Timely – making sure people are kept updated on a regular basis Two-way – we will listen and respond accordingly, letting people know the outcome of the project. Initial project plan The project will run for a period of 18 months from 01 July 2017 to December 2018. The success of the project in improving access and extending recall intervals for people with good oral health will determine if the project will be extended nationally. The delivery plan is shown in detail in a GANNT chart in an Excel spreadsheet. This is structured under the same headings as section 2.6, “Project approach”: Project initiation Research Design Governance and oversight Intervention 1 – data Intervention 2 – engagement with the dental profession and NHS / STP partners Intervention 3 – engagement with the public and patient targeted communications Intervention 4 – contract management, CQC inspection and other interventions Monitoring and Evaluation The schedule of delivery GANNT chart will be regularly updated to monitor progress Assumptions, dependencies and constraints Assumptions Underpinning the two main of activity are the following assumptions: That the publishing of benchmark data on recall and re-attendance intervals at practice level will encourage practitioners to increase intervals for orally healthy adults in line with NICE guidance. That better-informed patients will be empowered to ask their dentist about the clinical decision making behind their recall intervals and feel engaged in this discussion. There is an assumption that patients will feel able to question a dentist who routinely recommends 6 monthly check-ups when their oral health is good. This is likely to be variable. Dependencies The detailed schedule of tasks and project GANNT chart manage the key dependencies. In a simple project of this kind the dependencies are largely A key early dependency is agreeing the exact content of recall data that will be sent to all dental practices, how it is presented and distributed – early work on this is being done by NHSE but this needs to be agreed at the October 2017 project board meeting to enable the pilot phase to begin. Whilst there is agreement in
the scale. The average percentage of band 1 treatments for practices is 32.3% with a median value of 31.5% (2015/16). Appendix 2 – Stakeholder analysis the geography and number of potential stakeholder groups within project, this stakeholder map is both vast and complex. As our communication and engagement approach is underpinned by making best use of existing communication and engagement networks, for the purposes of this strategy, it is more appropriate to identify the high-level stakeholder groups and the implications behaviour change has for them. A description of each of these is given below: Stakeholder group Considerations/expectations Channels of communication Overview Scrutiny Committees Need to be briefed on progress - specifically on the anticipated impact of service change and our plans to engage/consult patients and the public. They have a duty to scrutinise to ensure they are in the best interest of the public. If they are not assured of this they have the power to refer the issue to the Secretary of State for Health which may lead to a review by an Independent Review Panel. Presentations at committee meetings Written briefings and updates as required Healthwatch Kirklees Health and Wellbeing Boards, including the regional chair network Health and wellbeing boards are a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities. It is therefore important for them to be aware of how the dental re-call project fits with their plans and for any communication or engagement activities to be coordinated. Regional network planning meetings Presentations at board meetings Written briefings and updates as required RD, RW through West STP & KC LA council leaders Local authority leadership Presentation and meetings Written briefings on request Regional council leaders meeting RD, RW through WY STP & KC
MPs and Councillors Our political stakeholders will have a keen interest in dental due to the rising pressure within the NHS dental system, in some areas of West Yorkshire. They will wish to ensure plans are in the best interests of their constituents and will be expected to be kept updated on progress. Written briefings Face-to-face meeting at their request Attendance at local council Health and Wellbeing Board where appropriate RD, RW through WY STP & KC Healthwatch The role of Healthwatch is to represent the patient voice and should therefore be considered a key partner in delivering this strategy. The six Healthwatch organisations in the West Yorkshire footprint have audiences they regularly communicate to. We will need to explore opportunities for how we can continue to work together through the delivery of the wider work. Regular contact with Healthwatch. Regular updates for them to cascade to members, including through etc. to promote engagement opportunities RD Community and voluntary sector organisations Will be able to provide representative views towards proposals on behalf of the people they represent and also act as channel for us to target specific patient groups. Involvement in the delivery of communication and engagements RD & STP Patients/ carers, people who use health and social care services and the public Patient, carers, public etc. will need access to clear information about what the dental recall project and what it means for them. Articles in partner media channels – newsletters, websites, social media etc. Focus groups, engagement events and surveys to inform specific elements of the draft STP Statutory consultation Campaigns Healthwatch Kirklees The will play a key role in helping us communicate with the wider public. Early briefing of key media will help to ensure they understand the context of the project and ultimately lead to more accurate reporting of stories. Media briefing pack developed containing background to dental recall and key messages Press releases published to raise Project board, SH and comms. leads
The Project Board will wish to make early decisions about the key data that will enable the overall evaluation of the project, with expert advice from Public Health England. Appendix 4 – Risk register Initial identified Recall intervals do not increase significantly UDAs are not released Dentists reduce their contract value in line with the reduction in UDAs Dentists withdraw from NHS dental provision There are not increases in the number of patients accessing NHS dental services Patients are not empowered by public communications More patients are seen but access is uneven and is not serving those most in need. Recall Matters – Risk Register ID Date raised Risk Likelihood Impact Severity Owner action action Progress on actions Status H/M/L H/M/L H/M/L. Open, Waiting, Closed