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Oral Health Strategy & Dental Commissioning Plan

Debra Elliott

Programme Director - Primary & Community Care

Oral Health Strategy

Section 1: National guidance and

legislation

Section 2: Oral Health Needs Section 2: Oral Health Needs

Section 3: Current services provided

Section 4: Commissioning intentions

Section 5: Action plan to improve the

service

Section 1: National

Guidance & Legislation

•The Health & Social Care Act, 2003

•NHS Improvement Plan, 2004

•NHS Dentistry ; Delivering Change,2004•NHS Dentistry ; Delivering Change,2004

•Standards for Better Health, 2004

•Legislative changes in 2005

•Our Health, Our Care, Our say, 2006

Section 2: Oral Health

• 609,658 people live in Gloucestershire

• 7.8% reside in the 20% most deprived

areas nationally

• Number of vulnerable groups requiring • Number of vulnerable groups requiring

special consideration

• Marked inequalities in children’s oral

health

• Marked demand for Orthodontics

Table 1: Percent of residents by

Ethnic Group, Gloucestershire, 2001 (Source: Office for National Statistics, Census 2001 via eJSNA)

Category Gloucestershire (%) England & Wales (%)

White 97.2 90.9

- of which Irish 0.8 1.3

Minorities overall 2.8 9.1

- Mixed 0.9 1.4

Asian or Asian British 1.0 4.6

- of which Indian 0.7 2.1

- of which Pakistani 0.1 1.4

- of which Bangladeshi 0.1 0.6

- of which Other Asian 0.1 0.5

Black or Black British 0.6 2.3

- of which Caribbean 0.4 1.1

- of which African 0.1 0.2

- of which Other Black 0.1 0.2

Chinese/Other Ethnic Group 0.4 0.8

Mean dmft for five year old children, by District in Gloucestershire, 2005/06

1.50

2.00

2.50Mean dmft

0.00

0.50

1.00

Cheltenham Cotsw old Forest of

Dean

Gloucester Stroud Tew kesbury South West England

Mean dmft

Section 3:Current

Commissioning of services• Dental Helpline

• 97 contracts operating from 74 Dental Practices

Salaried Dental Service operating across the

CountyCounty

• Emergency Dental Services weekends and

evenings

• Oral and Maxillo facial surgery from GHFT and

Bristol

• 4 practices providing vocational training places

Current commissioning

of Services

• Oral Health promotion

• Dental Screening Service• Dental Screening Service

Section 4: Future

commissioning of services

New practices

• Out to tender – short-listed 19 potentials

ØGloucester CityØGloucester City

ØNorthleach

ØForest of Dean

ØStroud

Future

Commissioning

Using existing unused Community Hospital

Facilities at:

• Berkeley Community Hospital

• Bourton on the Water Community Hospital

• Cirencester Community Hospital

• Dursley Health Centre

Existing providers

• Additional UDA ‘s (Units of Dental Activity)

commissioned across the County from

existing dentistsexisting dentists

• Additional Orthodontic UOA’s (Units of

Orthodontic Activity) from existing dentists