1. Karen Wright Clinical Services Manager – Integrated Dental Services NHS Tayside Understanding the Profile of Hospital Based Dental Services

2. Where we have come from: Patient Administration system Lack of robust activity data  DCAQ  Monthly Management Information Consultant Job Planning Outcome Recording  clock stop/start  complex patient pathways  Treatments Treatment Hoppers  Named Nurses  PDSA

3. DDH Referrals (GP/GDP Only) SpecialtyJan-Dec 09Jan-Dec 10Movement +/-Movement % Oral Surgery 1,6541,90124715% Oral Medicine78898319525% Orthodontics547557102% Restorative2,1522,47031815% Paediatric 64564830% Total 5,7866,55977313%

4. Restorative

5. Period0-26 wks26-52 wks1-2 yrs2 yrs +Total End Feb 102989405163 End Mar 1021426629158 End Apr 1036456627174 End May 1037367230175 End Jun 1010245327114 End Jul 1012246233131 End Aug 101017373296 End Sept 1018126140131 End Oct 1018136041132 End Nov 1015115146123 End Dec 1015104950124 Prosthetics

7. Period0-26 wks26-52 wks1-2 yrs2 yrs +Total End Feb 101451037920347 End Mar 10154978616353 End Apr 10157101784340 End May 1014595755320 End Jun 1012399709301 End Jul 1015097752324 End Aug 10169102802353 End Sept 1014693905334 End Oct 1013787956325 End Nov 1012086836295 End Dec 1012990 4313 Conservation

9. Next Steps Complete DCAQ Improved management of DNA’s Better understanding of referral variation Advice only referrals Improved patient flow  Clinical urgency  Teaching commitments  Treating patients in turn  Continual review of systems and processes Extended scope practitioners Increase “see and treat” clinics E-Health Development

10. Conclusion Significant work still required. Concern that 18 week RTT is not deliverable for some specialties