Dental Bulletin - April 2019 - Issue CM4

Included in this bulletin:

  1. FP17s Electronic from 1 May 2019
  2. Change4Life Campaign
  3. Inclusion Calendar 2019
  4. Performer’s Start Date
  5. Head and Neck Cancer
  6. Your Local LDC
  7. Interpretation and Translation Services
  8. Patient Safety Incidents in Dentistry
  9. Expectations of Referring Dentists
  10. Safeguarding for Dental Teams
  11. NHS Net Email Addresses
  12. National Hand Hygiene Policy
  13. Live Procurements
  14. EU Exit Primary Care Guidance
  15. Compass Access to Breach Notices
  16. Changes to NHS England
  17. Job Advert – Oral Surgery Clinical Triage
  18. About this Bulletin

The regulations came into force on 1st December 2017, but the amendments made to the GDS and PDS Regulations take effect from the 1 May 2019. This was so that practices that were not computerised were given enough time to acquire computer equipment or software in order to be able to comply with the law.

For clarity, as of 1 May 2019 you will only be able to submit FP17s electronically to the NHS Dental Services (BSA). There is an electronic solution for the remaining small number of contracts that do not have practice software. All Providers have been encouraged to make sure you have an NHS mail account that is maintained regularly so it does not elapse and therefore terminate. For electronic submissions practices have two choices:

  • One option is for practices to purchase a practice management system from one of the current suppliers of these systems.
  • The alternative is to use the Online form that the NHSBSA has developed free of charge within the Compass system. This is a direct replacement for the paper form and is built on functionality you will already be familiar with when correcting forms. They have been successfully running a pilot for this.

Please see the link and it’s the section Compass Online Form Guidance

https://www.nhsbsa.nhs.uk/fp17-processing-and-payments

Whilst we note for some paper based practices will have a level of disruption it should not be prolonged enough to impact significantly on contractual delivery. As prior communications have been fed out direct to Providers offering a significant time period to plan for this implementation, please note Year End appeals will not be accepted due to delayed engagement in this process.

Sara Hurley, Chief Dental Officer England is delighted to attach details of this year’s Change4Life campaign, which launched January 2019.

In keeping with previous years, the national campaign is highlighting easy ways families can cut back on sugar, to help tackle growing rates of childhood obesity and dental decay, this year by encouraging them to make simple like-for-like swaps on foods like fruit juice drinks, breakfast cereals and yoghurts.

The launch of the campaign will see the release of new TV, radio and digital advertising as well as a brand new short film which brings to life key statistics around children’s consumption of sugar.

It would be great if you could lend your support to the launch of the campaign via your professional networks and social media channels and spread the word of this national campaign. We have attached a link to the campaign press release and you can find a suite of social media assets, provided by PHE, here:

https://www.dropbox.com/sh/q54jz3u34cp8wao/AAA_wIoLRqJFCb_CKY-Kblkqa?dl=0

If posting on Twitter, please tag @Change4Life and use the hashtag #MakeASwap

Suggested post copy Image/video name
Swapping to low sugar cereal can make a big difference! Make a swap when you next shop! C4L_Breakfast_Swap.png
Cut out over 50 cubes of sugar by swapping your cereal to a low sugar one! Make a swap when you next shop! C4L_Cube_Invaders_10_sec_FINAL.mp4
Just one or two everyday swaps can make a big difference to your child's sugar intake. Make a swap when you next shop! C4L_Good_Choice.png

This popular online calendar was produced in partnership with Diversiton for CIPD members, it contains:

  • Over 240 important dates including holy days, special events, festivals and bank holidays
  • A monthly quote on life
  • A 'diversity perspective' image
  • The special focus for each month
  • Lunar cycles.

The top seven benefits from the calendar are that it:

  • Provides important daily information on dates, holidays and festivals, for managers and staff
  • Ensures every person can have immediate access – at work and at home
  • Encourages self learning and personal development
  • Helps to protect your organisation against equality claims
  • Increases credibility with customers and users
  • Supports your organisation's diversity, cultural and equality training initiatives
  • Promotes awareness of diversity throughout your organisation.

When a practice notifies the Local Office of a new performer being added to a contract on Compass, a minimum of 5 working days is required to verify applications. NHS England should not receive any applications with a retrospective date of inclusion and will not approve any unless an exceptional circumstance, the only exception would be an urgent situation that requires immediate locum cover.

East Midlands Specialised Commissioning has been leading on a project to develop options around reconfiguring head and neck cancer services in response to the workforce issues. Since this has started the workforce position has improved but work is still needed to ensure a safe and sustainable level of service for the population of the East Midlands. Please read the attached to which explains this in more detail.

South

Your Local Dental Committees (LDCs) are your confidential friend and ally offering support and advice to local dentists. We consist of elected representatives for your local area and are totally separate from the NHS Dental Team.

As committees, we have knowledge and experience of NHS dental regulations and other regulatory bodies which have governance over us.

If you find yourself in need of practice help or advice, please consider us as your first port of call. Or if you just wish to know more about us our contacts are:

Best wishes
Herts South Mids. LDCs

North

The Local Dental committees are statutory body that exists to represent Dentists who perform NHS Dental services in our area. In Leicestershire Lincolnshire there are two committees that work closely with the Dental Network. These committees are made up of colleagues that are able to offer help and support to their constituents on a confidential way.

The contact details to access this support are as follows

Lincolnshire Local Dental Committee

Leicestershire Local Dental Committee

Best wishes
Leicestershire Lincolnshire LDCs

In line with national policy when a patient requires an interpreter, they should always be offered a registered interpreter. Reliance on family, friends or unqualified interpreters is strongly discouraged and would not be considered good practice.

If a patient expressly desires a family member or friend to act as their ‘interpreter’, the patient should give informed consent in their own language, sought from them independently of the family member/ friend. The consent must be noted in the patient’s record.

For information on how to request an interpreter please contact your local dental team via email to:

Dear Colleagues,

My name is Priya Chohan and I am an Oral Surgery Leadership Fellow, based at Northamptonshire NHS Foundation Trust, and I am also working in conjunction with the Central Midlands Local Dental Network. Below you will find a link to a survey which forms one aspect of a project I am undertaking, focusing on the topic of patient safety incidents in dentistry.

This survey is designed to gain an understanding of your awareness and opinions regarding patient safety incidents. It will be distributed to dentists nationally, and your responses are crucial to current research being undertaken in this field.

The survey responses will be used to contribute to the development of the new Patient Safety Incident Management System (PSIMS), which will enable all healthcare professionals, including dentists, to record patient safety incidents and promote learning from them. It will be used to optimise shared learning and ultimately drive positive change within the profession, by creating a ‘just culture’.

The survey should take approximately 10-15 minutes to complete. Once you have submitted your responses it will not be possible to withdraw consent, or retrieve the data submitted as it is completely anonymous. Responses cannot be saved before submission however, once submitted you have the option to return and edit your survey. If you wish to close the survey and return and edit it, you will have to copy the ‘edit response’ link at the end of the survey and save it somewhere to access it again.

I would like to stress that under no circumstances will the responses be traced back to the responder.

I would very much appreciate if you can spare the time to complete this survey, as it is a vital opportunity to voice your opinions on this topic.

https://forms.gle/7mKpe7fmLogFiNBM9

Thank you in advance for taking time to complete this survey.

During recent Managed Clinical Network meetings providers of specialist services discussed the management of referrals being received via the RMS. The attached list of criteria are the elements that appear to create the most frustration for referring practitioners and the receiving services. The list advises what elements must be completed correctly to ensure that the referrals can be managed and prioritised in a timely and appropriate manner. We would like to than you in anticipation of your support.

Deborah Manger; Chair of Special Care Dentistry and Anxiety Management Managed Clinical Networks (South)

  1. Expectation of referring dentists to present all the demographic information on the form.
    An example of ‘best practice’
    A dental practice in the region provides a printed copy of the referral management form, specifically the demographic data and medical history, to the patient/parent/carer. They return it with all the data completed (includes NHS number, contact details etc.). The practice then uses this information to send the referral along with the clinical information provided by the dentist.

    This ensures the patient/parent/carer understand why the referral is being made and have some ownership.

  2. Clinical information should be detailed and relevant
    The form should include caries noted, tooth surface loss of any other origin, presence/absence of signs of infection, any antibiotics prescribed (what for and type) including numbers of courses.
  3. Medical history

    Should be detailed. All medications noted and diseases.
    Recent issues that have led to a delay in acceptance has been where patients are noted as wheelchair users, but no reason provided as to why the patient uses a wheelchair; e.g. past trauma, medical condition including neurological damage/illness, rheumatological cause.

  4. Patients remain the responsibility of the referring practitioner, for the issues referred, until the patient has been seen by the service referred to. Practices should advocate on a patient’s behalf if the referral is urgent and not ask the patient to ring the service.
  5. Patients weight more than 23 stones. Patients requiring bariatric facilities will have to go to specific sites. Patients who are clinically obese and referred for anxiety management should not be promised sedation on referral as there are numerous, health related, complicating factors that may preclude care under sedation and indeed GA.
  6. URGENT referrals. Please note the following:
    1. Has there been a change in appetite?
    2. Has there been a swollen face?
    3. Avoidance of hot and cold foods
    4. Change in behaviour for patients with learning disabilities or precooperative children
Thank you

A safeguarding toolkit for dental teams has just been published by Public Health England (PHE).

The dental team has a statutory duty of care to all patients which includes ensuring that safeguarding arrangements are in place.

This document reinforces the importance of safeguarding to dental teams and makes them aware of the different forms of abuse. It provides an overview of safeguarding as a whole for dental teams by:

  • clarifying the roles and responsibilities of the dental team in promoting the safety and wellbeing of children, young people and adults at risk of abuse
  • signposting useful safeguarding resources, including access to free training opportunities
  • outlining the pathways to be followed in cases of concern
  • providing guidance on training requirements

The toolkit can be accessed here:

https://www.gov.uk/government/publications/safeguarding-in-general-dental-practice

As advised in previous communications the local office will shortly only be sending out communications to an NHS.net secure email address. To ensure that you receive future communications from the local office please ensure that you have set up a NHS.net email address. Information on how to do this was contained in the December 2018 Bulletin. It is important that you advise the local office of your NHS.net email address so our distribution lists are up to date and you do not miss important communications. Please email this information to our generic mailboxes: -

NHS England has launched a national hand hygiene policy; a practice guide for NHS healthcare staff of all disciplines in all healthcare settings.  It covers responsibilities for organisations and individual staff and sets out how, when and with what to decontaminate hands. The national policy aims to support a common understanding about hand hygiene (making the right thing easy to do for every patient, every time); reduce variation in practice; and help reduce the risk of healthcare-associated infection.  Find out more via URL below:

https://improvement.nhs.uk/resources/national-hand-hygiene-and-personal-protective-equipment-policy/

As some of the procurement programmes are now live, I am afraid the dental team are not able to answer any direct questions as it must be open fair and transparent to all.  All communications regarding this procurement must go via the messaging portal, please make sure you are registered so you do not miss out on any communications relative to the procurements:

Orthodontics

https://supplierlive.proactisp2p.com/Account/Login

Supplier helpdesk site:
http://proactis.kayako.com/suppliernetwork/Core/Default/Index

Please note that supplier support is available Monday to Friday 9 - 5.30 (excluding Bank Holidays)

Milton Keynes 8-8
The e-tendering portal is now closed.
Integrated
Due to go live in mid-May - TBC
General Dental Services
Due to go live in mid-May - TBC
Community Dental Services
Due to go live in May – TBC

If you are interested in tendering for any of these services, please make sure you have created an account on Contracts Finder to assure you get email notifications.

https://www.gov.uk/contracts-finder

A national briefing on EU Exit Primary Care Guidance has been shared with all primary care contractors.

The guidance is a companion to the Operational Guidance, published by the Department of Health and Social Care on 21 December 2018, and outlines the actions that contractors delivering primary care need to undertake. Please note primary care contractors are required to try and resolve medicines supply disruption issues through their normal supply arrangements. In cases where there are other issues which may affect service delivery, including supply disruption, please can you report any concerns to us as detailed in the letter below.

Just to make you aware, the 2017-18 under delivery Breach Notices have been uploaded onto providers compass contract profiles. These are saved under Contract Events so an electronic copy is available for information.

The management of year end reconciliation is detailed in section 9.5 Year End Review GDS, PDS and PDS Plus. Please find below the link to the Dental Policy Handbook for your attention/information:

https://www.england.nhs.uk/publication/policy-book-for-primary-dental-services/

Section 9.6 sets out Under delivery of UDAs or UOAs below 96%. Providers will be issued with a Breach Notice for under delivery in line with the policy. Please note that if either of the following circumstances occurs and the time period in the relevant circumstances has elapsed, the Commissioner shall act as if the Breach Notice was not issued. The Commissioner will not look to rely on the Breach Notice when taking any future actions under the GDS contract or PDS agreement:

  1. A Breach Notice is issued to a contractor who has achieved between 90 per cent and less than 96 per cent of a contract’s UDA/UOA target in a particular financial year and, in the following two financial years, the contractor achieves 96 per cent or more of the contract’s UDA/UOA target.
  2. A Breach Notice is issued to a contractor who has under-delivered against the contract’s UDA/UOA target in a particular financial year and, in a following year, the contractor and Commissioner agree a recurrent rebase of the contract’s UDA/UOA target.

As of the 1 April 2019 NHS England have merged with NHS Improvement and will be titled NHS England and NHS Improvement from this date. Dale Bywater officially commenced in post as Regional Director for the Midlands and Ann Radmore the Regional Director for the East of England on behalf of NHS England and NHS Improvement. The recruitment process for the wider regional senior team is still being finalised. NHS England and NHS Improvement will keep your local LDS undated on new regional arrangements.

The Midlands Regional Leadership Team is:

  • Director of Commissioning: Alison Tonge
  • Medical Director and Chief Clinical Information Officer: Dr Nigel Sturrock
  • Chief Nurse: Siobhan Heafield
  • Director of Performance and Improvement: Jeff Worrall
  • Director of Workforce and Organisational Development: Steve Morrison

The East of England Regional Leadership Team is:

  • Chief Nurse: Lynne Wigens
  • Director of Workforce and Organisational Development: Paul Harrison
  • Director of Performance and Improvement: Elliot Howard-Jones
  • Director of Strategy and Transformation: Simon Wood
  • Director of Commissioning: Catherine O'Connell

Next stages of the reorganisation are a top priority for the new senior team to progress the new structure, and they have already started work on the design and delivery of the new operating model.

This means that Herts Beds, Luton and MK now sit within the new East of England region and Northants, Lincolnshire, Leicester, Leicestershire County and Rutland sit within the new Midlands region. However, during this transition phase, it is business as usual for the Primary Care teams.

The Oral Surgery Managed Clinical Network is currently considering recruiting a further two clinical triagers for Oral Surgery to support the timely clinical management of electronic dental referrals through the dental referral management system (RMS). This is to ensure that referrals are effectively managed against agreed clinical criteria, assessed on case complexity and directed to the appropriate care setting. Triagers should be able to act with clinical knowledge to ensure triage and service provision continually improves through audit and feedback, and should be able to defend clinical decision making.

Triagers are required to be based in the Central Midlands area and should demonstrate the following:

  • Clinical degree in dentistry with appropriate professional registration and indemnity in place
  • Ability to handle sensitive information and maintain strict confidentiality with regard to both patient and corporate information
  • Understanding of the NHS and provision of secondary care essential
  • Participation in mandatory training, personal development and the performance review process as appropriate.
  • Excellent written and oral communication skills
  • On the GDC specialist list

Should you wish to express an interest in the role, please email d.referrals@nhs.net and the team will then contact you with further details
Thank you
Anne Lamb
Director of Operations

To minimise the number of emails sent to practices across the pan region, NHS England and NHS Improvement is using this regular Dental Bulletin as its main method of communication with dental practices.

If there are any queries, please use the following emails as your first point of contact:

england.dental-athsm@nhs.net – Herts, Beds, Luton, Northants & MK

england.leiclincs-dental@nhs.net – Leics, Lincs

The Dental Bulletins contain important information, which on occasion might include requests for information and deadlines, as well as updates on issues relating to dental contracts.

Please share the Dental Bulletins with ALL the staff within your practice.

Dental Team Contact Details

Head of Primary Care
Di Pegg di.pegg@nhs.net 0113 824 8224
Deputy Head of Primary Care
Caroline Goulding caroline.goulding@nhs.net 0113 825 1153
Central and East of England
Carolyn Hook carolyn.hook@nhs.net  
Amy Curtis amy.curtis@nhs.net 0113 824 8889
Kate Shannon kateshannon@nhs.net 0113 824 8856
Donna McEachran donna.mcheachran@nhs.net 0113 824 7506
Tracey Reardon tracey.reardon@nhs.net 0113 824 9287
Midlands
Carole Pitcher carole.pitcher@nhs.net 0113 824 8182
Tom Bailey t.bailey1@nhs.net 0113 824 7288
Jane Green jane.green18@nhs.net 0113 824 9597
Amanda Borland amanda.borland@nhs.net 0113 824 8918
Sally-Anne Taylor sallyanne.taylor@nhs.net 0113 824 8921
Charmaine Docherty charmaine.docherty@nhs.net 0113 824 9558
Razia Noormahomed r.noormahomed@nhs.net 0113 824 9522
Resham Dhillon resham.dhillon@nhs.net 0113 824 9521
Stephanie Davids s.davids@nhs.net 0113 824 9593
Nina Mills Nina.mils@nhs.net 0113 8247567
Sara Davies sara.davies5@nhs.net 0113 824 8920
Dental Adviser
Steven Claydon s.claydon@nhs.net  
Smita Rajani smita.rajani@nhs.net  
Pam Kaur parminder.kaur10@nhs.net  
Local Dental Network Chair
Jason Wong Ldn.centralmidlands@nhs.net  
Public Health England
Charlotte Klass (South) Charlotte.Klass@phe.gov.uk  
Jasmine Murphy (North) Jasmine.Murphy@phe.gov.uk  
John Mair – Jenkins (North) John.MairJenkins@phe.gov.uk