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![Page 1: MCN Referral Management and development of Surgical Dental Service Maggie Leggate Clinical effectiveness advisor Pittodrie Stadium 2012 MCN Oral Health.](https://reader035.fdocuments.in/reader035/viewer/2022062407/56649cf85503460f949c9984/html5/thumbnails/1.jpg)
MCN Referral Managementand development of Surgical Dental Service
Maggie LeggateClinical effectiveness advisor
Pittodrie Stadium 2012MCN Oral Health and Dentistry event
7th Feb 2012
Terry LoweConsultant OMFS
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Referral Management subgroup
OriginFeedback from 1’ care practitionersSecondary care audit;
Quality and effectiveness of referral processSecondary care service redesignGovernment targetsGovernance/Good medical practice
‘Meet the consultants evening’ - 2009
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Objectives
Improve the overall quality of referralsTriagablePromote best practice in referral managementFacilitate administration
Improve communication/feedback
Better utilisation of resources
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Process
Identified stakeholders for each group Regular meetings
Each service provided referral criteria Standard template produced.
Orthodontics formed own referral working group
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Result
Guidance Document
Referral forms for each specialty
Piloted; ten primary care practices
First edition distributed June 2011
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More recently….
Document handed to Dental Advice and Referral Centre (DARC)
Islands Highland
Website support - HI- Net Grampian
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Benefits
Pre- and post guidance audit ;
Quality of Referrals to OMFS
Data collection; Both administrative and clinical parameters to
assess the overall quality of the referral
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0%
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100%
Patient'sDate of
Birth
Patient'sCHI
Number
Address Postcode Contacttelephonenumber
Referrer'sname orpractice
Referrer'saddress
Identification Data
New
OLd
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Adequatehistory
Referralrequest clear
Provisionaldiagnosis?
Is the degreeof urgencyindicated?
Photographattached?
Radiographattached?
Radiographdiagnostic?
Clinical Details
New
Old
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0%
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30%
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50%
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100%
Medicalhistory
recorded?
Allergies Medication? SmokingStatus
Alcohol? SocialHistory ?
Medical History
New
Old
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Summary Development of referral guidance - ongoing
Inclusion, networking, establishing clarity
Updateable, dynamic resource on line
- accessible to all
Support for practitioners
Greater understanding of care pathways
Establish electronic referrals – SCI Gateway
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Primary Care Surgical Dentistry Service
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Primary care Surgical Dentistry service
OMFS audits 2009/11; 6-10% activity suitable for
primary care surgery(LA)
Minor O/P surgery for remote & rural location
Successful model in Islands for many years
Postgraduate Diploma/ MSc in O/S; UCLAN
Extrapolate to provide Intermediate care pathway
for Surgical Dentistry
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Members…so far
Archana Kavi (ABD) – MSc , UCLAN Andrew McIntosh (ABD) Bernice McLaughlin (ABD) Charlotte Nash (Moray)
Islands Pippa Arbon (Shetland Isles) Dip, UCLAN Nigel Pendry (Orkney)
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Activity
Minor dentoalveolar surgery/LA GA exts list RACH/ support from OMFS
Criteria
ASA I/II Extractions, retained roots MOS ; soft tissue/ mod. bone removal Apicectomy of single rooted teeth with appropriate
presurgical endodontics
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Where next…
First echelon training completed Top up training support available.
Training for Dental Students.
Service redesign in Moray – supporting primary care practitioners.
Dental anxiety management/sedation service
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Thank you