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Year 2: FoPC > The Team Around the Patient > Flashcards

Flashcards in The Team Around the Patient Deck (49)
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GPs play what role?

GPs play a role as ‘gatekeepers’ to secondary healthcare as well as managing many health problems within primary healthcar


What does PHCT stand for?

Primary health care team


Who does the traditional primary health care team consist of?

  • GP partners
  • GP assistants and other salaried doctors
  • GP registrars
  • Practice nurses
  • Practice managers
  • Receptionists
  • Community nurses
    • District nurses
    • Macmillan nurse
  • Midwives
  • Health visitors
  • Nurse practitioners
  • Allied health professionals
    • Physiotherapist
    • Occupational therapy
    • Dietetics
    • Podiatry
    • Pharmacist
    • Counselling
  • Care manager
  • Complimentary therapists
    • Acupuncture
    • Homeopathy
  • Social services
    • Social workers
    • Health care workers
  • Health promotion
    • Gyms
    • Education


What are examples of community nurses?

District nurse

Macmillan nurse


Where do district nurses visit patients?

There own homes


What are Macmilllan nurses specialists in?

  • Specialise in cancer and palliative care, giving support to people with cancer


What do Macmillan nurses offer?

  • Specialised pain and symptoms control
  • Emotional support both for patient and family
  • Care in a variety of settings (hospital, home or local clinic)
  • Information about cancer treatments and side effects
  • Advice to other team members of the caring team
  • Co-ordinate care between hospital and the patient’s home
  • Advice on other forms of support, including financial help


Who do midwives provide care to?

  • Provides care during all stages of pregnancy, labour and early postnatal care


What do health visitors do?

  • Lead and deliver child and family health services (pregnancy though to 5 years)
  • Provide ongoing additional services for vulnerable children
  • Contribute to MDT services in safeguarding and protecting children


What ages do health visitors care for?

Pregnancy through to 5 years


What are examples of allied health professionals?


Occupational therapy






What do physiotherapists do?

  • Teat people with physical problems caused by illness, accident or ageing
  • Identify and maximise movement through health promotion, preventative healthcare, treatment and rehabilitation


What are some core skills of physiotherapists?

  • Manual therapy
  • Therapeutic exercise
  • Application of electro-physical modalities


What do occupational therapists do?

  • Assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent functions in all aspects of daily life
  • Work with people of all ages to overcome effects of disability caused by physical or psychological illness, ageing or an accident


Who do occupational therapists typically care for?

  • Can work with young children, adolescents, adults and other people in these areas
    • Physical rehabilitation
    • Mental health services
    • Learning disability
    • Primary care
    • Paediatrics
    • Environmental adaptation
    • Care management
    • Equipment for daily living


What do dietetics do?

  • Communication of nutritional science to enable people to make informed choices about their food and lifestyle in health and disease


Who are most dietetics employed by?

  • Most are employed by the HS but some work in the food industry, education, research and on freelance basis


What are some responsibilities of dietetics?

  • Working with people with special dietary needs
  • Informing the general public about nutrition
  • Offering unbiased advice
  • Evaluating and improving treatments
  • Educating patients/clients and other healthcare professionals and community groups


Where can pharmacists work?

  • Work in hospital, community or primary care pharmacy


What do pharmacists do?

  • Expert on medicines and there uses
  • Advice medical and nursing staff on selection of appropriate use of medicines
  • Prove information to patients on how to manage their medicines
  • Can undertake additional training to allow them to prescribe medicines for specific conditions


What do care managers do?

  • Experts in working with individuals to identify their goals and locate the specific support services that enhance well  being
  • Are highly trained social workers who work with patients to advice on social and financial support services


What are examples of complimentary therapists?

  • Acupuncture
  • Homeopathy


What are examples of roles in social services?

  • Social workers
  • Social care workers


What kind of contract do most GPs have?

Most GPs are independent contractors to the NHS, so are responsible for providing adequate premises from which to practice and employ other staff


What kind of nurse is found in GPs?

Practice nurses


What are some roles of practice nurses?

  • Obtaining blood samples
  • ECGs
  • Minor and complex wound management including leg ulcers
  • Travel health advice and vaccinations
  • Child immunisations and advice
  • Family planning and woman’s health including cervical smears
  • Men’s health screening
  • Sexual health services
  • Smoking cessation


Changes affect what aspects of the PHCT?

  • Which professional groups are part of the PHCT
  • Which groups wok alongside the PHCT
  • Working relations between these different professional groups


What are some examples of things that can cause changes to the PHCT?

  • Economic factors
    • Big impact on development of healthcare premises, which affects PHCT beause
      • 60% of primary healthcare premises are still owned by GPs
      • Many existing premises are too small or unfit for purpose and growing numbers of new GPs needs accommodated
      • Trend, moving away from small doctor owned practices towards private company owned large buildings that can offer wider ranges of services
        • Introduction of new servives
  • Political pressure
    • Political pressures to
      • Reduce the cost of treatments
      • Provide more treatment closer to where patients live
  • Development of new and extended professional roles
    • Development of healthcare assistants
    • Extended role of pharmacists
    • Develop of nurse prescribing and triage
  • Growing number of ageing patients
    • More long term conditions (largely managed in primary care)
    • Greater demand for healthcare generally (managed largely in primary care)


What is the current trend in relation to GPs premises?

Moving away from small doctor owned practices towards private company owned large buildings that can offer a range of services


What are the political pressures that impacts the PHCT?

  • Reduce the cost of treatments
  • Provide more treatment closer to where patients live