Download Referring Patients to the Community Dental

WANDSWORTH TEACHING PRIMARY CARE TRUST
DENTAL SERVICE
Referring Patients to the PCT Dental Service
Wandsworth
A guide for health and social care professionals
We have recently been receiving a number of inappropriate referrals to our
service. To assist in the smooth transfer of appropriate clients we have
developed the following guidance and form for use when you want to refer a
client to the PCT Dental Service (PCTDS) in Wandsworth.
Please photocopy the form as required
Who can be referred?
The PCTDS provides oral health care for Wandsworth residents requiring
special care who are unsuitable for care within the General Dental Services
(GDS).
The service is complementary to and not in competition with the GDS and
therefore one of the guiding principles has to be that the service does not see
clients who could be seen in the GDS.
Clients who are not receiving dental care and who fit one or more of the
following categories may be referred directly to the PCTDS:
Children:
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
management problems/challenging behaviour ( the referrer will need to
detail on the referral form why the child cannot be seen by an NHS Dental
Practice )
complex social needs e.g. children at risk, on the Child Protection Register
Adults and Children requiring Special care
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physical difficulties resulting in mobility problems which make it
difficult/impossible for the individual to access an NHS Dental Practice
learning difficulties which make it difficult/impossible for the individual to
access an NHS Dental Practice
complex medical history where the medical condition or medication
compromises oral health
complex medical history where the medical condition or medication
necessitates special care prior to/during/post dental treatment
management problem / challenging behaviour ( the referrer will need to
detail on the referral form why the individual cannot be seen in an NHS
Dental Practice )
challenging behaviour resulting from mental health problems
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DENTAL SERVICE
Examples of cases that might be accepted for care are given on page 3.
If the client is a Wandsworth Borough resident, fulfils one of the criteria above
and in the opinion of the PCT Dentist is unsuitable for care by an NHS Dental
Practice, they will be accepted for care by the PCTDS.
In some cases it will not be possible to determine from the referral alone
whether the client fulfils the acceptance criteria. In these cases an
appointment will be given for a full assessment; however this is no
guarantee that they will be accepted for care.
Please make sure the person you are referring (and /or their carer)
understands this.
If a referral is not appropriate:
 the referrer will be informed.
 If the client has been seen for an assessment, they will be advised
to find an NHS Dentist.
 If the client has not been seen for an assessment it will be the
responsibility of the referrer to inform them and to advise them to
find an NHS Dentist.
The PCT Dental Service is not able to provide emergency or urgent care
for new clients.
How to refer clients to the PCTDS
To refer clients to the PCTDS:
 complete the attached form ( Pages 5,6 & 7 ) and send it to the Head of
Service – any referrals received that are not on this form will be returned to
the referrer
 please ensure that all sections of the form are completed, forms that are
incomplete or illegible will be returned to the referrer
Head of Service:
Sarah Hector
Wandsworth PCT Dental Service
Joan Bicknell Centre
Springfield Hospital Site
Glenburnie Road
SW17 7DJ
Tel.: 0208 700 0588
Fax: 0208 700 0534
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DENTAL SERVICE
Adults & Children requiring special care
Criteria
Complex medical history where medical condition
or medication compromises oral health or
necessitates special care
Management problems / challenging behaviour
Physical difficulties resulting in mobility problems
which make it difficult /impossible for the
individual to access care
Learning difficulties which make it
difficult/impossible for the individual to access
GDS care
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Examples of cases which might fulfil the
criteria
Poorly controlled epilepsy, poorly controlled
diabetics,
haemophiliacs requiring factor 8
Anticoagulant therapy
Patients who have undergone radiotherapy of
head/neck
Leukaemia
Cystic fibrosis
Lupus
Oncology patients
Patients on immunosuppressants
HIV +ve, Hep C+ve
Palliative care
Autistic spectrum, ADHD
Mental health problems
Learning difficulties
Neurodisability requiring special care
Transport patients, Housebound patients,
wheelchair bound patients who cannot transfer
easily requiring hoist/ramp
Challenging behaviour, complex Med. Hist.
Jan 2007
Examples of case that may not fulfil the
criteria
Controlled epilepsy, controlled diabetes,
past history of heart problems,
hypertension,
Hep B+ve, currently – ve for Hep C,
HIV/Hep –ve despite past or current risk
behaviour
Patients requiring translation services,
patients with history of mental health
problems but no current symptoms or
challenging behaviour
Patients who could access GDS Practices
with ground floor surgeries
Mild Learning Difficulties, no challenging
behaviour or complex Med. Hist.
WANDSWORTH TEACHING PRIMARY CARE TRUST
DENTAL SERVICE
Children
Criteria
Examples of cases which might fulfil the
criteria
Children who have demonstrated
uncooperative behaviour requiring more than
“tell-show-do” and other simple behaviour
management techniques
Examples of case that would not fulfil
the criteria
Orthodontic extractions under IS/GA
Children - just because they are young
Complex social needs
Child at risk, child protection register, Children
in foster care,
Poor attenders,
Complex dental problems
Severe enamel hypoplasia, hypodontia,
supernumaries
High treatment need, pulpotomies,
orthodontic extractions, RCT
Management problems / challenging behaviour
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DENTAL SERVICE
Please complete all the fields on this form. Failure to do so will result in the form being
returned to the referrer. Please use BLOCK CAPITALS and write legibly.
Date of referral
Client’s name:
Surname/family name
Forename/first name
Date of birth
Contact address
Please ensure this is correct
and up to date
Postcode :
Name of parent or carer
Contact telephone
Numbers
Please ensure these are up to date
Does the client or parent/carer need to
communicate in a language other than
English? If yes please specify:
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Reason for referral including why the client is not suitable to be seen in an
NHS Dental Practice :
Which of the following criteria does the patient fulfil :
Complex medical history where the medical condition or medication compromises oral health
or necessitates special care – give details
Management problems / challenging behaviour – give details
Learning difficulties – give details
Physical difficulties resulting in mobility problems – give details
Other – give details
Please give precise details of the above:
What is the client unable to tolerate :
Why is the client not suitable for care by an NHS Dental Practice :
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WANDSWORTH TEACHING PRIMARY CARE TRUST
DENTAL SERVICE
Referrer’s address
Telephone number
Name of Referrer
(block capitals please)
I confirm that I have advised the client that :
 The PCT’s Dental Service only provides care to certain
categories of client and that they will be assessed against the
Service’s Acceptance Criteria. If these are not fulfilled the client
will not be accepted for care;
 The PCT Dental Service does not offer emergency dental
appointments to clients before they have been assessed and
accepted for treatment.
Signature of referrer
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DENTAL SERVICE
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