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Chapter 15
Index
| ABPI see Association of the British
Pharmaceutical Industry
accident and emergency (A&E) 66, 85, 86, 107, 132 action learning sets 30, 31, 43, 45 action plans evaluation 119 general practice teams 46, 49–51 patient pathways 127, 138, 148, 151, 154, 157, 161 PCTs 31, 32, 34, 38 strategy and action plan (Tool 2) 32, 36, 46, 176–80 acupuncture 73, 74, 101, 103, 112, 143 Addison’s disease 68 advanced services 81, 87, 89, 95 A&E see accident and emergency Agenda for Change 69 AHPs see allied health professionals alcohol 9, 103, 104 algorithms general practice teams 44, 45, 50 long term conditions 23 patient pathways 143, 161, 166 PCTs 33 pharmacy teams 81 self care guides 21 allergies 104, 157, 165, 204 allied health professionals (AHPs) xi, 32, 45, 53 antibiotics cough and colds 159, 161, 162, 166–8 educational interventions 18, 21 self-limiting problems 84 sore throat 126, 128, 129, 133, 134–5 anticoagulant therapy 23, 38, 99 antidepressants 76, 145 anxiety 25, 142 appraisal 36, 47, 69, 120–1, 201, 213, 218 arthritis 19, 20, 23, 74, 91, 104 aspirin 97, 152 assistive technologies 24 Association of the British Pharmaceutical Industry (ABPI) 107 asthma cough and colds 164, 165, 167 blame 11, 114, 205 Blantyre/North Hamilton SIP 91 blood pressure educational interventions 19 long term conditions 23, 87, 90 overview of self care 10, 25 patient’s perspective 68, 102, 108, 109 pharmacy teams 82, 87, 90, 91–4 body mass index (BMI) 87, 90, 92 Boots pharmacies 89, 92–3 British Medical Association 105 British Thoracic Society 148 bronchitis 167 Building on the Best 5 Burnley PCT 106–7 CAM see complementary and alternative medicine cancer 94, 104, 144, 167 care plans 9, 154–7 carers 4, 48–9, 104, 109, 127, 130, 141 CBT see cognitive behavioural therapy Centor scores 133, 134 change cycle of change 65 force-field analysis 173 general practice teams 50, 52 moving through change (Tool 14) 40, 50, 211–12 moving to self care culture 114–17 PCTs 40 PDSA 188, 189 SWOT analysis 181 Chartered Society of Physiotherapy 104, 110 CHD see coronary heart disease CHIC see Consumer Health Information Centre children back pain 144 cough and colds 159–61, 165–8 educational interventions 18 health and social services 9 PART model 17 patient’s perspective 105 sore throat 131, 132, 134 chiropractors 103, 111, 143 chloramphenicol 85, 97 cholesterol 87, 90 compliance 15, 17, 32, 61, 89, 97, 199 concordance 59, 61–2, 148, 150, 199 confidentiality 24, 57, 108, 128 conjunctivitis 84, 85, 138 Connexions 110, 111 conscious (in)competence 72 consultations consultation content scale 41, 51, 55, 223–5 consulting style scale 41, 51, 55, 226–8 rates 18–19, 107, 140, 150, 163, 166 self care aware consulting style 41, 51, 60, 229–33 Consumer Health Information Centre (CHIC) 104, 105 contraception 65, 66, 76, 86, 97 COPD see chronic obstructive pulmonary disease coronary heart disease (CHD) 7, 82, 89, 91, 96 cough asthma 89, 152 evaluation 118 minor ailment scheme 84, 86, 138 overview of self care 5, 7 patient pathway case study 159–64 self care 165–8 pharmacists 84, 86, 89, 138 sore throat 131 cultural diversity 54, 56, 58, 67, 109–10 DAFNE (Dose Adjustment For Normal Eating) 21, 234 decision making 53, 59, 60–3, 108 ‘delayed’ prescriptions 134, 168 Delivering Choosing Health 6 denial 103, 114 dentists xi, 31, 34, 46, 57, 92, 107 Department of Health (DH) 5–6, 11–12, 86, 89, 96, 234 depression 10, 20, 25, 107, 109, 142 DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) 21, 234 Developing Patient Partnerships (DPP) 21, 104, 107, 110, 234 DH see Department of Health diabetes cough and colds 167 emergency care enabling self care 60, 66 general practice teams 50 PART model 17 patient pathways 132, 150, 154, 166 PCTs 31 pharmacy teams 85, 86 emergency hormonal contraception (EHC) 65, 66, 86, 97 EMIS (Electronic Medical Information Service) 93 empowerment 10–12, 20–1, 60–1, 174 enhanced services 38, 81, 84, 87, 92, 95, 98 epiglottitis 132 EPP see Expert Patients Programme Epstein–Barr virus (EBV) 133 Erewash PCT xii, 7, 21, 24, 98 essential services developing pharmacy team 94–6 long term conditions 86–90 minor ailment scheme 84–6 overview 81–2 pharmacy contract 81 public health 90–4 self-limiting problems 82–4 signposting 93–4 training needs analysis 200 ethnicity 106, 108, 109–10, 119 evaluation 36, 41, 51, 115, 118–22 exercise asthma 152 back pain 136, 143, 144, 145 cough and colds 167 educational interventions 20 enabling self care 56, 58, 64 exercise on prescription 38 health and social services 9 health inequalities 8 long term conditions 22, 90 patient’s perspective 102–4, 110 pharmacy support 90–3 sore throat 127 The Expert Patient 5 Expert Patients Programme (EPP) overview of self care 5, 8, 9, 19, 23 patient’s perspective 102, 106 PCTs 31, 38 signposting 93 website 234 eye contact 55, 56 developing trust 57 educational interventions 18, 19 evaluation 122 general practice teams 43, 47, 48 long term conditions 23, 89 overview of self care 3–5, 7, 10–11, 14, 53 patient’s perspective 107, 108 PCTs 40 pharmacy support 83, 85–6, 89–90, 93, 98 signposting 65, 66 sore throat 125–31, 134 workload assessment xi, 76, 206, 209 group A beta-haemolytic streptococcus (GABHS) 133, 134 haemoglobin A1c (HbA1c) 87, 90 harm 11, 19, 68, 74, 75 Harrow PCT 92 hay fever 5, 7, 84, 85, 89 HbA1c see haemoglobin A1c HDL (high density lipoprotein) 90 head lice 84, 86 headache 19, 84, 112 health educational interventions 20 inequalities 8–9, 12, 34, 106, 119 overview of self care 3, 4–6, 10–12 workplace 110 Health and Safety Executive 153 health care assistants general practice teams 43, 48 patient pathways 127–8, 138–9, 148–9, 151 workload assessment xi, 76 Healthcare Commission 57, 92 health care pyramid 14 Health Development Agency 10 health education 9–11, 18–20 Health First 101 health inequalities 8–9, 12, 34, 106, 119 Health on Net 68 health professionals being competent 70–4 communicating risk 74–6 consultation content scale 223 definition of self care 14 enabling self care communication style 54–6 ibuprofen 73, 136, 143, 168 IMPACT programme 84 impetigo 85, 134 inequalities 8–9, 12, 34, 106, 119 inflammatory bowel disease 20 influenza 18, 19, 153, 165, 166 information decision making 62–3 educational interventions 18–20 effective use 66–9 health professionals 53–4, 58, 62–3, 66–9 NHS policy 6 patient’s perspective 103, 107–8 personal development plans 69 pharmacy teams 83, 84 reliability 58, 107–8 self care guides 21 self-limiting problems 83, 84 infrastructure and resource matrix (Tool 8) 34, 38, 46, 50, 194–6 inhalers 60, 89, 146–8, 152, 154–6 international normalised ratio (INR) 23 internet back pain 139 health professionals 58, 66, 68, 73, 74 NHS Direct Online 21, 68, 94, 107, 235 overview of self care 4, 18, 21, 24 patient’s perspective 104–7 pharmacy teams 93 useful resources 234–5 Joining Up Self Care xii, 21, 40, 41, 50, 157 Kaiser Permanente 22 KISS (keep it simple and short) 117 Knowledge and Skills Framework (KSF) 69 Lab Tests Online UK 234 Lambeth PCT 98, 190 language audit 197 communication style 54–5 effective information 67, 68 health professionals 54–5, 67, 68 overview of self care 8, 9, 23 reliable information 107 The Lazy Exercise Guide for Busy People 104 LDL (low density lipoprotein) 90 LDPs (local delivery plans) 31, 99 educational interventions 20 enabling self care 56, 59, 60 patient’s perspective 101, 104, 105 pharmacy teams 86, 97 MeRec Bulletin 134 midwives 49, 68, 138, 143 MIND 104 minor ailment scheme (MAS) future of NHS 5 PCTs 31, 38 pharmacy teams 84–6, 96 sore throat 128, 130, 135 minor ailments overview of self care 5, 7, 17 patient pathways 128, 130, 135, 163 patient’s perspective 102, 104, 105, 108 PCTs 31, 38 pharmacy teams 81–6, 95–6 minority groups 23, 34, 106, 110 monitoring 41, 51, 89–90, 115, 117–18 motivation enhancing 63–5 force-field analysis 174 general practice teams 49 health professionals 53, 55, 63–5 managing change 115 patient’s perspective 101, 103, 105, 106, 109–10 moving through change (Tool 14) 40, 50, 211–12 MUR see medicines use review MyPil 68 National electronic Library for Health 234 National Health Service see NHS National Heart Lung and Blood Institute 148, 153 National Library for Health 234 National Patient Safety Agency (NPSA) 11 National Pharmacy Association (NPA) 96, 105 National Programme for Information Technology 68 National Service Frameworks (NSFs) 22, 188 nebulisers 24, 152 neuro-lingustic programming (NLP) 64 Newcastle-under-Lyme PCT 93 Next Moves 111 nGMS (new GMS contract) 85 orlistat (Xenical) 92 orthopaedic services 140, 141 osteoarthritis 23, 74 osteopaths 111, 143 OTC see over-the-counter medicines otitis media 133, 134, 167, 168 Our Health, Our Care, Our Say 6 out of hours (OOH) care 31, 85, 86 outpatient care 10, 23, 107 over-the-counter (OTC) medicines communicating risk 75, 76 complementary medicine 102 enabling patients to self care 53, 65–6 evaluation 121 overview of self care 4, 5, 11 patient pathways 128, 138 pharmacy teams 82, 83, 85–7, 98 significant event audit 204 P (pharmacy medicines) 65, 97 PAGB (Proprietary Association of Great Britain) 235 paracetamol 73, 125, 131, 137, 143–4, 159, 168 Parkinson’s disease 19 PART model (prevention, await resolution, relief of symptoms, toleration of symptoms) asthma 147, 150, 153–4 back pain 137, 140, 142–3 components of self care 16, 17 cough and colds 160, 163, 164, 166–7 general practice teams 49, 50 PCTs 38 pharmacy teams 83 sore throat 126, 129, 131–2 workload assessment (Tool 13) 38, 41, 49, 50, 84, 206–10 patient group directions (PGDs) 85, 86, 92 Patient Information Publications (PiP) 93 patient medication records (PMRs) 94 patient pathways asthma 146–57 back pain 136–45 cough and colds 159–68 general practice teams 49–50 overview 123 PART model 17 sore throat 125–35 overview of self care 4–5, 7–8, 10, 14, 17, 21 patient’s perspective 107, 108 PCTs 31, 32, 34, 36, 38 sore throat 125, 127–31 supporting self care developing team 94–6, 99–100 long term conditions 86–90 minor ailment scheme 84–6 overview 53, 81–2, 99–100 pharmacy contract 81 public health 90–4 quality and audit 97–8 self-limiting problems 82–4 signposting 66, 93–4 teamwork 24, 81, 95–6, 99–100, 108 workload xi Pharmacy Alliance 87, 89 Pharmacy First 7, 24 pharmacy medicines (P) 65, 97 physiotherapy 43, 49, 104, 138–41, 143, 148–9 Pilgrim Projects 235 PiP (Patient Information Publications) 93 placebo effect 112 Plain English Campaign 68 plan, do, study, act see PDSA PLIs see prescription-linked interventions PMRs (patient medication records) 94 pneumonia 166, 167 POM see prescription only medicines portfolios 69–70, 72, 74, 213 PR see public relations practice managers general practice teams 43, 48 patient pathways 127–8, 138–41, 148–9, 151, 161–2, 164 practice nurses asthma 148, 149, 151 back pain 138 cough and colds 161, 164 enabling self care 58, 59–60 general practice teams 48 overview of self care 14 sore throat 126–7, 129–30 prednisolone 152, 156 prescription-linked interventions (PLIs) 91–3, 95, 96 prescription only medicines (POM) 65, 83, 85, 92, 97–8 rapport 54, 55, 57, 63 re-framing 64, 103 reception staff general practice teams 43, 48 patient pathways 126–30, 138–9, 141, 148–9, 151, 161, 164 training 36 record keeping 82–3, 91, 93, 94, 96 ‘red flags’ 17, 132, 144 reduce time pressures (Tool 16) 40, 51, 215–16 referrals 17, 25, 82–3, 85, 93–4, 141 religion 103, 110, 119, 122 repeat prescriptions 99, 148 resource mapping 34–5, 46 see also infrastructure and resource matrix rheumatic fever 133, 134 rhinitis 133, 157, 165 risk communicating 74–6 educational interventions 21 effective information 68 overview of self care 8, 11, 14, 19, 25 PCTs 31 Royal College of Physicians 89 Royal National Institute of the Blind (RNIB) 68 Royal Pharmaceutical Society of Great Britain (RPSGB) 97, 105 Rugby PCT 93 safety 11, 31, 69, 83, 120–2, 207 salbutamol 152 scarlet fever 133, 134 schools xii, 9, 32, 92, 134, 143, 165 sciatica 142 Scottish Intercollegiate Guidelines Network (SIGN) 127, 134, 148, 157 secondary care 25, 31, 140, 144, 150 Securing our Future Health 5 self-assessment 18, 21, 217, 218–20 Self Care – a real choice 6 self care definitions vii, 14, 102 evaluation 118–22 managing change 114–17 practice and impact affordability 25 assistive technologies 24 components 16–18 social services 9, 11, 31, 38, 86 SOPs see standard operating procedures sore throat complementary medicine 102 cough and colds 165, 166 educational interventions 19 evaluation 118 PART model 17 patient pathway case study 125–30 self care 131–5 pharmacy support 84, 86 Southwark PCT 98, 190 spacers 146, 152 spondylitis 142, 144 St John’s wort 76 standard operating procedures (SOPs) 94, 95 StaRNeT website assessment tool (SWAT) 68 steroids 152, 154, 156 Stop Smoking services 91–2, 104 strategy 30–2, 39, 43, 46, 118–20 strategy and action plan (Tool 2) 32, 36, 46, 176–80 stress 59, 77–8, 91, 142 sunburn 104, 133 support networks enabling self care 54, 58–9, 66–8 overview of self care 3, 9, 22, 24 patient’s perspective 104, 108 personal support mapping (Tool 18) 41, 51, 78, 221–2 time management 77, 78 Supporting People with Long Term Conditions to Self Care 6 Sure Start 17, 24 SWAT (StaRNeT website assessment tool) 68 SWOT analysis (strengths, weaknesses, opportunities, threats) (Tool 3) 32, 35, 38, 46, 50, 181–2 Tate, P 223 Taunton Deane PCT 85 team function checklist (Tool 11) 38, 40, 47, 51, 202–3 teamwork asthma 147–8, 151 back pain 137, 141 training audit 197, 198 evaluation 119–21 general practice teams 43, 45, 46–7 health professionals 54, 60, 65, 69 overview of self care 3, 5–9, 11 PCTs 30–1, 32, 35–7, 40, 41 pharmacy teams 94, 96, 98 WiPP xi, xii training needs analysis (Tool 10) 36, 40, 46–7, 51, 69, 95, 200–1 triage 11, 83, 86, 162, 206 trust 9, 53, 56–8, 101, 108 TV services 69, 107, 234 ulcerative colitis 21, 23 unconscious (in)competence 72 unemployment 61, 110–11 ‘Up for it?’ programme 91 upper respiratory tract infection (URTI) 152, 157, 166 urinary tract infection 85 videos 18, 138, 225, 229, 231 viruses 133, 165, 167 vitamin C 167, 168 voluntary groups 3, 20, 31, 34, 46, 106 walk-in centres (WICs) 83, 86 |
educational interventions 21 evaluation 118, 122 long term conditions 22, 87–9 overview of self care 7, 8 PART model 16–17 patient pathway case study 146–51 self care 152–7 patient’s perspective 59–60, 104, 108 pharmacy teams 87–9 audiotapes 18, 225, 229, 231 audit (Tool 9) see also significant event audit evaluation 122 general practice teams 46, 51 overview 197–9 patient pathways 134, 164 PCTs 35, 41 pharmacy teams 83, 91, 93, 96–8 autonomy 9, 18, 59, 61, 157 The Back Book 138, 139, 143 back pain competence 72–4 complementary medicine 112 educational interventions 19 evaluation 118 minor ailment scheme 84, 138 PART model 17, 142–3 patient pathway case study 136–41 self care 142–5 pharmacy teams 84, 138 work 110 barriers change 115, 116, 189 general practice teams 46, 49, 50, 52 PCTs 32, 40 personal support mapping 221, 222 support groups 108 Belbin, RM 47 benzodiazepines 145 BestTreatments 21, 68, 94, 234 beta blockers 152 Beth Johnson Foundation 20 Better Information, Better Choices, Better Health 6 chronic obstructive pulmonary disease (COPD) 87, 148, 152, 167 Clinical Evidence 21, 143, 145, 234 clinical governance 31, 49, 96, 97 Cochrane Collaboration 111, 134, 168 codeine 137, 138, 144 cognitive behavioural therapy (CBT) 20, 59, 60, 145 colds asthma 89, 153 educational interventions 18, 19 minor ailment scheme 84, 138 overview of self care 5, 7 PART model 153, 166–7 patient pathway case study 159–64 self care 165–8 sore throat 125, 131 communication audit 197 health professionals 53, 54–6, 57, 69 infrastructure and resource matrix 195 overview of self care 6, 8 PCTs 32 risk and safety 11 teams 47, 202 community pharmacists contract 81, 96, 98 evaluation 121 general practice teams 43, 45, 49 long term conditions 86–9 minor ailment scheme 84–6 patient pathways 128, 130, 138, 141, 149, 162, 164 prescription linked interventions 91, 92 quality and audit 97, 98 self-limiting problems 82, 83 signposting 66 teamwork 24, 81, 96, 99–100, 108 competence 53–4, 62, 69–74 complementary and alternative (CAM) medicine back pain 73, 74 cough and colds 167 health professionals 56, 73, 74, 76 patient’s perspective 56, 101, 102, 104, 111–12 pharmacy teams 96 promoting wellbeing 11 risk and safety 76 DESMOND 21, 234 educational interventions 19–21 long term conditions 22, 23, 87, 89 patient’s perspective 104–5, 107–9 pharmacy teams 24, 82, 87, 89, 91–2, 96 promoting self care 10, 25 reliable information 58, 68 risks 75 diarrhoea 17, 84, 86, 160, 165 diet cough and colds 167 educational interventions 21 enabling patients to self care 56, 58, 59 health and social services 9 health inequalities 8 patient’s perspective 102, 103, 105, 109 pharmacists 90–3 digital TV 69, 107, 234 DiPEx (Directory of Patient Experience) 94, 234 disability 61, 110, 143 DISCERN 67, 234 district nurses 32, 92, 138–9, 141, 143, 148–9 doctors see GPs Dose Adjustment For Normal Eating see DAFNE DPP see Developing Patient Partnerships Dr Foster 104 drug misuse 9, 104 earache 18, 19, 84, 86 echinacea 167, 168 education asthma 157 educational interventions 18–21 general practice teams 46–7 health inequalities 8, 9 health professionals 58, 61, 69, 70 long term conditions 22 overview of self care 9–11, 17, 25 patient’s perspective 58, 61, 105, 108 PCTs 35–7, 40 personal development plans 69, 70 EHC see emergency hormonal contraception elderly patients 10, 20, 99, 108 Electronic Medical Information Service (EMIS) 93 Family Doctor Books 105, 234 feedback audit 198 change 65, 117 consulting style 231 education and training 36 health professionals 55, 63, 64, 65, 108 patient pathways 140, 150, 163 teamwork 202 FEV1 (forced expiratory volume in 1 second) 152 FIT magazine 104 focus groups 101, 102 force-field analysis (Tool 1) 32, 45–6, 173–5 framing risk 76 Fylde Coast Medical Services (FCMS) 86 GABHS see group A beta-haemolytic streptococcus Gantt chart (Tool 7) 34, 46, 119, 191–3 gap analysis (Tool 5) 34, 38, 46, 50, 186–7 General Medical Services (GMS) contract xi, 85 general practice teams see also GPs; health professionals competence 69 evaluation 120, 121 long term conditions 23 meaning of self care 4, 7 PCTs 32, 34, 38 risk and safety 11 supporting self care stage 1: developing vision 43–9 stage 2: choosing interventions 49–50 stage 3: keeping going 50–1 stage 4: monitoring and evaluation 51–2 workload assessment xi, 206–10 general practitioners see GPs glandular fever 133, 134 glucosamine 73, 74 GMS (General Medical Services) contract xi, 85 GPs (general practitioners) asthma 89, 122, 148–52 back pain 136–43 communicating risk 75 cough and colds 159–64, 166 developing trust 56–8 effective information 66–9 encouraging skills 58–60 enhancing motivation 63–5 overview 53–4 providing reliable information 58 sharing decision making 60–3 patient’s perspective 108 personal development plans 69–70 time management 76–8 health promotion enabling self care 59 health and social services 9 long term conditions 22, 87 overview of self care 11, 15 PCTs 38 pharmacy teams 84, 87, 97 sore throat 127 HealthSpace 68 health visitors back pain 138–9, 141, 143 cough and colds 160–2, 164 PCTs 32 smoking 92 teamwork 49 Healthwise handbook 108 Healthy Weight Challenge 92 herbal medicine 11, 76, 101, 102, 110, 167 Heron, J 64 HGV Man 67 high density lipoprotein (HDL) 90 Hillingdon PCT 87, 99 HIV (human immunodeficiency virus) 144 holistic care 53, 55, 56, 63, 111 home remedies 11, 19, 82, 204 hospitals asthma 150, 152 educational interventions 20 enabling patients to self care 58 long term conditions 22, 87 PCTs 38 sore throat 132 support networks 24 hypertension educational interventions 19 long term conditions 23 overview of self care 10, 25 patient’s perspective 102, 109 pharmacy teams 82, 91–4 hyperventilation 148, 152, 153 leaflets educational interventions 18–20 enabling self care 21, 67, 104 lifestyle changes 90, 92, 104 patient pathways 127–8, 138–9, 157, 162, 167 pharmacy teams 83–4, 90, 92–4, 96–7 Learning and Employment Action Package (LEAP) 110–11 learning logs (Tool 15) 40, 50, 51, 213–14 LES (local enhanced service) 98 Lewisham PCT 190 lifestyle education 19, 21, 36 enabling self care 59, 65, 68 long term conditions 22, 90 overview of self care 3–4, 6, 8–10, 14–15, 17 patient’s perspective 103–4, 108 pharmacy support 82, 90–4 local delivery plans (LDPs) 31, 99 local enhanced service (LES) 98 local pharmacy committees (LPCs) 93, 99 locums 95, 96, 126 long term conditions general practice teams 50 overview of self care 8, 10, 14, 15, 22–3 patient’s perspective 101, 106 PCTs 31, 32, 38 pharmacy teams 81–3, 86–90, 95 low density lipoprotein (LDL) 90 LPCs see local pharmacy committees LungUSA 153 magnetic resonance imaging 144 Making Sense of Health xii, 108 MAS see minor ailment scheme massage 73, 74, 101, 143 mastoiditis 168 medicines enabling self care 59, 62, 67 patient’s perspective 102 pharmacy teams 85, 89, 90 Medicines Partnership 96, 234 medicines use review (MUR) 89, 96, 149 MEDLINEplus 234 meningitis 166 Men’s Health 104 mental health back pain 142 NHS (National Health Service) back pain 73, 74 future of NHS 4, 5–6 overview of self care xi, 8, 10–11, 16, 25 patient’s perspective 106, 108, 112 pharmacy teams 83, 84, 86, 92 websites 234, 235 NHS Centre for Pharmacy Postgraduate Education 96 NHS Direct general practice teams 50 overview of self care 3, 21 patient pathways 127, 131, 139, 143, 160–1, 166 patient’s perspective 107 pharmacy teams 83, 85, 94 NHS Direct Interactive 21, 234 NHS Direct Online 21, 68, 94, 235 NHS Improvement Plan 5 NHS Knowledge and Skills Framework (KSF) 69 The NHS Plan 5 NHS trusts 22, 104 NLP see neuro-lingustic programming non-steroidal anti-inflammatory drugs (NSAIDs) 137, 138, 145, 152 non-verbal communication 56 NPA see National Pharmacy Association NPSA see National Patient Safety Agency NSAIDs see non-steroidal anti-inflammatory drugs NSFs see National Service Frameworks nurses asthma 122, 146–9, 151 back pain 138–9, 141, 143 communicating risk 75 cough and colds 161–4 enabling self care 53, 58–60, 65–6, 105 evaluation 122 general practice teams 43, 45, 48, 49 overview of self care 3, 11, 14, 23 pharmacy teams 83, 86, 92 schools 32 sore throat 126–30, 134 workload assessment xi, 76, 206 obesity 34, 97, 105, 109, 127 older people 10, 20, 99, 108 OOH see out of hours care open questions 62–3, 64, 227 patients consultation content scale 223–5 educational interventions 18, 19 enabling self care communication style 54–6 developing trust 56–8 effective information 66–9 enhancing motivation 63–5 overview 53–4, 58–60 risk 74–6 sharing decision making 60–3 signposting 65 long term conditions 22–3, 87 overview of self care 3–4, 10–12 patient-centred care 23, 41, 47, 51, 55, 58–9, 226–8 PCTs 31, 40 pharmacy teams 85, 87, 96 safety 31, 207 satisfaction 120, 121 shared care 14 view of self care how they self care 102–5 how to improve 105–12 overview 101–2 Patient UK 68, 93 Patient Voices 235 PCTs see primary care trusts PDSA (plan, do, study, act) (Tool 6) 34, 46, 188–90 penicillin 134 performance 70, 118, 202 personal development plans 47, 69–70, 217, 218 personal support mapping (Tool 18) 41, 51, 78, 221–2 PEST (political, economic, sociological and technological) (Tool 4) 34, 46, 183–5 Pfizer Health Solutions 22 PGDs see patient group directions Pharmaceutical Services Negotiating Committee (PSNC) 95 pharmacists asthma 122, 147–8, 149, 151 back pain 138, 141 contract 31, 81, 84, 93, 96–9, 108 cough and colds 160–4, 168 evaluation 120–2 general practice teams 43, 45, 46, 49 prescriptions NHS policy 5 patient pathways 127, 128, 134, 138, 148, 167 pharmacy teams 83–6, 91–3, 95–8 significant event audit 204 signposting 65–6 primary care general practice teams 43 health professionals 53, 54, 57 overview of self care vii, xi, 4, 7–8, 25 pharmacy teams 81, 98–9 primary care trusts (PCTs) competence 69 evaluation 41, 118–21 general practice teams 43 long term conditions 22 overview of self care vii, 4, 7–8, 11 patient pathways 128, 130, 139, 149, 151, 162, 164 patient’s perspective 104, 106 pharmacy teams 84–6, 90, 92–3, 96–9 supporting self care action plan 34 building teamwork 38 choosing interventions 38 education and training 35–7 keeping going 39–41 monitoring and evaluation 41 overview 30–4, 39 priorities and target groups 35 resource mapping 34–5 WiPP xi, xii priorities 35, 38, 41, 46, 49–52, 76, 179–80 priority checklist (Tool 17) 41, 51, 69, 95, 217–20 Prodigy 21, 127, 144, 162 Proprietary Association of Great Britain (PAGB) 235 protocols 94, 121, 122, 130 PSNC (Pharmaceutical Services Negotiating Committee) 95 public health 36, 38, 82, 84, 86, 90–5 public relations (PR) 8, 32 quality 69, 96, 197–9 Quality and Outcomes Framework (QOF) 7, 31, 90, 188 quinsy 17, 132, 134 educational interventions 18–21 long term conditions 22–3 overview 14–16 support networks 24 supporting general practice teams 4, 7 health inequalities 8–9 integrated strategy 7–8 from medical to self care 10 NHS policy 4–6 overview 11–12 promoting health and wellbeing 10–11 public view of 3 risk and safety 11 useful resources 234 WiPP xii self care aware consulting style (Tool 21) 41, 51, 60, 229–33 Self Care for People xii, 60 Self Care for Primary Healthcare Professionals xii self help 20, 24, 25, 68, 108 self-limiting problems 81–6, 95, 102 see also minor ailments self-monitoring 10, 15, 23, 25, 38, 58, 105 sexual health 66, 104, 105 shared care 9, 14 shared decision making 60–3 sickness absence 21, 110, 142 side-effects 57, 59, 66, 76, 102, 111, 134 SIGN see Scottish Intercollegiate Guidelines Network significant event audit (Tool 12) 38, 40–1, 47, 50–1, 204–5 signposting 53, 65–6, 82, 91, 93–5, 120–1, 197 simvastatin 97, 98 sinusitis 133, 134, 167, 168 smoking asthma 153, 154 cough and colds 167, 168 enabling self care 65, 68 health and social services 9 health inequalities 8 PART model 16, 38 patient’s perspective 104, 108 pharmacy support 82, 91–2, 96, 97 risk 75 sore throat 127, 131 social inclusion partnerships (SIPs) 91 cough and colds 160–1, 164 evaluation 119, 121 general practice 45, 47–9, 51 PCTs 38, 40 pharmacists 24, 95, 97 sore throat 126, 130 training needs analysis 200–1 workload assessment 206–10 thrush 85 time management 40, 51, 76–8, 215–16 timetabling 34, 46, 191–3 Tools overview 33, 44, 171 Tool 1: force-field analysis 32, 45–6, 173–5 Tool 2: strategy and action plan 32, 36, 46, 176–80 Tool 3: SWOT analysis 32, 35, 38, 46, 50, 181–2 Tool 4: PEST 34, 46, 183–5 Tool 5: gap analysis 34, 38, 46, 50, 186–7 Tool 6: PDSA 34, 46, 188–90 Tool 7: Gantt chart 34, 46, 119, 191–3 Tool 8: infrastructure and resource matrix 34, 38, 46, 50, 194–6 Tool 9: audit 35, 41, 46, 51, 197–9 Tool 10: training needs analysis 36, 40, 46– 7, 51, 69, 95, 200–1 Tool 11: team function checklist 38, 40, 47, 51, 202–3 Tool 12: significant event audit 38, 40–1, 47, 50–1, 204–5 Tool 13: PART/workload assessment 38, 41, 49, 50, 84, 206–10 Tool 14: moving through change 40, 50, 211–12 Tool 15: learning log 40, 50, 51, 213–14 Tool 16: reduce time pressures 40, 51, 215- 16 Tool 17: priority checklist 41, 51, 69, 95, 217–20 Tool 18: personal support mapping 41, 51, 78, 221–2 Tool 19: consultation content scale 41, 51, 55, 223–5 Tool 20: consulting style scale 41, 51, 55, 226–8 Tool 21: self care aware consulting style 41, 51, 60, 229–33 Towards a DH/NHS Strategy to Support Self Care 5 Walsall PCT 84 Wanless, D 5, 10, 25, 30 warfarin 23, 76 websites 68, 73–4, 93, 107, 139, 234–5 see also internet weight management 64, 67, 90–3, 99, 108 wellbeing 3, 5–6, 9–12, 20, 56, 110 WICs see walk-in centres work 8, 66, 110–11, 134, 142–3, 153 Working in Partnership Programme (WiPP) general practice teams 43, 45, 50 overview xi, 123 patient’s perspective 108 PCTs 30 pharmacy teams 93 website 235 workload assessment (Tool 13) 38, 41, 49, 50, 84, 206–10 force-field analysis 174 time management xi, 40, 51, 76–8, 215–16 workshops 49, 51, 96, 99 Xenical (orlistat) 92 yellow flags 142 |