A Series of Useful Things for GPs / GP trainees

Is the GP best placed for Mental Capacity Assessments?

The short answer is no.  But sometimes one needs to know why,  and have a polite answer as to why.

Here is useful article from Lawskills.

Covert administration of medications 
(often something that needs to be discussed with relevant teams for patients with mental capacity deficits e.g. due to dementia etc)

From the CQC
NICE guidance.

Advice and support links
BMA GP practice

LMC
Jobs board

On Amending Records

https://www.gponline.com/amending-medical-records-patients-rights/article/1462317?fbclid=IwAR1kiYU4eZTQFq4MuKnGBlmuqiSYy5ruVtQLVwqKI5Ok9KPKzAvLxdw7NOI

On Computer systems used within the GP world. 

https://www.tpp-uk.com/resources
https://youtu.be/s_qVZDfnRhs
https://youtu.be/G5YfmjH_BTg
https://youtu.be/Yms5iV4ceNc Systmone by egplearning.

SystmONE Short CUT keys https://www.youtube.com/watch?v=75-AON7DMSw

https://youtu.be/zR1t0Nk8gkE Emis. deliberately blurred I think to protect patient details. Allows overall gist and look and feel. Very few things that need to be aware of in emis.

Pdf file on EMIS web for clinicians
http://www.primarycaresheffield.org.uk/wp-content/uploads/2020/03/LPUG0019-Emis-Web-Introduction-Admin-Clinical.pdf

Pdf file on  Adastra for clinicians
https://heeoe.hee.nhs.uk/sites/default/files/huc_-_clinicians_adastra_manual.pdf

As a  GP, the most important things one wants to know with a computer system is:
- where to put the consultation
-how to access patient record
-how to save after Consulting
-how to issue and print prescriptions
-how to check patient history
-and how to to see your patient list
-how to call them into the room
-also knowing repeat medications
-how to check lab path results.

Steroids

A very wonderful if not excellent pdf on steroids - their potency and finger tip units. This one has some simple useful tables, easy to print out and pop on one's room wall, and a useful diagram of what a finger tip unit looks like.

https://www.guysandstthomas.nhs.uk/resources/patient-information/dermatology/topical-steroids.pdf


And another one from the Pennine VTS group.
https://www.pennine-gp-training.co.uk/res/steroid%20and%20emoillients%20ladder.docx

This is very lovely one from eczema.org where there is comprehensive table with brand names associated, also with steroid potency information. This is quite helpful as a practicing GP.  Highly recommend downloading and keeping on desktop or file.
https://eczema.org/wp-content/uploads/Topical-steroids-Sep-19.pdf

Here is diagram from their leaflet, for example, useful for physicians and patients alike.

UK immunisation schedule and links 2020

https://www.gov.uk/government/publications/the-complete-routine-immunisation-schedule
This is june 2020
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/899423/PHE_Complete_Immunisation_Schedule_Jun2020_05.pdf

https://patient.info/doctor/immunisation-schedule-uk

This table is  from patient.info

UK 2020 Immunisation Schedule
AGE	Immunisation (Vaccine Given)
8 weeks	DTaP/IPV(polio)/Hib/HepB (diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b and hepatitis B) - 6-in-one injection (Infanrix hexa®); plus: Rotavirus (Rotarix®) - oral route (drops). Meningitis B Bexsero®). PCV (pneumococcal conjugate vaccine) - in a separate injection (Prevenar 13®). Note - for children born from 1st January 2020, this vaccine is offered at 12 weeks and 1 year rather than at 8 weeks, 16 weeks and 1 year.
12 weeks	DTaP/IPV(polio)/Hib/HepB 6-in-one injection, 2nd dose (Infanrix hexa®); plus: PCV (pneumococcal conjugate vaccine) - in a separate injection (Prevenar 13®) for babies born after 1st January 2020. Note - for children born before 1st January 2020, this vaccine is offered at 8 weeks, 16 weeks and 1 year rather than at 12 weeks and 1 year. Rotavirus (Rotarix®) - oral route (drops).
16 weeks	DTaP/IPV(polio)/Hib/HepB 6-in-one injection, 3rd dose (Infanrix hexa®); plus: Meningitis B 2nd dose (Bexsero®). PCV (pneumococcal conjugate vaccine) - in a separate injection (Prevenar 13®). Note - for children born from 1st January 2020, this vaccine is offered at 12 weeks and 1 year rather than at 8 weeks, 16 weeks and 1 year.
Between 12 and 13 months	Hib/MenC (combined as one injection) - 4th dose of Hib and 1st dose of MenC (Menitorix®); plus: MMR (measles, mumps and rubella) - combined as one injection (Priorix® or M-M-RVAXPRO®); plus: PCV 2nd dose (Prevenar 13®) - in a separate injection. Meningitis B 3rd dose (Bexsero®).
2 years- end of primary school	Nasal flu spray annually (Fluenz Tetra®) for all children. For children aged 2, 3 and 4, this is usually given in the GP surgery. Children in primary school should have this at school.
3 years and four months	Preschool booster of DTaP/IPV(polio). 4-in-one injection (Repevax® or Boostrix IPV-IPV®); plus: MMR 2nd dose (Priorix® or M-M-RVAXPRO®) - in a separate injection.
12-13 years (boys and girls)	HPV (human papillomavirus types 16 and 18) - two injections (Gardasil®). The second injection is given 6-24 months after the first one.
14 years	Td/IPV(polio) booster. 3-in-one injection (Revaxis®). Men ACWY: combined protection against meningitis A, C, W and Y (Nimenrix® or Menveo®).
Adults	Influenza (annual) and PPV (pneumococcal polysaccharide vaccine): for those aged over 65 years and also those in high-risk groups. Td/IPV(polio): for those not fully immunised as a child or travelling to high-risk areas (Revaxis®). DTaP/IPV: for pregnant women from 20 weeks of gestation to protect the newborn baby against whooping cough or people travelling to high risk areas (Boostrix-IPV® or Repevax®).  Shingles (Zostavax®) vaccine: for adults aged 70 or 78 years. (Plus catch-up for adults born after 2nd September 1942 who have not previously been immunised if they are under 80 years).