non-aerosol dental treatmentScottish dentists can treat patients using non-aerosol routine care from the 13 July, Scotland CDO Tom Ferris says.

The announcement comes after the publication of further ‘route map dates’ to ease lockdown restrictions on dentistry in Scotland. The ‘indicative date’ is based on successfully passing relevant review points:

  • 2 July for the later phase 2 measures
  • 9 July for the early phase 3 measures.

In addition, NHS Scotland says it will begin work to safely return aerosol generating procedures to dental practices.

‘Thank you for your support through this challenging time and for your efforts to remobilise NHS dentistry in phase 2. We greatly appreciate this,’ Tom Ferris, Scotland CDO, says. ‘I can now confirm that the government is stepping up the remobilisation of NHS dental services. Phase 3 can start from Monday 13 July, with NHS dental contractors able to see patients for non-aerosol routine care.

‘I can confirm the government is considering closely the evidence and guidance around AGPs. To determine the full extent of the treatment offer available to patients in Phase 3. We are also listening to NHS dentists about on-going financial support. We will look closely at these issues as we move to Phase 3. Full guidance will follow as soon as possible.

‘I remain confident that all dental teams will continue to support the government’s aim to remobilise dental services safely within Phase 3. We appreciate your forbearance as we navigate through a challenging period.’

Dentistry returns to Scotland

Dental practices across Scotland resumed NHS patient care from Monday this week.

‘Dental practices will be able to see NHS patients in need of urgent care for face-to-face consultation,’ chief dental officer, Tom Ferris, says. ‘They can use procedures which limit the risk of spreading coronavirus, such as non-aerosol generating procedures. This will mean up to an additional 10,000 appointment slots available per day across Scotland.

‘Dentists and dental teams are aware of the absolute necessity to ensure patient and staff safety as we move to the next phase, as well as public health more generally.

‘The Scottish government will continue to fund the NHS financial sustainability measures during this phase.’

Phased return

Progress through the progressive phases depends on meeting criteria outlined by the World Health Organisation (WHO).

The three-phase plan focuses on the remobilisation of NHS dental services in Scotland as the pressures of the pandemic begin to ease.

Phase 2

The second phase focuses on restarting NHS dental services in practice.

The first part (2a) states all dental practices will open for face-to-face consultation. This is for patients in need of urgent care that can be provided using non-AGPs.

Following this, the second part (2b) states face-to-face consultation will expand for patients who can continue routine care. This includes examination and treatment that can be provided using non-AGPs.

UDCs will undertake aerosol-generating procedures, however.

Additionally, NHS Scotland will develop a ‘practice recovery toolkit’ to provide preparation guidance to dental practices. Dental practices should prepare a single surgery to provide urgent care on their premises with appropriate social distancing measures.

No specific timeline has been provided. However, the CDO writes: ‘We anticipate having made some progress by 31 July 2020, with a minimum 2(a) in every practice.

‘Phase 2(b) is dependent on the availability and supply of appropriate PPE and a wider picture around the relaxation of lockdown across Scotland.’

Phase 3

Finally, the third and final phase envisages a ‘limited introduction’ of AGPs to dental practices. This is dependent on evidence of risk and possible mitigation.

Additionally, the CDO for Scotland said dental teams will be updated on the PPE supply. This is with the intention of matching any phased remobilisation to the levels of PPE at the time.

Dental practices may also be asked to support community testing programmes as part of its return to work.

In relation to funding, alternative models are being considered with the plan of providing a ‘more sustainable income level’. NHS financial support will be look at for each phase of recovery.