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B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
B1 ged greaves
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B1 ged greaves


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  • 1. LGID Customer Led Transformation 10 March 2011 “ A healthy society” Ged Greaves Policy and Performance Manager
  • 2. The challenge
    • Place Survey 2008:
      • Almost a third of residents dissatisfied with dental services
      • Greatest for “Municipal Dependency”
    • Analysis of ambulatory sensitive care data revealed high admissions from groups O and K
    • Groups eligible for free or low cost dental care
  • 3. The prize at stake
      • Reduce the number of avoidable admissions to hospital for dental procedures in Group O households (child and adult patients) by 40% over two years.
      • 2 target wards:
        • Hospital treatment £982/patient = £110k per year.
        • Reduce by 40% in costs over two years.
      • What if we…..scaled up?
  • 4. Broader outcomes
      • Increased registration at dental practices – positive cycle.
      • Wider health and well being benefits.
      • Opportunities for collaboration between partners at at a time of widespread reform.
  • 5. Governance
    • Steered by councillor led task group
      • Helped discover the issue
      • Local ward members
      • Cross party
      • Experience with health issues
      • Champions for scrutiny committees
    • Project team; Council, NHS, V&CS
  • 6. How?
    • 1. Analysis of hospital attendance data by Mosaic group and type
    • 2. Local community sector commissioned to undertake health needs assessment
    • 3. Customer experiences mapped using CJM
    • 4. Feedback information from above to service providers and design improvements
  • 7. Where to start?
  • 8.  
  • 9. Devon ward
  • 10. Bridge ward
  • 11. Target segments Group O – Families in low rise social housing with high levels of benefit need Group K – Residents with sufficient incomes in right to buy social houses
  • 12. Progress so far
    • 600 surveys issued – 114 returns
    • 4 community (world café) events
    • 50 residents interviewed at Sure Start Children’s Centres
    • 7 CJM interviews scheduled
  • 13. Early findings?
    • Fear
    • Cost
    • Inconsistent service quality
    • Perceived shortage of NHS places less prevalent
    • Text message reminders
    • Advice on dental emergencies
  • 14. Influencing decisions?
    • Topic of discussion at dinner tables
    • Reform of the NHS Dental Contract
    • Fluoridation of the water supply?
  • 15.  
  • 16.
      • Ged Greaves
      • Policy and Performance Manager
      • [email_address]
      • Direct dial: 01636 655231