Members of the Team

Question 1

What does PHCT stand for?

Answer 1

Primary Health Care Team

Question 2

What are the members of 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

Describe the role of a GP partner

Answer 3

Consultations in surgery
Home visits
Independent contractors to the NHS = provide adequate premises from which to practice, employing their own staff

Question 4

Describe the role of a practise nurse

Answer 4

Direct supervision of healthcare assistants at the practice
Obtaining blood samples
ECGs
Minor and complex wound management including leg ulcers
Travel health advice and vaccinations
Child immunisations and advice
Family planning and women’s health including cervical smears
Men’s health screening
Sexual health services
Smoking cessation

Question 5

Describe the role of a district nurse

Answer 5

Visit people in their own homes or residential care homes
Provide complex care for patients and support family members
Teaching and support role to help patients care for themselves/family members
Keep hospital admissions to a minimum
Assess healthcare needs of patients and families

Question 6

Describe the role of a midwife

Answer 6

Care during all stages of pregnancy labour and early postnatal periods
Work in community, providing services in women’s homes, local clinics, children’s centres, GP surgeries, hospital based

Question 7

Describe the role of a health visitor

Answer 7

Lead and deliver child and family health services (pregancy-5yrs)
Offer parental support/advice
New birth visits and advice on feeding, weaning and dental health
Physical and development checks
Referring families to specialists e.g. speech and language therapists
Ongoing additional services for vulnerable children and families
Contribute to safeguarding and protecting children

Question 8

Describe the role of a Macmillan Nurse

Answer 8

Specialise in cancer and palliative care
Support and information for those with cancer
Specialised pain and symptom control
Emotional support
Care in variety of settings
Information about treatments and side effects
Advice to other members of MDT
Coordinated care between hospital and patient’s home
Advice on other support e.g. financial

Question 9

What are examples of allied health professionals?

Answer 9

Physiotherapy
Occupational therapy
Dietetics
Podiatry
Pharmacy
Counselling

Question 10

Describe the role of a pharmacist

Answer 10

Expert in medicines and their use
Working to ensure patients get maximum benefits from their medicines
Advice medical and nursing staff on selection and appropriate use of medicines
Provide information to patients on how to manage their medicines
Can take training to prescribe medicines

Question 11

Describe the role of a dietician

Answer 11

Enable people to make informed and practical choices about food and lifestyle in health and disease
Work with people with special dietary needs
Informing the public about nutrition
Offering unbiased advice
Evaluating and improving treatments
Educating healthcare professionals

Question 12

Describe the role of a physiotherapist

Answer 12

Help and treat people with physical problems caused by illness, accident or ageing
Maximise movements through health promotion, preventative healthcare, treatment and rehabilitation
Manual therapy, therapeutic exercise, application of electro-physical modalities

Question 13

Describe the role of a occupational therapist

Answer 13

Assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function in daily life

Question 14

What are selected secondary care services that PHCT might ask to get involved?

Answer 14

Hospital consultants
Diagnostic imaging
Operating services

Question 15

Describe the role of a care manager

Answer 15

Experts in working with individuals to identify their goals and locate the specific support services that enhance well-being
Highly trained social worker who work with the patient to advise on social and financial support services

Question 16

What are examples of complimentary therapists?

Answer 16

Acupuncture

Homeopathy

Question 17

What are examples of social services?

Answer 17

Social workers

Social care workers

Question 18

What can be used as health promotion?

Answer 18

Gyms

Education

Question 19

What do changes affecting the PHCT affect?

Answer 19

Which professional groups are part of the PHCT
Which professional groups work alongside the PHCT
Working relationship between these different professional groups

Question 20

How do economic factors affect PHCT?

Answer 20

Impact on development of healthcare premises

e.g. premises which are too small, unfit for purpose, growing numbers of new GPs need to be accommodated

Question 21

What is the trend with GP premises?

Answer 21

Trend away from smaller doctor-owned premises to much larger buildings owned and developed by private companies
Wider range of services within enlarged premises

Question 22

What are the current political pressures?

Answer 22

Reduce the cost of treatments

Provide more treatments closer to where patients live

Question 23

What is included in the development of new and extended professional roles?

Answer 23

Development of healthcare assistants from existing staff
Extended role of pharmacists in medicines’ management and minor illness
Development of nurse prescribing and triage

Question 24

What are the issues for GP surgeries with growing numbers of ageing patients?

Answer 24

More long term conditions

Greater demand for healthcare generally

Question 25

What are the priniciples for good team work as recommended by the Forum on Teamworking in Primary Healthcare?

Answer 25

Recognise and include the patient, carer or their representative, as an essential member of the PHCT Establish a common agreed purpose Agree set objectives and monitor progress towards them Agree team working conditions, including a process for resolving conflict Ensure that each team member understands and acknowledges the skills and knowledge of team colleagues Pay particular attention to the importance of communications between members, including the patient Take active steps to ensure the practice population understands and accepts the way in which the team works within the community Select the leader of the team for his or her leadership skills Promote teamwork across health and social care Evaluate all its team working initiatives on the basis of sound evidence Ensure that the sharing of patient information within the team is in accordance with current legal and professional requirements

Question 26

How has PHCT changes?

Answer 26

Now increasing involvement of wider professional groups and others belong traditional PCHT Structural changes to the services provided e.g. centralisation of District Nursing services

Question 27

What is the aim of the integration of health and social care?

Answer 27

Help reduce unnecessary admissions to hospital and delayed discharges Make more efficient and effective use of limited resources and central to improving outcomes for patients

Question 28

What the Public Bodies (Joint Working) (Scotland) Act 2014?

Answer 28

Integration of adult health and social care Improve quality and consistency of services for patients, carers, service users and their families Seamless joined up health and social care services Ensure resources are used effectively and efficiently to deliver services to increasing number of those with long term/complex needs NHS boards and local authorities integrated health and social care budgets

Question 29

What is the Integration Joint Board (IJB)?

Answer 29

NHS boards and local authorities delegate budgets to the IJB which then decides how to use the resources for health and social care

Question 30

How many minimum members of the IJB from the local authority and NHS board?

Answer 30

Three members each

Question 31

What must the IJB include?

Answer 31

``` Carer representative GP represenative Nurse representative Secondary medical care practitioner Service user representative Staff-side representative Third sector representative Officer responsible for financial administration Chief Officer Chief Social Worker ```