Tutorial 4

Question 1

Why were GP premises made?

Answer 1

complexity of work
form larger parterships
accommodate wide range of healthcare professionals

Question 2

Members of the 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

Practice nurse roles

Answer 3

Bloods 
ECG 
minor and complex wound management
travel health advice and vaccines 
child immunisations 
family planning and women's health 
mens health screening
sexual health 
smoking cessation

Question 4

District nurse roles

Answer 4

visit people in home or residential care homes
teaching and support
minimise hospital admissions and readmissions
patients returning home ASAP
monitor quality of care

Question 5

When do midwifes care for a patient?

Answer 5

all stages of pregnancy ,labour and early postnatal

Question 6

Where can midwives work?

Answer 6

community 
homes 
local clinics 
children centres 
GP 
hospital wards 
neonatal units

Question 7

When do health visitors care for patients?

Answer 7

pregnancy to 5 years

Question 8

Roles of healthcare visitor

Answer 8

ongoing additional services for vulnerable children and families
contribute to MDT in safeguarding and protecting children

Question 9

Role of macmillan nurse

Answer 9

Macmillan nurses specialise in cancer and palliative care, providing support and information to people with cancer, and their families, friends and carers, from the point of diagnosis onwards.

Question 10

What do macmillan nurses offer?

Answer 10

Specialised pain and symptom control
Emotional support both for the patient and their family or carer
Care in a variety of settings – in hospital (both inpatient and outpatient), at home or from a local clinic
Information about cancer treatments and side effects
Advice to other members of the caring team, for example district nurses and Marie Curie nurses
Co-ordinated care between hospital and the patient’s home
Advice on other forms of support, including financial help.

Question 11

Allied health professionals

Answer 11

physiotherapy 
OT 
dietetics 
podiatry
pharmacy
counselling

Question 12

Pharmacist role

Answer 12

They advise medical and nursing staff on the selection and appropriate use of medicines. They provide information to patients on how to manage their medicines to ensure optimal treatment.

Question 13

What is dietetics?

Answer 13

Interpretation and communication of nutrition science to enable people to make informed and practical choices about food and lifestyle in health and disease

Question 14

Responsibilities of dietitians

Answer 14

working with people with special dietary needs
informing the general public about nutrition
offeringunbiased advice
evaluating and improving treatments
educatingpatients/clients, other healthcare professionals andcommunity groups.

Question 15

What do physiotherapists do?

Answer 15

treat people with physical problems caused by illness, accident or ageing
human movement
rehab

Question 16

Physiotherapists core skills

Answer 16

manual therapy
therapeutic exercises
electro-physical modalities

Question 17

What is occupational therapy?

Answer 17

assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function

Question 18

OT areas

Answer 18

physical rehabilitation
mental health services
learning disability
primary care
paediatrics
environmental adaptation
care management
equipment for daily living

Question 19

3 selected secondary care services

Answer 19

hospital consultants
diagnostic imaging
operating services

Question 20

What are care managers?

Answer 20

specialised social workers helping with support services and finances

Question 21

2 complimentary therapists

Answer 21

acupuncture

homeotherapy

Question 22

2 social services

Answer 22

social workers

social care workers

Question 23

Health promotion - 2 examples

Answer 23

gym

education

Question 24

3 affects of changes in PHCT

Answer 24

which are part
which work alongside
working relationships

Question 25

Why does the development of healthcare premises affect PHCT?

Answer 25

60% premises owned by GP
too small or unfit
growing number of GPs need accommodated
trend away from smaller doctors
wider range of services

Question 26

what % of PHC premises owned by GPs?

Answer 26

60%

Question 27

2 political pressures on PHCT

Answer 27

reduce cost of treatment

provide more treatments closer to where patient lives

Question 28

examples of developing new and extended professional roles

Answer 28

healthcare assistants
extended role of pharmacists
nurse prescribing and triage

Question 29

PHCT what the team should do

Answer 29

recognise and include patient, carer, PHCT
common agreed purpose
team working conditions
understand and acknowledge of team
communication
promote teamwork across health and social care

Question 30

Aim of integration agenda of health and social care

Answer 30

reduce unnecessary admissions to hospital and delayed discharges
efficient and effective use of resources

Question 31

Integrated services act

Answer 31

2014 act

Question 32

2014 act

Answer 32

NHS boards and local authorities to integrate for adult social services, primary care and hospital

Question 33

Integrated joint boards members

Answer 33

GP 
nurse 
third sector 
service user 
staff side 
secondary medical 
chief officer 
chief social worker