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Flashcards in Primary health care team Deck (49)
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Where did GPs originally work?

In the 1940s GPs worked from their own homes


What is the role of GPs?

- Primary healthcare providers
- Gatekeepers to secondary healthcare


Who forms the primary healthcare team?

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


What is the role of a GP partner?

- GPs are also the first point of contact for most patients.

- GPs provide a complete spectrum of care within the local community: dealing with problems that often combine physical, psychological and social components


Whos responosihbilty is it to employ staff in a GP practice ?

GP partners


Whos responsibility is it to provide adequate premises for a GP practice?

GP partners


What give GP partners so much independence?

Most GPs are independent contractors to the NHS


What is the role of the practice nurse?

They might be involved in most aspects of patient care including:
- Obtaining blood samples
- ECGs
- Minor and complex wound management including leg ulcers
- Travel health advice and vaccinations
- Child immunisations and advice
- Family planning & women’s health including cervical smears
- Men’s health screening
- Sexual health services
- Smoking cessation.

- General practice nurses may also have direct supervision of healthcare assistants at the practice.


What is the role of District nurse?

- They visit people in their own homes or in residential care homes, providing increasingly complex care for patients and supporting family members.

- District nurses also have a teaching and support role for patients or their families

- Keeping hospital admissions and readmissions to a minimum and ensuring that patients can return to their own homes as soon as possible.

- Assess the healthcare needs of patients and families, monitor the quality of care they're receiving and are professionally accountable for delivery of care.


What is the role of midwives?

- Midwives provide care during all stages of pregnancy, labour and the early postnatal period.


Where do midwives work?

- Many midwives now work in the community, providing services in women's homes, local clinics, children's centres and GP surgeries.

- There is the option to be hospital based, where there are opportunities for midwives to work on antenatal, labour and postnatal wards and neonatal units.


What is the role of a health visitor?

Lead and deliver child and family health services (pregnancy through to 5 years) supporting and educating families.

Provide ongoing additional services for vulnerable children and families

Contribute to multidisciplinary services in safeguarding and protecting children

They also provide leadership to the child services team.

Retain the overview of the health and well-being of children and families in your area


In terms of Leading and delivering child and family health services what may a health visitor provide?

Common tasks include:
- Offering parenting support and advice on family health and minor illnesses

- New birth visits which include advice on feeding, weaning and dental health

- Physical and developmental checks

- Providing families with specific support on subjects such as post natal depression.


In terms of Providing ongoing additional services for vulnerable children and families what may a health visitor provide?

The type of support can include:
- Referring families to specialists, such as speech and language therapists

- Arranging access to support groups

- Organising practical support - for example working with a nursery nurse on the importance of play.


In terms of Contributing to multidisciplinary services in safeguarding and protecting children what may a health visitor provide?

- Trained in recognising the risk factors, triggers of concern, and signs of abuse and neglect in children. They also know what needs to be done to protect them.

- First to recognise where actions need to be taken place to protect a child.

- Maintain contact with families while formal safeguarding arrangements are put into place. This ensures families receive the best possible support during this time

- They are sometimes called upon to appear in court to explain the action taken.


What is the role of a MacMillan nurse?

Macmillan nurses offer the following:
- 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.

- Macmillan nurses do not carry out routine nursing tasks, such as personal hygiene, changing dressings and giving medicines, and do not focus on non-cancer patients. They will coordinate a team of people to do this.


What are MacMillon nurses specialists in?

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.


Give examples of allied healthcare professionals.


Occupational Therapy






What is the role of a pharmacist?

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.

Pharmacists are able to undertake additional training in order to allow them to prescribe medicines for specific conditions.


Where do pharmacist work?

The majority of pharmacists practice in hospital pharmacy, community pharmacy or in primary care pharmacy, working to ensure that patients get the maximum benefit from their medicines.


What are dietetics?

Dietetics is the interpretation and communication of nutrition science to enable people to make informed and practical choices about food and lifestyle in health and disease.


Who do dieticians work for?

Most dietitians are employed in the NHS, but may also work in the food industry, education, research and on a freelance basis.


What is the role of a dietician?

Dietitians have a wide range of responsibilities including:
- Working with people with special dietary needs

- Informing the general public about nutrition

- Offering unbiased advice
evaluating and improving treatments

- Educating patients/clients, other healthcare professionals and community groups.


What is a physiotherapist?

Physiotherapists help and treat people with physical problems caused by illness, accident or ageing.


What is the role of a physiotherapist?

They see human movement as central to the health and well-being of individuals and identify and maximise movement through health promotion, preventive healthcare, treatment and rehabilitation.

A physiotherapist's core skills include manual therapy, therapeutic exercise and the application of electro-physical modalities. They also have an appreciation of psychological, cultural and social factors influencing their clients.


What is an occupational therapist?

Occupational therapy is the assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function in all aspects of daily life.


Who do occupational therapists work with?

Occupational therapists work with people of all ages to help them overcome the effects of disability caused by physical or psychological illness, ageing or accident:
- Physical rehabilitation

- Mental health services

- Learning disability

- Primary care

- Paediatrics

- Care management


What is the role of an occupational therapist?

Their aim is to help people improve their ability to function as independently as possible so that they can participate in whatever activities are meaningful and important to them. Occupational therapists do this mainly by identifying and eliminating environmental barriers to independence and participation in normal daily life.

- Environmental adaptation
- Equipment of daily living


What are selected secondary care services?

Hospital consultants

Diagnostic imaging

Operating services


What is a care manager?

Care managers are experts in working with individuals to identify their goals and locate the specific support services that enhance well-being.

When faced with the array of choices and challenging decisions, care managers provide support to find the best solutions.

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