This report outlines the need to centralise services and build on existing hub and spoke networks for oral and maxillofacial surgery, especially in the treatment of patients with head and neck cancer and those needing corrective jaw surgery. This will enable central hubs to focus on in-patient work, while outlying spoke hospitals take care of day cases and outpatients, which form a high proportion of oral and maxillofacial work.
The report makes 15 recommendations on the following themes:
Improving methods and techniques for data collection to ensure better analysis
Wrong tooth extraction has been clearly designated as a 'never event' since April 2015. However, in 2016/17, wrong tooth extraction topped the charts as being the most frequently occurring never event based on NHS England’s data.
What can we do to mitigate these incidents?
Based on both practical experience and research evidence, BAOS advises that the main methods for mitigation of errors are:
learning from mistakes – including investigation and root cause analysis
engaging the clinical team when developing 'correct site surgery' policies
utilising the LocSSIPs temp