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Putting prevention into practice (Green Book)

Ability

Think about the areas where capacity may need to be enhanced:

  • Understanding and knowledge (regular staff meetings, bulletins and a practice manual help to consolidate understanding of what is required)
  • Skills (eg. setting up practice registers, searching clinical databases, counselling skills, motivational interviewing techniques, specific clinical knowledge)
  • Supportive organisational infrastructure
  • Practice policies – a common and useful strategy to promote and standardise a range of activities
  • Prevention policies, include:
    • practice no smoking policy
    • use of a range of health promotion materials in the waiting room
    • use a reminder system to provide systematic preventive care
    • early case detection using scientifically validated guidelines
    • immunisation for GPs and practice staff
    • all new patients to complete patient prevention survey
    • regularly attending patients to have a completed health summary sheet
    • all diabetic patients to be entered onto a practice diabetes register and be invited to attend at least one consultation per year
  • Accessible and evidence based guidelines
  • IM/IT components – practice registers (eg. age, sex, disease), reminder systems, screening and information gathering systems, data storage, electronic linkage (eg. pathology, imaging, discharge summaries)
  • A range of delivery options (eg. delegation to a PN, multidisciplinary clinics, groups, referral options).

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