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Calderdale & Kirklees Community Dental Care ACCEPTANCE AND DISCHARGE PROTOCOL FOR SERVICES PROVIDED IN KIRKLEES BY CALDERDALE & KIRKLEES COMMUNITY DENTAL CARE Service hosted by Kirklees Community Healthcare Services Ian Booth – Clinical Director, CKCDC Details of Authors Clare Priestley - Primary Care Contracting Manager, Kirklees PCT Richard Palfreeman – Business Manager, CKCDC CKCDC Lead Richard Palfreeman – Business Manager Date Approved at Contract Monitoring Group 10th November 2009 Review Date November 2011 CKCDC – Kirklees PCT Acceptance and Discharge Protocol – April 2010 Version 4 Page 1 of 4 Acceptance and Discharge Protocol Over-riding Principle – Kirklees PCT NHS dental care in Kirklees will primarily be delivered by general dental contractors under the terms of General Dental Services (GDS) contracts or Personal Dental Services (PDS) agreements entered into between practices and Kirklees PCT. NHS Dental care provided by CKCDC for Kirklees residents will be provided strictly in accordance with this agreed acceptance and discharge protocol. Categories of patients accepted: Full routine care for children and adults with special needs, who cannot receive appropriate care in the GDS – usually by referral from GDP / GMP / healthcare professional. These special needs may include medical conditions or medication impacting on dental treatment, learning difficulties, behavioural management problems and mental health conditions. Hospital-based dental extraction under general anaesthesia for children (up to their 16th birthday) Hospital-based dental treatment service for patients with special needs, who require their care under general anaesthesia Dental treatment service using sedation for patients who have a dental phobia – usually referred from GDP / GMP / CKCDC dentist Emergency-care for children without a regular dentist (up to their 16th birthday) who are in pain/ trauma, where no other alternative exists e.g. daytime emergency service. In addition, on receiving a request from the Kirklees PCT PALS Dental team, wherever possible to provide temporary routine care for children where there is a high level of untreated dental caries and insufficient provision within the GDS. However, wherever possible children should be encouraged to attend a local GDP with the others within the family. This will include local initiatives to address waiting lists identified by the local PCTs. Details of all such acceptances will be reported back to Kirklees PCT every quarter. CKCDC will provide regular care for patients who live within the geographical areas of Calderdale and Kirklees PCTs. Wherever possible, patients will be required to attend health centre premises to ensure that high quality care can be provided in the most appropriate setting for the patient. In certain circumstances, a salaried dentist working for CKCDC may assess a patient as needing care on a domiciliary basis. This assessment will be reviewed on each occasion that the dental team sees the patient, taking account of the patient’s needs, but also considering the limited treatment that can be provided in such settings. CKCDC – Kirklees PCT Acceptance and Discharge Protocol – April 2010 Version 4 Page 2 of 4 How to Refer 1 1A 2 Referral from General Dental Practitioner or Other Health/Social Care Professional Referrals must be made by letter or on an appropriate referral form, providing full details of the patient’s medical history. If required, further investigation regarding the referral will be made by the CKCDC dentist with the health professional concerned. Inappropriate referrals will be returned with an explanation letter. Patients remain under the care of referring dentist/health professional until a dentist within CKCDC has examined the patient. On completion of treatment, a letter will be sent detailing the dental treatment and proposed continuing care of the patient. Referral for dental extraction under general anaesthesia Referring GDP’s should complete DenGA forms 1, 2 and 3. Any restorative work should be completed prior to referral Where blood tests are necessary, referrers must ensure that test results are enclosed with the referral forms Patients making direct contact with CKCDC Children in pain/ trauma will be asked to attend any CKCDC clinic across Calderdale and Kirklees for assessment/treatment on a ‘sit and wait’ basis. All other patients will be directed to their GDP, Local Care Direct, or Kirklees PCT PALS as appropriate. Retention/Discharge of Patients Patients originally referred to CKCDC by their General Dental Practitioner will be referred back, wherever possible, to their original General Dental Practitioner. Patients retained by CKCDC for continuing care, can be discharged at the discretion of the dentist as long as there are definite alternative arrangements in place. All patients discharged from CKCDC must be given full instructions on how to access continuing dental care, i.e. by making contact with the Kirklees PCT PALS team on 0800 587 2417. Patients who Fail To Attend For patients referred by their General Dental Practitioner who fail to attend, a letter will be sent returning the patient back to their care and informing them that no subsequent appointments will be made unless requested by them by re-referral. For patients referred by other health professionals who fail to attend, a letter will be sent informing them of the situation and explaining that no subsequent appointments will be made unless requested by the health professional For CKCDC continuing care patients who fail to attend a “DNA” letter will be sent asking the patient/parent/carer to contact the surgery to make a further appointment. If no contact is made within one month the patient will be classified as discharged. CKCDC – Kirklees PCT Acceptance and Discharge Protocol – April 2010 Version 4 Page 3 of 4 Contact details Kirklees PCT PALS Calderdale & Kirklees management team 0800 587 2417 Community Dental Care 01924 351405 Calderdale PCT dental help-line 01422 281576 Calderdale PCT PALS 0800 183 0912 Out-of-hours emergency dental care 0345 605 9999 CKCDC Surgeries - Kirklees Please address “Dear Dentist” referral letters to ‘The Community Dental dept’ at the Health Centre closest to the patient’s home address from the list below. Patients from Dewsbury, Mirfield, Spen, Batley & Birkenshaw areas Dental Department Batley Health Centre Upper Commercial Street Batley WF17 5EP Fax Tel 01924 422944 01924 351557 Patients from all Huddersfield areas Dental Clinic Princess Royal Community Health Centre Greenhead Road Huddersfield HD1 4EW Fax Tel 01484 344241 01484 344244 Patients from all Calderdale areas (except DenGA forms that should be sent to the Princess Royal Community Health Centre, Huddersfield). Dental Clinic Laura Mitchell Health Centre Great Albion Street Halifax HX1 1YR Fax Tel 01422 305548 01422 305547 Surgeries also located at Fartown Health Centre, St. Lukes Hospital, Holme Valley Memorial Hospital, Cleckheaton Health Centre, St. John’s Health Centre and Todmorden Health Centre. CKCDC – Kirklees PCT Acceptance and Discharge Protocol – April 2010 Version 4 Page 4 of 4