West Yorkshire Oral Surgery pathway 14th September 2016

Welcome Mike Edmondson Secondary Care Dental Lead NHS England - North (Yorkshire and the Humber)

Agenda 0830 1300 Coffee on arrival 0900 1330 Session times Agenda item (a) (b) 0830 1300 Coffee on arrival 0900 1330 Start of the event, housekeeping and welcome address/format & objectives (Jane Moore, LDN chair) 0910-0940 1340-1410 Oral surgery - National, regional and local context. Introduction of the WY OS pathway (Mike Edmondson, SCD lead / Johnny Reid, WY OS MCN chair) 0940-0950 1410-1420 WY OS MCN – role and responsibilities (Chair of MCN, Johnny Reid) 0950-1030 1420-1500 Referral Management System (Professor Iain Pretty) 1030-1050 1500-1520 Coffee   1050-1120 1520-1550 Oral surgery treatment providers Introduction and what GDPs can expect from IMOS (T2) and Acute Trusts T2 and T3 providers 1120-1135 1550-1605 Oral Medicine (Y&H OM MCN) – Alan Mighell and Jodie Montgomery-Cranny 1135-1145 1605-1615 Training (David Wood, Dental Advisor) 1145-1230 1615-1700 Q&A and Close

Welcome address from LDN chair Jane Moore, Chair West Yorkshire Local Dental Network

Oral surgery - National, regional and local context Mike Edmondson Secondary Care Dental lead NHS England – North (Yorkshire and the Humber)

Challenges facing Specialist Dental Pathways Variation in commissioning and contracting mechanisms Growth in demand Secondary Care Dental Services, RTT Intermediate Minor Oral Surgery Services (IMOS) Sedation Services Community Dental Services/Paediatric dental services/Orthodontics/Restorative dentistry

West Yorkshire Dental and Oral Surgery 274 General Dental Practices 5 secondary care dental providers 5 Intermediate Minor Oral Surgery providers – legacy arrangements from PCT era No national commissioning guidance No standard referral criteria Limited clinical leadership Increased demand Paucity of data and referral/treatment data RTT breaches (18 weeks) Unsustainable costs

NHS England North (Yorkshire and the Humber) Secondary Care Dental Commissioning Strategy Review of provision Publishing of national commissioning guides Commissioning Strategy Reduce inequity Improve management at primary care level Manage oral surgery demand: Re-provision of IMOS, West Yorkshire Introduction of an Oral Surgery Referral Management Service for West Yorkshire Managed Clinical Network for Oral Surgery in WY

RMS requirements Single point of entry for all oral surgery referrals for onward NHS treatment within West Yorkshire. Allocation to the appropriate oral surgery provider based on clinical need and criteria Improve the patient experience and outcomes by the allocation of referrals to the appropriate service closer to the patient’s home or place of work, where appropriate. Support patient choice. Reduce waiting times for oral surgery by managing demand across all providers in line with available and appropriate oral surgery capacity in West Yorkshire. Reduction in the number of inappropriate and unnecessary referrals across the oral surgery provision. Improved quality of referral information and reduction in the number of incomplete referrals. Improved business intelligence, data and management information for the commissioners. Improved workforce intelligence for education and training purposes. Support the drive to a future paperless system.

West Yorkshire Oral Surgery Managed Clinical Network West Yorkshire Oral surgery common pathway and Managed Clinical Network Johnny Reid Chair West Yorkshire Oral Surgery Managed Clinical Network

West Yorkshire Oral Surgery Referral Management System (RMS) Professor Iain Pretty FDS

West Yorkshire Oral Surgery Treatment pathway Johnny Reid Mike Edmondson

WY oral surgery dispositions 1 Refer back to GDP (T1) 2 Refer to IMOS (T2) 3 Refer to SCD IMOS (T2) 4 Refer to SCD (T3) In addition provision will be made to ensure all 2ww cancer referrals are processed immediately

West Yorkshire IMOS (T2) provision

WY Acute Trust (T2/T3) provision

West Yorkshire Oral Surgery Referral Guidelines Johnny Reid

Yorkshire and the Humber Oral Medicine Managed Clinical Network Dr Alan Mighell Dr Jodie Montgomery-Cranny

West Yorkshire Oral Surgery Training Dr David Wood Dental Clinical Advisor NHS England