We require nothing from a revolution in dentistry in dwelling houses. Oral health can no more remain the missing piece when caring for planning and budgets.
FREMONT, CA: The BDA has received the new report from the CQC(Care Quality Commission) on the perilous state of plans, policies, and provision for dental care in care homes; publishing its analysis of official figures indicating funding is presently supporting access for as little as one in a hundred of those who, because of limited mobility, may command access to domiciliary services.
According to findings from 100 care homes, the CQC found that 52% did not just have an oral health plan for inhabitants, and 47% of staff have never obtained training specific to dental care: 73% of care plans only partially covered or did not cover oral health at all, with homes specializing in dementia less feasible to do so.
The CQC informs that one of the main challenges in providing access to NHS services was the lack of domiciliary care provision. In addition, freedom of Information requests by the BDA suggests levels of commissioning are low and falling, equivalent to giving coverage to under 1.3% of the population whose activity is considerably limited by disability or ill health.
Dentist leaders have supported CQC calls for swift implementation of NICE guidelines among care home providers and comprehensive staff training. The BDA has stressed that proper commissioning, underpinned by a robust needs assessment, is vital to ensuring that all those most in need of NHS care receive it correctly and at the right time. Given the CQC findings, this would be required to cover mainstream, urgent, and domiciliary care.
NHS services have struggled to meet the demand of an ageing population who keep their teeth longer and often have complex medical histories. While some local initiatives, like the innovative Residential Oral Care Sheffield (ROCS) scheme, have delivered thorough dental coverage for adults in care centres, the BDA has stated concern over the postcode lottery of provision and the horrific cases that have appeared in the sector.
The NHS Long Term Plan has committed the government to adopt an 'ageing well' model but has provided scant detail on the place of oral health.
There are residents left incapable of eating, drinking and communicating as an underfunded and overstretched NHS struggles to give the care they need.
'We need nothing out of a revolution in dentistry procedure in residential homes. Oral health can no more remain the missing piece when it comes to caring planning and budgets.'