Dentistry in England and Scotland; an overview

4% of the NHS Carbon footprint? Duane et al Dental Public Health

Dentistry 1.NHS Primary Care Dental Services (e.g. GDS / PDS) 2.Hospital Dental Service / Secondary Care 3.Public Dental Service/Commissioned Dental Services 4.Dental Public Health services (oral health promotion and epidemiology) 5.Private Dentistry 3Dental Public Health

NHS Dentistry Scotland: All items recorded on GP17s sent to NHS Scotland or England: Most common volumes of activity reported through FP17s to NHS Business Services Authority Relatively good structured data on NHS dentistry activity 4Dental Public Health

Hospital Dental Service/Secondary care Provides care that can support training Provides specialist care outpatient or admitted Different approaches to coding and measure care for patients Difficult to analyse exact type of treatment given across the country especially where care is mixed between secondary care and community services Work commencing to evaluate new codes for dental care across England 5Dental Public Health

Public Dental Service Traditional “Safety net Dentistry” for those who can’t access dental care or those with special needs requiring more complex care Activity within Scotland measured on Kodak R4 system Difficulty with reporting and analysing information on local systems to create national picture 6Dental Public Health

Commissioned Services Community Dental Service Sedation Services etc Commissioned by NHS England Activity recorded on FP17s (England) Activity can be recorded on GP17s (Scotland) 7Dental Public Health

Private Dentistry  More difficult to measure activity within private dentistry  At present activity information is not collected by any body  Historically private dentistry was measured by financial market share  CQC registration and business rates rebates in England provide additional information 8Dental Public Health

Total Dentistry activity Secondary care 9Dental Public Health NHS contracted care Private careHospital care Travel Procurement Activity energy Public Dental Service