dentistry in england and scotland; an overview. 4% of the nhs carbon footprint? duane et al 2012...
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Dentistry in England and Scotland;
an overview
4% of the NHS Carbon footprint?
Duane et al 2012
2 Dental Public Health
Dentistry
1. NHS Primary Care Dental Services (e.g. GDS / PDS)
2. Hospital Dental Service / Secondary Care
3. Public Dental Service/Commissioned Dental Services
4. Dental Public Health services (oral health promotion and epidemiology)
5. Private Dentistry
3 Dental Public Health
NHS Dentistry
Scotland: All items recorded on GP17s sent to NHS Scotland or
England: Most common volumes of activity reported through FP17s to NHS Business Services Authority
Relatively good structured data on NHS dentistry activity
4 Dental Public Health
Hospital Dental Service/Secondary care
• Provides care that can support training
• Provides specialist care outpatient or admitted
• Different approaches to coding and measure care for patients
• Difficult to analyse exact type of treatment given across the country especially where care is mixed between secondary care and community services
• Work commencing to evaluate new codes for dental care across England
5 Dental Public Health
Public Dental Service• Traditional “Safety net Dentistry” for those who
can’t access dental care or those with special needs requiring more complex care
• Activity within Scotland measured on Kodak R4 system
• Difficulty with reporting and analysing information on local systems to create national picture
6 Dental Public Health
Commissioned Services• Community Dental Service
• Sedation Services etc
• Commissioned by NHS England
• Activity recorded on FP17s (England)
• Activity can be recorded on GP17s (Scotland)
7 Dental Public Health
Private Dentistry More difficult to measure activity within private
dentistry
At present activity information is not collected by any body
Historically private dentistry was measured by financial market share
CQC registration and business rates rebates in England provide additional information
8 Dental Public Health
Total Dentistry activity
Secondary care
9 Dental Public Health
NHS contracted care
Private care Hospital care
Travel
Procurement
Activity
energy
Public Dental Service