Where we are now in County Durham and Darlington

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Where we are now in County Durham and Darlington

• Jackie Rubin
• Dental Practice Adviser

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Dental Leads Team

• Alison Ayres Durham and Chester Le Street
• Tracey Wilkinson Sedgefield
• Lyn Kilker Derwentside
• Mary-Clare Barker Durham Dales
• Anne Rhodes Darlington
• Emma Champley Easington

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Background

• At present 6 PCTs to become 2PCTs
• 84 Practices with some sort of NHS contract (203
  GDPs)
• 2 Specialist Orthodontic practices
• At present 5 PCT dental leads
• Joint working as a dental team together with Our
  Consultant in Dental Public Health, Specialist
  Registrar and the Adviser in Dental Public Health

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CONTRACT MONITORING
Preventive Care (optional)
Total time involved (hours/minutes)
Total number of patients given preventive advice
Units of dental activity achieved
UOA's achieved this month per practice
UDAs achieved this month by practice
Complaints
Total number of written patient complaints
Capacity
Length of time to next available routine
appointment
Comments If you would like to make any
additional comment about this months activity
please do so here-
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BSA data
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Lessons learned

• Initial Suspicion (Big Brother)
• Building on existing relationships
• Mutual Trust
• Continued communication
• Local knowledge
• Continual review of process

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• DENTAL CONTRACT - MID-YEAR REVIEW MEETING
• GDS AND PDS CONTRACTS
• AGENDA
• UNITS OF DENTAL ACTIVITY
• comparison of BSA and practice data
• Reasons for variance
• Action plan
• CONTRACTUAL ISSUES
• INTRODUCTION TO CLINICAL GOVERNANCE FRAMEWORK
• ANY OTHER BUSINESS

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Visit attendees

• PCT Dental Lead
• Finance representative
• Dental Practice Advisor

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Feedback

• Written feedback to the practice in draft form
  with proposed action plan if required
• Agreement that this is a true reflection on the
  meeting
• Final report to be signed by both parties
• Report to the board

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Clinical Governance framework

• Standards for better health
• Existing sources
• Self assessment proforma
• Follow up support and training

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Getting the whole picture

• BSA data
• Monitoring reports
• DPA visit
• Infection control team
• Clinical Governance team
• Dental Reference Groups
• Local Knowledge