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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