TOK practice management Flashcards
Scottish Government defines the three “Quality
Ambitions” for the NHS as:
Safe, effective, person-centered.
An associate is…?:
Working under his/her own list number. A self-employed worker.
If you are off work for more than 7 days in a row, you can
get a fit/sick note from which of the following healthcare
professionals
GP
Registered nurse
Pharmacist
Physiotherapist
Occupational therapist Physiotherapist
Once a patient has been accepted onto an NHS GDPs list in
Scotland their registration period with that dentist is:
Non time limited
A balance sheet is a statement of the wealth of the business. It will include a list of assets. Which of the following are fixed assets?
X-ray machine Dental chair The buildings Fixtures and fitting
The registration arrangements between a ajor patient and
dentist will come to an end in which of the following
circumstances?
The patient registers with another NHS dentist in Scotland The patient dies The patient is de registered by the dentist
What does a binding out clause in an Associate Agreement
detail?
What does a restrictive covenant clause in an associate
agreement detail?
Restrictions placed upon an outgoing associate’s choice of their next location of practice Treating patients from the previous practice Restrictions on the amount of private treatment that may be provided by the associate?
Which of the following actions are required practice when
dealing with GDS complaints procedures?
One person given responsibility for handling complaints (and a deputy) Substance of the complaint must be investigated thoroughly Records should be kept of all complaints and responses etc. Both the views of the patient and dentist/staff heard
The NHS terms of service require dentists with a Health
Board list number to carry out the following. Select all that
are correct
To comply with their terms of service, dentists are required to complete a minimum of 15 hours approved QI activity in the 3 year period. Undertake approved QI activity. A minimum of 5 hours approved activity must be completed in the first year if the dentist has not been included in sub part A of the dental list before.
Your DPA (Dental Practice Adviser) Is responsible for:-
Give advise and support in QI Promoting improvement of care quality in your practice Monitor your practice QI programmes Support and clinical advice to your practice
In the event that a complaint regarding NHS care cannot
be resolved through your normal practice complaints
procedure it may be escalated through which of the
following?:
Scottish Public Service Ombudsman The GDC Complaint Service
You are planning to leave your self-employed associate
position to take up a post in the SDS. Which of the
following is/are true?
you must inform HM Revenue and Customs of your change of employment status You must provide your registered patients a minimum of 3 months’ written notice of your intention to leave and inform the health board of this notice period
Which of the following are true?
An associate is responsible to the NHS for the clinical outcomes of NHS treatment provided, but the principle is responsible for the clinical outcomes of the assistant. The assistant must have the principal’s signature on all prior approval requests.
What qualifications are necessary to be appointed as a
practice manager?
None of the above
Which of the following are true when selling a dental
practice?
The dental practice may be sold but the owner may still keep the property by agreement with the purchaser. The price that can be achieved reflects solely the value of the property, equipment and stock Selling the practice can legally be completed without informing the staff employed there.
Which of the following are required to be included in the patient information leaflet (PIL)?
Information about the principals of the practice. General information on the services that the practice provides. Information about the associates in the practice. Names and date of registration of all dentists Policy on cancellation of appointments Information on the services the practice provides Information about the receptionists in the practice
A decision on a simple complaint should be communicated
to a patient:
Within 5 working days unless there are exceptional circumstances
The protocol for any proposed clinical research projects
involving your NHS patients should be submitted for
approval to?
The appropriate area Ethics Committee for Clinical Research
Complaints received from which of the following sources
should be recorded in your practice’s complaints log?
A complaint from a concerned relative about treatment you provided to their loved one A complaint from a patient about treatment you have provided An anonymous complaint
In order to fulfill their terms of service in Scotland, a
dentist must
Carry out a minimum of 15 hours of approved QI activity in each 3 year cycle
Under the Working Time (Amendment) Regulations 2007
employees have the right to which of the following
Payment for undertaken statutory leave entitlement on termination of employment 5.6 weeks paid leave per year (from 1st April 2009)
When preparing business accounts which of the following
can be included as fixed costs?:
Equipment leasing, Rent/mortgage payments.
As an employer, PAYE and NI records for staff should be
retained for how long?
3 years.
Which of the following statements are true? Self-
employed dentists…
Are required to pay income tax on net earnings. Are legally responsible for their own accounts.
For HM Revenue and Customs the minimum period of
time self employed people must retain financial records
for is?
5 years after the 31st January submission deadline of the relevant tax year.
Which of the following are true?
An associate is responsible to the NHS for the clinical outcomes of NHS treatment provided, but the principle is responsible for the clinical outcomes of the assistant. The assistant must have the principal’s signature on all prior approval requests.
Which of the following are true of NHS assistant dentists?
Assistants:
Agree their basic terms and conditions with the dentist for whom they are contracted including hours of work and rates of pay. Enjoy the same range of employment rights as an employee. Providing NHS care do so under NHS list number attributed to another dentist.
Which of the following are true in relation to
assistantships
The assistant is covered by the principal’s indemnity insurance The principle is responsible for the assistants clinical outcomes Assistants cannot sign NHS prescriptions
After notifying the health board in writing of their
intention to withdraw from the dental list at that practice,
the dentist’s name will normally be removed from the list:
After 3 months or a shorter period as agreed with the Health Board.
Which of the following are claimable allowances for an associate dentist working in the GDS?
Paternity leave, Adoptive leave, Maternity leave.
A staff member who is pregnant and has informed their
employer is entitled to
Absence for unplanned ante-natal appts. Absences for GP recommended parenting classes. Absence for planned ante-natal appts.
What is the minimum entitled annual number of weeks
per year of paid holidays for an employee in the UK as
from 1st April 2009?
5.6
The dental nurse you have just interviewed and appointed
then informs you that she is 2 months pregnant. What
should you do?
Offer the newly appointed nurse a written contract of employment within 3 months of their start date Inform unsuccessful candidates that you appreciated their attendance at interview but that they were unfortunately successful
The monthly NHS schedule issued by Practitioner Services
to non-salaried GDS dentists with a list number gives
details of which of the following?
Details of any claims that have been subject to adjustments by Practitioner service. Superannuation payments deducted at source. Patients transferred outwith the practice. Total gross payments to the list number processed for the month. Capitation and Continuing Care payments to the list number.
What NHS form is used to prescribe medication to an NHS
patient?
GP14
A patient has verbally threatened members of staff, the
police have been involved, and you no longer want to see
them at the practice. What notice must be given to the
Health Board for termination of the continuing care
arrangement?
Immediate verbal notice followed up in writing within 7 days.
The correct initial response to a patient’s complaint which
requires investigation is…?
A written acknowledgement within 3 working days.
Unless agreed by all parties involved, how quickly should
you aim to resolve all patient complaints that require
investigation.
Unless an extension is agreed by all parties involved, how
quickly should you aim to resolve patient complaints that
require investigation
20 working days.
Which of the following statements concerning approved
QI projects are correct.
From the date of approval, an audit or peer review project must be completed within 6 months. Only the lead dentist can upload and submit the final report and associated documentation.
Which of the following statements would describe an
aspect of an approved Audit.
The project would include two rounds of data collected by participants, with analysis of round 1 data, changes implemented and round two data collected. The project would enable the dentist to monitor the quality of certain aspects of their role within the clinical team.
Which of the following statements would describe an
aspect of an approved Audit.
Dental hygienists and dental nurses can participate in the audit, but cannot claim audit payment. The project would enable the dentist to monitor the quality of certain aspects of their role within the clinical team. An approved project would aim to improve an aspect of patient care identified by the dentist.
Which of the following statements would apply to a claim for Quality Improvement Allowance, as described in the Statement of Dental Remuneration.
A project should be completed within 6 months from the date of approval. The first approved project for a dentist in the relevant period should normally be one of not less than 5 hours.
Which of the following statements would apply to a claim
for Quality Improvement Allowance, as described in the
Statement of Dental Remuneration.
A project should be completed within 6 months from the date of approval. The maximum number of hours that can be claimed in any ‘relevant’ period is 15 hours.
Which of the following authorities are allowed to routinely
inspect NHS patients of GDS and PDS dentists and report
on the standard of clinical treatment which has been
provided?
The Scottish Dental Reference Service.
Which of these is not a question in the Model for
Improvement?
What changes can we implement straight away without testing them?
What does PAYE stand for?
Pay As You Earn
You wish to employ a dental nurse for your practice. As an
employer, you must give them a written statement of
employment particulars within what period of their start
date?
Two months
A dentist with an NHS list number must notify the Health
Board if he/she intends to be absent from the practice for
a period exceeding?
28 days
A dentist leaves a dental list. Who is responsible for
making arrangements to transfer capitation and
continuing care for those patients to another dentist?
The relevant Health Board
Each Health Board maintains a dental list of those dentists
providing general dental services within the board. Which
of the following is true?
The dental list contains the names of both individual dentists providing direct patient care as well as dental bodies corporate who may manage those providing that care When a dentist resigns from a dental list their unused annual leave is taken account of when determining their final payment through their NHS schedule A dentist can list with a health board for the provision of emergency treatment only?
In which of the following circumstances, would patients
need to be transferred?
The dentist is struck off the Dental Register. The dentist retires. The dentist resigns from the Health Board list. The dentist dies.
What documentation is needed to apply for a NHS LIST
number?
Two references
PVG
Certified copy of original degree
Indemnity certificate
Hard copy of GDC Registration certificate
Parental leave for employees
Applies to parents of children up to the age of 18 Applies to parents of adopted children
Which of the following dentists are allowed to claim
Statutory Paternity Leave and Pay (SPP)?
Someone with an Assistant Contract
Who within the dental team is entitled to statutory sick
pay?
Dental working as an assistant
Employee off for 2 full days Dental working as an associate
Contracted trainee dental nurse
Your Dental Nurse who has been employed with you for a
year tells you that she is pregnant and would like to know the rules relating to maternity leave and pay. Which of the following is/ are true:
The employee can be required to provide proof of pregnancy to obtain statutory maternity pay?
The employee can be required to provide proof of pregnany to take statutory maternity leave The earliest that statutory maternity leave can be taken is 11 weeks before the expected week of childbirth, unless the baby is born early
In the event of death in service, members of the NHS
Pension Scheme are entitled to which of the following
benefits:-
Cash lump sum payable to your estate An allowance for children under 17 or in gull time education Your widow/widower paid pension leave
Employees of your dental practice with at least 6 months
continuous service are entitled to which of the following?
Reasonable paid time off for antenatal appointments At least 5.6 weeks of annual leave, pro rate
A 35 year old employee who has worked with you for 8
years would be entitled to how much redundancy pay?
8 weeks’ salary
A practitioner profile is available from Practitioner Services
to all list numbers in Scotland on an annual basis. Which of
the following information does this report contain?
Gross NHS earnings for the list number Comparison for items of the treatment carried out on the list number compared to the average for the Health Board area and Scotland as a whole NHS patient registrations for the list number
Your NHS and private income should be recorded
separately because…
CPDA claims abatement is affected by the NHS/Private ratio The practice accountant needs to know the split ratio for purposes of business rates reimbursement abatement Private income is not superannuated at source
Which of the following are true in relation to the
Employers’ Liability Act of 1969?
Insufficient training of staff is a breach of the duty and care by an employer Employers are required to keep Insurance Certificates for 40 years The Employers’ Liability Insurance Certificate must be prominently displayed
Where an employee is dismissed for poor performance the
employer should be able to demonstrate that he/she has?
Properly explained the standard of work required (which must be realistic and achievable) Given feedback on performance ideally through a formal appraisal system Kept records of the disciplinary procedure Explained the consequences of failing to meet standards Made available appropriate training and supervision
For a General Dental Practice to be deemed NHS
committed and receive the maximum payment in relation
to the General Dental Practice allowance they have to
fulfill the following criteria (select all that apply):
Have a minimum average of 500 registered NHS patients for each dentist (excluding VTs and assistants) Have at least 100 fee paying adult NHS patients registered with each dentist (excluding VTs and assistants) Have average NHS grossing earnings of 50,000 or more per dentist (excluding VTs and assistants)
When the prescription is part of the NHS treatment, the
prescription should be written on which form?
GP14
An NHS form GP200 is used to:
Deregister NHS patients from a dental list
Which of the following statements are true when
deregistering registered NHS dental patients
You need to justify your decision
Form GP209 is used to?
Transfer patients between dentists in the same practice
If a patient has been violent and abusive which of the
following actions are appropriate?
Inform the Health Board Inform the police De-register the patient immediately
NHS Scotland complaints handling procedure recommends
that complaints should be dealt with:
By “early resolution” within 5 days
A concerned daughter, of her elderly relative receiving domiciliary care from you at a nursing home, makes a complaint about the treatment you provided for this patient. Which of the following are true?:
You should mark the complaint as resolve if the complainant decides they do not want to make the complaint a formal one You should provide a copy of your complaints procedure policy to complainant You should begin a record of the ongoing management of this complaint
Peer review projects require all dentists from different
practices to identify areas where change can be made to
improve the quality of patient care and service. Select all
that apply
The lead dentist may apply for a max of 7.5 hours Four to eight dentists may apply for a project
Peer review gives dentists from different Practices the
opportunity to review aspects of their Practice. Which of
the following conditions will apply to a NES approved
project. Select all that apply
Dentists from a minimum of two Practices should be involved If three meetings are planned, each meeting can be of 1.5 hours duration plus 30 minutes preparation time The final report must be submitted within 6 months of the application being approved
When referring a registered patient to another dentist,
which of the following should the first dentista provide?
NHS or Private indicated in the referral Details of the oral condition of the patient Reason for the referral
You are the principle of a dental practice. A former
employee, recently dismissed, phones you at the practice
to complain that you dismissed them unfairly. What
should you do? Select all that apply:
Take good written notes detailing the substance of the telephone conversation. Ask the former employee to make a formal written complaint.
A female dental nurse with 25 years’ service is being made
redundant. Which of the following are true in relation to
her entitlement to redundancy pay?
The calculation of her entitlement will be capped at the 20 year mark The amount due will depend partly on what age she was at the start employment The amount due will depend partly on what age she was at the end of employment
Self-employed associated in the GDS are entitled to…?
Maternity payment Paternity payment Adoptive leave payment
Which of the following are true when providing a patient
with a decision letter on the outcome of their complaint?
The practice complaints record should be updated with the outcome Contact details for the Scottish Public Services Ombudsman should be provided in the event that the patient remains dissatisfied
Peer review gives dentists from different Practices the
opportunity to review aspects of their Practice. Which of
the following conditions will apply to an approved project.
Select all that apply
A group of four to eight dentists may apply for a project A minimum of two practices must be involved
Which of the following practice expenditures can be
claimed as a legitimate business expense?
Professional subscriptions and journals Business cleaning and laundry Water rates Business loan interest
You are starting your first self-employed associate job. What must you do when considering your income tax obligations?
Keep records of all your income and business-related expenditure Inform HM Revenue & Customs of your self-employed status within 3 months of starting work
As a self employed dentist, how can you protect your
finances in a period of extended ill health?
Income Protection Insurance
When considering apportionment of fees in an associate
agreement, a ‘sliding scale’
Is agreed between the associate and the principle at the start of the terms of the Associate Agreement May be renegotiated by mutual consent
When working as an assistant for a Dental Body Corporate
listed on the first part of the Dental List you are entitled to
claim the same allowances as an associate working for a
traditional partnership-owned practice. True or false?
False
According to the most recently updated maternity
legislation which of the following are true for pregnant
female employees?
To qualify for maternity pay a pregnant staff member must tell her employer by the 15th week before the expected week of childbirth that she is pregnant
What is superannuation?
A pension scheme made up of payments from the employee, supplemented by the employer
For the purpose of superannuation calculation, what
percentage of gross fee income is treated as expenses?
56.1%
In relation to Employers’ Liability Insurance, which of the
following statements are true?
HSE strongly advises retaining a complete record of Employers’ Liability insurance for decades. The employer must keep the certificate for 40 years Your insurer must pay the full amount of any compensation agreed with your employee or awarded to them by a court.
Which of the following are true with regard to the
‘’Certificate of Employers Liability Insurance’’?
It must be on display to all employees covered It must be retained on file for 40 years
Which Certificate of Insurance must be clearly displayed
within a dental practice?:
Employers Liability Insurance
If the conduct of a dental receptionist falls below the
expected standard in the workplace the employing dentist
could be held responsible?
True
A claim for ortho assessment should be written on which
form?
GP17 (O)
For which of the following should the form GP17(O) be
used to claim in service in the NHS GDS?
Ortho exam and assessment Study casts of apt to be referred to the hospital ortho
service Repairs to appliances during ortho treatment
Form GP20AWI is used to?
Transfer patients between dentists in the same practice
If a retiring NHS GDP cannot find another dentist to take
on patients, what happens?
Health Board takes over responsibility
When is a practice (with NHS commitment) subject to
Health Board inspection? Select all that apply.
On setting up Every 3 years
A contract to provide NHS dentistry between a patient and
a dentist may be terminated in which of the following
circumstances?:
By dentist giving Health Board 3 months notice When transferring patient to another dentist By immediate de-registration because patient violent (with police involvement)
Your local Health Board has a responsibility to investigate
in the event a patient makes a complaint directly to them
about your service
False
The in-practice complaints management process requires
that all complaints are initially made in writing
False
Which of the following is/are true of NHS complaints
procedures in Scotland?
Send the complainant a written acknowledgement of the complaint within 3 working days of the date on which the complaint is received, or ASA practicable A complaint should normally be made within 6 months of the date of discovery provided that it is within 12 months of the incident All details of the complaint should be recorded in writing
The time limit for the handling of complaints begins from:
The date of receipt of the complaint or the next working date if receipt is on a non-working day
In the event that an NHS patient in Scotland is unhappy
with the local resolution of a complaint relating to NHS
dental services, they are entitled to make further
representation to the Dental Complaints Service.
False
Some complaints require little or no investigation. You
should aim to complete such an Early Stage resolution
within:
5 working days
You have received a complaint about treatment you have
provided. You have written to the patient to acknowledge
receipt of the complaint. Within what time period after
receiving the complaint should you aim to write to the
patient with a decision?
20 working days
Which of the following are correct?
eSEA may be useful means of identifying a topic for audit A practice can conduct eSEA and claim retrospective funding Quality improvement allowance is available for audit
Which of the following statements concerning approved
QI projects are correct
The next ‘relevant period; for QI projects will start on 1st August 2019 All dentists with a health board list number, including Associates and Assistants are required to do approved QI activities
How many hours of quality improvement activities must a
dentist working within the NHS GDS do in a three-year
period?
15 hours
Which of the following topics might be suitable for an
audit project?
A review of medical History recording in the practice A review of the quality of bitewing radiographs A review of post-operative complications after extractions
Peer review projects can be applied for through the Dental
Portal. The following conditions will apply to an approved
project. Select all that apply
The lead dentist may apply for up to 7.5 hours and others may apply for up to 6 hours The final report should be submitted within 6 months of the application being approved The process will involve 2-3 meetings, and each one can be allocated 30 minutes preparation time
Peer review projects can be applied for through the Dental
Portal. The following conditions will apply to an approved
project. Select all that apply
The final report should be submitted within 6 months of the application being approved The process will involve 2-3 meetings, held at one of the Practices
The practice Support Manual produced by SDCEP
recommend that an SEA should be undertaken after every
medical emergency?
True
Following a DRO examination of an NHS dental patient, a
code 4 or D would indicate which of the following?
The Dental Reference Officer has concerns relating to the clinical care provided or proposed that are of such concern that the matter should be discussed with/referred to the Health Board
