South West Dental LDN Meeting Date: Friday 31st March 2017 Venue: Peninsula House, Saltash VC with

Transcription

1 ` South West Dental LDN Meeting Date: Friday 31st March 2017 Venue: Peninsula House, Saltash VC with South Plaza Bristol Time: 14:00 16:15 Chair: Peter Howard-Williams Attendance Peter Howard-Williams Clinical Chair, South West Dental LDN PHW Julia Cory Head of Primary Care JCo Andrew Harris Dental Contract Manager AH Rachel Coke Assistant Contract Manager RC Paul Harwood Consultant Dental Public Health PH Debbie Freeman Primary Care Support Officer Lead DF Lynn Combes Primary Care Support Lead, Cornwall LC Sarah McFarlane Primary Care Support Lead, Devon SM Jane Luker Postgraduate Dental Dean JL Rob Mew Devon LDC RN Tim Hodges Devon LDC TH Joe McGill MCN Chair, Orthodontics JM Jane Foggin Somerset LDC JP Martin Fulford Dental Adviser, NHS England MF Tony Brooke MCN Chair, Special Care TB Chris Bell MCN Chair, Oral Surgery CB John Cantwell Avon LDC JCa Apologies Andrew Taylor Chair, Cornwall LDC AT Matt Jerreat MCN Chair, Restorative MJ Minute taker Fiona Clace Admin Support, Dental Team FC 1 Welcome and Apologies Action 1 P a g e

2 PHW welcomed the group and let them know that JC is leaving on to take up a position in Sheffield. He thanked her for supporting dentistry over the last 3 years. Richard Leworthy has resigned his post with Somerset LDC and PHW thanked him for his support of the LDN. He welcomed Jane Foggin who is taking Richard s place. Apologies given for AT and MJ. 2 Minutes of last meeting 9 th December 2016 Minutes from previous meeting were accepted as an accurate record. 3 Matters Arising No matters arising please refer to action log. 4 Action Log Action: Ensure all core group members have a named deputy still waiting for Restorative and Cornwall LDC Action: Conflict of interest forms are coming into FC ongoing. The conflict of interest forms should be done by everyone including the MCNs. Action: Updating list for circulation Ongoing The Dental element of the NHS England website is being bought up to date, PH-W will be updating information on the LDN. It was agreed that the names and addresses for all members will be added, and there will be a page and a link for the MCNs. The chairs will put together a piece on their area to add to the website. This to be done and sent to FC as soon as possible. Succession planning- PHW has resigned as Chair of LDN as of 1 st October 2017; NHS England will commence the recruitment process and the post will be advertised on NHS jobs. PH-W will inform the LDN when this is happens. The revised Terms of Reference for the LDN are attached with the minutes. 5 Review LDN Work plan PHW has changed the format of the work plan and would like the MCN areas to adopt, as it is important to track the progress and show what has been achieved. The new format will be as an excel document. Copy of LDN work plan with the minutes. 2 P a g e

3 6 MCN Reports Each MCN chair gave an overview of their work plan (copies of those presented are included with the minutes). Oral Surgery MCN CB now has agreed contract release for this position. Secretarial support still looking for this as exhausted all avenues. RC to talk to TB about the billed four hours per week. His current admin support is going to resign at the end of the month. Admin will need to be looked at again. Process mapping concerns on Grandfathering, training concepts and conscious sedation pre-assessments. The pre-assessments are causing concern as there will be a prior appointment with no work attached and this will cause providers to withdraw because of the funding issue. PHW asked AH to give an update on the electronic referral management system AH explained that we are working with other parts of the South of England to pull together a single process to procure an electronic referral system, RC will join a call next week with the Wessex and South Central areas to progress with the proposal, once it is signed off and agreed it can be moved forward to procure a system. 7 Special Care and Paediatrics MCN 2 meetings have been held and are now set up for the future. At the January meeting the Paediatrics side of the service was also incorporated into special care. Two specialists Paddy Hoonigan and Sarah Dewhurst are now core members. Meetings will be held quarterly via VC to enable all members to attend. Adopted the generic Terms of Reference. Special Care Mapping exercise from NHS England Commissioners. Scoping Exercise regarding provision of Conscious Sedation in the PCDS services in the SW MCN region. Admin support is an issue and Charlotte is withdrawing her services at the end of the month and will therefore need someone else to replace her. 3 P a g e

4 Generic Referral - proforma circulated for alteration/addition/comments. A single simple form will be preferable but it will be up to each MCN. JL felt that there should be a form for each speciality to ensure that the correct information is collated for triaging.. PHW prefers a single referral form in anticipation of electronic referral, 8 Orthodontic MCN Sam Braddock has joined the network to represent ACU as education will be part of the first year. The new General Dental Practice representative will be Andre Lowe. Joint MCN roadshow style meeting has been arranged for 3 rd May in Bristol. Completed some work on a standardised referral form which will be circulated shortly. More work by Paul on assessment and waiting list data and a letter went out on protocol on adding patients to the waiting lists and when to refer early. Fantastic app Easy IOTN which needs promoting. Training for dentists who haven t done CPD and this all depends on conditions, they have to do an introduction to the NHS and this could be put into their development plan. Secondary care problem with hospital coding Electronic data audit successfully done earlier this year. JL noted coordinator funding could be done as part of the DDS. MJ is using a specialist registrar to do some audit work. AH asked JM to send him the details and he would see what he could do. PH-W thanked the group for the good progress they have made. 9 Restorative MCN The audit has been agreed for April on referrals, working on generic referral form and Individual funding requests. AH noted that he has been in discussion with Peninsula Dental School to commission restorative services but so far nothing has been agreed. 10 Unscheduled Care Group PH-W is chair and the group had a meeting on Wednesday they have had meetings with providers and have come to realise that the is no clear route for patients or providers to find out where to access urgent or unscheduled care problems in the South West. The service will be 4 P a g e

5 up for re-procurement in Action: To complete a patient survey which needs to be spread widely around, looking for feedback. to guide the development of the service/ There is a helpline in Devon. Cornwall and Somerset and the short term plan is to introduce a helpline in Bristol and North Somerset. Locality Reports No updates from the localities. Educational Evening for GDPs MCNs to feed into LDN for help in this matter, MCN s to get together in one area for one day which will also help with CPD. JL said that the tutors want to support MCN s by putting on CPD and could put it together for a very low cost. The MCN road shows looks to be the best way of going forward. 11 Patient Participation PH-W ed all health watch groups in the region and got 1 reply from Plymouth, a little negative feedback and a small amount of positive. PH-W feels the problems around access is a real issue now. 12 Access to NHS Dentistry Proposal to do some non-recurrent commissioning over a 12 month period and during that time re-procure services in the highest priority areas. AH and PH have been asked to do some more work around the needs and not just the issues. They are looking to re-procure services in areas with current access issues. Non recurrent activity has been commissioning for 17/18 with 4 Plymouth providers and 1 in Bristol to improve access and reduce the waiting list. Are looking to do the same in Cornwall and some parts Devon and Somerset. The claw back received from contractors doesn t sit within the dental budget so it is difficult to have a recurrent increase each year, although some money may go back in for improvements like the electronic referral system. Although the population of the South West is growing there is no uplift at the moment. There have been small steps in Plymouth on non-recurrent contracts to go forward to make in recurrent. 13 Oral Health Steering Group Written report from the South attached to the minutes. 5 P a g e

6 In the North the group meets on a quarterly basis with a work programme that is overseen by the WoE Public Health Partnership Board. The work plan is attached with these minutes. Key deliverables for this year Improvement Plans:- Oral Health improvement plan - resources set to be reduced in coming years. Future of oral health surveys LA s are responsible for commissioning oral health surveys on regular basis but the fact is that delivery of the surveys is still embedded in NHS contracts; we are going through a level of engagement with LA s at the moment to assess what their priorities and needs are going forwards. STP s evolving situation increasingly looking at Public Health and around and other areas they can invest in to downstream savings. There is a role for Oral Health in this. LA s concern around recurrent and non-recurrent activity LDN s and MCN to use their views and influence about the spending plans and what they are being used for. Some areas are doing a push on paediatric tooth care. Plymouth have a lot of oral health input 14 Antimicrobial Resistance Strategy Action plan attached with the minutes A small working group has been set up which met last week. There is a worry that some dentists are over prescribing antibiotics but it is very difficult to get the information as there seems to be no national collection of prescriptions given out by dentists. The group are working with providers to try to reduce the over prescribing and are encouraging practices to have antibiotic champions. MF advised that he will be retiring next year. JM left meeting 16:04 15 Improving access for patients with dementia and learning difficulties. PHW noted the leaflets which had been distributed with the papers. PH-W has been working with Reena Patel on improving access for patients with Dementia and Learning Difficulties. JL is putting on a course for trainers and trainees targeting at training practices but not had much uptake as yet. 6 P a g e

7 17 AOB PH-W will get some of the leaflets and distribute them as this will enable dentists to help, also to encourage dentists and their staff to have pop up notes on the system to remind staff to ring and gently remind patients to attend the appointment. Dental trainers in Devon and Cornwall were noted: 10 in Cornwall 11 in Plymouth 10 in Exeter There are not enough foundation trainers for the 84 places not an issue this year but will be next year. Need to encourage more dentists to become trainers The meeting closed at 16: Future Meetings Friday 30 th June, :00, Video Conference - AT2, South Plaza or Meeting Room 1 Peninsula House Friday 29 th September, , Video Conference - AT2, South Plaza or Meeting Room 1 Peninsula House Friday 15 th December, , Video Conference - AT2, South Plaza or Meeting Room 1 Peninsula House 7 P a g e