An apology for absence had been received from John Lyon. The Minute and Action Plan of the meeting held on 18 th Approved.

Transcription

1 Assynt House Beechwood Park Inverness, IV2 3BW Telephone: Fax: Textphone users can contact us via Typetalk: Tel MINUTE of MEETING of the HIGHLAND AREA DENTAL COMMITTEE Board Room, Assynt House, Inverness 30 November pm Present: Mr Neal Drummond, GDP (In the Chair) Ms Linda Garwood, GDP Mr Gordon McGovern, GDP Mr Duncan Railton, Associate Specialist, Raigmore Hospital Mr Gregor Muir, DPA Major Malcolm Hamilton, PDS Mrs Andrea Walker, PDS Zahid Ahmed GDP Edward Bateman GDP In Attendance: Mrs Alex Fraser, Dental Services Manager Mr Malcolm Jones, GDP Clinical Lead North Highland Stuart Robb, Dental Practice Advisor Dr Jonathan Iloya, Consultant in Dental Public Health (videoconference) Mr Brian Mitchell, Board Committee Administrator 1 WELCOME and APOLOGIES An apology for absence had been received from John Lyon. 2 MINUTE OF MEETING HELD ON 18 May 2016 The Minute and Action Plan of the meeting held on 18 th Approved. May 2016 were During discussion, Mrs Fraser asked whether the Committee still wished that Paul Nairn, Service Planning Manager, be invited to attend a future meeting of the Committee to provide a brief outline of the role of the Clinical Advisory Group. Neal Drummond confirmed that this had been provided for the Area Clinical Forum and a similar briefing would be helpful for the Area Dental Committee. The Board Committee Administrator undertook to pursue this. It was reported that there had been no primary care referrals made or considered by CAG to date, however, there had been referrals from the OMFS department and it was confirmed that all Dental referrals to CAG are required to go through the hospital dental service. Mr Muir confirmed that he was to correspond with the First

2 Minister on the issue of establishing an efficient process/system as this had been raised with her at her recent visit to Fort William. 3 MATTERS ARISING 3.1 Changes to Dental List There had been circulated an up to date Dental List which was Noted. 4 ELECTION OF COMMITTEE OFFICE BEARERS Mr Drummond invited the Committee to discuss its current composition and consider increasing the Committee s membership to include wider representation. Discussion ensued on representation at the Committee, in particular the Public Dental Service. Allied to this, it was confirmed that feedback from the Committee to hospital dentists in Highland took place largely on an informal basis. It was noted that NHS Grampian included one representative from each hospital specialty. Following discussion, the Chair confirmed his desire for wider representation and the Board Committee Administrator undertook to liaise with the Board Secretary about the matter. 5 REVIEW OF COMMITTEE TERMS OF REFERENCE There had been circulated the NHS Highland Area Dental Committee Terms of Reference which were approved. 6 PUBLIC DENTAL SERVICE RE-BALANCING The Committee received an update on the rebalancing of the Public Dental Service. Good progress was being made in Inverness. GDP capacity had been identified and well signposted. Specific reference was made to the following: A detailed update in relation to clinics in Culloden and Portree where GDP leases had been advertised, interviews held and GDP partners identified. Lease negotiations were ongoing and it was anticipated that the new GDP practices would be open for patients before 31 March A GDP lease for two of three surgeries in Ian Charles Dental Clinic in Grantown was to be advertised in the December edition of the British Dental Journal Scottish Dental Access Initiative (SDAI) grant assistance was now available to assist with the setting up of new GDP practices in r Invergordon, Nairn, Grantown-On-Spey and Wick. The SDAI grant assistance was linked to the GDP lease of PDS surgeries. Alex Fraser confirmed that this decision had been taken to ensure that local communities continued to benefit from the investment of public money which had developed had developed a network of modern dental facilities throughout Northern Highland area. Argyll and Bute were progressing rebalancing under the same principles as Northern Highland. It was confirmed that the conditions of the SDAI grant funding required that the recipient provided NHS dental services for a period of 7years and that a minimum 2

3 of 80% of the gross income from the grant assisted practice should be derived from the delivery of NHS dental services. As well as other conditions the recipient was required to ensure that an average of 1500 registrations per grant assisted surgery was achieved and maintained. It was confirmed that there were currently no plans to lease PDS surgeries within the Sutherland area. The PDS is continuing to deliver routine services in Helmsdale and Lairg on the basis of rurality and the lack of available GDP contractor services. The Chair thanked the Committee for their feedback. The Committee otherwise Noted the position. 7 NATIONALCOMBINED PRACTICE INSPECTIONS Mr Robb advised that the revised National Dental Practice Inspection document would go live in January He also confirmed that there were no changes to current advice in relation to vacuum sterilisation. There were no exception reports to the Committee in relation to the programme of practice inspection in Northern Highland. Mr Robb provided feedback from the recent national Dental Practice Advisor group meeting at which it was confirmed that those Dentists that provided only private dental services were required to be registered with Health Improvement Scotland by 1 April 2017.It was anticipated that some of these providers may opt to list with Health Boards, having perhaps as little as one patient registration, but thereby having a practice inspection and avoiding the need to register with HIS. The Committee otherwise Noted the position. 8 HOSPITAL SERVICES 8.1 Maxillofacial Mr Railton updated the committee on the department. Overall, the current position in Highland remained relatively unchanged at this time. He reported that current NHS Highland service provision continued with a visiting Outpatient Maxillofacial Service provided by NHS Tayside for Head and Neck Oncology. This included weekend clinics. Similar capacity issues were also being experienced by NHS Grampian. The current process was busy but offered a workable solution. Siobhan Reilly had tendered her notice which would result in capacity issues, particularly, with regards to on call. A pragmatic view was being taken at the moment. Recruitment was currently problematic due to the service redesign and a network approach would likely be the best way forward. Discussions were ongoing about the weekend clinic approach; the service was functional and appropriate approaches were being taken. Mr Drummond asked for the committee to be kept informed and have the opportunity to raise any concerns. Mr Railton advised that routine cases were slightly behind target, however service delivery was being managed according to clinical need. 3

4 Mr Muir queried whether the Committee should raise its concerns at the loss of two members of staff. Mr Railton reported that the service was currently sustainable with service models being considered. Recruitment would progress thereafter according to the agreed model. 8.2 Orthodontic It was confirmed that Adrian Hart had now retired from his post and that Mr John Hammond was currently working as a locum. The job advert had not yet gained interest and the post would be re-advertised. Interviews would be conducted by an external orthodontist, HR and a representative from management. Concerning the delay to advertise and appoint it was noted that assessment of the role had taken place after Mr Hart s departure. It was noted that there had been no update provided to GDP referrers and the Committee agreed that they would welcome feedback from the Hospital Dental Service in relation to future plans for orthodontic services.. Mr Railton agreed that clearer communication and assurances regarding the service were needed as the locum provision would only be there until February. The Committee to note the update and seek an update report from the Raigmore Hospital team. 8.3 Restorative There was discussion around the referral service and it was noted that a survey of referrers had previously been undertaken and that there may be value in a further survey being undertaken now that the service is established. The discussion moved on to electronic referrals and it was noted that the edental Strategy states that all referrals from Dentists should be via SCI Gateway i.e electronic by April It was suggested that Lynn Clarke, e-dental Facilitator be invited to a future meeting to provide the Committee with an overview of the strategy. The Committee Noted ehealth to provide a presentation at future meeting Week RTT The Committee noted that there was no update in relation to this item. 9 DENTAL CLINICAL GOVERNANCE AND RISK MANAGEMENT GROUP It was agreed that the Board Committee Administrator ask Mr Lyon for draft minutes of the last meeting. 4

5 10 CONNECTING CLINICIANS WITH AREA CLINCAL FORUM AND PROFESSIONAL ADVISORY COMMITTEES Mr Hamilton led the discussions by noting there was no information or feedback to the wider dental population from the Area Clinical Forum. Discussion followed around how updates could be shared widely to the dental community within Highland. It was agreed that the quarterly publication DPA- Bytes could be used for issues relating the Area Clinical Forum etc and it was requested that the circulation of this publication be extended to include all hospital dental staff. Following discussion, the Committee requested the wider circulation of the publication of DPA Bytes. 11 Scottish Government Oral Health Plan Consultation It was noted that the Scottish Governments consolation on the Oral Health Plan was underway and that the Committee had an opportunity to submit a contribution. It was noted that the GDP Sub Committee intended to submit their comments separately and the Chair recommended that the Committee s views should also be submitted as a group. Mr Iloya proposed that workforce implications in remote and rural areas was a particular issue where the Committee s views needed to be voiced. Following discussion, the Committee Agreed that comments be submitted to the Committee Administrator who would to submit the Committee s formal response to the Consultation document. 12 FOR INFORMATION 12.1 Area Clinical Forum Draft Minutes from Meetings held on 22 September There had been circulated for information the draft Minute of Meeting of the Area Clinical Forum of 22 September The Chair explained the role of the Area Clinical Forum and the relationship to the Board. He commented that the Committee s main focus was around medical services. The Chair queried if the prophylactic guidelines issues discussed by GDP Sub had been raised. Mr Robb advised he had spoken to Helen Devennie and would speak to the Consultant Cardiologist for his view and ask for a steer on any future protocol. The Chair advised that data capture should be included on the agenda for the next meeting as this was an issue raised by Ms Devennie. The Committee otherwise Noted the circulated Minutes. 13 ANY OTHER BUSINESS 13.1 Visiting Consultant From Dundee For Paediatric Dentistry It was reported that the temporary visiting consultant paediatric dentistry service had now ceased. This was a matter of concern and was on the PDS risk register. 5

6 Mr Iloya advised there were concerns about the lack of this and other speciality provision throughout the North of Scotland and that this needed to be highlighted at a national level. The Oral Health Plan would have to take account of these issues. NOSPC is sighted on the matter and the MCN Network was looking to take it forward Oral Medicine Services Mr Railton asked if dentists would be interested in a visiting oral medicine service. Both Mr Robb and Mr Railton suggested this would be a positive development. The Committee agreed the position Communication Mr Bateman raised the issue of communication, especially with regards to paediatric dentistry and orthodontics. He reiterated the need for the GDP community to be fully aware of referral services and any associated pressures 13.4 Rebalance of the PDS Mr Muir discussed the rebalance of the PDS. He suggested that if slight revision to the triage by helpline could be made this would be helpful, e.g. bulk transfers and archiving of records. Mr Drummond concurred that re-referrals to the PDS could be avoided by a better triage system. Mr Hamilton advised that these changes should occur now and in some cases had already taken place. Mr Bateman raised the issue of non-registered patients. Mr Hamilton understood that this had been addressed and he had fed back to the PDS on a number of occasions on the issues raised in his practice HIS Deadline Mr Robb reminded the committee of the March 31 st deadline for private practices to register with HIS. Information would appear in DPA-Bytes. 14 DATE OF NEXT MEETING The next meeting of the Area Dental Committee will be held on Wednesday 15 February 2017, in the Board Room, Assynt House, Inverness at 6.30pm. The meeting closed at 8.45pm 6