Before 2013, all members of the dental team had to work on the prescription of a dentist – then the GDC issued guidance that allowed Direct Access for some dental care professionals. Former dental nurses Amanda Waite and Evelyn Ferguson-Williams, Case Managers at Dental Protection, look at why dental care professionals still need to practise within their competence

We look at how the new General Data Protection Regulations (GDPR) impact your dental practice.

Members will be aware that in order to provide private treatment to patients, registration with the RQIA is essential.

The Care Quality Commission (CQC) has stated that it intends to inspect approximately 10% of dental providers and that it will not apply ratings following inspections.

Receiving and acting on complaints: a summary of complaints, responses, correspondence and other relevant information identified must be provided to CQC within 28 days of a request.

The duty of candour, which was introduced by the government through Regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, applies to dental practices from 1 April 2015.

All healthcare organisations that provide regulated activities have to register with the CQC. Here's a little background along with advice on who is affected and how to apply for registration.

The Local Authority Social Services & NHS Complaints (England) Regulations 2009 came into force on 1 April 2009 and introduced a revised procedure for the handling of complaints by local authorities, in respect of complaints about adult social care, and by NHS bodies, primary care providers and independent providers in respect of provision of NHS care.

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.

Healthcare Improvement Scotland replaces the Scottish Commission for the Regulation of Care (the Care Commission)

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.

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 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.

Stephen Henderson describes a campaign that has fundamentally changed the way in which the GDC’s Investigating Committee operates

The law on “informed” consent has changed following a recent Supreme Court judgment

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.