Delivering the 18 Weeks Referral to Treatment Standard Output Report

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ContentsIntroduction 4Foreword 4Chair’s Reflections 6Context 718 Weeks Referral to Treatment Standard 7The 18 Weeks National Delivery Structure 7Task and Finish Groups 7Dental Specialties Task and Finish Group 8Dental Specialties’ Supply and Demand 9Current Waiting Times 10Identified Risks to Delivery 11Priority Task and Finish Group Improvement Actions 11Planning and Delivery 13Profile 13Measurement Considerations 13Monthly Management Information 14Treatments in Outpatient Departments 15Clinical Outcome Reporting 15Frequently Asked Questions and Scenarios 16Applying the Definitions 17Action Planning – Undergraduate Treatments 18Demand, Capacity, Activity, Queue Analysis 18Health Intelligence 19Influencing Referral Processes 24Dental Specialties Task & Finish Group – January 2011 2
Demand is not a given 24Effective Referral Management 25Advice Only Referrals 26Early Referrals 27Pathway Approach: Philosophy 27Referral Management Pathways for Orthodontics and Oral Surgery 28Index of Orthodontic Treatment Need 28Restorative Dentistry 29Scottish Dental Needs Assessment Programme 29Managing Patient Flows 30Servie Redesign and Transformation 31Tele-dentistry 32Dental Specialties’ Workforce Skills Mix 34Workforce Solutions Workshop 35Communication 37Stakeholder Groups 37National Events 37Conclusion: Action Planning and Ongoing Work 38Summary of Fundamental Next Steps for Boards 39Appendix One: Membership of Dental Specialties Task and Finish Group 41Appendix Two: Key Areas for Improvement 41Appendix Three: Orthodontic Referral Management Pathway Group 43Appendix Four: Oral Surgery Referral Management Pathway Group 44Appendix Five: Orthodontic Pathway and Referral Guidance 44Appendix Six: Oral Surgery Pathway and Referral Guidance 47Appendix Seven: Who is doing what Matrix 49Dental Specialties Task & Finish Group – January 2011 3
Page 1: Dental Specialties Task and Finish
Page 5 and 6: 4. Make the most of your workforce,
Page 7 and 8: Context18 Weeks Referral to Treatme
Page 9: 1. The planned procedure which is b
Page 12 and 13: 1. Ensuring high organisational pro
Page 14 and 15: In order to progress these issues o
Page 16 and 17: services. The national targets for
Page 18 and 19: MythbustingFact: Procedures perform
Page 20 and 21: Figure 1: New Outpatients on the Wa
Page 22 and 23: Figure 3: Additions and Removals300
Page 24 and 25: Influencing Referral ProcessesPart
Page 26 and 27: changes to templates will be made,
Page 28 and 29: Referral Management Pathways for Or
Page 30 and 31: implementation of 18 Weeks RTT Stan
Page 32 and 33: • Managed Clinical Networks to pr
Page 34 and 35: Robust evaluation will be carried o
Page 36 and 37: Action Planning - Specialist RolesN
Page 38 and 39: Conclusion: Action Planning and Ong
Page 40 and 41: • Analyse referral practices and
Page 42 and 43: Dental Specialities Task & Finish G
Page 44 and 45: Appendix Four: Oral Surgery Referra
Page 46 and 47: Dental Specialties Task & Finish Gr
Page 48 and 49: Dental Specialties Task & Finish Gr

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