The Team Around The Patient

Question 1

What happened when GPs began their role as gatekeeepers?

Answer 1

Changes in the complexity of work
The formation of larger partnerships
Purpose built premises were developed
Buildings began to accommodate a much wider range of health professionals

Question 2

Those in a traditional PHCT?

Answer 2

GP partners
GP assistants and other salaried doctors 
GP registrars
Practice nurses 
Practice managers 
Receptionists 
Community nurses 
Midwives
Health visitors 
Nurse practitioners

Question 3

What does independence from the NHS mean for most GPs?

Answer 3

They’re responsible for providing adequate premises and employing their own staff

Question 4

What’re some duties of a practice nurse?

Answer 4

Obtaining blood samples
ECGs
Minor and complex wound management 
Travel health advice and vaccinations 
Child immunisations and advice 
Sexual health services
Smoking cessation

Question 5

What do district nurses do?

Answer 5

Visit people in their own homes or in residential care homes, provide increasingly complex care for patients and supporting family members

Also have a teaching and support role with patients to enable them to take care of themselves

Keep hospital admissions to a minimum and ensuring patients can return to their own homes as soon as possible

Question 6

What does a midwife do?

Answer 6

Provide care during all stages of pregnancy, labour and the early post natal periods

Can work in the community or hospital

Provides services in women’s homes, children’s Center and GP surgeries

Question 7

What does the health visitor do?

Answer 7

Lead and deliver child and family health services (pregnancy through to 5)

Provide ongoing services for vulnerable children and families

Contribute to MD services in safeguarding and protecting children

Work with parents to give the child the best possible start in life

Offer advice and support on family health and minor illnesses

Question 8

What does a Macmillan nurse do?

Answer 8

Specialise in cancer and palliative care, providing support and information to people with cancer and their friends and family from the point of diagnosis onwards

Specialised pain and symptom control
Emotional support
Care in a variety of settings
-hospital
-clinic
-home
Advice on other forms of support eg financial 
Advice to other members of the caring team 

Don’t carry out routine nursing tasks and don’t focus on non-cancer patients

Question 9

Who are the allied health professionals?

Answer 9

Physio therapy 
OT
Dietetics
Podiatry 
Pharmacy 
Counselling

Question 10

Responsibilities of a dietician

Answer 10

Working with people who have specialised dietary needs
Informing the general public about nutrition
Offering unbiased advice
Evaluating and improving treatments
Educating patients/ clients, other health care professionals and community groups

Question 11

What do physiotherapists do?

Answer 11

Help and treat people with physical problems caused by illness, accident or ageing

Question 12

How do physios identify and maximise movement?

Answer 12

Health promotion
Preventative health care
Treatment
Rehabilitation

Question 13

What’re the core skills of the physio?

Answer 13

Manual therapy
Therapeutic excercise
Application of electro-physical modalities

Question 14

what is occupational therapy?

Answer 14

The assesment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function in all aspects of life

Question 15

In which areas do OTs work?

Answer 15

Physical rehab 
Mental health services
Learning disability 
Primary care
Environmental adaption
Care management 
Equipment for daily living

Question 16

What do care managers do?

Answer 16

They’re highly trained social workers who work with the patient to advise on social and financial support services

Question 17

Name 2 professions that fall under complimentary therapists

Answer 17

Acupuncture

Homeopathy

Question 18

What’s the developing trend in PHCTs?

Answer 18

There is a developing trend towards a much wider range of services within enlarged premises

Question 19

What’re there political pressures to do?

Answer 19

Reduce treatment costs

Provide more treatments closer to where patients live

Question 20

Which roles are bing extending/ invented?

Answer 20

The development of healthcare assistants (often from existing staff)
The extended roles in medicine’s management and minor illness
The development of nurse prescribing and triage

Question 21

What does a growing number of ageing patients mean for PHCTs?

Answer 21

More long term conditions which are mainly being managed in PC
A greater demand for health care

Question 22

Which organisations joined together to convene the Forum on Teamworking in Primary Healthcare?

Answer 22

The royal pharmaceutical society
The British medical association
The national pharmaceutical association
The royal college of general practitioners

Question 23

What should a PHCT do?

Answer 23

Recognise that the patient is part of the team too
Establish a common and agreed purpose
Agree teamworking conditions, including what happens in a conflict
Pay importance to communications
Ensure the team acknowledges the skills of all team members and regularly reaffirms them
Take active steps to ensure that the practice population understands and accepts the way in which the team works in the community
Select a leader based on leadership skills not status or hierarchy
Promote teamwork across health and social care
Be aware of other measures by organisations that may affect the PGCT
Evaluate all its teamworking initiatives on the basis of sound evidence

Question 24

What is the aim of the integration agenda?

Answer 24

To reduce unnecessary admissions

Question 25

What was the objective of the Public Bodies (joint working) (Scotland) 2014 bill?

Answer 25

To improve the quality and consistency of services for patients, carers, service users and their families
To break down barriers between NHS boards and local authorities

Question 26

What happens in the integrated joint board (body corporate) model?

Answer 26

an integration joint board is set up and the NHS board and the local authorities delegate the responsibility for planning and resourcing service provision for the adult health and social services to the JIB