Management - done Flashcards

Question

Carers allowance

Answer 1

Eligable if you care for someone for at least 35 hrs per week and they get certain benefits (you do not have to be living with or related to the person). Can only be paid once - don't get extra for caring for multiple people. If someone else also cares for the same person as you, only one of you can claim carers allowance. For each week you get carers allownace you automatically get national insurance credits.

Answer 2

Credits which you can get even if you are not paying national insurance, such as when claiming benefits because of being ill or unemployed. The idea of credits is to fill gaps in your national insurance record to make sure you qualify for certain benefits including the state pension.

Answer 3

Oxygen saturations decrease (hypobaric hypoxia) (which can be a problem if cardiac, pulmonary disease or anaemia - some people even need supplemental oxygen. decrease in cabin pressure compared to ground level causes gas to expand by 30% volume, problem if gas trapped in body cavity such as ear (pain/perforation), abdominal cavity, or eye. cabin less humid than ground so can cause dry mucous membranes especially dry eyes.

Answer 4

if stable, no problem

Answer 5

after 7-10 days if no complications after 4-6 weeks if complications

Answer 6

when fully recovered, good to wait 14 days for gas resorption to avoid risk of barotrauma.

Answer 7

After 5 days, once recovered.

Answer 8

Uncomplicated MI within 7 days Complicated MI within 4-6 weeks Unstable angina Decompensated congestive heart failure CABG within 10 days Cerebrovascular accident within 3 days Uncontrolled cardiac arrhythmia Severe symptomatic valvular heart disease.

Answer 9

Can a patient walk 50 yards

Answer 10

Knowledge skills and performance Safety and quality Communication, partnership and teamwork Maintaining trust

Answer 11

The associated of british pharmaceutical industry ABPI (code of practice for the pharmaceutical industry)

Answer 12

no more than 10 samples of particular medicine provided to indivudual per year No gifts given to health professionals or administriative staff as inducement to prescribe supple administer recommend sell or buy medicines pharma companies can supply inexpensive items to health professional for them to pass onto patients eg peak flow meters, pedometers. Code does not prevent provision of medical and educational goods and services which will enhance patient care of benefit the NHS whilst maintaining patient care.

Answer 13

SMP payable for 39 weels and employees are required to have been employed continuously for at least 26 weeks into the 15th week before baby is due in order to be eligable.

Answer 14

For group 1 licence (cars and motor bikes) need to have visual acuity of 6/12 on snellen chart with both eyes open or in the only eye if monocular. And must have minimum field of vision.

Answer 15

Guidance for healthcare prof on mx of infectious diseases. Catch up for those with incomplete or unknown vaccination records.

Answer 16

For the first 6 months of an illness, can only write a note for 3 months at a time. After first 6 months of incapacity, can be issued for any clinically appropriate period, including indefinately,

Answer 17

PRF1 form (patient registration form 1) (used to be GMS1) For temporary resident - use GMS3 form.

Answer 18

Technically no requirement to provide ID when registering with a GP. Also do not need proof of address or proof of immigration status.

Answer 19

If this happens, they have to write to you within 14 days explaining why.

Answer 20

Now all deaths need to be discussed with the coroner service or the medical examiner service locally.

Answer 21

1. To undertake proportionate review of the notes to establish the likely cause of death and to ensure the cause of death proposed by the individual matches with the clinical history and invx which are available. 2. To identify any issues within the system or processes that may have had impact on the death. 3. Provides route for relatives qualified attending practitioners and whistle blowers to have concerns listened to. 4. Improve quality of death certification 5. Improve quality of death data.

Answer 22

Any death due to 1. Poisoning 2. Exposure to toxic substance 3. Use of medicinal product, controlled drug, psychoactive substance 4. Violence, trauma or injury (including falls in elderly). 5. Self-harm 6. Neglect, including self neglect. 7. Person undergoing any treatment or procedure of medical or similar nature 8. Injury or disease attributable to the employment help by the person in their lifetime. Or if 1. Death is unnatural but not fulfilling the above circumstances 2. Cause of death is unknown 3. Person died in custody or state detention. 4. No attending practitioner or attending practitioner is not available within a reasonable time to sign an MCCD. 5. Identity of deceased in unknown. Usually referrals to coroner made via coroner portal online.

Answer 23

refer to medical examiner service Usually involves electronic form including proposed cause of death, reasoning for this, and NOK details. Can either complete MCCD or wait for MES to get back to you first.

Answer 24

Doctor registered with GMC Attended the deceased in their lifetime and if they can propose a cause of death to the best of our knowledge and belief. No longer need to have seen them in last 14 days.

Answer 25

Pre reviewed by medical examiner officer (not doctor, whole job is for medical examiner service). Case then passed to medical examiner (trained independent senior doctor) - part time, in addition to clinical role usually. Medical examiner asks 3 questions. 1. What did the person die of? 2. Does the death need to be referred to the coroner service? 3. Are there clinical governance concerns?

Answer 26

Proportionate review of GP notes and invx over last 3 months. Likely outcome is discussion with GP issuing certificate, ask any questions if required, will discuss with NOK too, opportunity to discuss any concerns they have.

Answer 27

Most done within 24hrs.

Answer 28

Most cases - medical examiner agrees with cause of death and send on completed MCCD to registrar and inform NOK they can now register death. ME may suggest altering MCCD eg different order, correcting spelling etc. occasionally come back that on further review, became clear that referral to coroner is needed and then they will make the referal with the referring clinicians consent.

Answer 29

You dont HAVE to amend it. If disagreement, the local lead medical examiner may be called upon to offer their opinion in addition.

Answer 30

Report these back to 1. Practice for discussion at clinical meeting 2. Community trust 3. Potentially the ICB

Answer 31

They will make preliminary enquiries to decide if postmortem or inquest is needed.

Answer 32

Self certify for 7 days Provide employer with proof if longer than 7 days absence.

Answer 33

Can be done on day of assessment or retrospectively but cannot be prospective. Can now say not fit for work or may be fit for work. During first 6 months of sickness, MED3 can only be for 3 months at a time, after first 6 months can be longer.

Answer 34

Must be off sick for 4 or more days in a row. £94 per week. Paid by employer for 28 weeks. Cannot get less than this amount but some employers will offer more.

Answer 35

You can then apply for universal credit or employment and support allowance.

Answer 36

Eligible if you are under the state pension age and not getting SSP/SMP or JSA (job seekers allowance). It provides financial support if you are unable to work, personalised help so you can work if able to. Two types - contribution based or income based (income based has been replaced by universal credit for most people). To apply, need to fill in ESA113.

Answer 37

13 week work capacity assessment. At end of this, may be deemed fit for work (then eligible for JSA), or some limitations (might be referred to work related activity group), or not expected to work at all (support group - receive highest band of pay). Once assessed for ESA, no more MED3 are needed, unless they have been deemed fit for work but they are appealing this.

Answer 38

66 if born before 1970 (think mum and dad). 67 if born between 1970-1978 68 if born after 1978. This is the age you get state pension.

Answer 39

This is a payment to help with living costs. You may be eligible if low income/out of work/struggling to get by. It replaces child tax benefit, housing benefit, income support, income based JSA, income related ESA and working tax credits (this is why it is called universal). Universal credit is only for people under state pension age.

Answer 40

Help with costs if you have a long term ill-health or disability. The amount you get depends on how the condition affects you, not the condition itself. It replaced DLA (disability living allowance). Need to be working age 16-64. Need to have a condition affecting ADLs, that has lasted for more than 3 months and is expected to last more than 9 months. Needs to have lived in UK for 2 of last 3 years. Have in person assessment. PIP has two parts - daily living and mobility. 1. Daily living - receive money if need help with preparing food, eating, washing, toileting, dressing, reading, communicating, managing medicines, making decisions about money, engaging with other people. 2. Mobility - recieve money if cant walk, can only walk short distance without severe discomfort, could become ill if tried to walk, bo feet, blind/deaf and needs accompanying, needs supervision outdoors for another reason, or severe mental impairment Not means tested.

Answer 41

You can apply for attendance allowance. This helps with extra costs if you have a disability and need someone to help look after you. Disability can be physical or mental. Low or high rate depending on level of supervision needed.

Answer 42

Need to be over 16YO, spend 35hrs per week caring for somebody. This is taxable. Can affect other benefits. The person being cared for must receive attendance allowance or mid high rate PIP. Doesn't matter whether or not you live with the person or if you are related to them.

Answer 43

If prognosis less than 6 months Can apply under special rules for PIP, AA, ESA, UC. Use the SR1 form to do this - it asks for factual information about diagnosis. After successful SR1 application, can carry on claiming up to 3 years, then reviewed.

Answer 44

Need to have been employed for at least 26 weeks in the 66 weeks before the EWC (they do not need to be in a row). Need to provide evidence - MATB1 form. Paid for 39 weeks, starting earliest 11 weeks before EWC, and latest day after babys birth. MATB1 form can only be issued from 20 weeks gestation.

Answer 45

Old age only acceptable if patient more than 80YO Natural causes not acceptable. Organ failure can only be listed as 1a if cause of the organ failure is then 1b. eg Heart failure and MI. Avoid abbreviations.

Answer 46

Crem 4 - completed by doctor looking after them in last illness Crem 5 - completed by independent doctor with GMC registration >5yrs.

Answer 47

PRF1 (patient registration form).

Answer 48

If staying less than 6 months, not meeting criteria. If staying longer than 6 months, entitlement begins on arrival in UK. If British resident on extended holiday or business trip still counts as ordinarily resident therefore entitled to free NHS care. However, if permanently emigrated abroad and ordinarily lives abroad but returns occasionally to take advantage of NHS care - this is not qualifying! Exceptions to this are armed forces, embassy staff and merchant seamen.

Answer 49

No you do not need to register prior to seeing a GP. If you need treatment for more than 14 days you need to register as temporary or permanent resident.

Answer 50

GMS3 form for temporary resident. Up to 3 months. Then apply to permanent resident.

Answer 51

They are regarded as ordinary resident.

Answer 52

Should be acknowledged within 3 working days by writing or phone. Practices should have a complaints manager. Complaints can be made up to 1 year after event. You are obligated to respond to complaints fully and honestlyand apologise where appropriate. this is in reasonable time frame, no set number.

Answer 53

Aged over 60 Aged under 16 or 16-18 if in full time education Listed medical condition and have exemption certificate (cancer, hypothyroidism, diabetes, epilepsy, hypoparathyroidism, myasthenia gravis, continuing disability meaning you cannot go out without help from another). NHS inpatients If you or your partner gets one of the following benefits - income support, JSA, ESA, pension credit, guarantee credit.

Answer 54

Additional benefit given to people over state pension age with a low income. Separate from state pension.

Answer 55

ESA UC PIP Carers allowance Council tax reduction Child benefit.

Answer 56

Pension credit (plus guarantee credit which is top ups based on disability, or caring responsibilities) Winter fuel payment - not means tested Attendance allowance Council tax reduction

Answer 57

Benefit for those with personal care or mobility needs. Largely replaced by PIP for working age people. Still available for children under 16 and some of those over 65 (think phasing this out?)

Answer 58

Provide legal framework to allow some HCP to supply/administer specified medicines to a pre-defined group of patients without them having to see a prescriber, like a doctor or nurse prescriber. Example is routine immunisation programmes.

Answer 59

Not fit to fly - just too risky

Answer 60

2 weeks (NB 4 weeks for driving)

Answer 61

5 days (7 days for driving).

Answer 62

2 weeks after drainage (need CXR 1 week after drainage to ensure lung fully re expanded).

Answer 63

Need to wait 24hrs after the cast being put on to fly (if flight less than 2 hrs) or 48hrs if flight longer than 2 hours. may get cast split beforehand to reduce swelling.

Answer 64

Not after 36 weeks gestation or 32 weeks if twin pregnancy

Answer 65

Once it has been registered with the office of the public guardian.

Management - done Flashcards

(95 cards)