So what does PHE do? Sandra White BDS, FDSRCS, MPH, FDS(DPH)RCS, - - PowerPoint PPT Presentation

“So what does PHE do?”

Sandra White BDS, FDSRCS, MPH, FDS(DPH)RCS, FFPS, MBA, PGCMedEd

Summary

• Who we are and where are we?
• Vision to delivery
• Story so far
• What’s next?

• Who we are and where are we?
• Vision to delivery
• Story so far
• What’s next

National team

Sandra White National Lead for dental public health Semina Makhani National Dental Public Health Consultant Vacant National Consultant in Dental Public Health Andrew Wood Fluoridation Business Manager Jenny Godson National Consultant in Dental Public Health Julia Csikar Senior DPH Manager Diane Seymour Senior DPH Manager Kate Jones National Consultant in Dental Public Health Janet Neville DPH Analyst Joanne Sumner Epidemiology Support Matt Gill* Policy Lead DPH & Population Healthcare* Hayley Stripling Business Manager Satveer Kour Operational Support Gill Davies National Consultant in Dental Public Health

North West

5 (4.1)

North East

2

Yorkshire and the Humber

3 (2.8)

West Midlands

4 (2.7)

East Midlands

3 (1.6)

East Anglia

3 (3)

South West

3 (1.4)

South East

4 (3.4)

London

3 (3)

Centre Network

Consultant workforce in England by centre

PHE is the sole provider of dental public health advice

• locally. There are no

dedicated dental public health Consultants in LA, CCGs or elsewhere in England.

How we work….

• Who we are and where
• Vision to delivery
• Story so far
• What’s next

Securing our future - Dental Public Health proposals

A national 5 year plan 2015-2020

We protect and improve the nations health and wellbeing and reduce inequalities Our vision Starting well

A generation free

• f

dental disease

Living well

Better oral health for all

System

support

• ur
• rganisation,
• ur workforce,
• ur partners

High Level objectives

• 1. System leadership to co-ordinate the approach to oral health improvement and

reduction in health inequalities, particularly through a focus on children and vulnerable adults.

• 2. Ensure that an appropriate range of evidence based information is available for

dental public health purposes and for a range of stakeholders including the findings from the dental epidemiology programme and descriptions on inequalities

• 3. Carry out PHE’s water fluoridation responsibilities and those responsibilities carried
• ut on behalf of the SoS and ensure adequate support to our workforce and

partners.

• 4. Support the health protection role of PHE including the AMS agenda.
• 5. Support the work of the DH, NHS England and HEE to encourage high quality, safe

and effective oral healthcare that is preventive focused, equitable and sustainable

• 6. Ensure professional and system leadership and research for dental public health,

develop the future workforce and undertake corporate responsibilities

• Who we are and where are we?
• Vision to delivery
• Story so far
• What’s next

Oral health improvement

Water fluoridation All our Health CBOH Sugar reduction Brief intervention

• Alcohol

Smoke free and smiling DBOH COHIPB

COHIPB

Health Matters Action plan Return on Investment tool Workforce resources The ‘red book’ Blogs, launches, media Toothbrushing feasibility report Supervised toothbrushing toolkit Menu of interventions (maternity and early years)

Water fluoridation

Performance management

• f Schemes

Research Paying the bills! Capital schemes Water fluoridation monitoring report Water fluoridation toolkit Support to new and existing schemes PQs, FOIs,

Dental epidemiology and intelligence.

3 and 5- year-old Surveys Adult surveys Prescribing data Epi toolkit GA figures Children attending special schools Local and National bespoke data

Healthcare Supporting

• ur

partners

DH e.g. Contract reform

NHS Commissioning e.g. Starting well

OCDO e.g. DCby1

CQC, HEE, LPNs

Starting Well

Intelligence to select the ‘13’

Evidence base for interventions and support to develop them

Local needs assessment

Develop safeguarding flowchart

Develop the care pathway

Develop the audit tool

Support launch and DBOH training

Health protection e.g. AMS

ESPAUR

ESPAUR Dental Subgroup 1.Primary care

Prescribing data Resources for practices Clinical audit Implementation

• 2. Secondary

care

National ADH audit Secondary care guidelines

• 3. Education

Resources for primary care (SCRIPT) Resources for secondary care (Scenario training)

• 4. Multi-system

AMS collaboration

e.g. BNF Metronidazole

Research

• Relationships between oral health and
• Dementia
• Cardiovascular disease
• Pulmonary disease
• Diabetes
• Obesity
• Oral health of vulnerable adults (CBOH)
• Water fluoridation – fluorosis and horizon scanning

Working towards>>>>

• Workforce – wellbeing of GDPs
• ICDAS and child surveys
• Multivariate analysis and child dental health surveys
• GAs – variety of research!

• Who we are and where are we?
• Vision to delivery
• Story so far
• What’s next?

Further work of the COHIPB

Ongoing delivery plan 2017/18

• Community based FV toolkit- PHE
• Update e-den DBOH- PHE/RCS/HEE
• Work to increase FV Rx- NHSE
• Support -DcBy1- NHSE/BSPD
• Support - Starting Well- NHSE
• Support Health for all children 4th Ed -

RCPCH

• SACN – breastfeeding and tooth decay
• Best Beginnings – Baby Buddy app
• LA hotspots- identifying 30 where

challenges remain

• Further work with Change4life

Other oral health improvement work

• Stocktake LA’s on OHI
• Smoke free and smiling – update and implementation
• Commissioning better oral health – vulnerable older people
• Development of a vulnerable adult steering group and actions
• Work on homelessness / dementia / prisons ( survey) / migrant health

Support to partners Healthcare Public Health

BSA data

• Complimentary dashboard on access to and use of dental service
• Report on equity of access to dental services
• Starting well
• Interventions and prevention care pathway
• Training for the dental teams
• Data and evaluation
• Health inequalities report
• Supporting dental contract reform
• Sustainability
• Dental noticeboard
• Recall Matters
• Patient and public engagement

Epidemiology and intelligence.

• ral cancer profiles
• decennial adult dental health survey – the case
• prescribing data at provider level
• new website
• mildly dependant adults survey
• 5 year old survey
• A survey of adult oral health to provide local information to assist with

commissioning 2017/2018 Survey

Aims of survey of adults

To inform commissioning of treatment services for adult patients and oral health improvement strategies by collecting information about oral health and service use from adult patients attending general dental practice To establish baseline learning about the feasibility of collecting information from general dental practice patients and assess the validity and utility of this.

Plans for a local survey of adults

Planning group with NHSE, LDNs, BDA, GDPA, LAs, fieldwork provider, FGDP Developing - principles to guide the survey, workable method – national protocol and communications strategy Regional training Random sample of 10 practices per local authority– NHS, mixed, independent. Fieldwork teams contact sampled practices and ask them to host for 1 day or 2 sessions at convenient times Adult patients asked to take part Simple questionnaire – self-administered with support from fieldwork team Simple clinical examination – by trained clinician in fieldwork team Extraction of some information from patient’s FP17 (with their consent)

National collation, analysis and reporting at local authority level

How can LDNs help?

• Speak in support of the survey
• Encourage local committees to provide resources to

incentivise practices

• Assist with forewarning of practices and reassurance of

purpose

• Liaise with local fieldwork teams
• Other suggestions?

Summary

• Who we are and where are we?
• Vision to delivery
• Story so far
• What’s next?
• What else could we do?

Thank you