Department of Community Special Care Dentistry Rob Hale Consultant in Special Care Dentistry Deputy Head of Department
Salaried primary dental care services <ul><li>History </li></ul><ul><li>School dental service </li></ul><ul><li>Community ...
Salaried Primary Dental Care Services <ul><li>All dentists must be on PCT performers list </li></ul><ul><li>Patient charge...
Department of Community Special Care Dentistry <ul><li>Hosted by King’s College Hospital NHS Trust </li></ul><ul><li>Based...
Department of Community Special Care Dentistry <ul><li>Clinical role </li></ul><ul><ul><li>How </li></ul></ul><ul><ul><li>...
Clinical role <ul><li>Consultant led </li></ul><ul><ul><li>3 consultants </li></ul></ul><ul><ul><li>2 specialists </li></u...
Clinics <ul><li>Lambeth </li></ul><ul><ul><li>Clapham Manor </li></ul></ul><ul><ul><li>Elmcourt </li></ul></ul><ul><ul><li...
Who for? <ul><li>Children </li></ul><ul><ul><li>High caries rates </li></ul></ul><ul><ul><li>Behavioural/management issues...
Special Care Dentistry <ul><li>Special care dentistry is concerned with providing and enabling the delivery of oral care f...
Special Care Dentistry <ul><li>..  is concerned with the improvement of oral health of individuals and groups in society w...
Special Care Dentistry <ul><li>…it requires a holistic approach that is specialist led in order to meet the complex needs ...
Patient Groups <ul><li>Learning disabilities </li></ul><ul><li>Challenging behaviour </li></ul><ul><li>Medically compromis...
Public Health Role <ul><li>Screening </li></ul><ul><ul><li>5year olds in state schools </li></ul></ul><ul><ul><li>Resident...
Oral Health Promotion <ul><ul><li>Generic team   </li></ul></ul><ul><ul><li>wide range of settings and to all age groups <...
Educational Role <ul><li>Undergraduate </li></ul><ul><ul><li>Year 4 – domiciliary care </li></ul></ul><ul><ul><li>Year 5 s...
Departmental staff <ul><li>Dr. Liana Zoitopoulos (Head) </li></ul><ul><li>Dr. Rob Hale (Dep Head) </li></ul><ul><li>Dr. Gu...
Referrals <ul><li>Referrals received from  </li></ul><ul><ul><li>GDPs </li></ul></ul><ul><ul><li>GMPs </li></ul></ul><ul><...
Referrals Accepted <ul><li>One off items of care </li></ul><ul><li>Long term oral health care for appropriate patients </l...
Making a referral <ul><li>Standard KCLDI referral form </li></ul><ul><li>Fully detailed referral letter </li></ul><ul><li>...
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  1. 1. Department of Community Special Care Dentistry Rob Hale Consultant in Special Care Dentistry Deputy Head of Department
  2. 2. Salaried primary dental care services <ul><li>History </li></ul><ul><li>School dental service </li></ul><ul><li>Community dental services </li></ul><ul><li>Personal dental services </li></ul><ul><li>Salaried primary dental care services </li></ul>
  3. 3. Salaried Primary Dental Care Services <ul><li>All dentists must be on PCT performers list </li></ul><ul><li>Patient charges to be levied </li></ul><ul><li>Submission of FP17s </li></ul>
  4. 4. Department of Community Special Care Dentistry <ul><li>Hosted by King’s College Hospital NHS Trust </li></ul><ul><li>Based at King’s College London Dental Institute </li></ul><ul><li>Consultant-led </li></ul><ul><li>Primary and secondary care elements </li></ul><ul><li>Lambeth, Southwark & Lewisham </li></ul>
  5. 5. Department of Community Special Care Dentistry <ul><li>Clinical role </li></ul><ul><ul><li>How </li></ul></ul><ul><ul><li>Where </li></ul></ul><ul><ul><li>Who for </li></ul></ul><ul><li>Public health role </li></ul><ul><ul><li>Screening </li></ul></ul><ul><ul><li>Epidemiology </li></ul></ul><ul><ul><li>Oral health promotion </li></ul></ul><ul><li>Educational role </li></ul><ul><ul><li>Undergraduate </li></ul></ul><ul><ul><li>postgraduate </li></ul></ul>
  6. 6. Clinical role <ul><li>Consultant led </li></ul><ul><ul><li>3 consultants </li></ul></ul><ul><ul><li>2 specialists </li></ul></ul><ul><li>Community based </li></ul><ul><li>Hospital based </li></ul><ul><li>Mobile dental service </li></ul><ul><li>Domiciliary care </li></ul><ul><li>General anaesthesia </li></ul><ul><li>Sedation services </li></ul>
  7. 7. Clinics <ul><li>Lambeth </li></ul><ul><ul><li>Clapham Manor </li></ul></ul><ul><ul><li>Elmcourt </li></ul></ul><ul><ul><li>Mawbey Brough </li></ul></ul><ul><ul><li>Myatts Field </li></ul></ul><ul><ul><li>Railton Road </li></ul></ul><ul><ul><li>Whittington </li></ul></ul><ul><ul><li>Brixton prison </li></ul></ul><ul><li>Southwark </li></ul><ul><ul><li>Lister </li></ul></ul><ul><ul><li>John Dixon </li></ul></ul><ul><ul><li>Aylesbury </li></ul></ul><ul><li>Lewisham </li></ul><ul><ul><li>Downham </li></ul></ul><ul><ul><li>Jenner </li></ul></ul><ul><ul><li>Waldron </li></ul></ul>
  8. 8. Who for? <ul><li>Children </li></ul><ul><ul><li>High caries rates </li></ul></ul><ul><ul><li>Behavioural/management issues </li></ul></ul><ul><ul><li>Special care needs </li></ul></ul><ul><li>Adults </li></ul><ul><ul><li>Special care dentistry </li></ul></ul>
  9. 9. Special Care Dentistry <ul><li>Special care dentistry is concerned with providing and enabling the delivery of oral care for people with an impairment or disability.. in the broadest terms. </li></ul>
  10. 10. Special Care Dentistry <ul><li>.. is concerned with the improvement of oral health of individuals and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairments or disability, or more often a combination of these factors </li></ul>
  11. 11. Special Care Dentistry <ul><li>…it requires a holistic approach that is specialist led in order to meet the complex needs of people with impairments </li></ul><ul><li>Training in Special Care Dentistry </li></ul><ul><li>Joint Advisory Committee in Special Care Dentistry Sept 2003 </li></ul><ul><li>Multi-disciplinary working </li></ul>
  12. 12. Patient Groups <ul><li>Learning disabilities </li></ul><ul><li>Challenging behaviour </li></ul><ul><li>Medically compromised </li></ul><ul><li>Neurological impairment </li></ul><ul><li>Physical disabilities </li></ul><ul><li>Older people </li></ul><ul><li>Mental health issues </li></ul><ul><li>Syndromes </li></ul>
  13. 13. Public Health Role <ul><li>Screening </li></ul><ul><ul><li>5year olds in state schools </li></ul></ul><ul><ul><li>Residential/nursing homes </li></ul></ul><ul><li>Epidemiology </li></ul><ul><ul><li>BASCD surveys – 5/12 year olds </li></ul></ul><ul><ul><li>Adult Dental Health Survey </li></ul></ul><ul><li>Oral Health Promotion </li></ul>
  14. 14. Oral Health Promotion <ul><ul><li>Generic team </li></ul></ul><ul><ul><li>wide range of settings and to all age groups </li></ul></ul><ul><ul><li>eg for example training carers of elderly, input to life skills courses for adults with special needs. </li></ul></ul><ul><ul><li>15 ‘Target’ Schools prioritised as schools with the highest levels of untreated disease along with other indicators of deprivation </li></ul></ul><ul><ul><li>Children’s Centre teams </li></ul></ul><ul><ul><li>promote oral health for families with children aged under five. </li></ul></ul><ul><ul><li>e.g.service delivery in baby clinics and the use of large scale campaigns across Children Centre localities and adjoining school nursery population. </li></ul></ul><ul><ul><li>services designed to increase reach to vulnerable / hard to reach groups. </li></ul></ul><ul><ul><li>Providing training for staff and partnership working with other health and community teams. </li></ul></ul>
  15. 15. Educational Role <ul><li>Undergraduate </li></ul><ul><ul><li>Year 4 – domiciliary care </li></ul></ul><ul><ul><li>Year 5 special care dentistry </li></ul></ul><ul><li>Postgraduate </li></ul><ul><ul><li>Vocational trainee </li></ul></ul><ul><ul><li>SHOs </li></ul></ul><ul><ul><li>MFDS trainees </li></ul></ul><ul><ul><li>Specialty registrar </li></ul></ul><ul><li>Dental care professionals </li></ul><ul><ul><li>Therapy students </li></ul></ul>
  16. 16. Departmental staff <ul><li>Dr. Liana Zoitopoulos (Head) </li></ul><ul><li>Dr. Rob Hale (Dep Head) </li></ul><ul><li>Dr. Guy Palmer </li></ul><ul><li>2 Specialists </li></ul><ul><li>9 senior dental officers </li></ul><ul><li>8 dental officers </li></ul><ul><li>1 specially registrar in SCD </li></ul><ul><li>1 vocational trainee </li></ul><ul><li>2 SHOs </li></ul><ul><li>1 hygienist </li></ul><ul><li>Dental service manager </li></ul><ul><li>4 administrative staff </li></ul><ul><li>2 dental nurse managers </li></ul><ul><li>6 senior dental nurses </li></ul><ul><li>12 dental nurses </li></ul><ul><li>5 receptionists </li></ul><ul><li>2 joint oral health promotion managers </li></ul><ul><li>3 generic OHP </li></ul><ul><li>6 children centre OHP </li></ul>
  17. 17. Referrals <ul><li>Referrals received from </li></ul><ul><ul><li>GDPs </li></ul></ul><ul><ul><li>GMPs </li></ul></ul><ul><ul><li>Other health and social care professionals </li></ul></ul><ul><ul><li>Self – mainly domiciliary care </li></ul></ul><ul><li>From Jan 2009 </li></ul><ul><ul><li>945 new referrals received </li></ul></ul><ul><ul><li>936 accepted </li></ul></ul>
  18. 18. Referrals Accepted <ul><li>One off items of care </li></ul><ul><li>Long term oral health care for appropriate patients </li></ul><ul><li>Shared care approach </li></ul><ul><li>We do not provide specialist restorative, orthodontic, oral surgery services or treatment under GA other than for patients that require special care </li></ul>
  19. 19. Making a referral <ul><li>Standard KCLDI referral form </li></ul><ul><li>Fully detailed referral letter </li></ul><ul><li>Department of Community Special Care Dentistry HQ at Kings </li></ul>
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