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Complex care pathways could improve care for patients with high levels of disease, says Ian Gordon, but questions remain over prevention, remuneration, clinical complexity, patient disengagement and the financial risk transferred to NHS dental practices. In a previous article, I explored the clinical rationale, operational reality and practical risk underpinning the decision to use or…
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Ian Gordon explains the clinical rationale, operational reality and practical risk underpinning the decision to use or not implement clinical care pathways. Complex care pathways (CCPs) are clinically logical. They are designed to support patients aged 16 and over with significant caries and/or unstable or more severe periodontitis, using prevention, risk factor management, self-care support…
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Ian Gordon considers the impact of recent changes to the government’s pledge to provide 700,000 extra dental appointments – are the promises just a neat piece of spin dressed up as ‘listening’? Let’s call this what it is: a reset of the scoreboard. The public commitment was sold as 700,000 additional urgent appointments – a…
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Recording negative actions as well as positive in your dental records is key, says Ian Gordon. All clinicians know the importance of dental records. Many write extremely comprehensive notes, whilst others rely very heavily on auto-notes and auto templates. These can be helpful but can also lead to inconsistencies. When extracting a lower molar, a…
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