Ray Watkins Consultant in Dental Public Health

1. Ray Watkins Consultant in Dental Public Health

2. NHS Grampian Dental Plan 2008-2012 • Part 1 • Update on the Dental Plan • Where next ? • Part 2 • MCN Workforce group update

3. Main structures and programmes in place • Premises modernisation and expansion • Dental School* • MCN structure • Integrated service developments • Secondary care and salaried dental services • better integration - referral pathways • Oral health improvement • Childsmile / Priority groups • Primary care integrated working – Community Health Partnerships ; Area Dental Committee ; Dental Practice Advisor

4. Dental Plan and the MCN Feedback Assess need and demand Service development Draft Dental plan MCN quality and planning Consult Dental plan 2012-2016

5. Oral Health

9. Oral health Summary • 70% children no obvious disease • 50,000 children (additional) no obvious disease • Adult oral health –no teeth • 1972 44% - Scotland • 1993 - 29% - Grampian • 2009 - 9% - Grampian • Since 1974 125,000 extra adults have teeth about 70% now have 20+ teeth

11. NHS Registrations

12. Primary Care Adults 2009 • 37% regular private care • Largest private Scotland = South of England • 16.8% no regular care /unable to get care • NHS registrations • 2009 – Survey 45% NHS care • Actual 36.1% • 2012 – Actual 48.9%

13. -10,000 children

14. NHS Registrations • 112 , 640 additional registrations since 2007 • 16 663 children • 95 977 adults • Participation high (seen < 2 years ) • Circa 88%

17. Change in Services • General anaesthesia children - down • Special Care Referrals - up • Secondary care Referrals - up • Quality - Up

19. Workforce

20. Workforce Group MCN Function • Monitor and recommend on • Numbers • Training • Workforce development • (ie enhancing the role of professionals )

22. Dental Team numbers • Dentists – • 2004/5 230 • 2007/8 280 • 2011/12 350 • 115 additional since 2005 • ( 50% increase based on 2004/5 data ) • Dental nurses x 1.6 Circa 575 in Grampian • Main supplier NHS Education Scotland

23. Other team members • Therapists • Inverness Dundee Glasgow Edinburgh all now graduating therapist numbers increasing slowly. • Dental technicians • Only one course – Edinburgh little increase • Clinical technicians/Orthodontic therapists minimal change/1 or 2 in Grampian

24. Workforce Development • Largest change to date – Dental Nurses • Childsmile and Oral Health Promotion • Decontamination • Health and Safety / practice management • Others of note orthodontic therapists • Most likely to produce further radical change • Dental therapists – eg general + periodontology • Dental nurses – eg prevention (smoking ) + behaviour management

25. Workforce development – dentists with special interest /primary care specialists • Special Care Network • 4/5 Dentists offering Surgical Dentistry • Restorative Dentistry developing • Orthodontics –well developed • Other eg Sedation • Children well developed RA • Adults developing

26. Training • Aberdeen Dental School • graduating 20/yr 2012 onwards • Vocational training6 up 15 • (+ 4 Salaried GPT) • Dental nurses • Main course NHS Ed Sc • Small course Dental School • Postgrad ++++ • Dental technicians • New Course to start Aberdeen Dental School August 2012 Distance learning • Other – Masters Aberdeen Dental School

27. End • Thanks to all for effort • Detail in individual presentations • Ray Watkins