Consultation Report. Oral Health Strategy Public Consultation June 2012 August NHS Board Meeting 5 December 2012 Paper 10.

Transcription

1 NHS Board Meeting 5 December 2012 Paper 10 Appendix 2 Oral Health Strategy Public Consultation June 2012 August 2012 Consultation Report Document Version: Version 1.0 Version Date: October 2012 Page 1 of 7

2 1. Background The draft Oral Health Strategy was approved by the NHS Board for public consultation on the 23 May Thereafter, a formal three-month public consultation period on the content and proposed direction of the strategy commenced in June 2012 and concluded on 31 st August The Oral Health Strategy Leadership Group developed a consultation plan. A smaller Oral Health Strategy Consultation Support Group then led the consultation process and reviewed comments. The consultation process ensured that key stakeholders were involved and could contribute their views on the proposed strategic direction for oral health. The earlier engagement process (which ran from 23 February to 23 March 2012) was successful in receiving 32 responses from a variety of stakeholders. It was apparent at this stage that the overwhelming majority of those who responded (83%) agreed with the vision and key areas of the strategy. 2. Consultation Feedback Methods Please see below a summary of the key feedback methods used. 2.1 Consultation booklet via a mail shot which invited a formal written response In addition to the strategy itself (volume one) and its associated factfile (volume two), a short summary booklet with key consultation questions was developed as the main feedback method. The consultation booklet was published widely utilising , intranet, internet and hard copy distribution as part of the formal communications plan. This included distribution to all dental surgeries for both staff and patients. Copies of the What do you think leaflet and all consultation documentation were made available on the NHS Ayrshire & Arran public website. 2.2 Awareness Raising and Focus Group Discussion Consultation focus group discussions with a range of hard to reach population groups were held. These priority group adults included carers of older people, adults with a learning disability and their carers, as well as homeless people and their support staff. Focus groups were also held with children of primary and secondary school age as young people are a key target group in the strategy. The content of these group discussions are incorporated into this report. 2.3 A Children s Oral Health Pathway/action plan consultation event - A presentation and consultation workshop event with multi-agency representation from children s services across Ayrshire and Arran was held to seek their views and input to the proposed action plan. 2.4 Presentations on invitation to stakeholder groups - A presentation was given to the Head & Neck Directorate who provided useful comments and also East Ayrshire Children s OLG. Page 2 of 7

3 3. Responses 3.1 Written Responses to Consultation Booklet A total of eight individual responses were received as a result of the consultation questionnaire. Although respondents were not asked demographic details relating to themselves, they were invited to state any particular area of interest (Question 6). Of the eight respondents, three chose not to respond and the other responses are listed below: 1. Wellbeing throughout life and for all sectors of the community 2. Dental surgeon 3. Periodontology 4. Male, age 58, interested in the ongoing, accessible, provision of NHS adult / elderly dental services. 5. Early years, partnership planning Five respondents provided their personal contact details in order to be kept informed as the Oral Health Strategy develops (Question 5). In Question 1 respondents were asked to list three actions which they felt should have top priority within the action plan. Seven out of eight provided their top three, all of which were within the action plan and will be addressed in Year 1 of the action plan implementation. 1. Education for children in oral health 2. Disadvantaged groups - including homeless and disabled people 3. Other adults 1. Developing Childsmile 2. Delivering oral health improvement for dependant older people 3. Delivering oral health improvement for special needs adults 1. Ensuring competence of dentists 2. Improving access to treatment 3. Encouraging patient confidence in practitioners 1. Older People - particularly in care settings, including training for care staff 2. Targeting services to homeless people 3. Education in the workplace 1. Provide outreach assessment and free dental hygiene materials to people entering homeless accommodation 2. X 3. X 1. Reduction of childhood caries 2. Raise awareness of oral cancer and smoking influence 3. Reduce oral health inequalities 1. C10 Inc. active child dental registration. 2. C12 All ch. receive age specific oral health imp. support 3. A2 All adults have dental registration. 1. Delivering and developing the Childsmile oral health programme 2. Supporting the child protection agenda 3. Maintenance of 100% nursery school participation in the Toothbrushing Page 3 of 7

4 Childsmile Programme Participants were then asked to list any actions which they felt were missing (Question 2). Four out of the eight respondents felt no actions were missing and the other four listed the following comments. Next to their comments the Oral Health Strategy Consultation Support Group agreed appropriate responses. Comment Works with manufacturers Utilising Clinical dental technicians, this group of professionals' can provide clinical and technical treatment directly to the patient by educating care home staff, carers' ECT regarding oral health for denture wearers. Dentists would then be allowed to focus there skills more effectively in other more complex areas of dentistry. A need to support parents to support their children in oral health. Although the above action is alluded to somewhat, it would be more effective if the format described for prisoners was followed for homeless service users when entering temp accomm Response to comment This would require national lobbying. Skills to develop the wider dental team are being considered Childsmile and OHP resources have elements targeted at parents National group have developed training programme for homeless people which will be implemented in A&A Respondents were then asked if the strategy is implemented effectively, did they feel it will achieve the aim of reducing the health and economic burdens associated with poor oral health. All eight respondents provided an answer (Question 3): 1. Yes 2. Targeting children should, in the long term, reduce the burdens 3. Social factors play a huge part in people's perception until these are removed there will be little change realised 4. It will work towards a reduction in health and economic burdens, however the key to ensuring this is sustained is to motivate individuals to take responsibility and an active role in self-management. 5. Yes 6. Yes positive 7. Yes 8. Yes Respondents were also asked whether they had any additional comments they would like to make (Question 4). One respondent did not provide a response to this question. Individual responses are listed below: 1. Nope 2. More use of dental care professionals such as clinical dental technicians in the community and hospital services. 3. The Area Pharmaceutical Professional Committee (APPC) have considered & discussed the Ayrshire & Arran Oral Health Strategy Volume Page 4 of 7

5 and would like the following points to be considered for inclusion: 1) Smile campaign through community pharmacies involves giving oral health advice as well as free toothpaste, brushes and cups. This could be included in both the Child Logic Model and the Action Plan We note Action 1.8.1, and the APPC would welcome the results of the service review, as we do expect that the uptake of this is variable. 2) Promotion of sugar free medicines both for dispensing & OTC sales could be included in the Child Logic Model 3) Oral health advice to substance misusers could be included in the Adult Priority Group Logic Model. Some pharmacies offer sugar free gum to patients after supervised methadone administration. 4) Minor Ailment Service (MAS) prescribing by a pharmacist (when appropriate and eligible), and oral health advice are readily available from community pharmacies without appointment - could be included in all action plans or logic models. 4. No 5. N/a 6. This is a very complex document that only a dental / health professional would understand. To encourage a greater public response, an easy read version should have been produced with bullet points of the key objectives. 7. English speaking NHS dentists National NHS price list displayed Continuity of dentist in practices Emergency dentist, keeping records Setting up registrations with local dentists, dentists sending out letters for 6 month referrals The responses are as follows: Skills to develop the wider dental team are being considered in the implementation of the action plan With regard to the comments from the APPC the matters raised will be discussed with the Committee. A consultation booklet listing the bullet points of the key objectives was produced and widely circulated The points raised in 7 above will be addressed during the action plan implementation. 3.2 Responses to Awareness Raising and Focus Group Discussion Many of the responses received from the focus groups were supportive comments which will be useful in the implementation phase. A summary is provided below for each of the topics Carers of older people Carers of older people were keen for oral health advice which would help them look after the mouths of those they cared for. Specific advice on oral care for those with dementia or those with physical limitations was requested. They also wanted details of who to contact for dental treatment. These points would be included in the oral health improvement programmes for older people. Page 5 of 7

6 3.2.2 Adults with a learning disability and their carers There were several focus groups held with adults with a learning disability, their support staff and those involved in caring. Many were registered with a dentist and reported positive experiences. Although some progress has been made, it was recognised that additional work is required to develop and deliver training programmes for oral health improvement for people with a learning disability Homeless people and their support staff Focus groups were conducted with homeless people, and those providing services to homeless clients. Homeless people requested information and help on how to access dental services, and this will be provided as part of the oral health improvement programme for homeless people. The service providers were supportive of the developments so far, including the provision of oral health products and advice on accessing dental services. They were keen to see this monitored and developed further Primary school children The consultation comments received from primary school children demonstrated a high level of awareness about oral health, key messages and engagement with/acceptance of the current early intervention programmes currently in place. Given the age group, comments tend to be about their sensory responses and what they liked or did not like. Many of these comments will be helpful for ongoing action plan review and implementation e.g. some children did not like the taste of the fluoride varnish used. The children liked to learn through the current approaches adopted i.e. fun and games, and this also highlights the need for the strategic action plan implementation to be continuously innovative and developing new materials for programmes Secondary school children The consultation comments received from secondary school children demonstrated that they had a good awareness of their oral health and needs. Also that they: Were registered and preventively attending a dentist Wanted to have good oral health, and still needed adult and peer support and encouragement to maintain dental attendance and preventative self-care/diet Were starting to consider future financial implications of dental care after leaving school Wanted age specific, innovative methods used for their prevention and intervention programmes e.g. graffiti, bus adverts, floor art, computer use, debate, street dance. The comments were all constructive which also demonstrates a positive approach to oral health improvement, which was encouraging. The responses and comments also demonstrated the need to adopt a partnership, asset based approach when engaging with this age group during the implementation of the action plan. 3.3 Responses to Children s Oral Health Pathway/action plan consultation event The consultation response comments received at this event demonstrated that the stakeholders present have embraced and adopted the multi-agency, common risk approach to oral health improvement that was strategically developed and adopted between 2005 and These responses further endorse this ongoing strategic approach. The consultation comments received from this group mainly focused on Page 6 of 7

7 the practicalities of developing the processes to review and support the ongoing implementation of the multi-agency three year action plan. Some common aspects that arose were: Ongoing streamlining and improving the programmes developed between 2005 and 2010 Developing further the multi-agency Getting It Right For Every Child (GIRFEC) approach to child protection within the oral health settings Progressing further the adoption of early interventions to promote wellbeing. These aspects are already identified within the action plans and will be taken forward and addressed during the implementation process. 3.4 Responses to presentations on invitation to stakeholder groups Some minor amendments were made to the action plan to reflect comments from secondary care colleagues from the Head & Neck Directorate, which were specific to secondary care activities. The East Ayrshire OLG was very supportive of the draft strategy. 4. Conclusions Overall the draft Oral Health Strategy has been well received, with feedback suggesting that the actions included are those that contributors support. The action plan was originally developed with actions for each of the four life stage groups. However many actions were repeated for all four stages therefore following consultation the common actions have been brought together to make the document more succinct and facilitate monitoring. The process of engagement and consultation has given many opportunities to consolidate the work previously undertaken with key stakeholders. These relationships will continue to develop and deepen during the strategy implementation phase as all stakeholders work together to deliver oral health improvement. Page 7 of 7