The Ombudsman takes the view that complaints handling should be ‘Do it once do it right’. The Ombudsman will be looking for an appropriate, proportionate response which meets the principles of good complaints handling.
Patients who remain unhappy after local resolution is complete may request a review of their complaint by the Ombudsman. The person responding must inform the complainant of their right to take their complaint to the Ombudsman Health Service. Effectively what was a three-stage procedure is simplified into two stages.
Dental professionals are required to make and keep accurate dental records of care provided to patients, whether NHS or private. Dental Protection is frequently contacted by members who want to understand how long records should be retained by the practice.
The Health & Personal Social Services (Disciplinary Procedures) Regulations 1996 currently govern disciplinary proceedings in relation to family health practitioners, including dentists.
The Regulation and Improvement Authority (Independent Healthcare) (Fees and Frequency of Inspections) (Amendment) Regulations (Northern Ireland) 2011 came into effect on 1 April 2011.
As dental professionals are aware, obtaining appropriate consent depends on providing patients with sufficient knowledge and information to allow them to make a decision.
The Protecting Vulnerable Groups Scheme (PVG Scheme) went live in Scotland on 28 February 2011. This new membership scheme is intended to replace and improve upon the current disclosure arrangements for people who work with vulnerable groups.
Regulatory differences between Scotland and England
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The work of the Primary Care Trust or NHS Trust (familiar in England) is performed by the Health Boards and Dentistry under the NHS and is managed by the Practitioner Services Division (PSD).
The Scottish Public Services Ombudsman (SPSO) publicationGuidance on a Model Complaints Handling Procedure is accompanied by a Statement of Complaints Handling Principles
The Children and Vulnerable Adults Barred Lists: An Overview
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The DBS deals with criminal records checks (now known as DBS checks) and is responsible for maintaining the Barred Lists for both children and vulnerable adults. Inclusion on the barred list precludes an individual from participating in a regulated activity with the relevant group. For the purposes of this scheme dentistry is considered to be a regulated activity and all adult patients are considered to be vulnerable. Thus inclusion on either or both lists would effectively bring an end to a dentist or dental care professionals practice.
Dental professionals are required to make and keep accurate dental records of care provided to patients, whether NHS or private. Dental Protection is frequently contacted by members who want to understand how long records should be retained by the practice.
It is important to be prepared for the possibility of oral surgery procedures in practice. Indeed, access to a basic surgical kit is essential. Dental extractions are one of the most common oral surgery procedures carried out by GDPs.
The report of the Intercollegiate Advisory Committee for Sedation (IACS) in Dentistry was published in April 2015 and replaces the previous document, Conscious Sedation in the Provision of Dental Care (Department of Health 2003)
Resistance to shared decision making often revolves around a perception that dentists have many patients who wish the dentist to make the decision for them. Whatever you think best. The difficulty is that just as Dentists have preferences for their style of decision making, patients also have preferences as to their desired level of involvement.
In general, there are three approaches to achieve a safe passage through any minefield. The first is to find out exactly where all the mines are located before you start, and then to carefully plan a safe route – and stick to it.
The key to complaints handling is a flexibility of approach. The complaints handling process should adapt to the needs of a patient and not the other way round. Although there is no single way to handle a complaint, there are some key steps that should always be considered...
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