1. West Yorkshire Oral Surgery pathway
14th September 2016

2. Welcome Mike Edmondson Secondary Care Dental Lead
NHS England - North (Yorkshire and the Humber)

3. Agenda 0830 1300 Coffee on arrival 0900 1330
Session times
Agenda item
(a)
(b)
0830
1300
Coffee on arrival
0900
1330
Start of the event, housekeeping and welcome address/format & objectives (Jane Moore, LDN chair)
Oral surgery - National, regional and local context.
Introduction of the WY OS pathway (Mike Edmondson, SCD lead / Johnny Reid, WY OS MCN chair)
WY OS MCN – role and responsibilities (Chair of MCN, Johnny Reid)
Referral Management System (Professor Iain Pretty)
Coffee
Oral surgery treatment providers
Introduction and what GDPs can expect from IMOS (T2) and Acute Trusts T2 and T3 providers
Oral Medicine (Y&H OM MCN) – Alan Mighell and Jodie Montgomery-Cranny
Training (David Wood, Dental Advisor)
Q&A and Close

4. Welcome address from LDN chair
Jane Moore,
Chair
West Yorkshire Local Dental Network

5. Oral surgery - National, regional and local context
Mike Edmondson
Secondary Care Dental lead
NHS England – North (Yorkshire and the Humber)

6. Challenges facing Specialist Dental Pathways
Variation in commissioning and contracting mechanisms
Growth in demand
Secondary Care Dental Services, RTT
Intermediate Minor Oral Surgery Services (IMOS)
Sedation Services
Community Dental Services/Paediatric dental services/Orthodontics/Restorative dentistry

7. West Yorkshire Dental and Oral Surgery
274 General Dental Practices
5 secondary care dental providers
5 Intermediate Minor Oral Surgery providers – legacy arrangements from PCT era
No national commissioning guidance
No standard referral criteria
Limited clinical leadership
Increased demand
Paucity of data and referral/treatment data
RTT breaches (18 weeks)
Unsustainable costs

8. NHS England North (Yorkshire and the Humber) Secondary Care Dental Commissioning Strategy
Review of provision
Publishing of national commissioning guides
Commissioning Strategy
Reduce inequity
Improve management at primary care level
Manage oral surgery demand:
Re-provision of IMOS, West Yorkshire
Introduction of an Oral Surgery Referral Management Service for West Yorkshire
Managed Clinical Network for Oral Surgery in WY

9. RMS requirements
Single point of entry for all oral surgery referrals for onward NHS treatment within West Yorkshire.
Allocation to the appropriate oral surgery provider based on clinical need and criteria
Improve the patient experience and outcomes by the allocation of referrals to the appropriate service closer to the patient’s home or place of work, where appropriate.
Support patient choice.
Reduce waiting times for oral surgery by managing demand across all providers in line with available and appropriate oral surgery capacity in West Yorkshire.
Reduction in the number of inappropriate and unnecessary referrals across the oral surgery provision.
Improved quality of referral information and reduction in the number of incomplete referrals.
Improved business intelligence, data and management information for the commissioners.
Improved workforce intelligence for education and training purposes.
Support the drive to a future paperless system.

10. West Yorkshire Oral Surgery Managed Clinical Network
West Yorkshire Oral surgery common pathway and Managed Clinical Network
Johnny Reid
Chair
West Yorkshire Oral Surgery Managed Clinical Network

11. West Yorkshire Oral Surgery Referral Management System (RMS)
Professor Iain Pretty
FDS

12. West Yorkshire Oral Surgery Treatment pathway
Johnny Reid
Mike Edmondson

13. WY oral surgery dispositions
1 Refer back to GDP (T1)
2 Refer to IMOS (T2)
3 Refer to SCD IMOS (T2)
4 Refer to SCD (T3)
In addition provision will be made to ensure all 2ww cancer referrals are processed immediately

14. West Yorkshire IMOS (T2) provision

15. WY Acute Trust (T2/T3) provision

16. West Yorkshire Oral Surgery Referral Guidelines
Johnny Reid

17. Yorkshire and the Humber Oral Medicine Managed Clinical Network
Dr Alan Mighell
Dr Jodie Montgomery-Cranny

18. West Yorkshire Oral Surgery Training
Dr David Wood
Dental Clinical Advisor
NHS England