CLOSED
Present: Hew Mathewson (HM), Colin Duncan (CD), Moira Duncan (MD), Linda Garwood (LG), Pauline Henderson (PH), Laura McCormick (LM), Hamish Wilson (HW)
Date: 12 May 2015
Venue: SHSC, Edinburgh (Carrington Suite)
Time: 11:45am
In Attendance: John Cameron (JC), Anne Ferguson (AF), Jill Ireland (JI), Martin Morrison (MM), David Notman (DN)
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)
2013-11-05:6c.2 Provide the appendix to the SDRS report JC Abandoned
2013-11-05:6f Communicate PV changes to the profession
through schedule inserts MM
2014-08-19:7.f.5 Develop a Partnership Agreement between
P&CFS and SDPB HW/MM
2014-08-19:8 Provide an update on removal of precious
metals from the SDR DN Further work to be done by SDPB
2014-11-04:7.1 Check whether dentists could be charged with an offense that could otherwise be time barred
MM
2014-11-04:9.g.2 Finalise PSD report requirements 17-Feb-15 HM
2014-11-04:10.1 Send the draft report to the CDO 10-Dec-14 Stephen Frier
2014-11-04:10.3 Publish the report Early 2015 Stephen Frier
2015-02-17:8:1 Separate outlier information from genuine
investigations data MM Completed
2015-02-17:10.a.1 Determine why software suppliers were unable to make changes within agreed timescales
MM 2015-02-17:10.a.2 Inform suppliers of the difficulties in uploading
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AGENDA ITEM WHAT:
(Action) WHEN: (Commit) WHO: (Owner) RESULT: (Conclusion)
2015-02-17:10.f.1 Review list of reports routinely produced by
PSD HM Completed 12 May 15
2015-02-17:11.1 Check progress of Annual Report with
Stephen Frier MM To be finalised by MM
2015-02-17:12.1 Draw the Scottish Government’s attention to the fact that the SDR narrative was not consistent with the SDCEP guidelines on treatment of periodontal disease
HM To be discussed at meeting with CDO prior to next Board Meeting 2015-02-17:14.1 Arrange an annual reminder about
submission of information for the Rent Allowance
MM 2015-05-12:8.1 Publish the 2012-13 and 2013-14 Annual
Reports Stephen Frier
2015-05-12:9.1 Advise DK that the SDPB would like to be
involved in the discussions with NES MM
2015-05-12:10.1 Carry out scoping work for orthodontic prior
approvals HM
2015-05-12:10.2 Obtain advice from Oral Medicine Consultants regarding transfer of precious metals from the SDR to discretionary items
HM Completed
2015-05-12:10.3 Change the regulations to allow tiered prior
approval Autumn 2015 DN
2015-05-12:10.4 Transfer the prior approval limit to the SDR DN
2015-05-12:12.1 Check the information governance position with the data held in the Quality Indicators Pilot
CD
2015-05-12:13.1 Promote eSchedules to increase uptake MM
2015-05-12:13.2 Ensure outstanding changes from the discretionary items review are addressed as part of the eDental Programme
September 2016 MM 2015-05-12:13.3 Investigate the drop in registration numbers in
AGENDA ITEM WHAT: (Action) WHEN: (Commit) WHO: (Owner) RESULT: (Conclusion)
2015-05-12:13.4 Implement changes to SDRS operations to substantially increase throughput of examinations
September 15 JC
2015-05-12:13.5 Issue questionnaires to patients attending the
SDRS JC
2015-05-12:14.1 Provide details of how current SDR can be
used to implement SDCEP perio guidelines JC Abandoned
2015-05-12:15.1 Arrange pre-meetings with the CDO/DN HM/AF Completed
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Agenda Item
Additional Notes (Items recorded below in the order in which they were discussed at the meeting)
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 2015 - 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.
Agenda Item
Additional Notes (Items recorded below in the order in which they were discussed at the meeting) 10. Response to recent SDPB Reports
a. Childsmile – The Childsmile time bars were altered in the last SDR revision wef 1 April 2015. 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 Items 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 2015. 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.
8. 2013, 2014 (and 2015) SDPB/PSD/SG Reports – Following much discussion it was agreed to publish the information available for 2012-13 and 2013-14. It was also agreed to publish the same dataset for the 2014-15 report.
9. Making Dentistry Safer for Patients – It was explained that the meeting between David Knowles (DK) and David Felix in February, to which MM 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. MM agreed to inform DK that the SDPB would like to be involved in future meetings.
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Agenda Item
Additional Notes (Items recorded below in the order in which they were discussed at the meeting)
13 Reports
a. Practitioner Services Update & Strategic Outcome Matrix [SOM] (MM) – 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 MM 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 (MM) – outliers and investigations were flagged separately in the
Practitioner Services database and so could be reported separately from Q1 in 2015. 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.
Agenda Item
Additional Notes (Items recorded below in the order in which they were discussed at the meeting)
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 2015.
17. 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 2015.
20. SDPB Complaints Log, FOI Log and SDCEP Ortho Report – for information.
