Delivering the 18 Weeks Referral to Treatment Standard Output Report

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Dental Specialities Task & Finish GroupKey Areas to focus ImprovementDental Specialties have been highlighted across a number of NHS Boards as presenting a risk to delivery of 18 Weeks RTT.Orthodontics Oral Surgery Oral Medicine RestorativePaediatricsGeneral AnaestheticsThe NHS 18 weeks Service Redesign and Transformation Programme has developed a series of key changes which NHS Boards should considerwhen transforming services to improve the patient experience and to support delivery of 18 weeks RTT. These key changes focus on:• End to end planning of patient centred pathways delivered by the right person, at the right time, in the right care setting, ensuringquality at all times;• Working across organisational boundaries to utilise and develop the skills of the workforce to optimise clinical time to care;• Removal of waste and non-value adding steps and creation of flow;• Identifying, capturing and recording information flows which support and optimise both clinical and administrative processes.These key areas for improvement below are intended to provide a reference point to support organisations in ensuring service provision is being maximised fordental specialties in order to support delivery of a quality service, reduce patient waits and ensure patients are seen and treated in the appropriate care setting.REFERRAL• Understand referrals into your service for alldental specialities and sub-specialities• Consider whether patients are placed on theappropriate pathway• Consider whether there is potential foralternative management within generaldental practice rather than secondary care• Consider appropriateness of referrals withIOTN of
Appendix Three: Orthodontic Referral Management Pathway GroupNameMargie Taylor (chair)Joyce DalgleishJacquie DougallChristina HainingJanet HarrisDavid MorrantMark McCutcheonGrant McIntyreRobert NaysmithHelen StrachanBoard and RoleScottish Government, Chief Dental OfficerScottish Government, Health Directorate,Communications ManagerScottish Government, Health Directorate, ProjectManagerOrthodontist, Specialist Practitioner, Primary CareScottish Government, Health Directorate, SIMNHS Ayrshire and Arran, Consultant OrthodontistNHS Lothian, General Dental practitionerNHS Tayside, Consultant OrthodontistNHS Lothian, Clinical Director, Community andSalaried Dental ServiceNorth of Scotland, Regional Manager, Oral Healthand DentistryDental Specialties Task & Finish Group – January 2011 43
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Page 3 and 4: Demand is not a given 24Effective R
Page 5 and 6: 4. Make the most of your workforce,
Page 7 and 8: Context18 Weeks Referral to Treatme
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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,
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Page 40 and 41: • Analyse referral practices and
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Delivering the 18 Weeks Referral to Treatment Standard Output Report

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