Oral Health Needs Assessment Colette Bridgman

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Oral Health Needs Assessment Colette Bridgman

• PCC Learning Event
• London 6th July

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Living IN Salford
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Why do an OHNA? PCTs need to

• Understand the Oral Health Needs of population
• Take stock of current dental services (including
  specialist services)
• Consider the potential for redesigning services
• Take a rational approach to commissioning dental
  services
• Manage the market
• Support investment/dis-investment decisions

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Most HNA involves

• Researching and describing the characteristics of
  the population
• Identifying their needs
• Measuring the capacity of existing service
  provision to meet them
• Where gaps exist, identifying new or alternative
  ways in which needs may be met

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How to go about it?

• CsDPH can lead process - not available?
  Commission from network / SpR project? Use dental
  / Public Health or primary care capacity to
  follow steps in PCC OHNA toolkit for PCTs March
  2006
• Describes the process
• Lists resources
• Describes steps to completing an OHNA

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Who should be involved?

• Who knows who cares who can
• Stakeholder steering group
• Must have sponsor Director
• External and Internal Champions
• Service users

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Data sources

• Deprivation indices
• Census
• Adult and Child dental surveys
• Local BASCD surveys
• Health Lifestyle surveys / Health Equity Audits
• Practice visit reports
• BSA (historic DPB)
• Secondary Care

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Summary of Key Oral Health Needs in Oldham

• Prevalence of decay, pre-school children
• Percentage of 5 year olds with obvious decay
• Unmet orthodontic treatment needs
• Inequalities in oral health experience

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Oldham Data for the period April 2003 March
2004
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A comprehensive oral health strategy

• based on a needs assessment.
• has involved the public.
• has buy-in and endorsement from all key
  stakeholders.
• contains a realistic action plan with timed
  milestones for delivery.
• links to wider PCT policy and priorities such as
  the LDP.
• describes the long term vision for oral health.

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Cont.

• is preventive-led
• involves a review of dental care services to
  assess how they can contribute towards meeting
  identified need
• considers the role other professionals may play
  in protecting and improving oral health
• Special consideration given to specialist
  services

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In summary OHNA need to serve

• PCTs Fit for future
• Commissioning Patient-led NHS
• Support dis-investment/investment decisions
• Manage the market / inform commissioning
  decisions
• Comparative service information