Dental Care in Domiciliary Setting Protocol - NHS Bradford and ...

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Version Date Author Status Comment 2 Aug 10 B+A SDS Q+G grp For PASC 2 Sept 10 As above Approved by PASC Protocol for Dental Care in a Domiciliary Setting v2 Page 4 of 50 ©BACHS 2010
1. Introduction The strategic direction for driving improvements in the quality of care across the health service is set out in the final report of the NHS Next Stage Review ‘High Quality Care for All’. High quality oral healthcare should be available to all people regardless of their age or circumstances. People with long term and/or progressive medical condition; mental illness or dementia and increasing frailty are not always able to travel to a dental surgery. For some people access to oral healthcare services is achievable only through the provision of domiciliary oral healthcare (British Society for Disability and Oral Health 2009). Bradford and Airedale Salaried Dental Service provide domiciliary care that reaches out to patients who cannot access a service by themselves for reasons of disabilities. The dental care is carried out in an environment where the patient is resident either permanently or temporarily. It will normally include residential units and nursing homes, day centres and the patient’s own home. 2. Aims 3. Scope • To deliver appropriate oral health care provided in a consistent manner to patients whose circumstances make it impossible, unreasonable or otherwise impractical for them to receive care in a fixed clinic. • To deliver care to these patients in the safest and most effective way. • The following document outlines the care pathway available to patients in a domiciliary setting and the associated documentation. The aim is to ensure patients receive timely evidence-based dental care and preventative advice The purpose of this document is to provide guidance to staff within the Bradford and Airedale Salaried Dental Service. 4. Dental Care Pathway for domiciliary patients The care pathway for domiciliary care can be found in Appendix 1 4.1. Objectives The objectives of domiciliary care are primarily to: • Establish a system which will identify individuals in the community who have an oral healthcare need and for whom domiciliary provision is the only reasonable option. • Provide an oral healthcare service to address patients needs, taking into account their personal circumstances and their wishes, consistent with the most appropriate use of resources • Deliver high quality oral healthcare in a person-centred way that respects the dignity of the individual receiving it. 4.2. Access to domiciliary care Liaison with health and social service professionals, carers and the voluntary sector will enable clients who require a domiciliary service to access care. Older people can be referred for domiciliary care by any member of their multidisciplinary team. Care homes should have access to information on local dental services including advice on referrals and information on domiciliary care. Protocol for Dental Care in a Domiciliary Setting v2 Page 5 of 50 ©BACHS 2010
Page 1 and 2: Protocol for Dental Care in a Domic
Page 3: Appendices Appendix Topic Page 1 Ca
Page 7 and 8: appointment questionnaire (Appendix
Page 9 and 10: setting that a full assessment of t
Page 11 and 12: collapsed patients. The following e
Page 13 and 14: Appendix 1 - Care pathway for domic
Page 17 and 18: Appendix 4 - Decision-making proces
Page 21 and 22: Appendix 7 - Domiciliary visit risk
Page 23 and 24: Appendix 8 - Assessment of capacity
Page 25 and 26: Appendix 9 - Equipment list Domicil
Page 27 and 28: 7. Periodontal Kit • Basic exam k
Page 29 and 30: Appendix 11 - Manual handling risk
Page 31 and 32: Appendix 12 - Oral health care plan
Page 33 and 34: 9. If staff do not return / or cont
Page 35 and 36: Appendix 15 - Emergency equipment i
Page 37 and 38: Appendix 17 - Copy of FP17 R/11 for
Page 39 and 40: Appendix 18 - Equality Impact Asses
Page 41 and 42: Stage One: Screening of a policy, p
Page 43 and 44: Race Religion or Belief Sexual Orie
Page 45 and 46: Appendix 20 - Document Review 1. Ti
Page 47 and 48: Title of document being reviewed: D
Page 49 and 50: Appendix 22 - Dissemination Record

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