1 “Working together to improve oral health” NEWSLETTER LOCAL DENTAL NETWORK—SHROPSHIRE AND STAFFORDSHIRE Issue – 15 November 2016 Visit our website— http://www.england.nhs.uk/mids-east/lpns/shrop-staffs-dental/ Editorial As another year comes to an end and a very busy year for the LDN as well, it is time to reflect on what has happened in the last 12 months. The work plans for the LDN continue to bear fruit with important initiatives on domestic violence providing valuable guidance for practitioners as well as the perennial drive to improve oral health with initiatives on smoking cessation and reducing excessive alcohol consumption. All the members of the network have been integral to the successful implementation of these initiatives and without their input many of these could not have happened. Special mention goes to Mark Dermont (Spr in Dental Public Health) who has come to the end of his training and will shortly be leaving the group to return to duties within the armed forces. He was integral to the development of the domestic violence and oral health work stream this year. Commissioning of future dental services with the development of the D Strat document has also taken up a lot of the time of members of the network. It is hoped that with the development of this strategy document, the rather unwieldy commissioning guides will be easier to implement. There is still plenty of work still to do with dental commissioning in the coming months and years, but it is hoped that this task has been made somewhat easier. This work had led onto the realisation that an electronic referral management system is essential for this region and it is hoped that this will be procured and instigated very soon. Dental contract reform, after having gone a bit quiet for a while, has resurfaced with more work being done to develop a workable system that can be implemented and then rolled out in stages across England (see page 21-22). The LDN in Shropshire and Staffordshire continues to work tirelessly to improve the dental experience of the population that it serves. This cannot happen without the efforts of its members and the hard work of the individual dental practitioners in all their various specialties across the region. It is only by working together as a unified group that real change can happen. May I take this opportunity to wish you all a very merry Christmas and a very prosperous new year. "Try not. Do - or do not. There is no try." Master Yoda - Star Wars Episode V: The Empire Strikes Back
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As another year comes to an end and a very busy year for the LDN as well, it is time to reflect on what has happened in the last 12 months. The work plans for the LDN continue to bear fruit with important initiatives on domestic violence providing valuable guidance for practitioners as well as the perennial drive to improve oral health with initiatives on smoking cessation and reducing excessive alcohol consumption. All the members of the network have been integral to the successful implementation of these initiatives and without their input many of these could not have happened. Special mention goes to Mark Dermont (Spr in Dental Public Health) who has come to the end of his training and will shortly be leaving the group to return to duties within the armed forces. He was integral to the development of the domestic violence and oral health work stream this year.
Commissioning of future dental services with the development of the D Strat document has also taken up a lot of the time of members of the network. It is hoped that with the development of this strategy document, the rather unwieldy commissioning guides will be easier to implement. There is still plenty of work still to do with dental commissioning in the coming months and years, but it is hoped that this task has been made somewhat easier. This work had led onto the realisation that an electronic referral management system is essential for this region and it is hoped that this will be procured and instigated very soon.
Dental contract reform, after having gone a bit quiet for a while, has resurfaced with more work being done to develop a workable system that can be implemented and then rolled out in stages across England (see page 21-22).
The LDN in Shropshire and Staffordshire continues to work tirelessly to improve the dental experience of the population that it serves. This cannot happen without the efforts of its members and the hard work of the individual dental practitioners in all their various specialties across the region. It is only by working together as a unified group that real change can happen.
May I take this opportunity to wish you all a very merry Christmas and a very prosperous new year.
"Try not. Do - or do not. There is no try."
Master Yoda - Star Wars Episode V: The Empire Strikes Back
Inside this issue NHS email addresses for dentists - UPDATED 3 Dental courses 4 Employment opportunities 5 Previous issues of the LDN Newsletter 5 Shropshire oral surgery MCN blog 6-9 Christmas and New Year arrangements 10 Management of controlled drugs 11 Smoking Cessation – Plain packaging 12-14 Shrewsbury BDA – Course 15
– What to look for, when to refer? Extended duties for Dental Nurses 16
- Application of Fluoride - Impression taking
Extended duties for Dental Nurses 17
- Sedation Stoke and Stafford BDA – Course 18
– Short term orthodontics NHS Choices – Keeping up to date 19-20 Dental Contract Reform News 21-22 Mouth Cancer Action Month 23 LPN contact list 24
3 “Working together to improve oral health”
NHS.net email accounts for dentists
Over the past few months there have been numerous requests from local dentists for NHS email accounts. This follows our initiative earlier this year to get as many dentists as possible to use this service. NHSmail can be used by Pharmacists, Optometrists or Dentists (PODs) to safely and securely exchange patient or sensitive information with other health and social care organisations. NHSmail has been upgraded to allow PODs to quickly and easily register and activate an account, so read through all the information below and then follow the steps to get started.
To register for an NHSmail account
1. Fill in the application form which is available by clicking on the link and then pressing the “Registering Pharmacists,
Optometrists and Dentists” tab. Once complete, email the form to Chris Riley. His email is [email protected]
2. Chris will then review your request. Make sure he has all the information he needs so that he can pass it to the
appropriate NHSmail Local Organisation Administrator (LOA) to set up the account.
3. If you aren't eligible for an account they will let you know. You may not be eligible for an account if you only need to
exchange patient or sensitive information on an infrequent or adhoc basis with health and social care organisations, or
if you already use another email service that is publicly funded.
4. Before you are registered you will need to have completed the Information Governance toolkit. If you are registering
as part of a Practice, only one person per Practice needs to do this. If you are registering as part of a group of
practices, only one nominated headquarters needs to do this. This is an accreditation that is required for access to any
NHS national service to ensure that these services remain secure. Please see: http://www.igt.hscic.gov.uk
5. Your LOA will contact you with details of your new account and how to activate it. The LOA will text you a security
code and then call you with your account details. Once you have confirmed the security code you have received, they
will give you your username and a password which you will need to change the first time you log in.
6. If you have registered several accounts for your Practice, the LOA can allocate administrator rights to one or more
of them if required – this will allow that account holder to unlock accounts and reset passwords.
7. Once you have activated your account and logged in you will find a welcome email providing the following information: · How to keep the account secure · Account quota details · Your LOA contact details for ongoing administrative support · Where to find help and guidance
You can set up a shared account for your practice or site if you need to. The email address will always end @nhs.net
but you can specify the part of the email address before the @ sign.
As an example, the email address for John Smith of High Street dental practice could be [email protected] with the
display name (the name displayed to the recipient in their inbox) 'Smith John (High Street Dental Practice)'. A shared
email account for that dental practice could be [email protected] (High Street Dental Practice).
Previous issues of the Local Dental Network newsletters
All previous issues of the LDN newsletters can now be accessed from the South Staffs LDC website. Please see link below, http://southstaffsldc.com/South_Staffs_LDC/LPN.html
A full list of prototypes can be found here: https://www.gov.uk/government/publications/dental-prototype-agreements-directions-and-patient-information
Further information about the clinical philosophy can be found at: http://www.pcc-cic.org.uk/article/clinical-philosophy
The principles behind the dental contract reform programme align with the direction of travel for the NHS, set out in the Five Year Forward View, which emphasises the need to:
focus on prevention
empower patients to take control of their own health, and
make the most efficient use of NHS resources. The Five Year Forward View can be found here:
https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf The difference between the pilots and the new prototypes is that the pilots were
explicitly not testing a possible new remuneration system. The intention of piloting
was in fact to gather the evidence to design a new system of remuneration.
The 79 high street prototype practices are testing a possible new remuneration
system – the so called blended approach which mixes capitation and activity. Two
possible proportions (Blend A and Blend B) are being tested to capture evidence on
the best balance of incentives to prevent and treat periodontal disease and caries,
where present. Both blends have the majority of funding linked to capitation
payments. Together with the clinical pathway, this is now a test of a whole possible
new system.
For further information on the remuneration blends being tested please visit:
http://www.pcc-cic.org.uk/article/remuneration
An evidence and learning group has been established, which includes clinical and stakeholder representation, to oversee the evaluation of the prototypes. An initial evaluation is expected early in 2017. If the evaluation shows that the prototypes are delivering across a number of measures, implementation could begin nationally from 2018/19. These measures are as follows;
delivery of appropriate high quality care,
maintaining or increasing access,
delivering within the existing budget
working for patients, commissioners, dentists and businesses
The next Issue of DCR News will cover the broad areas being considered in the evaluation of the prototype system. In the meantime for further information about the prototype scheme please visit www.pcc-cic.org.uk/resources/dental-contract-reform.