Oral Health Strategy & Dental Commissioning Plan
Debra Elliott
Programme Director - Primary & Community Care
Oral Health Strategy
Section 1: National guidance and
legislation
Section 2: Oral Health Needs Section 2: Oral Health Needs
Section 3: Current services provided
Section 4: Commissioning intentions
Section 5: Action plan to improve the
service
Section 1: National
Guidance & Legislation
•The Health & Social Care Act, 2003
•NHS Improvement Plan, 2004
•NHS Dentistry ; Delivering Change,2004•NHS Dentistry ; Delivering Change,2004
•Standards for Better Health, 2004
•Legislative changes in 2005
•Our Health, Our Care, Our say, 2006
Section 2: Oral Health
• 609,658 people live in Gloucestershire
• 7.8% reside in the 20% most deprived
areas nationally
• Number of vulnerable groups requiring • Number of vulnerable groups requiring
special consideration
• Marked inequalities in children’s oral
health
• Marked demand for Orthodontics
Table 1: Percent of residents by
Ethnic Group, Gloucestershire, 2001 (Source: Office for National Statistics, Census 2001 via eJSNA)
Category Gloucestershire (%) England & Wales (%)
White 97.2 90.9
- of which Irish 0.8 1.3
Minorities overall 2.8 9.1
- Mixed 0.9 1.4
Asian or Asian British 1.0 4.6
- of which Indian 0.7 2.1
- of which Pakistani 0.1 1.4
- of which Bangladeshi 0.1 0.6
- of which Other Asian 0.1 0.5
Black or Black British 0.6 2.3
- of which Caribbean 0.4 1.1
- of which African 0.1 0.2
- of which Other Black 0.1 0.2
Chinese/Other Ethnic Group 0.4 0.8
Mean dmft for five year old children, by District in Gloucestershire, 2005/06
1.50
2.00
2.50Mean dmft
0.00
0.50
1.00
Cheltenham Cotsw old Forest of
Dean
Gloucester Stroud Tew kesbury South West England
Mean dmft
Section 3:Current
Commissioning of services• Dental Helpline
• 97 contracts operating from 74 Dental Practices
Salaried Dental Service operating across the
CountyCounty
• Emergency Dental Services weekends and
evenings
• Oral and Maxillo facial surgery from GHFT and
Bristol
• 4 practices providing vocational training places
Current commissioning
of Services
• Oral Health promotion
• Dental Screening Service• Dental Screening Service
Section 4: Future
commissioning of services
New practices
• Out to tender – short-listed 19 potentials
ØGloucester CityØGloucester City
ØNorthleach
ØForest of Dean
ØStroud
Future
Commissioning
Using existing unused Community Hospital
Facilities at:
• Berkeley Community Hospital
• Bourton on the Water Community Hospital
• Cirencester Community Hospital
• Dursley Health Centre
Existing providers
• Additional UDA ‘s (Units of Dental Activity)
commissioned across the County from
existing dentistsexisting dentists
• Additional Orthodontic UOA’s (Units of
Orthodontic Activity) from existing dentists