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Prevention in practice – an initiative between BASCD and Department of Health. Sue Gregory Consultant in Dental Public Health. The task. DH want to focus on prevention - How can prevention be built into the new contract? What help can be given to PCTs to help them commission more effectively?

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prevention in practice an initiative between bascd and department of health

Prevention in practice –an initiative between BASCD and Department of Health

Sue Gregory

Consultant in Dental Public Health

the task
The task
  • DH want to focus on prevention - How can prevention be built into the new contract?
  • What help can be given to PCTs to help them commission more effectively?
  • Can we maximise the yield from the preventive tools we have and the knowledge on how they work?
following the publication of choosing better oral health
Following the publication of Choosing Better Oral Health -

3 supporting documents:

  • ‘Smokefree and Smiling’ - Guidance to PCTs on smoking cessation and how it fits in with dental practice – Richard Watts, May 2007
  • Guidance on improving oral health among adults and children with disabilities – Colette Bridgman, to be launched soon
  • ‘Delivering Better Oral Health’ - Provision of evidence-based information to support the commissioning of preventive services –Sue Gregory, Sept 2007
contents
Contents
  • Reference cards - Summary guidance
  • Supporting chapters:
    • Principles of toothbrushing for oral health
    • Increasing fluoride availability
    • Healthy eating advice
    • Identifying sugar-free medicines
    • Improving periodontal health
    • Stop smoking guidance
    • Accessing alcohol misuse support
    • Prevention of erosion
    • Supporting references
distribution
Distribution
  • General practices
  • Salaried services
  • Consultants in Dental Public Health
  • Also available online
the team
The Team
  • Chair – Sue Gregory (BASCD president)
  • Secretary – Semina Makhani
  • Derek Richards (BASCD)
  • Gill Davies (BASCD)
  • Keith Milsom (National Oral Health Unit)
  • Rowena Pennycate (BDA)
  • Baldeesh Chana (FGDP)
  • Nigel Carter (BDHF)
  • Richard Watt (OHPRG)
  • Tom Dyer (GDP)
  • Tony Jenner / Jerry Read (DH)
  • Rosemary Khan, Jan Clarkson
the principles
The Principles
  • Statements must be supported by evidence – the stronger the better
  • The potential benefits of prevention have not been maximised
    • Not doing enough
    • Prevention not evidence based
  • Challenges the ‘high risk’ approach in favour of a practice ‘population’ approach
the principles1
ThePrinciples
  • Messages would be in line with wider health messages
    • The common risk factor approach
  • Providing information for
      • The whole dental team
      • Dental care at primary, secondary and tertiary level
      • Primary Care Organisations to assist with commissioning
erosion
Erosion
  • Currently the evidence is based upon laboratory studies or observational studies. No evidence could be found which measured the effectiveness of providing preventive advice in a clinical setting.
  • Until such evidence emerges guidance will be provided in the Appendix 8 in the Supporting Information

With acknowledgement of the original work carried out by:

Mrs J T Duxbury

Miss M A Catleugh

Prof R M Davies

Dr G M Davies

commissioning implications
Commissioning Implications
  • Fluoride varnish costs 30 pence per application
  • 3 x per year, yields 3 UDAs
  • Skill mix (hygienists & therapists)
  • Effective Prevention better than Cure