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MCN Referral Management and development of Surgical Dental Service

MCN Referral Management and development of Surgical Dental Service. Maggie Leggate Clinical effectiveness advisor. Terry Lowe Consultant OMFS. Pittodrie Stadium 2012 MCN Oral Health and Dentistry event 7 th Feb 2012. Referral Management subgroup. Origin

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MCN Referral Management and development of Surgical Dental Service

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  1. MCN Referral Managementand development of Surgical Dental Service Maggie Leggate Clinical effectiveness advisor Terry Lowe Consultant OMFS Pittodrie Stadium 2012 MCN Oral Health and Dentistry event 7th Feb 2012

  2. Referral Management subgroup Origin • Feedback from 1’ care practitioners • Secondary care audit; Quality and effectiveness of referral process • Secondary care service redesign • Government targets • Governance/Good medical practice • ‘Meet the consultants evening’ - 2009

  3. Objectives Improve the overall quality of referrals • Triagable • Promote best practice in referral management • Facilitate administration Improve communication/feedback Better utilisation of resources

  4. Process • Identified stakeholders for each group • Regular meetings • Each service provided referral criteria • Standard template produced. • Orthodontics formed own referral working group

  5. Result • Guidance Document • Referral forms for each specialty • Piloted; ten primary care practices • First edition distributed June 2011

  6. More recently…. • Document handed to Dental Advice and Referral Centre (DARC) • Islands • Highland • Website support - HI- Net Grampian

  7. Benefits • Pre- and post guidance audit ; Quality of Referrals to OMFS • Data collection; • Both administrative and clinical parameters to assess the overall quality of the referral

  8. Referral Proforma - OMFS

  9. Summary • Development of referral guidance - ongoing • Inclusion, networking, establishing clarity • Updateable, dynamic resource on line - accessible to all • Support for practitioners • Greater understanding of care pathways • Establish electronic referrals – SCI Gateway

  10. Primary Care Surgical Dentistry Service

  11. Primary care Surgical Dentistry service • OMFS audits 2009/11; 6-10% activity suitable for primary care surgery(LA) • Minor O/P surgery for remote & rural location • Successful model in Islands for many years • Postgraduate Diploma/ MSc in O/S; UCLAN • Extrapolate to provide Intermediate care pathway for Surgical Dentistry

  12. Members…so far • Archana Kavi (ABD) – MSc , UCLAN • Andrew McIntosh (ABD) • Bernice McLaughlin (ABD) • Charlotte Nash (Moray) Islands • Pippa Arbon (Shetland Isles) Dip, UCLAN • Nigel Pendry (Orkney)

  13. Activity • Minor dentoalveolar surgery/LA • GA extslist RACH/ support from OMFS Criteria ASA I/II • Extractions, retained roots • MOS ; soft tissue/ mod. bone removal • Apicectomy of single rooted teethwith appropriate presurgicalendodontics

  14. Where next… • First echelon training completed • Top up training support available. • Training for Dental Students. • Service redesign in Moray – supporting primary care practitioners. • Dental anxiety management/sedation service

  15. Thank you

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