The Team around the Patient Flashcards
What are the Public Bodies(Joint Working)(Scotland) Act 2014:
● Gov’t plan to integrate adult health and social care
● Created Integration Authorities
● Requirement on NHS boards and local authorities to budget for integrating health and social care, as well as submit a scheme
● Set a framework
what and who would the framework involve
Integrated Joint Board Model; set up an IJB and delegate planning and resource provision for integrated care to IJB
○ IJB must contain minimum 3 members from NHS and local authority each, as well as representative for various integrated parties and a board of executives
○ NHS board and local board both give funds and IJB decides where to allocate funds
name some of the mandatory members of ijb
■ Representative for carers ■ “ Gp ■ “ Nurse ■ “ Secondary medical care ■ “ Service user (patient) ■ “ Staff side ■ “ Third sector ■ Office worker for financial admin ■ Chief officer ■ Chief social worker
Name members of the traditional primary healthcare team
- GP partner
- Practice nurse
- District nurse
- Midwife
- Health visitor
- Macmillan nurse
- Allied health professionals
give 4 examples and their descriptions of allied health professionals
● Pharmacist
○ Medicine and use, advise medical/nursing staff and patients, can prescribe
○ Work in hospital, primary care or community
● Dietetics
○ Work in hospital and community
○ Inform about nutrition, work with special dietary needs patients
● Physiotherapist
○ Help and treat physical problems: manual therapy, exercise, electro-physical
○ Maximise movement; rehab, preventative healthcare, health promotion
● Occupational therapist
○ Assessment and treatment of physical and psychiatric conditions to prevent disability an promote independent function
○ Physical rehab, mental health help, learning disability, environment adaptation
Factors affecting PHCT
● Correct composition
● Economy
○ Moving to larger central primary care premises, wider range of services
● Political pressure
○ Reduce costs, provide treatment closer to patients
● Developing role of nurses and pharmacists
● More ageing population, increased demand of care and long term conditions
Principles of teamwork
● Patient is core of the team
● Agree on a leader goal, objectives, responsibility, and conditions(resolving conflicts)
● Ensure communication within team and with patient
● Facilitate interprofessional collaboration, work with national organisations and guidance
give 4 further examples of allied health professionals and their description
● Care Manager ○ Work with individuals to identify their goals and find specific support services ● Complementary therapist ○ Acupuncture, homeopathy ● Social services ● Health promotion ○ Gyms, education
describe the roles of the PCHT: gps
GP partner:
● First point of contact for most patients
● Work by consultations/home visits
● Deal with combined physical, psychological and social problems
● Independent contractors to NHS; employ own staff and have own premises
x
describe the roles of the PCHT: nurses
Practice nurse:
● Work in surgeries, supervise healthcare assistants
● Blood samples, ecg, wound management(leg ulcer), vaccination, family planning
District nurse: ● Visit homes/care homes ● Teaching and support role with patients and families ● Minimize potential hospital admissions ● Assess healthcare needs
Macmillan nurse:
● Cancer and palliative care, in variety of settings
● Pain and symptom control, emotional support, providing info about treatment, coordinate with hospital
describe the roles of the PCHT: midwives and health visitors
Midwife:
● Care during pregnancy, labour, early postnatal period
● Work in community(home, children’s centres), surgeries, hospital
Health visitor:
● Lead child and family health service(pregnancy to 5 ya)
● Additional service to vulnerable children and families
