No Health Without Oral Health: How oral health contributes to public health priorities in Scotland

This paper has been prepared by the Consultants in Dental Public Health and Chief Administrative Dental Officers Group in Scotland as part of the Public Health Reform Programme.

Contents (17 pages):

  1. Executive Summary
  2. Introduction
  3. Is oral health a concern for public health?
  4. What have we achieved so far?
    4.1 Childsmile
    4.2 Caring for Smiles
    4.3 Smile4Life
    4.4 Mouth Matters
    4.5 Open Wide
  5. What should we focus on in the future?
    5.1 Vibrant, healthy and safe places and communities
    5.2 Flourish in our early years
    5.3 Good mental wellbeing
    5.4 Reduce the use of and harm from alcohol, tobacco and other drugs
    5.5 Sustainable, inclusive economy with equality of outcomes
    5.6 Eat well, have a healthy weight and are physically active
  6. Conclusions
  7. References

Results of practice premises revaluation exercise: 2018

This letter advises NHS Boards and Practitioner Services of the completion of the revaluation exercise of practice premises undertaken by the Valuation Office Agency (VOA) on behalf of the  Scottish Government.
It advises of dissemination arrangements, on the use of the information now available, the arrangements for valuations following the national exercise and arrangements for reviews of valuations.

Information Governance in Dental Practices

Summary of findings and recommendations for practice from the Information Commissioner’s Office study of dental practices:
  • There is confusion around when a dentist should register with the ICO, with some dentists registering when it is not necessary, and others not registering when it is required.
  • Dentists do not always have written contracts, with appropriate clauses about information security, in place with contractors, particularly IT contractors. There was also evidence that some of the risks of new technologies, such as working on mobile and personal devices, are not being appropriately controlled.
  • Retention policies (to determine when records, both physical and electronic, should be destroyed) were not in place at all sites visited.
  • Retention periods were not always clear, and not generally applied to electronic records.
  • There was some evidence that dentistsare not always engaged with sources of best practice and new guidance in relation to information governance.

Recommendations cover:

  • Responsibility for compliance and registration
  • Information security arrangements
  • Retention of personal data
  • Engagement with the wider information governance landscape

The document includes further detailed guidance to support implementation.  For a complete treatment of data protection, and what it means for dental practices, please consult the Practice Support Manual (login required).

Drug Prescribing for Dentistry – 3rd Edition

The third edition of the popular Drug Prescribing For Dentistry  guidance  from the Scottish Dental Clinical Effectiveness Programme (SDCEP) has now been launched.

The  guidance in aimed at dental practitioners in the primary care sector, and applies to all patients, including adults, children and those with special needs, who would normally be treated in this sector. The guidance is also available as a smartphone app.

The guidance is presented in the same problem-orientated layout as in earlier editions but included more comprehensive information on drug interactions and a bacterial infections management guide.

The guidance brings together advice on dental prescribing from the BNF and BNFC and is intended to be used in conjunction with them.

Statement of Dental Remuneration – Amendment No 130 Letter

This letter advises of an amendment to the  ‘Deemed NHS Committed’  Status for New Practices Claiming Additional General Dental Practice Allowance (GDPA) and Reimbursement of Practice Rental Costs.

With effect from 1 November 2015 new practices will no longer be automatically deemed NHS committed for the purpose of entitlement to additional GDPA payment of 6% and reimbursement of practice rental costs.

New practices in a SDAI designated area are exempt from this new provision.

Download a copy of the letter

Scottish Dental Access Initiative – Nov 2015

This letter advises Health Boards of the latest revisions of the Scottish Dental Access Initiative (SDAI) capital scheme. The revisions come into effect from the 1st November 2015.

The outlines those Health Board areas  where offers of financial assistance to establish new or expand or purchase existing NHS dental practices will be available only

Download a copy of the letter

Practice support manual

The practice support manual has been developed to support the organization, management and running of primary care dental practices. It aims to help dental teams keep up to date with legislation and professional regulations, prepare successfully for practice inspection and carry out best practice.

The ‘ Practice Support Manual’ (PSM) has been launched as a web resource and is freely available to the dental profession in Scotland.

Advice on ten topics is now included:

  • Ethical Practice
  • Record-keeping
  • Communication
  • Risk Management
  • Health and Safety (General)
  • Health and Safety (Infection Control)
  • Radiation Protection
  • Disability Equality
  • Medical Emergencies and Life Support
  • Audit and Significant Event Analysis

 

 

Decontamination into practice

Decontamination into practice  is a series of documents that provides advice on various aspects of instrument decontamination in dental practice, including:

  • Introduction to decontamination
  • Cleaning and Sterilization of reusable instruments
  • Management of decontamination in the practice
  • Appendices with related information
  • Supporting Tools are also available to download.

The guidance was last updated in October 2014.

The guidance documents and supporting tools can be downloaded from the SDCEP website

Conscious sedation in dentistry

The Scottish Dental Clinical Effectiveness Programme (SDCEP) guidance on conscious sedation in dentistry was first published in 2006 .

The aim of the guidance is to promote good clinical practice through recommendations for the provision of conscious sedation for dental care that is both safe and effective.

An update of the guidance was published in June 2017.

The full guidance document can be downloaded from the SDCEP website.

Emergency Drugs and Equipment in Primary Dental Care

The National Dental Advisory Committee (NDAC) publication Emergency Dental Drugs (NHS MEL (1999)) 22 identified a list of drugs and equipment which should be available to manage medical emergencies within the dental setting. It also highlighted the need for dentists to carry a full emergency drugs kit (including portable oxygen supply and suction) for all domiciliary visits.

Following  changes in practice and guidance, the National Dental Advisory Committee (NDAC) commissioned a short life working group to update the 1999 publication Emergency Dental Drugs.

The document can be downloaded here

CDO letter about IR(ME)R

The letter gives an overview of the adoption of procedures and provides guidance on patient identification, pregnancy, dose estimation and useful resources to support good practice in radiological protection.

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Records Management: NHS Code of Practice (Scotland) Version 2.0

The Records Management: NHS Code of Practice has been published by the Scottish Government eHealth Directorate as a guide to the required standards of practice in the management of records for those who work within or under contract to NHS organisations in Scotland. It is based on current legal requirements and professional best practice.

The guidance was drafted in collaboration with a working group made up of representatives from the Scottish Government Health Directorate, Scottish NHS archivists, NHS Health Records Managers, patient groups and GP Practices. As part of its work, the working group commissioned a public consultation on the retention and disposal of health records in 2005. The results of that consultation have informed the drafting of this guidance. The draft was updated and issued for consultation during Autumn 2007. The guidance has subsequently been reviewed and updated following the recommendations contained within the Strathmartine Report published in 2008 and requests from the service to incorporate the guidance and retention schedules for both Health Records and Administrative Records in to a single document.

Go to web document

Listing of Dental Bodies Corporate – further clarification

This letter provides further clarification on the listing of Dental Bodies Corporate and the effect of such listing in different circumstances. This letter and the attached Memorandum replace the guidance provided in paragraph 3 of the Annex to NHS: PCA(D)(2010)4, which was issued to NHS Boards, and paragraphs 29 to 33 and 36 of the Memorandum to that PCA and paragraphs 5 and 6 of the Memorandum to NHS: PCA(D)(2010)6. Action 3.

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