LONDON, UK: Though the mutually influential relationship between diabetes and periodontal disease has been well established, there has been limited guidance regarding the appropriate dental treatment for these patients in the UK. To help solve this issue, NHS England has released a new commissioning standard for the dental care of diabetic patients that is designed to provide a standardised framework and reduce inequalities in patient access to treatment and in subsequent outcomes.
The standard covers patients with either Type 1 or Type 2 diabetes, as well as those considered to be at high risk of developing Type 2. It promises to help guide commissioners in the introduction of new procurements for existing contracts “in a planned way that considers local capacity and capability”, according to the document.
An oral health needs assessment should be performed on patients with diabetes to determine whether current dental services are adequate, the commissioning standard outlines. According to the standard, “Commissioners will then need to work with their Local Dental Network and associated Managed Clinical Networks to redesign services where required, which may involve awareness raising, skill mix review and additional training and competence development.”
The document, titled Commissioning Standard: Dental Care for People with Diabetes, was first published in July 2019 and made available online earlier this month. It forms part of NHS England’s Guides for Commissioning Dental Specialties, which have been produced through collaboration between dental professionals and commissioners and overseen by the Chief Dental Officer for England. These commissioning standards cover paediatric dentistry, restorative dentistry, orthodontics, and oral surgery and oral medicine, among others, and can be accessed here.
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