dental-services-birmingham-dental-hospital by xiaopangnv

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									Accessible, Responsive
Community Healthcare                 South Birmingham
                                     Community Health




          Quality Account
                   Dental Services
         Birmingham Dental Hospital


                         2009-10
Contents
 Part 1
 Statement on quality from the Managing Director
 of the organisation                                        2

 Part 2
 Statement of assurance from the Board and priorities for
 improvement
 Statement of assurance from the Board                      3

 Priorities for improvement                                 4

 Review of services                                         5

 Participation in clinical audit                            7

 Participation in clinical research                         9

 Goals agreed with commissioners                            10

 What others say about the Provider                         14

 Data quality                                               15


 Part 3
 Review of quality performance
 (Provider determination)

 Review of quality performance                              16

 Who has been involved in this quality account?             16

 Statement from Local Involvement Network                   17

 How to provide feedback on the Quality Account             Inside back
                                                            cover
Part 1
Statement on quality from the managing director of the organisation
         I would like to thank everyone for their hard work and achievements in the last year.
         South Birmingham Community Health has continued to develop as an independent
         organisation and has delivered outstanding care to patients whether in their own home,
the community hospitals or in the many other care settings around Birmingham and beyond.
Whilst we remain financially stable and prudent, we prioritise the safety of patients, the positive
experience they have and the effectiveness of our care delivery as paramount. We have achieved
this by providing high quality cost effective care to our patients and listening and responding to their
feedback.
Patients, service users and the population we serve are at the heart of this organisation and we not
only believe that their lives matter, but we care enough to want to make a real difference to them.
Everybody has a right to expect to be treated with dignity and respect and to receive high quality,
clinical care when it is required and delivered by committed and competent professionals.
Birmingham Dental Hospital Quality Account includes a review of what has been achieved in the
last twelve months and outlines our plans to achieve our expectations for high quality responsive
care. To achieve this, our well trained and motivated staff that have daily contact with many service
users, carers and their families, provide us with a first hand understanding of how we can continually
improve our services.
This is the first of what will be an annual quality report highlighting all the excellent work we are
doing to deliver accessible, responsive, patient-focussed care and also setting out the areas we have
identified where we can implement changes that will raise our standards higher still.
The publication of a Quality Account for Birmingham Dental Hospital follows a year of significant
developments many of which are outlined in the account. The development of the account has
included input from services users, clinicians and managers and has been led by the clinical executive
of the organisation in conjunction with the commissioners of dental services.
To the best of my knowledge as the executive lead for the Board of South Birmingham Community
Health, the information contained within the account is accurate and reflects the commitment to
quality of care and the provision of services which are both safe and clinically effective.
I hope you will find the information useful and would encourage you to complete and
return the evaluation form at the end of the account so that your views, ideas and
concerns can help us produce our quality report in future years.




                    Tracy Taylor, Managing Director,
                    South Birmingham Community Health
                                                          Quality Account Dental Services 2009-10 [2]
Part 2
Statement of assurance from the Board and priorities for improvement


Statement of assurance from the Board

South Birmingham Community Health has made huge progress over the last year and experienced
significant gains in quality measures and service improvement. In addition to introducing significant
programmes to develop our culture and capabilities around quality, we have sought to actively
reduce health care acquired infection rates and to improve access to services.

In making improvements the Board also recognises that we still face some challenges going forward
into 2010-11. Implementation of an electronic dental record and development of clinical outcome
measures are identified priority areas for improvement in the coming year and will challenge
clinicians and managers alike. Birmingham Dental Hospital, in partnership with the University of
Birmingham School of Dentistry, provide training and development of the dental workforce for
the West Midlands Region and beyond. As such, the partners ensure that all members of the dental
team of the future receive a well rounded education and have the opportunity to maintain and
extend those skills throughout their working lives.

In addition to our internal quality assurance measures, compliance with external regulators is achieved
through
•	   compliance	with	Care	Quality	Commission	standards
•	   participation	in	national	clinical	audits
•	   agreeing	quality	standards	with	commissioners	(the	people	who	are	responsible	for	purchasing		
     our services on your behalf)

The Board of Directors is assured that the processes and systematic approach to monitoring quality,
patient safety and positive patient experience is robust, effective and fit for purpose. This is the
cornerstone of our commitment to providing accessible, responsive patient-focussed healthcare.




[3] Quality Account Dental Services 2009-10
Priorities for improvement

We have considered our priorities for improvement based upon our review of services and the
work that we have been doing with our commissioners.
The priorities include:
•	   smoking	cessation
•	   decontamination
•	   using	the	adult	outpatient	survey	to	take	account	of	our	patients’	personal	needs.

These	priorities	align	to	the	Commissioning	for	Quality	and	Innovation	(CQUIN)	payment	framework	
agreed	with	our	commissioners,	in	accordance	with	the	national	framework	for	how	NHS	services	
are	commissioned.	Progress	to	achieve	these	priorities	will	be	monitored	and	measured	using	CQUINs				
and the development of quality indicators for 2010-11.

Service development and improvement plan
A continuous process of service development is followed by the Trust and with its commissioners.
In 2010-11 the following areas have been prioritised:
•	   development	of	quality	indicators	for	each	service	specification
•	   referral	review	and	analysis	to	document	the	patient	pathways	attributable	to	each	specialty
•	   development	of	a	revised	workforce	and	capacity	template	to	provide	accurate	monthly	          		
     and quarterly information to commissioners.

Additional details around the goals agreed with our commissioners can be found further on in the
report.

The following section provides more information about our ongoing improvements and
development and how they link to our review of services.




                                                         Quality Account Dental Services 2009-10 [4]
Review of services

During 2009-10 Birmingham Dental Hospital provided seven core specialty
services in support of patients across the West Midlands. The following
statements provide an insight into the wide range of developments and
ongoing improvements effected to support service provision to patients
within these core services:

Clinical effectiveness
1.    The outline business case for the new Dental Hospital has been approved and the parts of the
      project are now being established to produce the first stage of the Local Improvement Finance
	     Trust	(LIFT)	business	case.
2.	   The	initial	stage	implementation	of	a	new	patient	administration	system	(iPM)	was	completed		
      successfully in August 2009. Contracts have been signed for the next stage of the national
      dental IT system.
3.    A business plan for the introduction of cone beam radiography has been supported within the
      Capital Plans 2010-11. A business case is currently being developed.
4.    Birmingham Dental Hospital and the University of Birmingham School of Dentistry is a major
      training establishment, responsible for developing the workforce of the future. The School
      of Dental Hygiene & Therapy has been revalidated following the five year review by the
      University of Birmingham, evidencing that the course meets the required academic standards.
5.    Detailed service specifications have been developed for the wide range of dental specialties
      and sub-specialties delivered by Birmingham Dental Hospital and their respective aims,
      objectives and service provision on behalf of patients.

Patient safety
6.	   Best	practice	is	maintained	by	implementing	national	guidelines,	regulatory	body’s	advice	and		
      internal audit:
	     -	 The	Medicines	and	Healthcare	products	Regulatory	Agency	(MHRA)	is	the	government					 	
         agency which is responsible for ensuring that medicines and medical devices work, and are
         acceptably safe.
	     -	 The	review	and	implementation	of	National	Institute	for	Health	and	Clinical	Excellence						 	
	     	 (NICE)	guidelines.
	     -	 The	review	and	action	of	National	Patient	Safety	Agency	(NPSA)	Alerts	e.g.	Birmingham			 	
	     	 Dental	Hospital	swiftly	implemented	recommended	changes	highlighted	within	NPSA	alerts		
	     	 addressing	‘Oxygen	safety	in	hospitals’	and	midazolam	revised	dosage	regime.	




[5] Quality Account Dental Services 2009-10
Patient safety (continued)
Birmingham	Dental	Hospital	is	part	of	the	‘Patient	Safety	First!’	campaign.		
Measures contributing to patient safety include:
	    -	 implementing	the	World	Health	Organization	surgical	checklist	in	the	General	Anaesthetic			
        and Theatre setting
	    -	 the	transfer	policy	between	Birmingham	Dental	and	Birmingham	Children’s	Hospital	for		 	
        critically ill children was reviewed together with the emergency drugs used in general
        anaesthetic critical care transfer
     - the resuscitation policy was updated and the range of resuscitation equipment extended
	    	 (e.g.	finger	pulse	oximeters)
     - Immediate Life Support and Auto External Defibrillation training updates were undertaken
	    -	 new	wrist	bands	with	printed	names	are	now	used	for	the	General	Anaesthetic	department
	    -	 injectable	medicines	risk	assessments	(annual	audit)
	    -	 amendment	and	implementation	of	the	revised	Children’s	Clinic	treatment	planning	record
     - Post Exposure Prophylaxis guidelines updated.

Patient experience
7.   Birmingham Dental Hospital had reduced the patient waiting time from initial referral to new
     patient appointment from 13-weeks April 2006 to 5-weeks by April 2008, and progressed to
     achieve the Department of Health patient wait target of 18-weeks from referral to
     commencement of treatment by December 2008. However, referral rates have continued to
     grow, and this requires constant review of the clinical capacity required by each specialty to meet
     the needs of patients as confirmed by the detailed workforce plan.
8.   To ensure that the patient pathway from referral to new patient appointment takes no longer
     than five weeks, clinicians have revised the referral criteria for referring clinicians. This helps
	    general	dental	and	medical	practitioners	(dentists	and	doctors	working	in	primary	care)	to		 	
	    provide	the	information	required	to	support	their	application	for	secondary	(hospital	based)		 	
     care at the time of referral. This avoids delays for patients due to referrals being returned when
     they lack the depth of information required, or when referrals are inappropriate.
9.   A plan for the investigation and learning from complaints has been implemented. Issues
     raised in complaints are discussed at senior management team meetings, and lessons learned
     cascaded appropriately to promote and improve patient experiences.
10. A comprehensive review has been undertaken of all standard letters and improvements made
    to the style and content. A review of patient information leaflets is currently in progress.




                                                          Quality Account Dental Services 2009-10 [6]
Participation in clinical audit

There were no confidential enquiries relevant to South Birmingham Community Health during
this period. The relevant national clinical audits that South Birmingham Community Health
participated in, and for which data collection was completed during April 2009 to March 2010,
are listed in the table below, alongside the number of cases submitted, as a percentage of the number
of registered cases required by the terms of that audit.


     National Audit                                           Submitted data as %
                                                              of required sample
     Sentinel Stroke Audit – Interim                          There were no cases
     Organisation Audit (2009)                                reviewed whilst undertaking
 1                                                            the organisational audit
     (undertaken jointly with
     University Hospital Birmingham Foundation Trust)

 2   National Continence Audit                                41 %



Of these, the continence audit will be reported within the Quality Account for the period 2010-11.

South Birmingham Community Health also received reports of the following national audits
previously undertaken:
•	   Sentinel	Stroke	Clinical	Audit	
•	   National	Clinical	Audit	of	Falls	and	Bone	Health
•	   National	audit	of	the	occupational	health	management	of	
	    NHS	staff	with	lower	back	pain	and		depression.

These were reviewed and changes made to services as appropriate.

Although there were no specific national audits relevant to dental services during this period,
dental services undertake clinical audit around dental equipment to support improvements
in compliance with Department of Health HTM 01 05 guidance which is a national and legal
requirement. Birmingham Dental Hospital also takes part in Trust-wide audits, and 23 registered
local audits have been undertaken across the dental services.




[7] Quality Account Dental Services 2009-10
Examples of clinical audit
Listed below are some examples of local audit conducted within the
dental services:
•	   assessing	the	quality	of	referral	letters	received	by	the	Restorative		
     Dentistry Department
•	   recording	of	patient	smoking	histories	
•	   management	of	patients	on	warfarin	by	general	dental	practitioners	in	the	West	Midlands	
•	   national	oral	care	for	adults	with	epidermolysis	bullosa
•	   audit	of	patients	who	failed	to	attend	appointments	in	the	paediatric	department	
•	   the	concept	of	the	paediatric	dental	trauma	team	and	the	treatment	received	by	patients		     	
     who attend the trauma clinical session at the Birmingham Dental Hospital
•	   support	for	children	and	young	people,	during	general	anaesthesia	for	dental	extractions.	

Improvements made following clinical audit
Listed below are examples of actions that have been implemented to improve the quality of
healthcare provided around clinical effectiveness and patient safety:
•	   improved documentation for recording medication on admission
•	   an increase in surgical dental equipment to continually improve compliance with HTM 01 05
•	   purchase of new fridges to improve storage of medicines
•	   clearly defined cleaning standards in all clinical areas
•	   implementation of national cleaning standards at the Birmingham Dental Hospital following
     environment audits
•	   Trust-wide	standardisation	of	hand	hygiene	products	in	line	with	the	National	Patient	Safety			
	    Agency	‘Clean	Your	Hands’	campaign.

Additional details around clinical audit activity can be found in the clinical audit annual reports.
This information can be requested through the clinical governance department on 0121 465 7890.




                                                            Quality Account Dental Services 2009-10 [8]
Participation in clinical research

•	   The	number	of	patients	receiving	NHS	services	provided	or	sub-contracted	by	dental	services	in		
     April 2009 to March 2010 that were recruited during that period to participate in research
	    approved	by	a	research	ethics	committee	was	26	(actual	portfolio	research)	and	
	    307	(expected/estimated	non-portfolio	research).	
•	   This	increasing	level	of	participation	in	clinical	research	demonstrates	dental	services		 	 	
     commitment to improving the quality of care we offer and to making our contribution to
	    wider	health	improvement.	Dental	services	was	involved	in	conducting	24	(1	portfolio	research		
     study and 23 non-portfolio research studies) clinical research studies.
•	   Dental	services	completed	37.5	per	cent	of	these	studies	as	designed	within	the	agreed	time			
     and to the agreed recruitment target.
•	   Dental	services	used	national	systems	to	manage	the	studies	in	proportion	to	risk.	Of	the	six			
     studies given permission to start, 50 per cent were given permission by an authorised person
     less than 30 days from receipt of a valid complete application.
•	   50	per	cent	of	the	studies	were	established	and	managed	under	national	model	agreements	 	
	    and	none	of	the	six	eligible	studies	involved	used	a	Research	Passport	(i.e.	the	research		 	
	    passport	is	only	required	for	research	carried	out	by	non-NHS	staff).		
•	   In	April	2009	to	March	2010	the	National	Institute	for	Health	Research	(NIHR)	supported	one		
     of these studies through its research networks. There has been a further study granted by
	    NIHR	within	2010-11.	
•	   There	is	currently	a	portfolio	research	study	ongoing.

Innovation
A fundamental part of developing the quality and safety of care is the need to constantly challenge
and improve the mechanisms through which that care is delivered. This includes not only procedures
and practice but also the technology deployed. Through innovation, dental services strive to harness
the opportunities made available by advances in science and engineering, to the benefit of patient
care.

Example of innovation within the dental services
Researchers in Birmingham Dental Hospital are for the first time looking at the use of saliva to
identify biological markers of disease. Along with colleagues in biosciences, they are working towards
developing markers which will lead to development of diagnostic tools and ultimately saliva could be
used to diagnose other systemic diseases.




[9] Quality Account Dental Services 2009-10
Goals agreed with commissioners

During	the	period	2009-10,	of	the	CQUINs	agreed	between	commissioners	and	South	Birmingham	
Community Health there were none which specifically related to the dental services. However,
targets	have	been	set	for	2010-11	and	a	proportion	of	Birmingham	Dental	Hospital’s	income	received	
in 2010-11 will be conditional on achieving quality improvement and innovation goals agreed with
Solihull	NHS	Care	Trust	through	the	CQUIN	payment	framework.

The	following	section	details	the	outline	of	the	CQUIN	goals	for	2010-11	along	with	details	of	the	
rationale behind them:
1. Patient experience
Objective
Improve responsiveness to the personal needs of patients using the adult outpatient survey

Rationale
Birmingham	Dental	Hospital	will	participate	in	the	NHS	outpatient	survey	during	2010-11,	led	and	
run by the Picker Institute. The questionnaire will be refined in conjunction with the Institute and
commissioners, to ensure it accurately reflects and relates to care delivery at a dental hospital rather
than an acute medical hospital. The process will be independently led by the Picker Institute,
who will draw the patient sample, conduct the survey, provide an advice line, translation sheets
and language line facilities, data entry, analysis and reporting and where applicable benchmark
against national results.

Reporting
Birmingham Dental Hospital will report quarterly to commissioners
progress made against the implementation plan developed with the
Picker	Institute.	The	NHS	outpatient	survey	will	provide	insight	and	
understanding of patients experience when attending the dental hospital
for a new patient appointment. The data gained will then be used to
target improvements in service experience and satisfaction.




                                                           Quality Account Dental Services 2009-10 [10]
2. Outpatient clinical code descriptions and pathway quality
Objective
Provision	of	clinical	code	descriptions	to	commissioners,	participate	in	Payment	by	Results	(PbR)	
Audit 2010-11, phased population of outpatient commissioner data set including input of referral
code	and	referral	organisation	information,	to	assist	commissioners/providers	to	fully	understand	
pathways and better meet patient needs.

Rationale
The operation of a dental hospital outpatient department differs in many respects to an acute
medical hospital. Although both report outpatient appointments in terms of activity, including
counts of new patient and follow-up attendances, the majority of interventions and procedures in
a	dental	hospital	are	performed	under	the	reported	‘follow	up	attendances’	and	a	minority	as	day	
case attendances. All Trusts have to clinically code inpatient and day case operations. Outpatient
procedural coding is not a statutory requirement at present, thus dental procedures undertaken
as an outpatient attendance cannot be electronically identified within the data set.
Data sets for patients must include the code for their general medical practitioner, as this dictates
which	Primary	Care	Trust	will	fund	the	dental	care	delivered.	General	dental	practitioners	can	be	
private practitioners and thus will not have an allotted national administrative code. Therefore
for the future, a single code is sought which will reflect the general dental practitioner who
initially referred the patient to the hospital.
Birmingham Dental Hospital is working in conjunction with commissioners to develop a phased
plan to achieve these objectives and to gain a clear insight into the case mix and complexity of
outpatient attendances provided annually by clinicians.

Reporting
The 2010-11 plan will include:
•	   Clinical	coding:	
     Commissioners wish to gain a better understanding of each specialty and specialist
     sub categories of care, through the clinical coding infrastructure applied to outpatient activity.
•	   Participation	in	the	national	Payment	by	Results	Audit	2010-11:
     Some of the aspects to be included are methodology, quality of coding, review of policy and
     procedures for information and coding as applicable to dental hospitals. This audit will then
     act as a baseline for future improvement planning.
•	   National	administrative	codes	(NACs):
	    To	work	in	conjunction	with	commissioners	and	associates	to	refresh	the	NAC	codes,	and		           	
     develop a means of ensuring general dental practitioners include a referral code for their
     surgery within their referral letters sent to Birmingham Dental Hospital.




[11] Quality Account Dental Services 2009-10
3. Decontamination standards
Objective
A national strategy for the modernisation of decontamination services was established by the
Department of Health to ensure Trusts achieve compliance with the Medical Devices Directive
(93/42/EEC).

Rationale
In response the Pan-Birmingham Decontamination Project Board was established to deliver this
strategy	for	NHS	Trusts	in	Birmingham,	including	Birmingham	Dental	Hospital.	The	main	aims	are	 	
to provide a consistent, efficient, safe and economical decontamination service to each member
Trust to support the delivery of clinical services to its patients.
The service model adopted was to tender for the provision of two compliant, high quality
‘state	of	the	art’	central	sterile	services	departments	(CSSDs)	within	Birmingham,	which	would	
deliver economies of scale. The service principles are to ensure the product is returned to a
compliant standard, within the agreed turnaround timescale, and each stage of the process is
recorded to provide traceability.

Reporting
Birmingham Dental Hospital is in the process of transferring instruments to be decontaminated
to the approved central provider in Birmingham. This phased migration plan will be closely
monitored by commissioners and the Pan-Birmingham Decontamination Project Board
during 2010-11.




                                                         Quality Account Dental Services 2009-10 [12]
4. Smoking intervention
Objective
To record whether a patient is a smoker during the new patient clinical assessment and offer
information or provide direction to stop-smoking programmes

Rationale
Commissioners have asked for evidence of the percentage of new patients attending an
outpatient	appointment	with	smoking	status	recorded	(age	16	years	and	above,	with	certain		
defined exceptions) who received a brief intervention to reduce tobacco use, with evidence of
stop-smoking literature and advice having been provided.

Reporting
Progress reports will be provided during quarters two, three and four of financial year 2010-11.


Further details of the agreed goals for financial year 2010-11 are available on request from the
communications team by calling 0121 442 3708 or by e-mail on provider@sbpct.nhs.uk.




[13] Quality Account Dental Services 2009-10
What others say about the Provider

Statement from the Care Quality Commission
South Birmingham Community Health is required to register with the Care Quality Commission
and its current registration status is unconditional. This means that the Trust is able to continue
providing care without any restrictions being imposed by the Care Quality Commission.


What our patients are saying
Birmingham Dental Hospital takes seriously all comments received from patients.
It uses negative patient feedback to drive improvements in the quality of care.

Below are some examples of what patients have said about Birmingham Dental Hospital through
the	NHS	Choices	website	http://www.nhs.uk/Pages/HomePage.aspx	

        I have been a patient at Birmingham Dental Hospital for about twenty five years.
        I think the treatment I have received has been excellent”.
        Patient in December 2009


        My dentist was friendly, very knowledgeable and very professional. I felt at ease
        through the consultation and examination and her assistants were also well mannered
        and respectful. I was impressed with the service and guidance offered by all of the
        people in the team. Well done and keep up the good work. And of course thank you
        for making my visit a pleasure”.
        Patient in March 2010


        The dentist was very understanding. I was so nervous that my blood pressure
        was very high. They talked to me and put me at ease”.
        Patient in February 2010


       Appointments made very soon after referral. Excellent service by friendly, reassuring,
	    	 competent	dentists.	No	pain	-	just	as	promised!	Thanks!”
       Patient in January 2010


        My 9 year old daughter had an operation today at Birmingham Dental Hospital;
        she was terrified, all the staff were great with her, thank you all so much”.
        Patient in October 2009




                                                           Quality Account Dental Services 2009-10 [14]
Data quality

This section looks at the details around data quality for South Birmingham Community Health
within the dental services and across the Trust.

1. NHS number and general medical practice code validity
Birmingham Dental Hospital within South Birmingham Community Health submitted records
during 2009-10 to the Secondary Uses Service for inclusion in the Hospital Episode Statistics.

The	percentage	of	records	in	the	latest	published	data	(March	2010);
 – which included the patient’s valid NHS number was:
	    •	 100	per	cent	for	day	cases
	    •	 97.3	per	cent	for	outpatient	care

 – which included the patient’s valid general medical practice code was:
	    •	 99	per	cent	for	day	cases
	    •	 97.1	per	cent	for	outpatient	care

2. Information Governance toolkit attainment levels
South	Birmingham	Primary	Care	Trust	(PCT)	commissioner	and	provider	score	for	2009-10,	
assessed	using	the	information	governance	toolkit,	was	28	out	of	33	(84.8	per	cent)	for	
information quality and records management. Please note South Birmingham PCT is not required
to submit level scores against all requirements listed in the Quality Account toolkit which are
predominantly acute-based.
The following sections were not required against the PCT assessment:
402, 404, 406, 407, 503, 505, 506, 507, 508, 510 during the period 2009-10.

3. Clinical coding error rate
Birmingham Dental Hospital was not required to take part in the Payment by Results clinical coding
audit conducted by the Audit Commission in 2009-10 but will participate in 2010-11. However,
100 per cent clinical coding was achieved on the commissioner data set submission for day cases.




[15] Quality Account Dental Services 2009-10
Part 3
Review of quality performance
South Birmingham Community Health has made good progress towards ensuring consistency of
high quality care thanks to the commitment and dedication of all our staff. This report reflects
what we have done so far and also highlights what we want to do to continue building on
those achievements.

Quality assurance at board of directors level, ensuring the highest standards of patient care and
safety,	is	a	fundamental	responsibility	of	the	Boards	of	all	NHS	organisations.	For	South	Birmingham	
Community Health, continual improvement to the quality and safety of care and the overall patient
experience is of the highest priority. Our Board receives monthly reports, giving regular quality
assurance updates which demonstrate a culture of ongoing improvement and accountability.

Reporting framework
A series of structured quality reports are developed for commissioners and internal quality
management processes which address:
•	   monthly	report	of	selected	key	performance	indicators,	organisation-wide	and	specific	to		      	
     directorates, as applicable
•	   contract	quality	requirements	2010-11
•	   gender	and	ethnicity	trends
•	   nationally	specified	events	and	associated	key	performance	indicators
•	   locally	specified	events	and	associated	key	performance	indicators.

Our organisation will continually strive to drive up the quality of our services and to exceed the
external standards against which we are assessed. This report confirms to the Board the work that
is being done to achieve this.

The following have been involved and engaged in developing this Quality Account
South Birmingham Community Health
Managing Director
Medical Director
Director	of	Nursing	and	Therapies		
Associate Director of Therapies                    Birmingham Dental Hospital
Business Information Unit                          Associate Director
Clinical Audit and Effectiveness Manager           Clinical Lead
Clinical	Governance	Facilitator	                   Business Manager
External Communication Lead                        Trust and University Clinical Staff
Information	Governance	Manager	                    Governance	Manager	
Patient Experience Lead                            General	Manager	Patient	Services
Patient Safety and Clinical Risk Manager
R&D Consortium Manager

                                                         Quality Account Dental Services 2009-10 [16]
                                              We have introduced a rolling programme
                                              of patient safety walkabouts, giving
                                              clinical teams the chance to show
                                  directors the work they have done to raise
                                  standards of safety, cleanliness and infection
                                  control and to discuss ideas for further
                                  improvement.

                                  Rick Roberts, Medical Director



                                               Receiving regular updates on the continual
                                               work being done to raise the quality of
                                               our services is invaluable in giving directors
                                  a clear overview of what is working well, where
                                  we still have room for improvement and in
                                  helping	to	shape	the	Board’s	strategic	vision	
                                  going forward.

                                  John Craggs, Non-Executive Director



Statement from Local Involvement Networks

Local Involvement Network
This report reflects the continuing improvement and up-dating of the services offered within
the Dental Hospital, taking into account that it is a teaching hospital and also a research centre,
it is a remarkable achievement that waiting times have come down and standards are maintained
at a very high level.
We look forward to working with the Dental Hospital in progressing their plans for new premises.




[17] Quality Account Dental Services 2009-10
Evaluation form
We would like to hear your views on the Dental Quality Account.

The Department of Health will direct some of our content i.e. quality measures that
every organisation must publish.

However, South Birmingham Community Health have an opportunity to publish information about
local quality initiatives. Your feedback will give us an opportunity to include the initiatives you want
to hear more about.

Please fill in the evaluation form below, tear it off and return to us.
No	postage	is	required,	simply	fill	in	the	form	and	drop	it	into	a	post	box.

Thank you for your time.
Please return your completed evaluation form to us by 1 October 2010.




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Evaluation form                                                                Why?
What best describes you? (please	circle)                                       ............................................................................
Patient	/	carer	/	member	of	public	/	staff	/	other                             ............................................................................
                                                                               ............................................................................
How can we improve the Dental Quality                                          Are you aware of quality highlights you
Account?                                                                       would like to see included in next year’s
............................................................................   Quality Account?
............................................................................   ............................................................................
............................................................................   ............................................................................
                                                                               ............................................................................
Which sections stood out for you? (please tick)
        Statements in part 1 and 2                                             Are you aware of any quality challenges you
                                                                               would like to see included in next year’s
        Priorities for improvement                                             Quality Account?
        Review of services                                                     ............................................................................
        Participation in clinical audit                                        ............................................................................
                                                                               ............................................................................
        Participation in clinical research
	       Goals	agreed	with	commissioners	                                       How would you like to receive the
                                                                               Quality Account?
        What others say about the provider
                                                                               ............................................................................
        Data quality
                                                                               ............................................................................
        Review of quality performance                                          ............................................................................
The	results	of	this	questionnaire	will	be	read	by	the	editorial	team	in	preparation	for	next	year’s	publication.
    If you would like to request a copy of this document in
    an alternative format, or have any other queries about
    its content, please contact the South Birmingham




                                                              Produced by Clinical Illustration and Information Design Tel: 0121 237 2775 Ref: 00000 05/10
    Community Health communications team:

    Tel: 0121 442 3708
    Email: provider@sbpct.nhs.uk

    The report is also available at www.sbch.nhs.uk




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