[EL] Improving the oral health of older adults in the united Kingdom
【略歴】Vicki Jones BDS, MSc, FDS RCS
Consultant in Special Care Dentistry
Clinical Director of Community Dental Service
Aneurin Bevan University Health Board
E-Mail: vicki.jones@wales.nhs.uk
Vicki works as a Consultant in Special Care Dentistry (SCD) and Clinical Director of the Community Dental Services (CDS). She is the Training Programme Director for SCD for Wales and helped to develop ‘Gwen am Byth – mouthcare for older people in care homes in Wales’ programme.
Vicki is the chair of the British Society of Gerodontology (BSG). Her publications include ‘Guidelines for the Development of Standards Oral Health Care for People with Dementia’ (2006), Oral Health Care for Stroke Survivors (2011), www.gerodontology.com and ‘Oral Nutritional Supplementation and Oral Health’ (2009) and ‘Oral Health Care and Dysphagia. (2014) www.sigwales.org.
Mili Doshi BDS,MSc,
Consultant in Special Care Dentistry, Surrey and Sussex Health Care Trust
Mili works as a Consultant in Special Care Dentistry at East Surrey Hospital and the Royal Hospital for Neuro-disability and has a special interest in conscious sedation. Mili has always been very committed to improving oral health services for adults with special care needs and integrating oral health into general health. In 2014 Mili developed the Health Education England initiative working to improve oral health for vulnerable adults called ‘Mouth Care Matters’. Mili is a past president of the British Society of Gerodontology and written several publications.
As in other parts of the world, the number of people living longer in the United Kingdom which is a result of many factors that includes improved health care. Within the four nations of the UK, England Scotland, Wales, and Northern Ireland each have slightly different health care services provision that includes dental services and how they are funded. The National Health Service (NHS) is still the main provider of health and dental care. Multi-comorbidity, frailty, and care-dependency varies across the UK and this is mirrored in levels of oral health disease. Similar to other countries world-wide, people are retaining their teeth as they age with more complex dentistry that can rapidly deteriorate should the individual become dependent on care provision. This is a common issue in the UK that the different countries are addressing with various stakeholders and the public.
During the presentation, we will discuss oral health services for older adults in the UK, the work that is being carried out to improve oral health, provide access to appropriate dental services, the integrated working and the use of dental skill mix. The impact both short and long term on oral health due COVID 19 has changed the way we ill proving dental services in the UK for ever.
Delegates will be made aware of the different types of dental services that are available for older people including general dental services, special care services in hospitals and in the community, and domiciliary care and how they are funded. We will discuss key recommendations from national oral health policies and guidance that had been developed and the role of societies including the British Society of Gerodontology .
A summary of the different oral health improvement and preventative programmes will be shared and how they are working with health and social care providers to improve the oral health of the most vulnerable in care homes and hospital.
The range of clinical dentistry commonly provided in the UK for frail older people will focus on the range of dental care professionals (skill mix) used to deliver care that includes specialists, dentists, dental hygienists and therapists, clinical dental technicians, dental nurses and oral health improvement practitioners.
We will discuss the use of dentally led conscious sedation and general anaesthesia for older people.
Finally, the impact of Covid-19 pandemic and how this will affect oral health care pathways of our older population going forwards.
During the presentation, we will discuss oral health services for older adults in the UK, the work that is being carried out to improve oral health, provide access to appropriate dental services, the integrated working and the use of dental skill mix. The impact both short and long term on oral health due COVID 19 has changed the way we ill proving dental services in the UK for ever.
Delegates will be made aware of the different types of dental services that are available for older people including general dental services, special care services in hospitals and in the community, and domiciliary care and how they are funded. We will discuss key recommendations from national oral health policies and guidance that had been developed and the role of societies including the British Society of Gerodontology .
A summary of the different oral health improvement and preventative programmes will be shared and how they are working with health and social care providers to improve the oral health of the most vulnerable in care homes and hospital.
The range of clinical dentistry commonly provided in the UK for frail older people will focus on the range of dental care professionals (skill mix) used to deliver care that includes specialists, dentists, dental hygienists and therapists, clinical dental technicians, dental nurses and oral health improvement practitioners.
We will discuss the use of dentally led conscious sedation and general anaesthesia for older people.
Finally, the impact of Covid-19 pandemic and how this will affect oral health care pathways of our older population going forwards.