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Enhanced NHS endodontic services in England: a postcode lottery?
Oliver P Jones1, Philip J Lumley2, David J B Green3
1Birmingham Community Healthcare NHS Foundation Trust, Birmingham, UK. ollie_jones@btinternet.com.
British Dental Journal
|June 17, 2019
Summary
Enhanced NHS endodontic services are available in most English regions, but provision varies significantly. This inconsistency leads to unequal patient access to specialized dental care across different locations.
Area of Science:
- Dental Public Health
- Health Services Research
Background:
- Commissioning and provision of enhanced NHS endodontic services in England require investigation.
- Understanding current service delivery is crucial for equitable patient access.
Purpose of the Study:
- To assess the consistency of commissioning and provision of enhanced NHS endodontic services across England.
- To identify variations in service availability and accessibility for patients.
Main Methods:
- Utilized electronic questionnaires sent to Director of Commissioning Operations (DCO) teams.
- Conducted a systematic search of advertised enhanced endodontic services to cross-reference data.
Main Results:
- Achieved a 77% response rate from DCO teams; 80% confirmed providing enhanced endodontic services.
- Variations in commissioned services (level two and three) and provider types (specialists, dentists with enhanced skills) were observed.
- Dental hospital acceptance criteria for enhanced endodontics differed regionally.
Conclusions:
- The majority of NHS commissioning areas in England offer enhanced endodontic services.
- Significant regional disparities exist in the provision and accessibility of these services.
- Unequal patient access to enhanced endodontic care is a consequence of this inconsistency.
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