4. Care at home > Medical care

Medical care

2) The role of the community care team

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Your GP’s role includes:

  • Information, advice and treatment options for stroke and associated medical conditions.
  • Advice about medication and repeat prescriptions 
  • Referral to specialist hospital or community care services
  • Referral to other agencies such as social work, out patients, voluntary organisations
  • Advice about access to local NHS services
  • Health screening, advice about lifestyle to reduce risk of stroke
  • Coordination with other health services
  • Health checks for long term conditions and enabling patients to manage their long term condition in partnership with medical and other care workers.
  • Arrange respite care so carer can have a break
  • Reports for benefits, housing needs etc.

Nurse practitioners are becoming more common in larger practices. They have additional training and responsibilities.

  • Assisting the GP with minor surgical procedures
  • Immunisations such as flu jabs
  • Advice and support for patients and carers
  • Health screening for example weight checks.
  • Health promotion for example help to stop smoking
  • Nurse led clinics for diabetics, asthma or long term conditions
  • Issue of some prescriptions for certain medicines, disposable items and equipment
  • Some blood tests
  • Routine procedures such as wound dressings, blood pressure monitoring
  • Working and coordinating services with other health professionals

District or community nurses mainly visit patients at home. They can be assisted by care assistants who may visit to assist with tasks which need two workers. Their role includes:

  • Support at home for the patient and carer
  • Treatments such as wound dressings, injections, health monitoring
  • Practical advice on aspects of health care at home such as diet, lifestyle, what medication is for
  • Arranging equipment such as commodes, beds, hoists
  • Arranging for disposable items such as incontinence pads
  • Support for patient and carer after hospital discharge
  • Assist in coordinating care needs and ensuring equality of health care for vulnerable people
  • Support for frail elderly and their carers to live healthy lives at home for as long as possible
  • Advice on moving and handling at home
  • End of life or palliative care for people who have a terminal illness

Role of the Health Visitor:

  • Prevention of illness
  • Health education and promotion of healthy lifestyle
  • Support for patient and carer
  • Promotion of health by group work , alcohol awareness for example

Allied Health Professionals

Some larger practices now have access to:

  • Physiotherapy
  • Occupational Therapy
  • Dietetics
  • Speech and Language Therapy
  • Pharmacy
  • Chiropody/Podiatry

In smaller practices these allied health professionals may be linked to the local community hospital or health clinic by direct referral from your GP or Nurse Practitioner.

Some AHP’s offer community rehabilitation for stroke patients following discharge home. For more information see topic 2 The Hospital team – Intermediate care.

Administration and support staff
Practice Manager

  • In charge of the day to day organisation and management of the practice
  • Training staff from administration and clerical areas
  • Coordinates between the practise and local health authority
  • Manages the practice expenses

Receptionists

  • Book appointments
  • Send letters
  • Answer enquiries

Clerical staff

  • Manage storage of case notes
  • Computer records
  • Supplies ordering

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Your GP’s role includes:

  • Information, advice and treatment options for stroke and associated medical conditions.
  • Advice about medication and repeat prescriptions 
  • Referral to specialist hospital or community care services
  • Referral to other agencies such as social work, out patients, voluntary organisations
  • Advice about access to local NHS services
  • Health screening, advice about lifestyle to reduce risk of stroke
  • Coordination with other health services
  • Health checks for long term conditions and enabling patients to manage their long term condition in partnership with medical and other care workers.
  • Arrange respite care so carer can have a break
  • Reports for benefits, housing needs etc.

Nurse practitioners are becoming more common in larger practices. They have additional training and responsibilities.

  • Assisting the GP with minor surgical procedures
  • Immunisations such as flu jabs
  • Advice and support for patients and carers
  • Health screening for example weight checks.
  • Health promotion for example help to stop smoking
  • Nurse led clinics for diabetics, asthma or long term conditions
  • Issue of some prescriptions for certain medicines, disposable items and equipment
  • Some blood tests
  • Routine procedures such as wound dressings, blood pressure monitoring
  • Working and coordinating services with other health professionals

District or community nurses mainly visit patients at home. They can be assisted by care assistants who may visit to assist with tasks which need two workers. Their role includes:

  • Support at home for the patient and carer
  • Treatments such as wound dressings, injections, health monitoring
  • Practical advice on aspects of health care at home such as diet, lifestyle, what medication is for
  • Arranging equipment such as commodes, beds, hoists
  • Arranging for disposable items such as incontinence pads
  • Support for patient and carer after hospital discharge
  • Assist in coordinating care needs and ensuring equality of health care for vulnerable people
  • Support for frail elderly and their carers to live healthy lives at home for as long as possible
  • Advice on moving and handling at home
  • End of life or palliative care for people who have a terminal illness

Role of the Health Visitor:

  • Prevention of illness
  • Health education and promotion of healthy lifestyle
  • Support for patient and carer
  • Promotion of health by group work , alcohol awareness for example

Allied Health Professionals

Some larger practices now have access to:

  • Physiotherapy
  • Occupational Therapy
  • Dietetics
  • Speech and Language Therapy
  • Pharmacy
  • Chiropody/Podiatry

In smaller practices these allied health professionals may be linked to the local community hospital or health clinic by direct referral from your GP or Nurse Practitioner.

Some AHP’s offer community rehabilitation for stroke patients following discharge home. For more information see topic 2 The Hospital team – Intermediate care.

Administration and support staff
Practice Manager

  • in charge of the day to day organisation and management of the practice
  • Training staff from administration and clerical areas
  • Coordinates between the practice and local health authority
  • Manages the practice expenses

Receptionists

  • book appointments
  • send letters
  • answer enquiries

Clerical staff

  • manage storage of case notes
  • computer records
  • supplies ordering

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