Flexible Commissioning - a new approach

Hearnshaw, Simon

doi:10.1038/s41404-022-1817-5

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Flexible Commissioning, a system developed to 'improve access to dental care, develop skill mix care delivery and improve evidence-based prevention' , would appear to address all the issues identified with providing domiciliary dental care, and support of the whole dental workforce should be utilised to develop novel services. 10 To encourage DTs to engage with care provision, special focus will need to be given to ensuring that the workforce is educated to deliver a variation on what would be considered 'day-today' dental care. Discussions with the educators who took part in this project highlighted the fact that ideally a lot more education is needed.…”

Section: Discussionmentioning

confidence: 99%

The attitudes of dental therapists, dental therapy educators and dental therapy students in the South of England towards domiciliary dentistry: a qualitative study

Emanuel,

Quach,

Patel

et al. 2024

Br Dent J

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Introduction Dental therapists (DTs) are members of the dental team with a wide scope of practice, who support the provision of dental care to patient groups including those with vulnerabilities. One such group are older patients who are often unable to attend general dental practices to access their dental care. A domiciliary or ‘home visit' may be required to deliver this care in a non-clinical setting.Aim To identify how dental therapists and dental therapy educators working in Southern England perceive domiciliary dental services and to explore the possible role of dental therapists in providing domiciliary dentistry.Method A qualitative research design using a thematic approach.Results A total of five focus groups from the three professional groups were held representing a diverse community of therapists. A number of themes emerged including: knowledge of the domiciliary patient; barriers to the provision of domiciliary care; barriers to accessing domiciliary dentistry; overcoming barriers; and benefits of providing domiciliary care.Conclusion The concept of DTs providing domiciliary care was in general viewed positively. Several perceived barriers were reported including contractual, education and training issues. These barriers would need to be overcome to improve dental workforce skill-mix in delivery of domiciliary dental care.

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Section: Discussionmentioning

confidence: 99%

The attitudes of dental therapists, dental therapy educators and dental therapy students in the South of England towards domiciliary dentistry: a qualitative study

Emanuel,

Quach,

Patel

et al. 2024

Br Dent J

View full text Add to dashboard Cite

show abstract

“…Flexible Commissioning, a system developed to: "improve access to dental care, develop skill mix care delivery and Improve evidence-based prevention", would appear to address all the issues identi ed with providing domiciliary dental care and support of the whole dental workforce should be utilised to develop novel services. 9 To encourage DTs to engage with care provision, special focus will need to be given to ensuring that the new workforce is educated to deliver a variation on what would be considered "day-to-day" dental care. Discussions with the educators who took part in this project, highlighted the fact that ideally a lot more education is needed, not only will this improve the knowledge of DTs but add value to their clinical competencies and self-con dence.…”

Section: Discussionmentioning

confidence: 99%

The attitudes of dental therapists and dental therapy educators in the South of England towards domiciliary dentistry: a qualitative study.

Quach

Patel²,

Witton

et al. 2023

Preprint

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Introduction Dental Therapists (DTs) are members of the dental team with a wide scope of practice, who support the provision of operative clinical care to several patient groups including those with vulnerabilities. One such group of vulnerable people is older patients who are often unable to attend general dental practices to access their dental care. A domiciliary or “home visit” may be required to deliver this care in a non-clinical setting. Aim To identify how dental therapists and dental therapy educators working in Southern England perceive domiciliary dental services and to explore what dental therapists and dental therapy educators consider to be the possible role of dental therapists in providing domiciliary dentistry. Method A qualitative research design using a thematic approach. Focus groups were conducted with different cohorts of dental therapists in different areas of Southern England between November 2022 and January 2023. Transcripts were analysed using thematic analysis. Results A total of five focus groups were held representing a diverse community of therapists. A number of different themes emerged including, knowledge of the domiciliary patient, barriers to the provision of domiciliary care for DTs, barriers to accessing domiciliary dentistry for patients, overcoming barriers, and benefits of providing domiciliary care Conclusion The concept of DTs providing domiciliary care was in general viewed positively. Several perceived barriers were reported including contractual, education and training issues. These barriers would need to be overcome to improve dental workforce skill-mix in delivery of domiciliary dental care.

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