workforce and training - british orthodontic society > · pdf file ·...
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yh.hee.nhs.uk
WhatIwillcovertoday?
• Whoistheorthodon4cworkforce• Thetrainingofthe“orthodon4cworkforce”ofthefuture
yh.hee.nhs.uk
Howlargeisthedentalworkforce?
Den4sts 41,038(39%)
Dentalcareprofessionals 65,275(61%)
Total 106,313
yh.hee.nhs.uk
Howlargeisthedentalworkforce?
Den4st 41,038 (37.3%)
Clinicaldentaltechnician 305 (0.3%)Dentalhygienist 6,573 (6.0%)
Dentalnurse 52,839 (48.1%)Dentaltechnician 6,315 (5.7%)
Dentaltherapist 2,481 (2.2%)
Orthodon4ctherapist 405 (0.4%)
yh.hee.nhs.uk
DentalSchool
DentalCoreTraining1/2/3
SpecialtyTraining
DentalFounda4onTraining
MedicalSchool
ConsultantandSpecialistPostsinPrimaryorSecondaryCare
CareerPostsinPrimaryorSecondary
Care
OMFS,OM,other
yh.hee.nhs.uk
Howlargeisthespecialistworkforce?DentalandMaxillofacialRadiology 27
DentalPublicHealth 119
Endodon4cs 267
OralandMaxillofacialPathology 30OralMedicine 69
OralMicrobiology 8
OralSurgery 759
Orthodon4cs 1,386
PaediatricDen4stry 242Periodon4cs 358
Prosthodon4cs 443
Restora4veDen4stry 317
SpecialCareDen4stry 322 Total 4,347
yh.hee.nhs.uk
Howlargeistheorthodon4cworkforce?
Den4sts circa35k
Orthodon4cspecialists 1,386
Non-specialistorthodon4cproviders
Orthodon4ctherapists 405
OtherDCPs
yh.hee.nhs.uk
Whatarethedrivers?
yh.hee.nhs.uk
Whatdoweneedtoconsider• Na4onalpolicy• Impactofcommissioningguides
– 2yto1ycareshi\– RoleofLevel2prac44onerindeliveryoforthodon4ccare
• Commissionersinten4ons–whodoyouwanttocommissionwith?
yh.hee.nhs.uk
The National Picture
• 5 Year Forward View • HEE mandate
yh.hee.nhs.uk
HEEMandate“Deliveringhighquality,effec4ve,compassionatecare:Developingtherightpeoplewiththerightskillsandtherightvalues”
“Supportthedevelopmentofthewholeworkforce,withinamul4-professionalandUK-widecontext”
“HEEhasacleardutytoensureaneffec4vesystemisinplaceforeduca4onandtrainingintheNHSandpublichealthsystem…”
yh.hee.nhs.uk
Centre for Workforce Intelligence
yh.hee.nhs.uk
• DecreaseinUGnumbersof10%• IncreaseinDCPnumberstoincrease
propor4onofclinicalcaretheydeliverfrom20%to40/50%by2025
yh.hee.nhs.uk
Commissioning guides
http://www.england.nhs.uk/commissioning/primary-care-comm/dental/dental-specialities/
yh.hee.nhs.uk
Orthodon4ccommissioning
yh.hee.nhs.uk
• Defineswhodoeswhat– Level1– Level2– Level3a– Level3b
yh.hee.nhs.uk
yh.hee.nhs.uk
Whodoweneedtoconsiderfor“Orthodon4ctraining”
- Den4sts- Level1 - Level2- Level3a/b
- DCP- Orthodon4cTherapist- DentalNurseswithenhancedskills
yh.hee.nhs.uk
Whodoweneedtoconsiderfor“Orthodon4ctraining”
- Den4sts- Level1 -Assessment,referralandreten4onsupervision - Level2- Level3a/b
- DCP- Orthodon4cTherapist- DentalNurseswithenhancedskills
yh.hee.nhs.uk
Whodoweneedtoconsiderfor“Orthodon4ctraining”
- Den4sts- Level1 - Level2–Howmany
- Level3a/b- DCP
- Orthodon4cTherapist- DentalNurseswithenhancedskills
yh.hee.nhs.uk
yh.hee.nhs.uk
yh.hee.nhs.uk
Whodoweneedtoconsiderfor“Orthodon4ctraining”
- Den4sts- Level1 - Level2- Level3a/b–howmanyandinwhatpropor4on
- DCP- Orthodon4cTherapist- DentalNurseswithenhancedskills
yh.hee.nhs.uk
Howmanyspecialiststraineesdowehave
Dental&MaxillofacialRadiology 6
Oral&MaxillofacialPathology 12
OralMicrobiology 1
OralMedicine 15
OrthodonHcs 167
RestoraHveDenHstry 47
PaediatricDenHstry 40
OralSurgery 26
EndodonHcs 28
PeriodonHcs 28
ProthodonHcs 22
SpecialCareDenHstry 21
DentalPublicHealth 19
GrandTotal 434
yh.hee.nhs.uk
Specialistorthodon4ctraining• Currentlyalmostexclusivelyinsecondarycare• Traineesrequireacohortof“primarycare”pa4ents– Thisneedstorecognisedwhencommissioning– ImpactofRMS
• Commissioningguidesstateaspira4ontoshi\oftrainingtoprimarycarewhenismakessensetodoso
yh.hee.nhs.uk
Whodoweneedtoconsiderfor“Orthodon4ctraining”
- Den4sts- Level1 - Level2- Level3a/b
- DCP- Orthodon4cTherapist- DentalNurseswithenhancedskills
