Flexible Commissioning: 
A prevention and access focused approach in Yorkshire and the Humber

Mustufvi, Zhain; Barraclough, Olivia; Hearnshaw, Simon; Whiston, S; Grant, Siobhán; Serban, Stefan; Douglas, Gail

doi:10.1038/s41404-020-0296-9

Cited by 10 publications

(10 citation statements)

References 3 publications

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“…Collaboration between dental commissioning teams and local authorities helped to identify local priority groups which could benefit from targeted prevention and treatment using flexible commissioning. 28…”

Section: Discussionmentioning

confidence: 99%

“…collaboration between dental commissioning teams and local authorities helped to identify local priority groups which could benefit from targeted prevention and treatment using flexible commissioning. 28 additionally, an integrated approach between dental care providers, general practitioners, pharmacy teams and local authority public health teams could provide opportunities for more integrated ways of working to meet local healthcare needs.…”

Section: Discussionmentioning

confidence: 99%

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A Local Dental Network Approach to the COVID-19 Pandemic: Innovation Through Collaboration

et al. 2020

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The coronavirus pandemic has had significant effects on individuals, healthcare systems and governments. In the UK, whilst routine dentistry was suspended, an urgent dental care system was required to support urgent patient need. Using an adapted model of Donabedians’ framework, a critical evaluation of the services developed and implemented is provided and the various innovative approaches involved in this work are discussed. The three domains of the framework are structure, process and outcome. Structure: We present the principles for selecting and initiating hubs, the integration with secondary care services and the supply of personal protective equipment. Process: The main elements are communication, the development of referral processes to manage complex cases and data collection. Outcome: Through work with local dental stakeholders, 23 clusters and 36 hubs were set up covering a large geographical area. The integrated network of hubs and clusters has strengthened collaboration between providers and policy makers. Various leadership approaches facilitated the readiness for the transition to recovery. The new local collaborative structures could be used to support local programmes such as flexible commissioning, peer-led learning and integration with primary care networks.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Local Dental Network Approach to the COVID-19 Pandemic: Innovation Through Collaboration

et al. 2020

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“…Recently Flexible Commissioning (FC) has been implemented by some areas to meet oral health needs and commissioning challenges. This approach uses the existing contractual framework, substituting a percentage of a practice's contract value to deliver additional services instead of units of dental activity (UDAs) 1 or alternatively funding programmes with additional financial resource.…”

Section: Flexible Commissioningmentioning

confidence: 99%

Flexible Commissioning - a new approach

Hearnshaw

2022

BDJ In Pract

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“…These data on the effect of periodontal treatment on glycaemic control have led to the early adoption and piloting of a commissioning standard for treating periodontal disease in patients with diabetes in London [64]. In the UK, dental commissioning teams are increasingly exploring innovative approaches to develop targeted services to patients with chronic conditions with the view to bring the "mouth back to the body" [65].…”

Section: A Model For Treating Pd In the At-risk Populationmentioning

confidence: 99%

Should We Be Screening for and Treating Periodontal Disease in Individuals Who Are at Risk of Rheumatoid Arthritis?

et al. 2021

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There is increasing evidence supporting an association between periodontal disease (PD) and rheumatoid arthritis (RA), both mechanistically and clinically. Trials have shown that treating PD in people with RA may improve RA disease activity. Patients with musculoskeletal symptoms without arthritis, who test positive for cyclic-citrullinated protein antibodies, are at risk of RA (CCP+ at-risk), with seropositivity preceding arthritis onset by months or years. Importantly, there is evidence to suggest that periodontal inflammation may precede joint inflammation in CCP+ at-risk and, therefore, this could be a trigger for RA. There has been increased research interest in RA prevention and the phenotyping of the pre-RA disease phase. This review will examine the merits of identifying individuals who are CCP+ at-risk and performing screening for PD. In addition, we discuss how PD should be treated once identified. Finally, the review will consider future research needed to advance our understanding of this disease association.

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Flexible Commissioning: A prevention and access focused approach in Yorkshire and the Humber

Cited by 10 publications

References 3 publications

A Local Dental Network Approach to the COVID-19 Pandemic: Innovation Through Collaboration

A Local Dental Network Approach to the COVID-19 Pandemic: Innovation Through Collaboration

Flexible Commissioning - a new approach

Should We Be Screening for and Treating Periodontal Disease in Individuals Who Are at Risk of Rheumatoid Arthritis?

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