Developing an Action Plan

1
Developing an Action Plan

• Sharon Young
• Dental Commissioning Manager

2
Just because youve signed contracts doesnt
mean youve finished doing dentistry.
Isle of Wight PCT
3
Developing an action plan

• Experiences.
• Benefits.
• What would we do differently?

4
Oral health and access to dental services

• Residents amongst the most deprived in the
  country.
• Levels of dental caries high and fail to meet
  national targets.
• Marked inequalities in caries experience.
• Unmet need for orthodontics.
• Higher incidence of dental injuries than
  neighbouring PCTs.
• Maintaining access to primary care dental
  services is a challenge for the PCT.

5
Primary Care Dental Access Plan

• Form an overarching plan for improving access to
  dental services.
• Co-ordinate and link separate but related
  schemes, initiatives and proposals.
• Provide costed proposals.
• Provide a working document that could be built
  upon, evaluated and monitored.

6
Primary Care Dental Access Plan

• Hold the current position.
• Grow back lost capacity.
• Extend the capacity for the future using new
  resources via a variety of mechanisms and
  initiatives.

7
Key indicators

• Registrations.
• GDS gross fees.
• dmft/DMFT.
• Complaints.
• EDS activity.

8
Objectives

• Improve managerial infrastructure.
• Integration of dentistry into the mainstream
  business of the PCT.
• Improve relationships with GDPs.

9
Objectives (cont.)

• Early implementation of new commissioning
  arrangements.
• Build the physical infrastructure.
• Collaboration with independent providers.

10
Benefits

• Provided an overall direction.
• Ensured that everyone involved had a clear view
  of what needed to be done.
• Helped to develop in detail who would do what,
  when and how.
• Dental services have been greatly enhanced.

11
(No Transcript)
12
Benefits (cont.)

• Review progress and outline
• - Performance against objectives.
• - Activity gains.
• - Recruitment.
• - The current position.
• - Details of any problems.
• - General progress and developments.

13
However

• The urgent need to respond to dental access
  problems can sometimes lead to schemes being
  implemented without sufficient assessment and
  planning.

14
What would we do differently?
15
Analysis

• Oral Health Needs Assessment.
• Workforce analysis
• Turnover.
• Recruitment Retention.
• Retirements.

16
Service analysis
availability
time
physical
access
travel
type range of service

• affordability

17
Identify priorities

• Address mismatch between needs and current
  service pattern.
• Explicit priorities useful in defending PCT
  decision making.
• Need to be set in context of other PCT
  priorities.

18
What else.

• Consultation.
• Collaboration.
• Communication.

19
Who with?

• Service providers.
• Patients.
• Oral Health Strategy Group.
• OHAG.
• BDA.
• LDC.
• GDPA.

• PALS.
• CDPH.
• NHS Direct.
• Overview Scrutiny Committee.
• MPs
• Councillors.
• Local media.

20
Dentist stuck in care crisis
PATIENT BAN Roshan Hakeem with head nurse Dawn
Barrett at Reedyford Dental Centre
A DENTIST today said she was in limbo after being
banned from treating 1,100 of her patients on the
NHS even though she wants to.
21
Bride hit by ban on NHS dental care
CANCELLED WEDDING Sharon Primrose
A BRIDE-to-be today told how she had to cancel
her wedding after her dentist was banned from
treating NHS patients.
22
Reasons not to do a plan

• Contracts are sorted.
• Too much work involved.
• Dentistry not a priority.
• People know what we are trying to achieve.
• Will raise expectations.
• May be used as a stick to beat us with.
• Highlights our weaknesses.

23

• The nicest thing about not planning is that
  failure comes as a complete surprise and is not
  preceded by a period of worry and uncertainty.
• Sir John Harvey Jones

24
Benefits

• Clarifies current service pattern.
• Provides overall direction.
• Opportunity to clarify policy issues e.g.
  children only contracts.
• Forces engagement with local dentists.
• Helps to understand the local market.
• Specifies who, what, when, how and what the costs
  are.

25
That depends a good deal on where you want to
get to
Would you tell me, please, which way I ought to
go from here?