1. Brunssum Dental Care Lt Col E F Murphy RADC BDS DPDS MFGDP(UK) MFDSRCPS(Glas) Regional Senior Dental Officer (Germany) Defence Primary Health Care Brunssum Mon 13 Jul 2015

2. Brunssum Dental Care Host Nation Provision Types of Treatment Payment Equipment & Laboratory Support Specialist Care Pharmacy Arrangements Emergency /Out of Hours’ Provision Dental Fitness

3. Host Provision www.bfgnet.de/health/dental/isodets/ YOU CAN GO TO ANY DENTIST YOU CHOOSE Dutch Med Centre- suggested 3 local practices English widely spoken in NL Brunssum Heerlen Maastricht Letter of Introduction

4. Tandartspraktyjk Schoffelen

5. Dental Clinics-Heerlen

6. Dental Clinics-Maastricht

7. Types of Treatment Being paid for by the public purse Military personnel -Range of treatment comparable to DDS Civilian Patients -Range of treatment comparable to NHS -Cosmetic Bleaching and Implants not normally available on NHS-not available from publicly funded HN support

8. Types of Treatment Emergency- no approval required Use Annex C from transition pack Immediate Access Routine- no approval required Use Annex C from transition pack Inspections Radiographs Hygiene Fillings Root Fillings Extractions No more than two crowns Non-Routine-approval required Advanced restorative work, >2 crowns, Bridges, Dentures, Wisdom teeth extraction Orthodontics for children GA

9. Payment Letter of Introduction Not normally pay for treatment personally Keep copy of bill Emergency/Routine-Form Annex C Give Annex C to Dentist Dentist (or you)sends Annex C with bill to HQ DDS HQ DDS review Pt liable to ‘NHS’ Dental Charges HQ DDS sends bill to EJSU SHAPE for full payment Advises EJSU of need for recovery action Military- EJSU JPA action to deduct from HoH pay UKBC- EJSU bills Pt-pay EJSU directly- e.g. cheque

10. Equipment & Laboratory Support Bright and Modern Central Sterilisation and Infection Control Well-equipped surgeries Dental Hygienists Digital Radiography Microscope for Root treatment Local lab support for crowns, bridges, dentures

11. Specialist Care All non-routine and require approval- Annex A PDO decision based on clinical need not cost Orthodontics free choice 2x Orthodontists in Heerlen Maastricht practice has own Orthodontist Oral Surgery Dentist sends Annex A to HQ DDS- local Dutch or MG Restorative Dentist sends Annex A-approval-allowed to proceed Refer to DDS Consultant for Restorative Dentistry?

12. Pharmacy Use same Pharmacy as BFGHS Liable to Prescription Charges if not-exempt Kring Apotheek Rumpenstraat 2A 6443 CD Brunssum

13. Emergency Treatment Normal Hours -contact practice -same day service -Evenings & Weekends - extended hours -Ring practice- Answaphone message in English -Details of dentist on emergency roster -Take Letter of Introduction and Annex C -No time- pay cash and submit claim -TAS safety net-contact DDS duty DO for advice

14. Dental Fitness Military Personnel- Personal Responsibility Requirement for Annual Dental Inspection Take Certificate of Dental Fitness Dentist to sign when treatment complete Send to HQ DDS (G) Entered onto DMICP clinical records JPA interrogates DMICP CO EJSU run JPA reports of NATO personnel

15. Summary PROs High quality care Dental Hygienist Improved access Opening Hours After-school appointment Saturday & after-work Faster laboratory support Access to other treatment CONs Change/Unfamiliar Personal responsibility More Admin Not on JFC Convenience?

16. Questions?