The team around the patient Flashcards
Who is part of the primary healthcare team (PHCT)?
GP Partners GP Registrars Other salaried doctors Practice nurses Practice managers Receptionists Community Nurses Midwives Health visitors Nurse practitioners...
Are GPs employed by the NHS?
No, most are independent contractors
Describe 8 potential roles of a practice nurse.
Travel health Sexual health ECGs Smoking cessation Bloods Minor and complex wound management Family planning and women's health Chronic disease management
What does the district nurse do?
Home visits
Teaching and support role
Own patient case loads
Reduce hospital admissions and readmissions
Assess healthcare needs and quality of care
What is the role of the midwife?
All stages of pregnancy, labour and postnatal period Visit homes Local clinics Children's centres GP surgeries Hospital based
What is the role of the health visitor?
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
Name 4 specialities of a health visitor.
Parenting support
Weaning and dental advice
Physical and developmental checks
Postnatal depression
Who are Macmillan nurses?
Specialise in cancer and palliative care Pain and symptom control Emotional support Hospital, home or clinic Financial support
What AHPs are part of the PHCT?
Pharmacist Dietetics Physiotherapist OT Podiatry Counselling Social services
What is the role of the pharmacist?
Medicines expert
Advice medical and nursing staff
What is the role of physiotherapists?
Help physical problems of illness, accident or ageing
Maximise movement
Therapeutic exercises
Manual therapy
What is the role of the OT?
Assess and treatment of physical and psychiatric conditions using specific activities to prevent disability and promote independent function
What is the role of the care manager?
Identify individual goals and locate support services that enhance well-being
Advice on social and financial support services
What changes affect the PHCT?
Economic factors
Political pressures
Ageing population
Greater demand for healthcare
How is primary healthcare premises changing?
From small traditional GP surgeries to larger developments owned by private companies with more services
Describe some political pressures that the PHCT faces.
Reduce treatment costs
Provide more treatment close to where patient lives
Who is part of the forum of team working in primary healthcare?
GMC, RCN, NPA, RCGP and The Patients Association
The forum on team working has 11 recommendations. Describe 6 of these.
- The patient should be recognised as part of the PHCT
- Agree set objectives
- Agree process of resolving conflict
- Evaluate all team-working initiatives
- Joint conferences, education and training
- Importance of communication
What is the aim of the Scottish Government’s integration of health and social care (2016)?
Reduce unnecessary admissions and delayed discharges
More effective and efficient use of resources
What was the aim of the Public bodies (Joint Working) bill introduced in 2013?
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
What did the Public Bodies (Joint Working) Scotland Act 2014 create?
New public organisations –> Integration authorities
How many integration authorities are there?
31 in Scotland
Who make up the integration authorities?
NHS Boards + Local authorities
What is integrated in local authorities?
Budgets, governance, planning and resourcing of adult social care, primary care and some hospital services
