Download Dear colleague Re: Community Dental Services in East Cheshire

Heather Pope
BDS MCDH DDPH RCS
Specialist in Special Care Dentistry
Dental Clinic
Eagle Bridge Health & Wellbeing Centre
Dunwoody Way
Crewe
Cheshire
CW1 3AW
Tel: 01270 275792
27th March 2015
www.eastcheshire.nhs.uk
Dear colleague
Re:
Community Dental Services in East Cheshire NHS Trust
You will be aware that there has been a tendering exercise in Cheshire, Merseyside and
Warrington for all aspects of salaried community dental services.
The outcome of this exercise attached for your information.
Please read this letter and keep the details for future reference.
The new arrangements do alter the acceptance criteria for referred patients and (in some
circumstances) alter the location for the referral. These changes apply from Wednesday
1st April 2015.
The contact details for the clinics in East Cheshire NHS Trust are:Eagle Bridge Health and
Wellbeing Centre
Dunwoody Way
Crewe
Cheshire
CW1 3AW
01270 275792
Weston Clinic
Earlsway
Macclesfield
Cheshire
SK11 8SR
01625 422501
Handforth Dental Clinic
Handforth Health Centre
Wilmslow Road
Handforth
Cheshire
SK9 3HL
01625 525689
If you have any concerns about the changes to the acceptance criteria for referrals please contact
the Area Team, NHS England at the 1829 Building, Countess of Chester Healthpark.
Following the Easter Break Stakeholder events will be arranged to enable local practitioners to
discuss this change in service further.
Regards,
HEATHER POPE
Clinical Director for Dental Services / Specialist in Special Care Dentistry
DENTAL TRIAGE TELPHONE LINE / IN-HOURS
AND OUT-OF HOURS URGENT CARE
The Dental Helpline based at Alsager Clinic will close on Tuesday 31st March 2015.
For all patients requiring in-hours or out-of hours urgent dental care, or who have
enquiries regarding dental services there is one new phone number
0161 476 9651
Patients must ring this number if they require an appointment for urgent dental care at
any time.
The Dental Access Services (Dene Drive in Winsford and Weston Clinic in Macclesfield)
will close on Tuesday 31st March 2015 and cannot accept any new patients after this date.
In-hours urgent care will be provided from 10 dental practices throughout the East
Cheshire area from Wednesday 1st April 2015.
Patients ‘dropping in’ to the DAC services or EDS will be given the phone number to
contact the dental triage/helpline and will be directed to an appointment if appropriate.
The weekend/bank holiday service will now be known as the ‘out of hours urgent care
service’ and will be managed by Revive Dental Care. Patients must ring the number
above to be given an appointment at one of the clinics if appropriate.
VALE ROYAL
Vale Royal Clinics (Victoria Infirmary in Northwich and Dene Drive Primary Care Centre in
Winsford) are now part of the Wirral/Chester/Western Cheshire footprint. These clinics
will not be part of East Cheshire NHS Trust as from 1st April 2015.
From 1st April 2015 patients resident in the Vale Royal area cannot be referred directly to
clinics in East Cheshire NHS Trust for special care dentistry or paediatric exodontia.
Patients requiring oral surgery can still be referred from Vale Royal areas to the Ashfields
Clinic in Sandbach via the F.D.S. online referral system based at Lymm.
Patients resident in East Cheshire can no longer be referred directly to Vale Royal clinics
for any dental treatment.
Referrals sent to the wrong location will be rejected and returned to the referring
practitioner.
PAEDIATRIC EXODONTIA
Children requiring extractions of deciduous or permanent teeth, which are carious, can be
referred to Eagle Bridge in Crewe, Weston Clinic in Macclesfield or Handforth Clinic for
assessment and will be treated with L.A. / L.A and R.A. / dental GA as appropriate.
Children requiring extractions of permanent or deciduous teeth, who also require some
conservation, will be treated and all aspects of the treatment plan will be undertaken in the
clinic.
Please note, the Commissioners have now clarified the situation regarding orthodontic
extractions. Patients can be referred for orthodontic extractions with Local Anaesthetic
alone or Local Anaesthetic/Inhalation Sedation. However, orthodontic extractions with
General Anaesthetic remain excluded from the contract other than in exceptional
circumstances.
Exclusions:Children being referred solely for removal of healthy teeth for orthodontic purposes under
General Anaesthetic.
Children requiring only conservation of deciduous or permanent teeth cannot be referred
into the service.
SPECIAL CARE DENTISTRY
Adults and children in the following special needs groups will be accepted for referral at
Eagle Bridge in Crewe, Weston Clinic in Macclesfield or Handforth Clinic:
Learning disabilities – eg
 multiple genetic and acquired causes
 autism

Physical disabilities – eg
 Cerebral palsy
 M.S.
 Parkinson’s disease
 C.V.A.
 Advanced orthopaedic problems
 Brain injury
o Exclusions
 Wheelchair users who can weight bear and people unable to climb
stairs

Medical – eg
 Severe cardio-vascular disease
 Severe respiratory disease
 Other conditions such as: Epilepsy
 Severe diabetes
 Bleeding disorders
 Immuno-compromised patients
o Exclusions
 Anti-coagulant therapy with a stable INR below 4.0
 Those on oral bisphosphonates or annual injections for osteoporosis
 Those on oral steroids at a dose below 10mg of Prednisolone daily

Mental Health – eg
 Schizophrenia and other psychotic illnesses
 Bi-polar / personality disorders
 Eating disorders
 Extreme dental phobia
 Dementia

Social issues – eg
 Drug dependency
 Homeless people
 Looked after children