0 Improving the Oral Health of Older Persons Initiative Prof. Stephen Lambert-Humble MBE

Overview An initiative to improve oral health and healthcare for older persons within the counties of Kent, Surrey and Sussex. Interdisciplinary and multi-sectorial involvement of many stakeholders and third sector parties HEKSS led training and education package plus parallel project assessment and evaluation in association with the University of Kent Beginning with care home residents and assuring outcomes using oral health care tools: –The Oral Health Needs Assessment –The Daily Mouth Care Plan 1

Overview 2 Work Strands Training Resources Research / Evaluation Sustainability Communications Training Delivery

Resources 3 The Training Package:  A series of presentations – scalable according to event  Demonstration of Oral Health Assessment and Recording  Demonstration, or video, of oral cleaning procedures  A resource pack The Resource Pack:  Poster of oral and denture cleaning procedures  Poster of oral health guidance  Leaflet of key messages  DVD containing all materials and resource links Web-based Resource:  A web page with all training and educational resources, and links to other information.  An e-learning package on Domiciliary Care

The Oral Health Needs Assessment 4 * A risk assessment to identify problems and risk factors * Individual assessment of need * Facilitates appropriate response * Reflects good practice * Based on guidance * Contributes to planning and delivery of daily care * On admission, as a matter of routine OR * As soon as this practice is adopted AND * At specified intervals to monitor changing needs Who should do it? * Any member of the team OR * Self assessment by able residents (2) Guidelines for Oral Health Care for Long-stay Patients and Residents. British Society of Disability and Oral Health. Guidelines 2000

Daily Mouth Care Plans 5 A care plan which: * Ensures appropriate care is provided * Records planning and delivery * Is specific to the individual concerned * Promotes a tailored daily routine * Demonstrates good practice * Provides daily documented evidence of care * Should be used by all members of the care team and reviewed regularly.

Research / Evaluation 6 Research Strategy Quantitative and Qualitative Assessment Effectiveness Cost Effectiveness Evidence Base Knowledge Dissemination