Organisations Flashcards
List the organisations and bodies relevant to dentistry
GDC CQC FGDP BDA CCG Local authority teams Clinical governance DDU Dental protection NICE
What is the GDC
UK-wide statutory regulator of dental professionals
What are the aims of the GDC
Protect patient safety
Maintain confidence in dental services
Promote welfare
What do the GDC do to meet their aims?
Register and regulate dental professionals
Set standards for the dental team
Investigate claims against fitness to practice
Ensure quality of dental education
What is the ‘dental team’ made up of?
Dentists Dental nurses Hygienist Dental therapists Orthodontic therapists Dental technician Clinical dental technician
GDC definition of principles
Core ethical fundamentals for clinical practice
What is the purpose of standards
Standards are set to ensure patient expectations are met
What is the purpose of guidance
Helps dentists meet the standards for care
What are the 9 GDC principles
- Put patient interests first
- Communicate effectively with patients
- Obtain valid consent
- Maintain and protect patient’s information
- have a clear and effective complaints procedure
- Work with colleagues in a way that puts pt interests first
- Maintain, develop and work within your professional knowledge and skills
- Raise concerns if pts are at risk
- ensure professional behaviour maintains public confidence in you and the profession
What is the CQC (care quality commission)
Independent regulator of health and adult social care in England
What are the aims of the CQC
Ensure health and social care services provide people with safe, effective, compassionate and high quality care, and encourages improvement of services
What are the 5 key questions the CQC look for in a health and social service
- Are they safe
- Are they effective (in regards to care, tx and support)
- Are they caring
- Are they responsive to people’s need (e.g. access to care, raising concerns)
- Are they well led and managed
What is the Faculty of General Dental Practitioners (FGDP)
Professional membership body for general dental practitioners in the UK
What are the aims of the FGDP
Improve standard of care through setting standards, publications, postgraduate training and assessment, education and research
What is the British Dental Association (BDA)
Trade union and professional body, representing all fields of dentistry (practice, community, hospitals, research, armed forces)
What are the aims of the BDA?
Promote interest
Advance the art, science and ethics of dentistry
Improve the nation’s oral health
Support members through professional lives
Share collective knowledge and expertise
Indemnity cover
What are Clinical Commissioning groups (CCG)
Clinically-led statutory NHS bodies, responsible for the planning and commissioning of health and care services for their local area, for example hospital and community NHS services
What are the aims of the CCG
Decide which services are needed depending on the local population
Ensures services are provided to meet the needs of the local population
What are examples of services commissioned by CCGs
Mental health services
Urgent and emergency care
Elective hospital services
Community care
Primary care practices and CCGs?
CCGs are assured by NHS England, which retains responsibility for commissioning primary care services e.g. GPs and dental practices
Define local authority
Organisation that is responsible for the provision of public services to a particular area
What is the role of local authority teams?
They partner with CCGs to commission the majority of NHS services
Define: Clinical Governance (NHS definition)
Framework through which NHS organisations must continuously improve the quality of services and maintain high standards of care by creating an environment in which excellence in which clinical are will flourish
What is clinical governance a requirement of?
CQC and NHS
List the principles of clinical governance
CAREPUST Clinical effectiveness Audit Risk management and research Education and training Policies and Patient focus/public involvement Use information and IT Staff and services Transparency
What are the seven key skills of clinical governance?
RRRMILT Record keeping Radiograph safety Risk management Medical emergencies Infection control Legislations and guidelines Team training
What are the key points for record keeping
Confidentiality
Contemporaneous
Thorough
What does contemporaneous notes mean?
Notes are current (written at the time of discussion or before next pt comes in)
What is important when making retrospective notes?
Justify why there was a delay in note taking
Who do we write clinical notes for?
- GDC in fitness to practice claims (most important)
- Ourselves for medico-legal claims
- Other members of the team caring for the patient
- The patient if they wish to seem them
What is a risk assessment?
Looking at what could go wrong or case harm, whether there are adequate measures to prevent it, or what can be done to prevent it
How can a risk be reduced?
- Identification
- Risk assessment - high-low
- Risk reduction, elimination or transfer
- Reporting or recording an adverse event
Who is responsible for risk assessments?
- Employers or self-employed
- Whole team should be aware - more eyes to identify any risks
What risk assessments are relevant in dentistry?
- Chemical, electrical
- Fire risk
- Infection control
- Water safety (legionella)
- Patient safety - e.g. splashing something in eye
- Needle stick injury
- Medical emergencies
Example of risk assessment
Risk of etchant splashing into patient’s eye when washing it with 3 in 1
Eliminate risk via use of PPE and suction
What are the commonest medical emergencies in dentistry
SAMEIAH Syncope Anaphylaxis MI/angina attack Epilepsy Inhalation of foreign body Asthma attack Hypoglyceamia
What are the roles of indemnity providers and defence organisations
- Provide advice to dental professionals in medico-legal situations
- Provide compensation to patients if they are entitled to it
What indemnity covers are recognised by the GDC
- Dental defence organisations
- Professional indemnity insurance
- NHS indemnity
- Employer-provided indemnity e.g. crown indemnity by the Ministry of Defence in a hospital
What is the Dental Defence Union (DDU)
Specialist division of the Medical Defence Union (MDU)
Aims of the DDU
Indemnify members for incidents arising from clinical care
Provide advice, information and support in professional matters
What is Dental Protection?
Part of the Medical Protection Society who deal with legal and ethical problems arising from practice e.g. assistance with negligence claims, complaints, council enquires, disciplinary procedures
What are the aims of Dental Protection?
Support safe practice
Avert issues arising in the first place by promotion of risk management using workshops, risk assessments, publications and conferences
