Non-medical GP topics Flashcards
Dealing with complaints, domestic abuse, etc.
Where can patients make complaints to?
The practice
CCG
NHS England
GMC
How quickly should a complaint be acknowledged in GP?
What should you do?
Within 3 working days
Confirm reciept, apologise and recognise distress
What are the steps to handling a complaint in GP?
- Apologise, don’t admit fault but apologise about what they’re going through
- Get advice from medical defence organisation
- Draft a response to complaint
- Identify learning points
- Discuss complaints and reflect at annual review
Define domestic violence?
Any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse
Between those aged 16 or over
Who are or have been intimate partners, family members
Regardless of gender or sexuality
List the types of domestic violence?
Physical Psychological Sexual Financial Emotional
What are the risk factors of domestic violence?
Female Young age Pregnancy Substance abuse Mental health problems Chronic illness or disability Financial problems Cultural factors (FGM, honour crimes, isolation, language barriers) Leaving a partner
Signs in a consultation that domestic abuse could be happening?
Low mood, depression, anxiety Difficult to engage with, distant Self-harm Unexplained injuries Non-specific symptoms Tiredness Chronic pain Genital injuries STIs Frequent A+E attendance Partner accompanying all the time, even for personal problems Unusual dynamic between couple Picking up vibes
Signs a child might be living with domestic violence?
Injuries to themselves Depression, anxiety, self-harm Insomnia, nightmares Failure to thrive Poor achievement at school Behavioural difficulties Bedwetting
What is a good mnemonic to ask about domestic violence?
HARK
Humiliated
Afraid
Raped
Kicked
What should you do if you’re concerned domestic abuse could be happening to your patient?
Establish if there’s any immediate risk to the person or children
If there is,consider contacting police
Fill out DASH form, initiate child protection
Document everything
Discuss with practice lead for domestic violence
List some prescription drugs that are abused in the community?
Pregabalin Gabapentin Opiates Sleeping pills (zopiclone) Benzos Cyclizine
How long can you self certify for?
1 week
What two options are there on a sick note?
Not fit for work
May be fit for work (then it is up to the employer to assess)
