the specific support services that enhance well being
  • Are highly trained social workers who work with patients to advice on social and financial support services
22
Q

What are examples of complimentary therapists?

A
  • Acupuncture
  • Homeopathy
23
Q

What are examples of roles in social services?

A
  • Social workers
  • Social care workers
24
Q

What kind of contract do most GPs have?

A

Most GPs are independent contractors to the NHS, so are responsible for providing adequate premises from which to practice and employ other staff

25
Q

What kind of nurse is found in GPs?

A

Practice nurses

26
Q

What are some roles of practice nurses?

A
  • Obtaining blood samples
  • ECGs
  • Minor and complex wound management including leg ulcers
  • Travel health advice and vaccinations
  • Child immunisations and advice
  • Family planning and woman’s health including cervical smears
  • Men’s health screening
  • Sexual health services
  • Smoking cessation
27
Q

Changes affect what aspects of the PHCT?

A
  • Which professional groups are part of the PHCT
  • Which groups wok alongside the PHCT
  • Working relations between these different professional groups
28
Q

What are some examples of things that can cause changes to the PHCT?

A
  • Economic factors
    • Big impact on development of healthcare premises, which affects PHCT beause
      • 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 needs accommodated
      • Trend, moving away from small doctor owned practices towards private company owned large buildings that can offer wider ranges of services
        • Introduction of new servives
  • Political pressure
    • Political pressures to
      • Reduce the cost of treatments
      • Provide more treatment closer to where patients live
  • Development of new and extended professional roles
    • Development of healthcare assistants
    • Extended role of pharmacists
    • Develop of nurse prescribing and triage
  • Growing number of ageing patients
    • More long term conditions (largely managed in primary care)
    • Greater demand for healthcare generally (managed largely in primary care)
29
Q

What is the current trend in relation to GPs premises?

A

Moving away from small doctor owned practices towards private company owned large buildings that can offer a range of services

30
Q

What are the political pressures that impacts the PHCT?

A
  • Reduce the cost of treatments
  • Provide more treatment closer to where patients live
31
Q

What are examples of development of new and extended professional roles?

A
  • Development of healthcare assistants
  • Extended role of pharmacists
  • Develop of nurse prescribing and triage
32
Q

What are complications of growing numbers of ageing patients?

A
  • More long term conditions (largely managed in primary care)
  • Greater demand for healthcare generally (managed largely in primary care)
33
Q

What are the principles of good teamworking described by?

A

Forum on Teamworking in Primary Healthcare

34
Q

What is the Forum on Teamworking in Primary Healthcare?

A

Forum on Teamworking in Primary Healthcare was convenes as result of joint initiative between Royal Pharmaceutical Society, the BMA, Royal College of Nursing, the National Pharmaceutical Association and the Royal College of General Practitioners

35
Q

What groups of people came together to create the Forum on Teamworking in Primary Healthcare?

A

Royal pharmaceutical society

BMA

Royal College of Nursing

National Pharmaceutical Association

Royal College of General Practitioners

36
Q

What are the recommendations from the Forum on Teamworking in Primary Healthcare to establish a successful PHCT?

A
  • Recognise and include the patient, carer or their representative as an essential member of the primary healthcare team
  • Establish a common agreed purpose (share understanding of team working)
  • Agree set objectives and monitor towards them
  • Agree teamworking conditions, including a process for resolving conflict
  • Ensure that each team member understands and acknowledges the skills and knowledge of team colleagues
  • Pay particular attention to importance of communication between its members, including the patient
  • Take active steps to ensure that the practice population understands and accepts the way in which the team works within the community
  • Select the leader of the team for his or her leadership skills (rather than basis of status, hierarchy or availability) and include in the membership of the team all the relevant professions serving a practice population
  • Promote teamwork across health and social care
  • Evaluate all its teamworking initiatives on the basis of sound evidence
  • Ensure that the sharing of patient information within the team is in accordance with current legal and professional requirements
  • Take active steps to facilitates inter-professional collaboration and undertaking through joint conferences, education and training initiatives
  • Be are of other measures involving national organisations, educational measures, research and general guidance which impact on teamworking
37
Q

What people who are not ‘professionals’ are considered to be apart of the PHCT?

A

Patient

Carers

38
Q

What programme has the government recently lauched to simplify care?

A

Program to integrate health and social care

39
Q

What is the PHCT often now refered to as a result of merging health and social care?

A

Multi-professional or the Health and Social Care Team

40
Q

What is the aim of the health and social care team?

A
  • Aim of integration is to reduce unnecessary admissions to hospital and delayed discharges
  • Integration is more efficient and effective use of limited recourses to improve outcomes for patients
41
Q

The plan to integrate health and social care is underwritten in what law?

A
  • This plan is within The Public Bodies (Joint Working) Act 2014
42
Q

What are the goals of The Public Bodies (Joint Working) Act 2014?

A
  • Improve quality and consistency of services for patients
  • Provide seamless, joined up quality health and social care services to care for people in their homes or a homely setting
  • Ensure recourses are used effectively to deliver services that meet the increasing number of people with longer term and often complex needs
  • Created a number of new organisations known as integration authorities that act to break down barriers between NHS boards and local authorities
    • Places requirement on both to integrate health and social care budgets, governance, planning and resources of adult social care, adult primary care and community health services and some hospital services
  • Intended to achieve the National Health and Wellbeing Outcomes by Scottish government
43
Q

What do integration authorities act as?

A
  • Act to break down barriers between NHS boards and local authorities
44
Q

Integration authorities place requirements on both NHS boards and local authorities to do what?

A
  • Places requirement on both to integrate health and social care budgets, governance, planning and resources of adult social care, adult primary care and community health services and some hospital services
45
Q

The Public Bodies (Joint Working) Act 2014 is intended to achieve what?

A
  • Intended to achieve the National Health and Wellbeing Outcomes by Scottish government
46
Q

What are the 2 ways to set out a framework for creating integration authorities

A

Integrated joint board (body corporate) model

Lead agency model

47
Q

What does IJB stand for?

A

Integrated joint board

48
Q

Describe the integrated joint board (body corporate) model to create integration authorities?

A
  • Integration Joint Board (IJB) set up and the NHS board and local authorities delegate the responsibility for planning and resourcing services 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
  • Number of representatives on IJB from local authority and NHS board is specified in the integration scheme
    • Must nominate at least 3 members each but may nominate more as long as the same number is nominated by each group
      • Local authorities nominate councillors and the NHS board will nominate non-executive directors
      • Must also include a carer representative, GP representative, nurse representative, secondary medical care practitioner, service user representative, staff-side representative, third sector representative, an officer responsible for financial administration, the chief officer and the chief social worker
49
Q

How is the people on the IJB determined?

A
  • Number of representatives on IJB from local authority and NHS board is specified in the integration scheme
    • Must nominate at least 3 members each but may nominate more as long as the same number is nominated by each group
      • Local authorities nominate councillors and the NHS board will nominate non-executive directors
      • Must also include a carer representative, GP representative, nurse representative, secondary medical care practitioner, service user representative, staff-side representative, third sector representative, an officer responsible for financial administration, the chief officer and the chief social worker

R - FoPC - Year 2 (Liam Lennox) (4 decks)

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