WHEN: (Commit) DN Further work to be done by SDPB :7.1 Check whether dentists could be charged with an offense that could otherwise be time

Transcription

1 Present: In Attendance: CLOSED Hew Mathewson (HM), Colin Duncan (CD), Moira Duncan (MD), Linda Garwood (LG), Pauline Henderson (PH), Laura McCormick (LM), Hamish Wilson (HW) John Cameron (JC), Anne Ferguson (AF), Jill Ireland (JI), Martin Morrison (), David Notman (DN) Date: 12 May 2015 Venue: SHSC, Edinburgh (Carrington Suite) Time: 11:45am Apologies: Paul Cushley (PC) Next Meeting: 18 August 2015 Time: 10:30am Key: Completed Venue: SHSC, Edinburgh (Carrington Suite) AGENDA ITEM WHAT: (Action) WHEN: (Commit) WHO: (Owner) RESULT: (Conclusion) :6c.2 Provide the appendix to the SDRS report JC Abandoned :6f Communicate PV changes to the profession through schedule inserts :7.f.5 Develop a Partnership Agreement between P&CFS and SDPB HW/ :8 Provide an update on removal of precious metals from the SDR DN Further work to be done by SDPB :7.1 Check whether dentists could be charged with an offense that could otherwise be time barred :9.g.2 Finalise PSD report requirements 17-Feb-15 HM :10.1 Send the draft report to the CDO 10-Dec-14 Stephen Frier :10.3 Publish the report Early 2015 Stephen Frier :8:1 Separate outlier information from genuine investigations data Completed :10.a.1 Determine why software suppliers were unable to make changes within agreed timescales :10.a.2 Inform suppliers of the difficulties in uploading software for practices

2 AGENDA ITEM WHAT: (Action) WHEN: (Commit) WHO: (Owner) RESULT: (Conclusion) :10.f.1 Review list of reports routinely produced by PSD HM Completed 12 May :11.1 Check progress of Annual Report with Stephen Frier To be finalised by :12.1 Draw the Scottish Government s attention to the fact that the SDR narrative was not To be discussed at meeting with HM consistent with the SDCEP guidelines on CDO prior to next Board Meeting treatment of periodontal disease :14.1 Arrange an annual reminder about submission of information for the Rent Allowance :8.1 Publish the and Annual Reports Stephen Frier :9.1 Advise DK that the SDPB would like to be involved in the discussions with NES :10.1 Carry out scoping work for orthodontic prior approvals HM :10.2 Obtain advice from Oral Medicine Consultants regarding transfer of precious HM Completed metals from the SDR to discretionary items :10.3 Change the regulations to allow tiered prior approval Autumn 2015 DN :10.4 Transfer the prior approval limit to the SDR DN :12.1 Check the information governance position with the data held in the Quality Indicators CD Pilot :13.1 Promote eschedules to increase uptake :13.2 Ensure outstanding changes from the discretionary items review are addressed as September 2016 part of the edental Programme :13.3 Investigate the drop in registration numbers in Q4 Completed 19 May 15

3 AGENDA ITEM WHAT: (Action) WHEN: (Commit) WHO: (Owner) RESULT: (Conclusion) :13.4 Implement changes to SDRS operations to substantially increase throughput of September 15 JC examinations :13.5 Issue questionnaires to patients attending the SDRS JC :14.1 Provide details of how current SDR can be used to implement SDCEP perio guidelines JC Abandoned :15.1 Arrange pre-meetings with the CDO/DN HM/AF Completed :16.1 Meet with Sharon Letters from IDH HM Completed

4 1. Chairman s Opening Remarks The Chairman welcomed all to the meeting. It was explained that items would be taken out of sequence to allow Greg Thomson to present first and discuss items of relevance before David Notman left the meeting. 12. Supporting Better Practice Quality Indicators Pilot Presentation (Greg Thomson) A demonstration of the Quality Indicators Pilot Application was provided and the following points noted: The pilot involved all dental practitioners within NHS Ayrshire & Arran and NHS Dumfries & Galloway as well as a subset of NHS Lothian dentists. Practitioners would be given the opportunity to review their own data and request corrections if necessary Much work had been done in developing guidance to enable Health Boards to consistently apply the parameters for each indicator. It was to be ascertained from the pilot whether further refinement of this guidance was required to obtain a consistent approach across Scotland. Irrespective of how Health Boards applied the parameters there would at least be a common approach within each Health Board. Data was currently entered manually but the possibility of obtaining data feeds automatically from NES and PSD was being explored There was no CPD indicator in the pilot The purpose and benefit of this application needed to be communicated with the profession so that it was seen as a supportive tool. There was enormous potential value in sharing information between Health Boards to drive up quality in a positive way. Information governance in relation to this data was questioned. Assurance was provided that this had been explored in great detail specific information on the data controller and the information that would be provided in response to a Freedom of Information (FOI) request would be obtained. A protocol was in place to enable Health Boards to provide support to struggling practitioners. This was an opportunity to ensure practitioners were treated consistently across Health Board areas. 2. Apologies as noted above. 3. Introductions - none. 4. Declaration of Interests none. 5. Minutes of 17 February the minutes were approved. 6. Action List Review much work had been done to close off many action points 7. Matters arising not otherwise appearing on agenda Regarding the appointment of a new dental member; interviews took place on 5 May and an appointment recommendation subsequently made to the Minister.

5 Minutes 10. Response to recent SDPB Reports a. Childsmile The Childsmile time bars were altered in the last SDR revision wef 1 April This was a positive change and the SDPB was appreciative that it had been done so quickly. b. Orthodontic Prior Approvals the SDPB had been asked by the Scottish Government to carry out some scoping work and this will be done in the coming months. However it was important to be mindful that the focus of this report was to reduce radiographic dose and save lives. c. Precious Metal s in SDR as Discretionary Fees only the Scottish Government was concerned about patients sensitive to nickel/chrome so the advice of Oral Medicine Consultants was to be sought. d. Tiered Prior Approval the Scottish Government indicated that regulations which would allow tiered prior approval were expected to be in place by Autumn Simultaneously the prior approval limit was to be removed from the Regulations and transferred to the SDR. The value of which would remain the responsibility of the Scottish Government , 2014 (and 2015) SDPB/PSD/SG Reports Following much discussion it was agreed to publish the information available for and It was also agreed to publish the same dataset for the report. 9. Making Dentistry Safer for Patients It was explained that the meeting between David Knowles (DK) and David Felix in February, to which and others had also been invited, had a wider remit than making dentistry safer for patients. Paper 2 was a list of possible topics for discussion over a period of time. NHS Education for Scotland (NES) and Practitioner Services were meeting quarterly to explore such issues. It was noted that Practitioner Services had committed more time to NES programmes. HM was disappointed at not having been involved as the SDPB could make a useful contribution e.g. proposing support for Scottish graduates who completed Vocational Training in England as well as those who had graduated out-with the UK. agreed to inform DK that the SDPB would like to be involved in future meetings.

6 Minutes 13 Reports a. Practitioner Services Update & Strategic Outcome Matrix [SOM] () The following points were noted about paper 3: 1.1 Payments/remuneration services an issue arose with the capping of practice allowances in January 2015 and an explanation provided as to how adjustments were made. 1.3 Electronic Schedules had initially been promoted through the Practitioner Services website and via the bulletin included with schedule reports. A number of communication strategies would be used to promote future uptake. 1.5 Discretionary fee review implementation the Board considered whether to pursue implementation of the outstanding changes to discretionary fees with system suppliers or whether to delay implementation as part of the edental Programme. As the key changes to discretionary fees had already been made and would not significantly impact on Dental Adviser workload all were content to incorporate implementation with the edental Programme (September 2016 at the earliest). 3.4 Complaints a review of all complaints received over the last year had been carried out. More practitioner complaints had been upheld although the number of patient complaints upheld had reduced. It had been recognised that better communication with practitioners was required. SOM further work was required to account for the drop in registration numbers during Q4 given that registration was lifelong. -Questionnaires were to be issued to patients attending the SDRS to determine what had been gained by attending from the patient perspective. -The information in the tables was correct but the notes/narrative needed updated. - There was concern about a number of items but anticipated that the investigations backlog was the most difficult to resolve. b. Prior Approval Electronic Programme Board (MD) paper 4 was noted. As of last week 393 claims had been submitted electronically. The target was 500 by the end of June. c. Payment Verification (MD) paper 5 was noted. It was clarified that the fourth bullet point was about those not entitled to any NHS treatment and the last bullet point about those not entitled to free NHS treatment. d. Supporting Better Practice paper 6 was noted. The meetings focussed on the points covered in the presentation by Greg Thomson. CD agreed to check the points made about FOIs. 16. Integrated Dental Holdings Notepaper (HM) It had been drawn to the Chairman s attention by a Dental Adviser that IDH notepaper included the SDPB s name and NHS Scotland logo. There was no answer when HM called the IDH practice which was a breach of the Regulations. The Chairman consequently wrote to Sharon Letters, IDH Scottish Clinical Director, and received formal written assurance that reference to the SDPB had been removed from the notepaper. SL was now seeking a meeting with HM which would be arranged. 11. Possible Separation of Outlier Cases from Investigations an Update () outliers and investigations were flagged separately in the Practitioner Services database and so could be reported separately from Q1 in However care was needed with the language used to describe each category. 14. SDCEP Guidelines on Periodontal Disease Possible Working Group (HM). HM reported that Penny Hodge had met with Board representatives and PSD on separate occasions. It was clear to Board Members involved (HM/LG) that the SDR was not fit for purpose in reflecting these SDCEP guidelines. JC said that advisers were already working with some practitioners to implement guidelines using the current SDR. The Board agreed that information on how this was done needed to be distributed to all primary care practitioners.

7 Minutes 15. e-dental OBC Working Group Linda Garwood had kindly agreed to Co-Chair this working group. The first meeting was arranged for 4 June Any Other Business Pre-meeting with CDO/DN discussion primarily focussed on the role of the Board. It was agreed that a pre-meeting would take place quarterly in advance of setting the SDPB agenda with alternate lay/dental member representation accompanying the Chairman. The CDO/DN would also be involved in SDCEP dialogue. 18. Date of Meeting in May 2016 Tuesday 10 May 2016 was agreed. 19. Date of Next Meeting Tuesday 18 August SDPB Complaints Log, FOI Log and SDCEP Ortho Report for information.