GP Appointment Types for GP Receptionists and Care Navigators

Common appointment types, team pathways and booking records

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Nurse, pharmacist, FCP and mental health appointments

GP practice reception desk with staff assisting patients

General practice teams include several clinicians and support staff. Patients may be offered appointments with a GP, nurse, clinical pharmacist, first contact physiotherapist (FCP), mental health practitioner, social prescriber or another team member, depending on local services.

Reception staff should use the local booking guide to identify the correct pathway. They must not make clinical decisions outside agreed protocols.

Who makes up your local GP practice team? (NHS England Short Film)

Video: 2m 17s · Creator: Frimley Health and Care Integrated Care System. YouTube Standard Licence.

This Frimley Health and Care Integrated Care System video shows that practice teams include more than doctors and nurses. It opens with a receptionist explaining that asking a few structured questions helps direct patients to the most appropriate clinician or local service.

The video outlines several team roles. A social prescriber explains how they help with non-medical issues such as activity groups, form support and connecting people to community services. A physiotherapist explains that people with bone, muscle or joint problems can often be seen by an FCP rather than a GP.

A paramedic describes visiting patients at home when they are too unwell or unable to attend the practice. The film also covers mental health support and ends by emphasising that reception questions help patients reach the right member of the team.

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Common team routes

  • Nurse or healthcare assistant: reviews, tests, dressings, injections, immunisations or long-term condition clinics as locally defined.
  • Clinical pharmacist: medicines queries, medication reviews or prescription issues as locally defined.
  • FCP: musculoskeletal assessment routes where the service is available.
  • Mental health practitioner: mental health support routes where commissioned and appropriate.
  • Social prescriber: non-medical support needs, wellbeing and community support routes.

Book team-based appointments from the current pathway guide, not from memory of what a role "usually" does.

Scenario

A patient asks for a GP appointment about knee pain. Your practice has an FCP pathway, but the booking guide lists exceptions that must be sent for clinician review first.

How should you use the team pathway safely?

 

Ask Dr. Aiden


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