02 08 11
NHS GRAMPIAN Open Session
Dental Plan 2008-12 Item 5.1
Report and Update
In August 2008 the NHS Grampian Board endorsed the NHS Grampian
Dental Plan 2008-12, A Plan for Improving Oral Health and Modernising NHS
Dental Services in Grampian.
The paper is submitted for information to update the Board on progress with
the Dental Plan
The report outlines the significant changes and improvements in dental
National adult oral health targets 2010 achieved with continued health
National child oral health targets achieved Primary 1 and Primary 7
with continued improvement and further implementation expansion of
preventive programmes by CHP.
All operational responsibilities for dental services devolved to
Continued (but slower) increases in NHS registrations.
Continued increase in dental workforce
Largest annual impact (decrease) in primary care waiting list since list
established with estimated waiting list now below 19,000 for first time
in 5 years
Intermediate care specialised dental service network established with
new primary care referral hub.
Continued improvement in quality and quantity of dental premises with
90% of practices achieving new decontamination standards prior to
target date of Dec 2012.
The report demonstrates that there have been significant improvements in
Oral Health and Access to NHS Dentistry, it also highlights that there are a
numbers of challenges that will require appropriate planning and
Premises and Capital investment
As a result of significant local and national investment, over 90% of all dental
premises in Grampian will comply with Decontamination Standards by 2012;
however there is a risk that a small number of Independent Dentists will not
be able to continue to practice as they will not meet these decontamination
standards, which come into force 1st January 2013.
Scottish Dental Access Initiative funding is now targeted at Health Board
areas in most need and this includes Grampian.
Whilst this source of encouragement is welcome there is still a risk that
Grampian will not have sufficient capacity (dental services) to deliver future
access and recruitment targets.
Recruitment has improved in the last 3 years. but the majority of practitioners
have chosen to be based within Aberdeen City. Recruitment issues still
remain within Aberdeenshire and Moray. These CHPs still have some of the
lowest numbers of dental professionals per head of population in Scotland.
Development of high quality dental premises in Aberdeenshire and Moray will
be key to continuing to recruit more dentists to Grampian. Support from within
limited Capital funding will be required to provide appropriate premises
Over the past 3 years there has been significant progress against the targets
and recommendations contained within NHS Grampian Dental Plan 2008-
Careful planning and management will be required to ensure that this
progress is maintained in an appropriate manner.
NHS Grampian is requested to
Note the progress, achievements and future challenges of the Dental
Request an update on progress around key risks early in 2012 (March)
Request for consideration our next Dental Plan in October 2012
Executive Lead: Director of Public Health and Planning
Consultant in Dental Public Health
15th July 2011