Implementing change in Dental Estates via HTM 01 05

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Implementing change in Dental Estates via HTM
01 05

• YM Dailey
• Consultant Dental Public Health
• NHS Western Cheshire

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Inter-related aspects

• Estates
• HTM 01-05
• Oral Health Commissioning Strategy
• Darzi
• World Class Commissioning
• Steele Review

• .

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Estate

• High quality fit for purpose premises
• Compliance with essential decontamination
• Compliance with Disability Discrimination Act
• Impact on single handed practices
• Fewer but larger sites

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HTM 01- 05

• Progressive approach to delivery
• Delivery plan
• Training requirements
• Premises some practices will not be able to
  comply

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NHS Western Cheshire-the way forward

• Commissioning on its own cant deliver the agenda
• Need to engage with clinicians
• Identify what things need to be done
  collaboratively
• Update commissioning plans

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Implications

• Patient Care
• PCT balance sheet
• Dental Practice balance sheet

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Multidisciplinary approach
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Working in partnership

• PCT will need to work with providers
• Providers will need support from PCT
• Structures for meaningful engagement need to be
  established to manage change

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Innovative Commissioning

• NHS Quality Access
• 20 practices

• Other NHS practices
• 17 practices
• Child only
• Small NHS contract lt100K
• Ortho
• PCT owned buildings

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What did we do?

• Initial Basic Assessment of our Dental Estate
  16 months ago.
• Current practice conditions
• Equipment
• Need for change
• Space for change

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Outcomes from assessment

• Identify current standards
• Service improvement requirements
• Training needs in the dental teams for infection
  control and decontamination
• Initiate PCT/practice engagement

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Leading change on a NHS contract
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NHS is a Quality Brand

• Misconcpetion that because I offer NHS
  treatment, the surgery is not up to the same
  standard as other providers
• Dispel the myth that NHS dental provision in
  this very poor area is some what inferior.

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Where are we now?
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Dental Decontamination Equipment
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Dental decontamination20 quality access practices
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Clinicians lead the way
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Leadership
Develop Deliver
Support
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Staying ahead with HTM 01 05

• Training and support
• Basic infection control procedures
• Decontamination procedures
• Incident reporting

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Integrated working

• Making it happen

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