Administration AKT

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1

Statement of tness to work

DVLA Cardiovascular:
Elective angioplasty
CABG
ACS
Angina
Pacemaker insertion
ICD
Catheter ablation of arrythmia
Aortic aneurysm
Heart transplant
Palpitations
Treatment eligibility

Cannot be issued for more than 3 months in the rst 6 months of a

n illness.

Elective angioplasty - 1 week o driving

CABG - 4 weeks o driving
ACS - 4 weeks o driving - if treated with angioplasty - 1 week
Angina - can't drive if symptoms happen driving
Pacemaker insertion - 1 week o driving
ICD - treatment 6 months o, prophylactic 1 month
Catheter ablation of arrythmia - 2 days o
Aortic aneurysm - if > 6cm - 6 monthly r/v, if > 6.5 cm - stop drivin
g
Heart transplant - no restrictions
Primary
care- drive
- free when
if resident
6 months.
Palpitations
causefor
is >
identied
and controlled for 4 wee
Secondary
care
following
is
free
regardless
- contraception, A&E,
ks.
compulsory psychiatric treatment, treatment of certain infectious di
seases - HIV, TB, malaria, meningitis.

General Medical Services Contract

Contract between general practices and NHS England for delivering

primary care services to local communities

Consent: children

England + Wales - child (<16 years) has ability to consent but not r
efuse treatment - if they do a person with parental responsibility/co
urt may authorise treatment if in the child's best interests

Condential Enquiry

A condential enquiry is an investigation into morbidity and mortalit

y in order to identify shortcomings in practice that can be improved
. It is condential in that details of each individual case are not publ
ished.

Calgary-Cambridge

Stewart

Initiating the session

Gathering information
Building the relationship
Giving information, explaining and planning
Closing the session

Exploring both the disease and the illness experience

Understanding the whole person
Finding common ground
Incorporating prevention and health promotion
Enhancing the doctor-patient relationship
Being realistic (with time and resources)

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Pendleton

Fraser

Ideas, concerns and expectations

Consider other problems
With the patient, choose an appropriate action for each problem
Achieve a shared understanding of the problems with the patient
Involve the patient in the management and encourage him/her to a
ccept appropriate responsibility
Use time and resources appropriately
Establish or maintain a relationship with the patient which helps to a
chieve the other tasks
Interviewing and history-taking
Physical examination
Diagnosis and problem-solving
Patient management
Relating to patients
Anticipatory care
Record keeping

Neighbour

Connecting
Summarising
Handing over
Safety netting
Housekeeping

Tuskett

The consultation is a meeting between two experts

Doctors are experts in medicine
Patients are experts in their own illnesses
Shared understanding is the aim
Doctors should seek to understand the patient's beliefs
Doctors should address explanations in terms of the patient's belief
system

Stott and Davis

Management of presenting problems

Management of continuing problems
Modication of help-seeking behaviour
Opportunistic health promotion

Income support

Aged 16-59 years, on low income, working less than 16 hours per w
eek and not receiving Job Seekers Allowance

Job Seekers Allowance

From 18 years old to state pension age. Claimants must be capable

of working and agree to actively seek work

Personal Independence Payment

It is a tax-free benet for adults aged 16-64 years who need help w
ith personal care or have walking diculties because they are physi
cally or mentally disabled. For children there is still the 'DLA for chil
dren'
Condition happening for at least 3 months and expect to last 9 mon
ths
Daily living and mobility component

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Statutory Sick Pay

Employment and Support Allowance

For employees unable to work due to illness. Unable to work for >
4 days in a row. Paid up to a maximum of 28 weeks
Need to earn >= 112 (before tax) per week

Claimable by those not entitled to Statutory Sick Pay (SSP), for exa
mple self-employed, or when SSP has ended

Drugs that should be prescribed by brand

Modied release calcium channel blockers

Antiepileptics
Ciclosporin and tacrolimus
Mesalazine
Lithium
Aminophylline and theophylline
Methylphenidate
CFC-free formulations of beclometasone dry powder inhaler devices

Free Prescriptions

Children (< 16 years old)

Aged 16, 17 or 18 and in full-time education
Elderly (aged 60 or over)
If the patient or their partner receives: income support or jobseeke
r's allowance
If the patient has a prescription exemption certicate

Prescription Exemption Certicate

Bereavement Allowance

Hypoparathyroidism
Hypoadrenalism for which specic substitution therapy is essential (
e.g. Addison's Disease)
Diabetes insipidus and other forms of hypopituitarism
Diabetes mellitus except where treatment is by diet alone
Myasthenia gravis
Hypothyroidism requiring thyroid hormone replacement
Epilepsy requiring continuous anti-convulsive therapy
A permanent stula requiring continuous surgical dressing or requir
ing an appliance
Undergoing
treatment
cancer
Taxable weekly
benetfor
paid
to the spouse for up to 52 weeks from t
he date of death, if the surviving partner is 45 years or older and l
ess than the state pension age

Bereavement Payment

Lump sum given to spouse if they are under the state pension age
when their partner diedDepends on national insurance contributions
Not payable to divorcees

DVLA - Neurological:
First seizure
Established epilepsy
Stroke or TIA
Multiple TIAs
Craniotomy
Narcolepsy/cataplexy
Multiple sclerosis, motor neuron disease
Syncope

First seizure - 6 months if fully invesitgated

Established epilepsy - 1 year past last t.
Stroke or TIA - 1 month
Multiple TIAs - 3 months
Craniotomy - 1 year
Narcolepsy/cataplexy - stop driving
Multiple sclerosis, motor neuron disease - assessment
Syncope - 1 episode treated + explained - 4 weeks, 1 episode unex
plained - 6 months, >= 2 episodes - 12 months

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Attendance Allowance

Carr-Hill Formula

Insulin and HGV License

Diabetes and driving

Caldicott Guardian

Benet paid to those > 65 years for personal care due to a physical
or mental disability.

Used to adjust the global sum that a GP practice receives by a num

ber of local demographic factors:
Age and sex
Nursing and residential home patients
List turnover - number of new registrations
Sta market forces factor
Rurality
London weighting
Standardised
for hypoglycaemic
those < 65 years
There
has notmortality
been anyratio
severe
event in the previou
s 12 months
The driver has full hypoglycaemic awarenessThe driver must show
adequate control of the condition by regular blood glucose monitori
ng*, at least twice daily and at times relevant to driving
The driver must demonstrate an understanding of the risks of hypo
glycaemia
There are no other debarring complications of diabetes
Diet control - no need to notify DVLA
Oral hypoglycaemics - only inform DVLA if on tablets that cause hy
poglycaemia - sulphonylureas - then need to have =< 1 episode in l
ast 12 months
Insulin - =< 1 episode of hypoglycaemia in 12 months, hypoglycae
mic awareness, no relevant visual impairment

Member of sta with responsibility to ensure that patient data is ke

pt secure

Schedule 1 Drugs

Cannabis
Lysergide (LSD)

Schedule 2 Drugs

Diamorphine
Morphine
Pethidine
Amphetamine
Cocaine

Schedule 3 Drugs

Barbiturates
Buprenorphine
Midazolam
Temazepam - controlled drug writing not required

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Schedule 4 Drugs

Benzodiazepines
Zolpidem
HCG
Androgenic and anabolic steroids
Somatropin

DA S28

Measure of disease activity in rheumatoid arthritis

SCOFF

Questionnaire to detect eating disorders and guide treatment

Waterlow Score

Assesses risk of patient getting a bed sore

Ranson Criteria

Acute pancreatitis

Epworth Scale

Assessment of suspected sleep apnoea

Prevention Paradox

Intervention eectively reduced the incidence of a disease on the p

opulation level, but the benets to most participating individuals is
small.