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DEN2025 - Dental Public Health and Behavioural Science > NHS Dental Services > Flashcards

NHS Dental Services Flashcards

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1
Q

Describe the concept of skill mix

A
  • Patient needs may vary in complexity
  • Delivering health care can be more efficient by using a mix of staff trained to different levels
  • Allows more highly trained staff to delegate more simple tasks
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2
Q

Describe the changing dental needs with regards to age

A
  • Young adults tend to have low disease burden

- Older adults have more complex needs

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3
Q

Describe how older adults may have complex needs

A
  • More heavily restored teeth
  • Crowns / bridges / implants
  • Many are managing medical conditions with polypharmacy
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4
Q

Name 3 types of dental professionals which could contribute to a skill mix other than a dentist

A
  1. Dental nurses
  2. Dental hygienists
  3. Dental therapists
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5
Q

Describe 3 ways a dental nurse can contribute to a skill mix

A
  1. Taking radiographs
  2. Support sedation
  3. Apply fluoride varnish to children’s teeth
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6
Q

What is the underlying principle for the Scope of Practice: General Dental Council document?

A

All registrants work in areas for which they are trained, competent and indemnified

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7
Q

Name 4 types of treatments included in the Scope of Practice of Dental Therapists (post 2013 extension)

A
  1. Diagnose and develop treatment plan
  2. Prescribe and take radiographs
  3. Extract primary teeth
  4. Place simple fillings in primary and adult teeth
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8
Q

According to Brocklehurst and Macey in 2015, what is necessary due to changing patterns of population need?

A

Dentistry shifts from a cure to a care culture, with the bulk of management of patients being based on prevention

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9
Q

If there is low variability in population need and low complexity of treatment, describe how care should be provided

A
  • H-Ts diagnose

- H-Ts provide care

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10
Q

If there is high variability in population need and low complexity of treatment, describe how care should be provided

A
  • Dentists diagnose

- H-Ts provide care

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11
Q

If there is low variability in population need and high complexity of treatment, describe how care should be provided

A
  • Dentists diagnose
  • Dentists provide care
  • Prevention provided by H-Ts
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12
Q

If there is high variability in population need and high complexity of treatment, describe how care should be provided

A
  • Dentists diagnose

- Dentists / specialists provide care

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13
Q

Describe 2 ways H-Ts may work

A
  1. Integrated - within dental team in a practice

2. Independent - have own patients on separate premises to dentists

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14
Q

Name 3 other areas of the worl dwhich allow H-Ts to work independently

A
  1. Scandinavia
  2. North America
  3. New Zealand
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15
Q

Why may changing practice be challenging?

A
  • It can reduce practice viability

- May require payment incentivisation systems

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16
Q

Name 5 functions of the GDC

A
  1. Maintain the Dental Register
  2. Investigate concerns and complaints about dental health professionals
  3. Set and maintain educational standards
  4. CPD
  5. Provision of information to patients
17
Q

What body is the independent regulator of health and social care in England?

A

Care Quality Commision

18
Q

What body is the independent regulator of health and social care in Wales?

A

Health Inspectorate Wales

19
Q

What body is the independent regulator of health and social care in Scotland?

A

Healthcare Improvement Scotland

20
Q

What body is the independent regulator of health and social care in Northern Ireland?

A

Quality Improvement Authority

21
Q

How is the CQC funded?

A

Dental practices pay an annual fee to remain registered

22
Q

What is the CQC charged with?

A

Ensuring services are safe, effective, compassionate and high quality

23
Q

What are 6 dimensions of healthcare equality according to Maxwell et al, 1984?

A
  1. Access to services
  2. Relevance to need
  3. Effectiveness
  4. Equity
  5. Social acceptability
  6. Efficiency
24
Q

What is clinical governance?

A

Framework through which healthcare organisations (NHS) are accountable for continuously improving the quality of their services and safeguarding high standard of care

25
Q

Name 3 components of clinical governance

A
  1. Clinical audit
  2. Clinical evidence and evidence based dentistry
  3. Research and development
26
Q

Describe the cycle following a topic being selected for a clinical audit

A
  1. Agree criteria and standards
  2. Set data collection rules and collect data
  3. Analyse and reflect on results
  4. Agree and implement change
  5. Monitor progress by repeating cycle

DEN2025 - Dental Public Health and Behavioural Science (25 decks)

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