Direct Access or Collaborative Practice?

7 November 2013

Joe Ingham Dento-Legal Advisor

Dental Protection

COLLABORATE

To co-operate; especially in literary, artistic or scientific work

Business

Rates

Mortgage/Rent

Staff salaries NationalInsurance

EquipmentLease

Sundries

InsuranceBuildingsContentsPublic Liability

Heating

Advertising Tax

CQC

Fees

Clinical Waste

Phone

Computers

CPD Cleaning

GDC

GDC

NHS England

Dental Complaints

Service

Ombudsman

Lawyers

Media

Tooth Whitening

Initial concerns regarding the use of strong concentrations of hydrogen peroxide in the hairdressing and beauty industries.

Previously it was illegal in the UK to supply a product if it contains or releases more than 0.1% hydrogen peroxide.

31 October 2012

Cosmetic Product (safety)Regulations 2008 were amended by the

Cosmetic Product (safety)(Amendment)Regulations 2012

Products containing or releasing more than 0.1% cannot be used on under 18s

Products containing or releasing between 0.1% and 6% can only be sold to a dentist

BUT

The first use(application) of each cycle has to be by the dentist or under the direct supervision of the dentist

Hygienist or therapist may provide the first use as long as it is under the dentist’s direct supervision

As A rule of thumb, a given % of carbamide peroxide is three times the % of hydrogen peroxide that is released by (or contained)in the product

Bleachorexia

Regularly asking to purchase more bleach

Strive to make teeth just a little whiter

Usually female Very difficult patients with unrealistic

expectations

Know when to say ‘No’

The need for a prescription / treatment plan Local Anaesthetic

• Prescription Only Medicine• Record Keeping• “Patient Specific Direction”

and “Patient Group Direction”

Radiographs

IR(ME)R 2000

2006

.....a person who is a member of a profession regulated by a body mentioned in section 25(3) of the National Health Service Reform and Health Care Professions Act 2002

REFERREROPERATORPRACTITIONEREMPLOYER

Data Protection Act 1998

Governs how public bodies may handle and process personal data , including health records

Relevant Accurate Stored securely

The Human Rights Act 1998

Article 12

The Right to Privacy