Community Dental Services

Summary

A request was made for detailed staffing, salary, financial, and patient data regarding the Isle of Man Community Dental Services, to which the Department of Health and Social Care responded with a job description for a Community Dental Officer while withholding specific financial and individual salary information.

Key Facts

• The Community Dental Service provides care to priority groups including vulnerable and special needs patients.
• The service offers emergency treatment for patients without access to General Dental Services (GDS).
• Clinicians are entitled to 21 days of study leave within a three-year period.
• The service provides domiciliary care for patients unable to attend the clinic.
• The response included a job description for a Community Dental Officer at Band A (Enhanced salary Band B).

Data Disclosed

• 37.5 hours per week
• 21 days study leave
• three year period
• 2019-12-11
• 2020-01-08
• 1 December 2019
• April 2018

Original Request

1. How many individuals are employed by the community dental service? Please provide numbers and whether full or part time include dentist, dental nurses, hygienists, therapists, reception administrative and clerical staff. 2. What were the gross wages for all of the above staff during 2016 -2017, 2017-2018, 2019 to date? 3. What are the individual salaries paid to the dentists? 4. Provide a copy of the individual contracts of the dentists employed in the community dental service and their job descriptions. 5. Please provide a full breakdown of accounts profit and loss for the community dental service 2016 - 2017. 2017-2018 2018 -2019 to date. 6. How many individual patients were seen on a monthly basis by the community dentists 2017 - 2018 2018 -2019? 7. What fees were collected by the community dental services from patients for dental treatment in the years 2016-2017. 2017-2018, 2018 - 2019. 8. How many patients remain on the community dental services list as of 1 December 2019? after the contract for general dental services was given to Regent Dental Services in April 2018. Is it correct that patients from the community dental services were transferred to them? 9. What is the remit of the community dental service with regard to patients? 10. Which groups do the community dental services treat? 11. How do the community dental services receive referrals? 12. Please provide the number of referrals to the community dental services for the years 2016 - 2017, 2017 - 2018, 2018-2019 and 2019 to date.

Data Tables (10)

Full Response Text

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Job Summary

The main purpose of this role is to provide a high quality, patient centred NHS Dental service to priority groups as decided by the department. This includes but is not limited to vulnerable and special needs groups.

Our objective is to reduce inequalities in oral health and improve access to NHS dental services by providing an accessible, comprehensive range of primary dental services and preventative advice to priority patient groups.

We provide emergency treatment for patients who do not have access to GDS Services.

The post holder will take responsibility for the clinical management of patients within the dental team. Isle of Man Department of Health and Social Care Community Dental Service

JOB DESCRIPTION

JOB TITLE:

Community Dental Officer

GRADE:

Band A (Enhanced salary Band B)

RESPONSIBLE TO:

Lead Clinician / Senior Community Dentist

HOURS:

37.5 per week

LOCATION:

Central Community Health Centre, Douglas. This post may require post holder to work in other community dental clinics on the island.

In the DHSC we pride ourselves on being committed, appreciative, respectful and excellent. CARE represents what we are about, what we stand for, and what we value.

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1. To provide quality dental care, including :

 A full range of primary care dental services to children and adults with special needs.  To liaise and collaborate with staff in the service to facilitate service development.  Planning and management of care for patients with medical co-morbidities or where other professionals/carers are involved, to resolve patient management issues.  To supervise preventive programmes and care packages delivered by dental care professionals.  To provide unscheduled care for patients who attend the service.  Where required, provision of treatment under inhalation sedation, with further training.  Where required, provision of treatment under GA in a hospital setting, with further training.  Participation in development of oral health care services for children and adults with additional needs.  Provision of domiciliary care for those who cannot attend the clinic.  Referral to off-site community specialists and hospital services where appropriate.

1. To be responsible for:

 Appropriate dental care to a high standard for community patients.  Supervising and directing the supporting dental nurse, liaising as necessary with the Senior Dental Nurse.  Relief of pain, control of sepsis and other necessary emergency treatment if needed.
 Providing information to all patients of the cost of treatment.  To ensure that patient activity data is recorded on the dental software system.  To participate in the corporate functioning of the service, including performance monitoring.  To take an active role in delivering the service required by the department of health and social care.

1. Communication:

 To liaise with members of the dental profession and other professionals within the department, promoting dental and general health care of the local community.  To maintain high standards of conduct in relation to patients and the general public.

1. Training and development:

 Mandatory training includes: intermediate life support, medical emergencies, fire training, child and adult safeguarding, decontamination, IRMER.  To attend staff meetings and fully participate in audit and peer review.  Training requirements are identified in the annual Personal Development Reviews held between the employee and line manager.
 Clinicians will be entitled to 21 days within a three year period for the purpose of study leave.  Regular practice of C.P.R. in the surgery and to participate in annual training sessions including training in the use of defibrillators.  To participate in such continuing education or training as may be considered necessary for personal development or organisational needs.  To participate in the development and training of other grades of staff, as required. 3 | P a g e

1. Organisational responsibilities:

 To work with a computerised record system.  To take part in clinical governance activities and to comply with standards set, as part of the quality assurance programme.  To take part in clinical audit, peer review and to have personal development plans within the Departments clinical governance framework.  To provide information relating to service activity.  To establish liaison with other healthcare and voluntary professions in order to promote the dental and general health of their patients.

1. Professional responsibilities:

 To comply with the Departmental Code of Conduct.  To comply with the Community Dental Service’s infection control policy, maintaining proper standards appropriate to a clinical area.  To adhere to GDC Standards.  To comply with safety instructions/policies laid down.  To use in a proper and safe manner, the equipment and facilities provided.  To refrain from the wilful misuse, or interference, with anything provided in the interests of health and safety and any action which might endanger yourself or others.  To report, as soon as practical, all hazards and defects to your senior.  To report, as soon as practical, all accidents and untoward occurrences and to ensure that accident and/or incident report forms are completed.  To cooperate fully with the service work performance framework

1. Employment Acts and Codes of Practice

All employees are required to comply with employment legislation and codes of good practice.

1. Health and Safety

In accordance with the Health and Safety at Work Act 1974, and other supplementary legislation, all employees are required to take reasonable care to avoid injury during the course of their work and co-operate with the Department and others in meeting statutory requirements.

1. Development Review

Key performance objectives, development needs and compilation of a Personal Development Plan will be discussed as part of the Appraisal process.

1. Rules, Regulations, Standing Orders and Financial Instructions

All employees are required to comply with the rules, regulations, standing orders and financial instructions and policies of the Department.

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1. Review

This is not intended to be a comprehensive description of the duties of the post. Due to the commitment of the Department to continuously improve, it is likely that the post will develop over time. These duties will be subject to regular review and any amendments to this job description will be made in consultation and agreement with the post holder. The Department operates a No Smoking Policy and is an Equal Opportunities Employer

ACCEPTANCE OF JOB DESCRIPTION

I confirm I accept the duties contained in the above job description.

NAME: ............………………………………………..

(PRINT)

SIGNED: ……….……………………………………….. DATE: ……..…… 5 | P a g e

Person Specification

Post:

Community Dental Officer

Department:

Health and Social Care – Community Dental Service

Job Summary:
The main purpose of this role is to provide a high quality, patient centred NHS Dental service to priority groups as decided by the department. This includes but is not limited to vulnerable and special needs groups. This role will require a reliable, self-motivated individual who has a proven track-record of Self-development.

ATTRIBUTES Essential or Desirable Method of Assessment
Qualifications

Bachelor of Dental Surgery or Equivalent Qualification

Full GDC Registration

Appropriate post graduate qualification, or willingness to complete appropriate qualifications

Membership of a Dental Indemnity Society

Eligible for inclusion of Performers List without restrictions

E

E

D

E

E

Qualification Certificate

GDC Certificate

CV/Interview

Membership Certificate

Application/Interview Knowledge & Experience

Knowledge of NHS Dental Services

Broad based professional background in Community Dental Care

Experience in the provision of dental care for vulnerable and Special Needs Groups

Experience in the providing dental treatment under Sedation and General Anesthetic

Evidence of continuing Professional Development undertaken regularly

Evidence of Participation in Clinical Governance activities and clinical Audit/Peer Review

D

D

D

D

E

E

CV/Interview

CV

CV

CV

CV/Interview

CV/Interview 6 | P a g e

Skills and Abilities

Ability to work at the national competency level for community dentists (Band A)

Ability to provide all aspects of routine clinical dental care with high quality

Sensitivity to the needs of the patient groups within the Community Dental Service remit

Excellent interpersonal and communication skills

Excellent organizational skills

Safe and effective written and Verbal communication skills

Computer Literacy and willingness to learn Bespoke Software

E

E

E

E

E

E

E

Interview

Interview

Interview

Interview

Interview

CV

CV/Interview Personal Attributes

Self-reliant and well organized

Able to operate under pressure and deal with setbacks

Ability to work unsupervised and also as part of a team

Ability to maintain and foster good working relationships

Will adapt well to and welcomes change

Self-awareness and ability to use own initiative

Flexible in day to day workload management

E

E

E

E

E

E

E

CV/Interview

Interview

Interview

Interview

Interview

Interview

Interview

Other Requirements

Flexible, adaptable and willingness to work at different sites

Ability to travel independently to meet the requirements of the post

Satisfactory Police Check

E

E

E

CV/Interview

CV/Interview

CV/Interview

2017-2018 Month CCHC Total Patients Seen CCHC Failed Appointments Prison Total Patients Seen Prison Failed Appts Ramsey Total Patients Seen Ramsey Failed Appts Total Number Patients Seen CCHC/Prison/ Ramsey Total Failed Appointments % Failed Appointments April 1,143 83 30 0 93 8 1,266 91 7 May 1,081 81 30 0 81 13 1,192 94 8 June 1,172 94 28 0 52 3 1,252 97 8 July 1,037 82 23 0 81 8 1,141 90 8 August 1,094 79 38 0 79 5 1,211 84 7 September 1,047 64 27 0 88 10 1,162 74 6 October 1,214 94 27 0 85 4 1,326 98 7 November 1,205 91 32 0 88 10 1,325 101 8 December 924 73 20 0 54 6 998 79 8 January 1,198 92 29 0 76 4 1,303 96 7 February 1,010 90 29 0 78 8 1,117 98 9 March 1,098 67 37 0 83 8 1,218 75 6 Total 13,223 990 350 0 938 87 14,511 1,077 7 2018-2019 Month CCHC Total Patient Seen CCHC Failed Appts Prison Total Patients Seen Prison Failed Appts Ramsey Total Patients Seen Ramsey Failed Appts Total Number Patients Seen CCHC / Prison / Ramsey Total Failed Appointments % failed appts April 1,015 61 30 0 81 6 1,126 67 6 May 853 50 26 0 70 3 949 53 6 June 901 47 16 1 42 1 959 49 5 July 1,044 78 23 0 84 14 1,151 92 8 August 1,074 77 30 0 76 9 1,180 86 7 September 843 43 28 0 54 5 925 48 5 October 891 54 33 0 74 7 998 61 6 November 701 62 23 1 60 10 784 73 9 December 832 48 19 1 34 3 885 52 6 January 832 48 33 0 69 6 934 54 6 February 744 46 24 0 55 4 823 50 6 March 798 51 26 0 48 3 872 54 6 Total 10,528 665 311 3 747 71 11,586 739 6

Chief Executive: Kathryn Magson Freedom of Information Team Department of Health & Social Care Chief Executive's Office Crookall House Demesne Road Douglas Isle of Man IM1 3QA Tel: (01624) 642621 Email: dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 1096061 8th January 2020

Dear ###

We write further to your request which was received on the 11th December 2019 and states:

Community Dental Services Question 1. How many individuals are employed by the community dental service? Please provide numbers and whether full or part time include dentist, dental nurses, hygienists, therapists, reception administrative and clerical staff. Question 2. What were the gross wages for all of the above staff during 2016 -2017, 2017-2018, 2019 to date? Question 3. What are the individual salaries paid to the dentists? Question 4. Provide a copy of the individual contracts of the dentists employed in the community dental service and their job descriptions. Question 5. Please provide a full breakdown of accounts profit and loss for the community dental service 2016 - 2017. 2017-2018 2018 -2019 to date. Question 6. How many individual patients were seen on a monthly basis by the community dentists 2017 - 2018 2018 -2019? Question 7. What fees were collected by the community dental services from patients for dental treatment in the years 2016-2017. 2017-2018, 2018 - 2019.

Question 8. How many patients remain on the community dental services list as of 1 December 2019? after the contract for general dental services was given to Regent Dental Services in April 2018. Is it correct that patients from the community dental services were transferred to them? Question 9. What is the remit of the community dental service with regard to patients? Question 10. Which groups do the community dental services treat? Question 11. How do the community dental services receive referrals? Question 12. Please provide the number of referrals to the community dental services for the years 2016 - 2017, 2017 - 2018, 2018-2019 and 2019 to date.

We are pleased to be able to provide a response to your request with answers to some of your questions. While our aim is to provide information whenever possible, in some instances we are unable to provide the information you have requested; the reasons are shown as part of the corresponding answers below. Question 1. How many individuals are employed by the community dental service? Please provide numbers and whether full or part time include dentist, dental nurses, hygienists, therapists, reception administrative and clerical staff. There are a total of 24 staff currently employed within the Community Dental Service and 3 vacant posts (2 x Dentists and 1 x Administrative Assistant) as follows: - • 4 Full-Time Dentists • 1 Part-Time Dentist • 2 Full-Time Vacant Dentist Posts • 11 Full-Time Dental Nurses • 5 Part-Time Dental Nurses • 2 Full-Time Administrative Assistant X 2 (1 is currently working as Administrative Officer on a limited term agreement) • 1 Part-Time Administrative Assistant • 1 Part-Time Vacant Administrative Assistant Question 2. What were the gross wages for all of the above staff during 2016 -2017, 2017-2018, 2019 to date? Employee Costs 2016/17 2017/18 2018/19 To Nov 19 Salaries (including on-costs) £1,644,887 £1,305,710 £1,207,123 £843

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