Role of the department of health ?
Responsible for strategic leadership and funding of both health and social care in England
What is meant by a ministerial department ?
Ran by the government
Roles of NHS England ?
- provides national leadership for improving outcomes
- overseas operation of CCGs
- allocates resources to CCGs
- commissions primary care and specialist services
Who are responsible for planning and commissioning of healthcare services in their local area ?
CCGs
Who do CCG members include ?
- GPs
- nurses
- consultants
What % of the NHS budget are CCGs responsible for ?
60%
What secondary care services are commissioned by CCGs?
(Most of it)
planned hospital care
- rehab care
- urgent and emergency care
- most community health services
- mental health and learning disabilities
- can commission anything that meets NHS standards and costs e.g. NHS hospitals, social enterprise etc.. But must meet NICE and CQC standards
Whose job is it to strengthen work relationships between health and social care ?
Health and wellbeing boards
What organisations builds an evidence base to support local public health services and supports the public to make healthier choices?
Public health England
What is QOF?
Quality and framework outcome: awards surgeries for:
- management of chronic disease e.g. Asthma, COPD
- implementing preventative measures e.g. BP checks
- the extra services offered e.g. Child and maternity services
- the quality and productivity of the service, including avoidance of emergency admissions to hospital
- compliance with minimum time a GP should spend with each patient at each appointment
What training/qualification a required to become a practice nurse?
3 years nurse training to achieve either diploma or degree
What qualification is required to be a HCA ?
National qualifications and credit framework (NCF) Level 2/3 in healthcare services
Roles of the practice manager in primary care ?
Mainly finance based: revolve monthly QOF /PMS budget
- hitting deprivation pockets
- patient list size
- rent for services of premises
Who must GPs be registered with ?
- GMC
- indemnity body
- royal college of GPs (if GP trainer)
What does it mean to be a GP partner ?
- more managerial role
- financial interest
What do community nurses do ?
Care in the community e.g.:
- insulin for diabetics
- wound care
- catheter
- liaise with other Heath care professionals
- venepuncture
- syringe drivers (palliative care)
- medicines admin
- chronic disease management
- ear irritations
Who do community nurses most closely liaise with ?
- social services
- physio
- OT
- community matron
- specialist nurses/hospice
- GP
Who do community nurses report to ?
District nursing sister
What training do community staff nurses require?
- qualified staff nurse can transfer
- must do continued development of knowledge
What do practice nurses do ?
- management of chronic disease
- travel vaccinations
- baby immunisations
- health promotion
- wound and ear care
Can practice nurses prescribe ?
Only if nurse prescribers (6 month course)
- within spheres of competency which are registered with CCG and their practice
Which member of the primary care team sees undifferentiated diagnoses ?
Practice practitioner (rather than practice nurse)
How are practice nurses usually trained ?
Once employed by GP (nurse training 3 years at uni or diploma)
What do HCAs do ?
- venepuncture
- BP
- assist in minor surgery
- weight management
