![Page 1: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/1.jpg)
Sustainable
dentistry from an
NHS England
perspective
Eric Rooney
Deputy Chief Dental
Officer
![Page 2: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/2.jpg)
Sustainable dentistry – innovation and future proofing 2
• To set out the overall approach to sustainability
• To look at the innovations and current developments through a sustainability lens
Aims
![Page 3: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/3.jpg)
Sustainable dentistry – innovation and future proofing 3
Health and Social Care Policy
![Page 4: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/4.jpg)
Sustainable dentistry – innovation and future proofing 4
![Page 5: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/5.jpg)
Sustainable dentistry – innovation and future proofing 5
![Page 6: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/6.jpg)
Event Name 6Sustainable dentistry – innovation and future proofing
![Page 7: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/7.jpg)
Sustainable dentistry – innovation and future proofing 7
![Page 8: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/8.jpg)
Sustainable dentistry – innovation and future proofing 8
• Principles• Dentistry must be practised ethically,
with high levels of quality and safety, in the pursuit of optimal oral health. Sustainability integrates a broader commitment of the oral health professional to social and environmental responsibility. The right of future generations to a world with adequate natural resources must be respected
FDI Policy Statement – Sustainability in Dentistry
![Page 9: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/9.jpg)
Sustainable dentistry – innovation and future proofing 9
Legislation
![Page 10: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/10.jpg)
10
• Policy• The prevention of oral diseases and the
promotion of health should be recognized as the most sustainable way to ensure optimal, accessible and affordable oral health with minimal impact on the environment.
• The dentist as leader of the dental team should take steps to educate all of the dental team on sustainability practices and simultaneously reinforce that the safety of the patient and the quality of care provided should always be the team’s primary concern.
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 11: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/11.jpg)
Commissioning responsibilities
11
Source: Watt RG. From victim blaming to upstream action: tackling the social determinants of oral health inequalities. Community Dent Oral Epidemiol 2007;35: 1–11
Improving England’s Oral Health
Local
Government
![Page 12: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/12.jpg)
www.england.nhs.uk
The reformed dental system
Prevention and Care
![Page 13: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/13.jpg)
www.england.nhs.uk
The reformed integrated dental system
Prevention and Care
![Page 14: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/14.jpg)
Event Name 14
![Page 15: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/15.jpg)
Event Name 15
![Page 16: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/16.jpg)
16
• Policy• Whenever possible, dentistry should
reduce the consumption of energy, water, paper and any materials which could be harmful to the environment, as well as emissions to air and releases to water.
• Dentists should consider the environment when deciding whether to use a single-use, disposable or reusable product, without compromising patient safety and quality of care, in consultation with regulatory bodies and government health policies.
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 17: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/17.jpg)
17
Online FP17 – April 2019
Sustainable dentistry – innovation and future proofing
![Page 18: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/18.jpg)
18
Electronic Referral Service eRS
Paperless electronic dental referral management systems have been commissioned by the NHS and operate in parts of the country
Sustainable dentistry – innovation and future proofing
![Page 19: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/19.jpg)
Digital Transformation in dentistry
GDP
GDP
GP
Secondary Care
Social Care
Pharmacy
Patient
@nhs.net
Sustainable dentistry – innovation and future proofing
![Page 20: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/20.jpg)
REQUIREMENTS GATHERING
PILOT OF ON-BOARDING
APPROACH IN LONDON
DEVELOPMENT OF CUSTOM
REGISTRATION SERVICE
SERVICE LAUNCH AND ONBOARDING
REFINEMENT
REFINEMENT OF DESIGN
National Administration ServiceA National Administration Service (NAS) has been established dedicated to supporting NHS and Private Dentistry Professionals on-boarding and using the Service
Next StepsCommunications will be issued to all Dental Practices in the coming weeks providing guidance on how to register for the Service. All communications from NHS England will eventually be via NHSmail.
3,200 DENTISTRY PROFESSIONALS LIVE
NHSmail rollout Status
Sustainable dentistry – innovation and future proofing
![Page 21: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/21.jpg)
21
• Policy• Whenever possible, dentistry should
reduce the consumption of energy, water, paper and any materials which could be harmful to the environment, as well as emissions to air and releases to water.
• Dentists should consider the environment when deciding whether to use a single-use, disposable or reusable product, without compromising patient safety and quality of care, in consultation with regulatory bodies and government health policies.
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 22: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/22.jpg)
22
• Video conferencing – main sites
• More versatile options
• Clinical support and telemedicine
Meetings and clinical consultations
Sustainable dentistry – innovation and future proofing
![Page 23: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/23.jpg)
23
• Policy• Whenever possible, dentistry should
reduce the consumption of energy, water, paper and any materials which could be harmful to the environment, as well as emissions to air and releases to water.
• Dentists should consider the environment when deciding whether to use a single-use, disposable or reusable product, without compromising patient safety and quality of care, in consultation with regulatory bodies and government health policies.
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 24: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/24.jpg)
Implications and Actions for use of dental amalgam
• Pre-dosed encapsulated form
• Amalgam separators
• Regulation (EU) 2017/852 of the European Parliament from 1 July
2018,
• dental amalgam ‘shall not be used for dental treatment of
deciduous teeth, of children under the age of 15 years and for
pregnant or nursing women, except when deemed strictly
necessary by the dental practitioner, based on the specific
medical needs of the patient’
• PHE & DH
• Legislation & Regulation
• Public facing messages
• UK CDO collaboration
Minimata Convention
![Page 25: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/25.jpg)
25
• SDCEP Advice
• SDCEP leaflets
• Letter from CDO to all GDC registrants
• Letter from NHS England to NHS commissioners
• Contracting discussions though the established channels
• http://www.sdcep.org.uk/published-guidance/dental-amalgam/
Amalgam phase down
Sustainable dentistry – innovation and future proofing
![Page 26: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/26.jpg)
26
• Policy
• The dental industry should apply principles of sustainability to dental product lifecycles.
• Dental manufacturers should be encouraged to develop more sustainable dental materials and technologies and use materials that are biodegradable and/or recyclable whenever possible
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 27: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/27.jpg)
Event name 27
TerraCycle® and Colgate® have partnered to create a free recycling program for oral care product packaging as well as a fundraising opportunity for participants.
Sustainable dentistry – innovation and future proofing
![Page 28: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/28.jpg)
28
• Policy
• National authorities should stimulate research on improvement and assessment of sustainability and on the environmental impact of dental practice so that oral health professionals can understand, monitor and report the impact of their actions.
• The use of low-power and low-pollution technologies should be promoted.
• NDAs and other related dental organizations (e.g. FDI regional organizations and NDA branches) should ensure their activities and operations are based on principles of sustainability. They are encouraged to formulate best practice documents for their dentists
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 29: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/29.jpg)
29
• Policy
• FDI and NDAs should be encouraged to integrate the concept of sustainable development into their continuing education activities.
FDI Policy Statement – Sustainability in Dentistry
Sustainable dentistry – innovation and future proofing
![Page 30: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/30.jpg)
Event Name 30
e-Den – online CPD
![Page 31: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/31.jpg)
Event Name 31
e-Den – online CPD
![Page 32: Sustainable dentistry from an NHS England · Sustainable dentistry –innovation and future proofing 8 •Principles •Dentistry must be practised ethically, with high levels of](https://reader033.vdocuments.us/reader033/viewer/2022060501/5f1aeaf2a993be45ba2dbc3d/html5/thumbnails/32.jpg)
Sustainable dentistry – innovation and future proofing 32
• To set out the overall approach to sustainability
• To look at the innovations and current developments through a sustainability lens
Aims