Terminology

Getting It Right First Time (GIRFT) is an NHS improvement programme.

GIRFT website

The General Medical Council (GMC) is the regulator for doctors in the UK.

GMC website

Gastro-oesophageal reflux disease (GORD) is a common condition, where acid from the stomach leaks up into the oesophagus.

GORD causes heartburn, acid regurgitation and may cause oesophagitis.

Left untreated, GORD may lead to stricture formation or Barrett's oesophagus, which may develop into cancer.

Management focusses on lifestyle change (such as weight loss) and acid-lowering medications (such as PPIs). Surgery may be considered.

NICE CKS - Proven GORD

BMJ Best Practice - GORD

'General Practitioner' (GP) is UK-terminology for a primary care physician ('family doctor').

GP can also refer to General Practice, the remit of a General Practitioner.

Glyceryl trinitrate (GTN) is a medication used in the prophylaxis and treatment of angina and the management of anal fissures, amongst other indications.

NICE - GTN

Genitourinary medicine (GUM) involves the investigation and management of STIs and HIV.

Healthcare-associated infection (HAI) is an infection acquired in the hospital or other healthcare setting.

Examples include catheter-associated infections and HAP.

Hospital-acquired pneumonia (HAP) is an example of a nosocomial infection. HAP is a new pneumonia arising two or more days after admission to hospital.

NICE Guideline (NG139) - Pneumonia (hospital-acquired): antimicrobial prescribing

BMJ Best Practice - HAP

Hospital-Based Complex Clinical Care (HBCCC) provides hospital care (nursing and medical input) for patients who cannot be looked after anywhere else due to their frailty and complexity. The medical input should involve consultant geriatrician input as well as day to day input which varies between facilities (some GP, some specialty or junior doctor).

Criterion for eligibility is "cannot be looked after anywhere else" as assessed by consultant geriatrician. Eligibility should be reviewed every three months, and patients who no longer meet the criterion should be moved on (usually nursing home).

The high-dependency unit (HDU) offers a level of care (Level 2) between ward-level (Level 1) and ICU-level (Level 3).

A HDU is for "patients needing single organ support (excluding mechanical ventilation) such as renal haemofiltration or ionotropes and invasive BP monitoring. They are staffed with one nurse to two patients." (reference).