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Found 89 results
  1. Content Article
    This Healthcare Safety Investigation Branch (HSIB) report highlights a gap between the NHS and other safety-critical industries in identifying and managing barriers to reduce the risk of serious incidents occurring.
  2. Content Article
    In February 2021, the list of never events was updated to exclude wrong tooth extraction, as the systemic barriers to prevent these incidents were not considered ‘strong enough.’ In this article, published in the British Journal of Oral and Maxillofacial Surgery, authors discuss the matter, and provide some recommendations to minimise the risk of wrong tooth extraction.
  3. Content Article
    A timeout is an immediate pause by the entire surgical team to confirm the correct patient, procedure and site. This article discusses the use of timeout policy within a dental team prior to invasive or irreversible treatment as a means to improve patient safety, by creating a safe space for team members to express any concerns about procedure verification.
  4. Content Article
    The Covid-19 pandemic has resulted in dental treatments having to be planned and carried out with extreme caution, with dental facilities and staff adapting to put in place appropriate infection control measures and safety precautions. This article, published in Patient safety in surgery, provides a summary of precautionary and prophylactic measures in preventing the cross-infection and the nosocomial spread of the infection in a dental setting.
  5. Content Article
    The pain and distress of not being able to see an NHS dentist are "totally unacceptable", an inquiry has told the government. A review was launched after a BBC investigation found 9 in 10 NHS dental practices across the UK were not accepting new adult patients. Some people drove hundreds of miles for treatment or even resorted to pulling out their own teeth, the BBC found. The government says it invests more than £3bn a year in dentistry. But a damning report, by the Commons' Health and Social Care Committee, says more needs to be done, and quickly. The House of Commons Committee report with recommendations to government can be viewed at the link below. The Government has two months to respond.
  6. Content Article
    In this opinion piece, a patient shares their experience of trying to access support from the healthcare system for debilitating jaw pain. They describe being dismissed and laughed at by doctors and orthodontists, highlight a knowledge gap around jaw issues and outline the need for more accountability in the orthodontics industry.
  7. Content Article
    This standard has been produced by NHS England to promote consistent delivery and quality of specialist orthodontic care provision to patients in England. It aims to ensure that resources invested by the NHS in specialist care are used in the most effective way, provide the best possible quality and quantity of care for patients and meet need rather than serve demand. The standard includes the following information: What is orthodontics? Complexity assessment Illustrative patient journey Assessing need Understanding current provision Model of care Clinical standard National key performance indicators Quality and outcome measures
  8. Content Article
    This article summarises the findings of research by Healthwatch into the impact of the cost of living crisis on people's decisions about accessing health and care. The research, which surveyed 2000 adults in England, was conducted four times between October 2022 and March 2023. It suggests that people are increasingly avoiding vital health and care services due to the fear of extra costs. Examples include avoiding:   going to a dentist because of the cost of checks ups or treatment  booking an NHS appointment because they couldn’t afford the associated costs, such as accessing the Internet or the cost of a phone call  buying over the counter medication they normally rely on  taking up one or more NHS prescriptions because of the cost. Healthwatch sets out a series of recommendations, including ensuring that the support available to help with healthcare costs is communicated to those that need it.
  9. News Article
    Scotland's dental leaders say the backlog for patients getting NHS treatment is "enormous". Official data shows people in more affluent areas of Scotland were much more likely to be seen by a dentist in the last two years compared to poorer communities. Meanwhile, patients on long waiting lists are resorting to costly private treatment in order to be seen sooner. The Scottish government said it was committed to tackling the pandemic-related backlog in routine dental care. The shutdown of dental services in the early days of Covid, and then severe restrictions on working practices meant emergency care was prioritised in Scotland. Denise Hesketh is one of thousands of Scots who couldn't see a dentist during the start of the pandemic. The 58-year-old from Edinburgh has battled dental problems for years, but being unable to see a dentist during Covid meant her oral health has taken a turn for the worse. She told BBC Scotland: "It was over a year before I was able to see a dentist and by then it just got too bad. Everything was unstable. It needn't have happened - it could have been repaired." She now faces a bill of £20,000 for private care, with her NHS dentist unable to offer any help. Some patients have raised fears that those who pay for private dental treatment are being prioritised. BBC Scotland has seen an email to patients from one practice in Lanarkshire. It states "Due to NHS restrictions and waiting lists on routine care… there are other options for check-ups for adults and children to pay privately". Read full story Source: BBC News, 16 February 2022
  10. News Article
    Hundreds of thousands of dental patients in England are to be offered weekend and evening appointments under NHS plans to tackle the backlog exacerbated by the pandemic. More than 350,000 extra dental appointments are to be made available in February and March, NHS England said, with a new £50m funding pot aimed at fuelling a dentistry “treatment blitz”. However, senior dentistry sources said the cash was a “drop in the ocean”, with tens of millions of NHS appointments cancelled as a result of Covid-19 and the resulting backlog set to take years to clear. Some also expressed doubts about whether there would be enough staff to offer the additional appointments, since hundreds of dentists have quit the profession in the last year amid warnings that NHS dentistry is increasingly “hanging by a thread”. Millions of patients have struggled to access dental care since 2019. Some have spent weeks or months in pain as a result, and others believed they had no option but to conduct “DIY dentistry” while waiting for treatment, or felt coerced into “going private”. Under the new plans to tackle the backlog, NHS England said dentists involved in the scheme would “be paid more than a third on top of their normal sessional fee” for delivering care outside their core hours. Read full story Source: The Guardian, 25 January 2022
  11. News Article
    NHS dentistry is "hanging by a thread" with some patients facing two-year waits for check-ups, the British Dental Association has said. Department of Health data analysed by the BBC shows almost 1,000 dentists working in 2,500 roles across England and Wales left the NHS last year. One woman told how she had been in pain for more than a year while waiting to have root canal surgery. NHS England said patients who most needed care should be prioritised. Pamela Carr, 58, from Carlisle, has been looking for an NHS dentist to fix her root canal since November 2020. "I've become used to the pain," she said. "I can't afford the private care, and I've tried every practice within 30 miles. I phoned NHS England too." "They said there's nothing they can do because there are no NHS dentists. That was the end of the conversation." Clinical Commissioning Group North Cumbria, which covers the area, lost 4% of its dentists in the last year. The worst-affected area was NHS Portsmouth CCG, which lost 26% of its NHS dentists over 12 months. At least 10% of NHS dentists were lost in 28 other English CCGs. Read full story Source: BBC News, 19 January 2022
  12. News Article
    Dentists may never catch up with the backlog of patients waiting for check-ups, a leading dentist has warned. Dr Russell Gidney said around 6,000 of his patients had not been given a routine check-up in the past year because of Covid restrictions. NHS Wales figures show courses of dental treatment dropped by over three quarters in 2020-21. The Welsh government said dental services would get an extra £3m this year to support pandemic recovery. Dr Gidney said fatigue among colleagues and recruitment problems threatened the return of regular appointments. At his practice in Chepstow, Monmouthshire, he said check-ups have not been going ahead because patients who need urgent treatment were prioritised. Dentists are limited in number of patients they treat because of increased safety measures - such as wearing more PPE and cleaning between patients. New operating procedures were announced last week, relaxing the safety measures for patients who show no signs of respiratory illness, such as colds and flu. But Dr Gidney said although new guidelines may increase patient volumes, they will "barely make a dent" into the "unprecedented backlogs". Wales' Health Minister Eluned Morgan said there have been "long-standing issues" with access to dentistry, due to practices experiencing difficulties with recruitment and retention of dentists. She said these issues were "impacting on the provision of NHS dental services". Read full story Source: BBC News, 2 December 2021
  13. News Article
    A patients' group says it is concerned over a lack of access to NHS dentists in South Gloucestershire after two surgeries turned private. Frampton and Flaxpits surgeries say NHS targets can not be reached without putting patients and staff at risk. and they must go private to survive. Vicky Marriott, of Healthwatch, an independent statutory body representing patients, said not having an option to have NHS care was a "real concern". In a letter to patients, Dr Dimitri Haddjeri, dentist at Framptom and Flaxpits surgeries, said "target-driven, high-volume dentistry" was "not fit for purpose" and did not put the patient first. He said NHS targets could not be reached without putting patients and staff at risk. Ms Marriott said there were "enormous problems" for people trying to find NHS care across South Gloucestershire, Bristol and North Somerset. "Between July and September this year, in Bristol alone, we've had 73 people contact us saying that they've been emailing or phoning every single dental practice to see if they can get treatment and haven't been able to," she said. Read full story Source: BBC News, 13 October 2021
  14. News Article
    Patients needing complex dental work might have to wait longer under new NHS targets, dentists warn. The British Dental Association (BDA) fears NHS England will impose penalties on practices that fail to reach 45% of their normal activity level, after negotiations broke down. And practices may have to prioritise routine check-ups over more time-consuming treatments. An NHS official said: "The NHS and the government are working to determine a safe and reasonable contractual arrangement with dentists, which recognises the constraints on practices and the need to maximise access for patients to see their dentist." The waiting list for NHS dentistry could reach eight million by New Year's Eve, according to the Association of Dental Groups. Dave Cottam, who chairs the BDA's General Dental Practice Committee, said: "This move will actively undermine patient care. "Ministers are instructing dentists to churn through routine appointments against the clock, rather than deal with a huge backlog of urgent cases. Dentists wanting to do the right thing by their patients will now be punished for it." Read full story Source: BBC News, 16 December 2020
  15. News Article
    Some NHS dental patients have been asked to pay for private care "if they want any treatment", according to a watchdog. Others are facing waits of up to two years for an NHS appointment, Healthwatch England has warned. One patient was in so much pain he decided to extract his own teeth, said its chairman Sir Robert Francis QC. The NHS said over 650 urgent dental hubs have been set up so patients can access a dentist. Hundreds of people contacted Healthwatch England between October and December last year complaining about dentistry issues. A briefing document from the watchdog said that "a lack of NHS dentist appointments" remains the most common issue - with people asked to wait for up to two years. Read full story Source: BBC News, 8 February 2021
  16. News Article
    New data indicates the dental crisis shows no signs of slowing, with four in five people (80%) struggling to access timely care during the last COVID-19 lockdown. Access to NHS dental care continues to be a problem for people across England, with Healthwatch recording a 22% rise in calls and complaints about dentistry between January and March 2021.   A review of 1,375 people’s experiences shared with Healthwatch found a lack of consistency across the country when it comes to accessing a dental appointment. Whilst some people were asked to wait an unreasonable time of up to three years for an NHS appointment, those able to afford private care could get an appointment within a week. Healthwatch are calling for greater ambition and urgency from NHS dental reform plans to create more equitable and affordable dental care. Imelda Redmond CBE, National Director of Healthwatch England, said: “The twin crisis of access and affordability hitting NHS dentistry means many people are not able to access timely care – and the poorest are hardest hit. Those human stories show that oral health is a social justice and equity issue." Read full story Source: Healthwatch, 24 May 2021
  17. News Article
    People are being told to wait until 2024 for dentist appointments while others are being removed from their practice lists for not making appointments sooner, according to a damning report into the state of dentistry. Dental surgeries have reported that they have thousands of people on their waiting lists, while patients are unable to access care after ringing round numerous dental surgeries, a watchdog has warned. Delays have resulted in the worsening of painful symptoms and in one instance even led to a patient needing hospital treatment after overdosing on painkillers, it said. But Healthwatch England said that some people are being offered swift private care as an alternative at the same dental practice, with some patients reporting that they felt pressured to pay for their treatment. Some practices appeared to be prioritising private care, it added. Read full story Source: The Guardian, 24 May 2021
  18. Content Article
    Growing numbers of people are reporting being unable to make an appointment with an NHS dentist. This article by HealthWatch offers advice on how to find an NHS dentist and what to do if you can't find a dentist accepting new patients. It provides information on what to do in a dental emergency and about the cost of NHS dentistry.
  19. Content Article
    This is the final report of the stocktake undertaken by Dr Claire Fuller, Chief Executive-designate Surrey Heartlands Integrated Care System and GP on integrated primary care, looking at what is working well, why it’s working well and how we can accelerate the implementation of integrated primary care (incorporating the current 4 pillars of general practice, community pharmacy, dentistry and optometry) across systems.
  20. Content Article
    Therese Coffey, the new health and social care secretary, sets out the government’s plans for the NHS and social care to deliver for patients, this winter and next. The government's plan for patients sets out the priorities for health and care, delivering across four key areas: ambulances backlogs care doctors and dentists. Read her Ministerial foreword below.
  21. Content Article
    This letter from NHS Confederation to Thérèse Coffey MP, the new Secretary of State for Health and Social Care, sets out what needs to be done to support the delivery of an emergency winter plan for health and social care services. It outlines the views of NHS Confederation members on what will be needed to deliver the ‘ABCD’ highlighted as priorities by the Secretary of State: ambulances, backlogs, care and doctors and dentists.
  22. Content Article
    As dentists hand back their NHS contracts in record numbers, GPs are seeing the impact on their workload and patients’ health, especially in “dental deserts,” reports Sally Howard in this BMJ article. Over one week this spring, 20 patients presented at GP Abbie Brooks’ York surgery with abscesses, dental pain, and broken teeth—demanding antibiotics and painkillers. Brooks could not prescribe because she was not indemnified to perform dental work. Many of these patients, Brooks says, were not registered with a dentist or able to find an NHS dentist, and had already been told to call 111. The NHS medical helpline had advised patients to visit emergency NHS dentists 50 miles away from Brooks’ surgery. “Vulnerable patients often can’t get to emergency dentist appointments in Bradford or Leeds for logistical or financial reasons,” she says, adding that a small proportion of patients became difficult when Brooks was unable to help. “One woman was really quite angry that I wouldn’t incise and drain her abscess,” she says. “It’s not acceptable for GPs to have to deal with this crisis not of our doing.”
  23. Content Article
    These Quality Standards have been developed by the Resuscitation Council UK. They enable healthcare organisations provide a high-quality resuscitation service, with guidance tailored for different settings including acute care, primary care, dental care, mental health units, community hospitals and in the community.
  24. Content Article
    This article from the British Association of Oral Surgeons (BAOS) highlights that these clinicians perform a high volume of multi-site complex procedures, on anxious patients who are frequently conscious, that have the potential for error to occur.
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