dwsi document: how can this help a dentist to set up a contract with the pct?
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DWSI document: How can this help a dentist to set up a contract with the PCT?. Eric Rooney Consultant in Dental Public Health. Outline. The DWSI document PCT Commissioning Building evidence for procurement or accreditation. Recognition. - PowerPoint PPT PresentationTRANSCRIPT
Dental Public Health
DWSI document: How can this help a dentist to set up a contract with the
PCT?
Eric Rooney
Consultant in Dental Public Health
Dental Public Health
Outline
The DWSI document PCT Commissioning Building evidence for procurement or
accreditation
Dental Public Health
Recognition
“Prison dentists have to manage a complex agenda in order to deliver optimum care for their patients, and require a range of skills additional to those needed to practise primary care dentistry in a high street or community setting”
Dental Public Health
Use
Guidance to Primary Care Trusts (PCTs) PCT should define the competencies required for the
appointment of a DwSI Dentists should match their personal development
portfolios against the requirements of the role. Should assist prison dentists and PCTs in identifying
any training needs Prison governors and healthcare teams
Dental Public Health
Generalist competencies
Clinical Record Keeping Infection Control Legislation and Good Practice Guidelines Medical Emergencies Radiography Risk Management and Communication Team Training
Dental Public Health
Competency Domains
Environmental Domain Clinical Domain Leadership and Management Domain Communication Domain
Dental Public Health
Environmental Domain
Security Ethical issues and safe practice in prison The prison environment Prison dentistry in the wider context
Dental Public Health
Clinical Domain
History, examination and diagnosis Treatment planning and patient management Medical and dental emergencies Anaesthesia and pain control Therapy, treatment and prevention Management of dental treatment in patients who are
substance misusers Management of dental care in patients with mental
health problems or a learning disability
Dental Public Health
Leadership and Management Domain
Clinical governance and audit Oral health promotion The role of the dental team Professional networks
Dental Public Health
Communication Domain
Communication with prisoners, representatives and advocates
Communication with the clinical team, peers and other professionals
Effective management of complaints
Dental Public Health
PCT Commissioning
Dental Public Health
PCT Responsibilities
PCT has a duty to provide or secure primary dental services to the extent it considers necessary to meet all reasonable requirements (S.16CA of NHS Act 1977)
Dental Public Health
PCT responsibilities
PCT has prescribed functions in relation to dental public health discharged by:
• PCT itself• PCTs acting jointly• by arrangements with other agency
(S16CB of NHS Act 1977)
Vision: World class commissioning will deliver Better health and well being for all
People stay healthier for longer – “adding life to years.” People live longer and health inequalities are dramatically
reduced – ”…and years to life” Better care for all
Services are of the best clinical quality and evidence based People exercise choice and control over the services that
they access so they become more personalised. Better value for all
Informed investment decisions PCTs work across organisational boundaries to maximise
effective care.
Dental Public Health
Commissioning
Dental Team
Prison Health PCT Commissioner
PrisonDentalCare
Model for commissioning prison and detention centre oral health services
Commissioning Prison and
Detention Centre Oral Health Services
or
Review service
Decide priorities-Assuring Minimum Standards
Shaping supply
Managing Performance & Supporting Quality Improvement
Oral Health Needs Assessment
Understand the establishment
Type and numbers
Turnover
Future Plans
Demography
Input from prison service
Use existing research and epidemiology
Develop Service specification
Scope
Prevention and oral health improvement
High quality, safe clinical care:
Urgent
Routine
Specialist
Demand management and referrals
Links to other services
Quality and risk management
Prison Health support
Research
Service Review
Assess against service specification
Work with existing or new providers
Re shape and refocus the existing service to deliver the service specification in partnership with the existing provider
Procurement process
Tendering process through “Supply to Health” or local process
Market Testing
Assess needs-Map the base-line
Strategic decision required
GDS contractPDS agreementPCTDS service statement
Amended to reflect the service specification
Appropriate measures of activity and quality and clear agreements about breaches and sanctions
Regular reviews including feedback from the prison healthcare team and patients
Strategic evaluation and review
Dental Public Health
PCT Commissioning
“You should have a clear procurement strategy for primary care dental services setting out when you will openly tender for new services and when you will expand the existing market. Under the principles and rules for cooperation and competition, the factors a PCT will consider in reaching this decision must be clear and transparent. The PCT Procurement Guide identifies four generic criteria that PCTs should consider when deciding whether or not to issue a formal tender”
Dental Public Health
Working with existing providers
Development of SLA Re shape and refocus the existing service to
deliver the service specification in partnership with the existing provider
Dental Public Health
Market testing
Advert requesting expressions of interest Quality criteria Short list Invitation to present/ interview Final offers Scoring Award Feedback
Dental Public Health
Service specification
Likely to be based on DWSI document and competencies
Likely to share elements of the new guidance Is the definition of the product, its quality and
the methodology of delivery Is the document which you need to match your
evidence against
Dental Public Health
Accreditation/ Procurement Panel
Prison healthcare representative Dental public health consultant PCT commissioner Dental practice adviser Dental practitioner contracted as a DwSI in
prison dentistry. PCTs may consider it appropriate to interview
potential candidates/ providers
Dental Public Health
Evidence for accreditation or procurement
Dental Public Health
Generalist evidence
The FGDP(UK)’s Key Skills in Primary Dental Care
Diploma of Membership of the Joint Dental Faculties’(MJDF) Portfolio of Evidence
BDA’s Clinical Governance Kit and Smile-on.com’s Clinical Governance Package
Dental Public Health
Environmental Evidence
Evidence of training undertaken (e.g. induction, breakaway, de-escalation)
Reflection on security issues within the prison Evidence of and reflection on local clinical
protocols Critical incident analyses Reflection on current issues in dentistry and
how they impact on healthcare in prisons
Dental Public Health
Clinical Evidence
Case reviews Direct observation (testimonial from another suitably
qualified professional) Critical incident analyses Reflection on training and personal development Examples of treatment plans Anonymised patient records Anonymised referral letters Evidence of local protocols (e.g. medical emergencies,
local urgent care pathways, triage)
Dental Public Health
Management and Leadership evidence
Evidence of a personal development plan Evidence of having undertaken CPD and reflection on its impact
on practice Evidence of participation in audit and peer review Evidence of involvement in the prison clinical governance
committee Evidence of knowledge of the evidence base for best practice Reflection on infection control procedures and infection control
issues specific to the prison setting Evidence of and reflection on oral health promotion in the prison
and the practitioner’s role in this Reflection on the role of the team in the delivery of dental care
Dental Public Health
Communication evidence
Reflection on cases where there have been potential barriers to communication
Evidence of and reflection on training and CPD in relation to communication with patients with a variety of communication needs
Evidence of written communication Evidence of knowledge of local protocols for dealing
with complaints Reflection on a complaint and what was learned from
it/critical incident analysis
Dental Public Health
Conclusion
The DWSI document PCT Commissioning Building evidence for procurement or
accreditation