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Published byIrene Craig Modified over 9 years ago
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MCN Referral Management and development of Surgical Dental Service Maggie Leggate Clinical effectiveness advisor Pittodrie Stadium 2012 MCN Oral Health and Dentistry event 7 th Feb 2012 Terry Lowe Consultant OMFS
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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
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Objectives Improve the overall quality of referrals Triagable Promote best practice in referral management Facilitate administration Improve communication/feedback Better utilisation of resources
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Process Identified stakeholders for each group Regular meetings Each service provided referral criteria Standard template produced. Orthodontics formed own referral working group
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Result Guidance Document Referral forms for each specialty Piloted; ten primary care practices First edition distributed June 2011
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More recently…. Document handed to Dental Advice and Referral Centre (DARC) Islands Highland Website support - HI- Net Grampian
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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
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Referral Proforma - OMFS
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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
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Primary Care Surgical Dentistry Service
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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
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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)
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Activity Minor dentoalveolar surgery/LA GA exts list RACH/ support from OMFS Criteria ASA I/II Extractions, retained roots MOS ; soft tissue/ mod. bone removal Apicectomy of single rooted teeth with appropriate presurgical endodontics
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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
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Thank you
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