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[null,"Commissioning better oral health for vulnerable older people - Resource list front page"]
[]
[null,"This compendium provides examples of tools and resources that will assist local authorities when commissioning services for vulnerable older people that support oral health improvement. Please note that Public Health England is not responsible for the content of external websites.\n\n "]
[]
[null,"The resources were sourced through PHE networks and through a stakeholder engagement event.  The list is not exhaustive and further advice may be sought from consultants in dental public health based in Public Health England centres. "]
[null,"Where the resource listed is an example of guidance, reference documents or programmes that have been developed and delivered, these were evaluated by the authors against the following criteria to justify its inclusion:\n\n\n"]
[null,"• applicability to vulnerable older people ",null,"• source known "]
[null,"• applicability to commissioning of services for vulnerable older people",null,"• target population clear"]
[null,"• freely available electronically",null,"• practicability "]
[null,"• evidence informed",null,"• resource implications "]
[null,"• validated if appropriate ",null,"• inequalities impact "]
[null,"• evaluated with positive outcomes "]
[]
[null,"The resources are categorised as listed below, and can be accessed by clicking the boxes on the left:"]
[]
[null,"1. Resources to support needs assessment and relevant overarching guidance for local authorities related to oral health."]
[]
[null,"2. Resources to support commissioning of residential and community care services for vulnerable older adults that support maintenance of good oral health and mouth care:"]
[null,null,"2.1 Key guidance documents, for example from the National Institute for Health and Care Excellence (NICE)"]
[null,null,"2.2 Inclusion of oral health in service specifications for care homes and community based services including outcomes and key performance indicators  "]
[null,null,"2.3 Examples and detail for community services"]
[null,null,"2.4 Examples of audit tools for sector led improvement"]
[null,null,"2.5 Mouth assessment tools for use on admission to care setting"]
[null,null,"2.6 Mouth care plans to be used by care staff to support daily mouth care"]
[null,null,"2.7 Good practice guides for oral health and mouth care in residential care, care in the community services, day centres and other settings"]
[null,null,"2.8 Guidance about medication and oral health including prescribing guidance "]
[null,null,"2.9 Guidance on nutrition standards"]
[null,null,"2.10 Signposting to appropriate dental services"]
[null,null,"2.11 Professional guidelines"]
[]
[null,"3. Resources to support commissioning of oral health improvement programmes: "]
[null,null,"3.1 Examples of training packages for care and nursing home staff, community workers and other health and social care professionals"]
[null,null,"3.2 Resources that may be useful to support training programmes including information and resources outlining the importance of oral health and prevention"]
[null,null,"3.3 Examples of oral health champions"]
[]
[null,"4. Examples of wider health improvement  programmes and guidance that target vulnerable older adults and may incorporate oral health"]
[]
[null,"A number of these resources are local documents and are not freely available on the internet. Where these resources met the inclusion criteria, agreement has been sought directly from authors for their inclusion in Commissioning Better Oral Health for Vulnerable Older People. "]

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[null,"Resources to support needs assessments"]
[]
[null,null,"Name","Weblink / embedded document","Type of content","Category as per section introduction","Setting/Type of service"]
[null,null,"Adult dental health survey","https://digital.nhs.uk/data-and-information/publications/statistical/adult-dental-health-survey/adult-dental-health-survey-2009-summary-report-and-thematic-series","Report of the 2009 adult dental health survey with information by age group and by region",1,"Not specific"]
[null,null,"An overview of oral health needs assessments– to support NICE public health guidance,“Oral health: local authority strategies to improve oral health, particularly among vulnerable groups”, Chestnutt et al. 2013","www.nice.org.uk/guidance/ph55/documents/report-1-an-overview-of-oral-health-needs-assessments-main-report4","Describes a method to follow for describing the oral health of a population, determining needs, reviewing adequacy of services provision and gaps in provision",1,"Not specific"]
[null,null,"Example: PHE West Yorkshire Oral Health Needs Assessment","www.gov.uk/government/uploads/system/uploads/attachment_data/file/463070/West_Yorks_oral_health_needs_assessment_2015.pdf","Describes oral health of people in West Yorkshire and services commissioned to meet those needs",1,"Not specific"]
[null,null,"Competency and Evidence Toolkit St Helen’s Carehomes",null,"Toolkit",1,"Care Homes"]
[null,null,"NICE: Oral health guidance for local authorities and partners","www.nice.org.uk/guidance/ph55","Overarching guidance for local authorities regarding oral health",1,"Not specific"]
[null,null,"NICE: Oral health for adults in care homes","www.nice.org.uk/Guidance/InDevelopment/GID-PHG62 ","NICE guidelines TBC July 2016 ",1,"Care Homes"]
[null,null,"Projecting older people population information (POPPI)","www.poppi.org.uk/ ","Source of data about  health and care of older people by local authority",1,"Not specific"]
[null,null,"Public Health England  older people’s health and wellbeing local authority profiles","https://fingertips.phe.org.uk/profile/older-people-health","Source of data about  health and care of older people by local authority",1,"Not specific"]
[null,null,"Public Health England dementia profiles by local authority","https://fingertips.phe.org.uk/profile-group/mental-health","Provides data by local authorities for local population across the whole dementia pathway from prevention to diagnosis, living with dementia and through to end of life",1,"Not specific"]

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[null,"Resources to support commisioning of care services"]
[]
[null,null,"Name","Weblink / embedded document","Type of content","Category as per section introduction","Setting / Type of service"]
[null,null,"British Society for Disability and Oral health - Unlocking Barriers to Care, Guidelines for ‘Clinical Holding’ skills for Dental Services for people unable to comply with routine oral care ","www.bsdh.org/documents/BSDH_Clinical_Holding_Guideline_Jan_2010.pdf ","Professional guidelines for  management of patients who find mouth care and dental care challenging","2.1, 2.2, 2.6","Any environment  that cares for adults who cannot comply with routine dental care"]
[null,null,"Gerodontology journal 2006: Guidelines for the Development of Local Standards of Oral Health Care for People with Dementia","www.gerodontology.com/content/uploads/2014/10/Guidelines-for-the-Development-Of-Local-Standards-of-Oral-Health-Care-for-People-with-Dementia.pdf","Professional  guidelines: broad range of information about oral care for people with dementia including dental significance of the condition, oral assessment and mouth care guidance.","2.1,  2.2,  2.3,  2.5,  \n2.7, 2.11,  3.2","People who have dementia in  a variety of care home and community settings "]
[null,null,"British Society for Disability and Oral Health: Guidelines for Oral Health Care for Long-stay Patients and Residents","www.bsdh.org/documents/longstay.pdf ","Broad set of professional  guidelines that may inform setting of standards and service specifications for care homes and clinical dental services supporting  residents.","2.1,  2.2,  2.3,  \n2.5, 2.7,  2.11","People who require support with care from residential homes, nursing homes, hospitals, group homes, schools, hostels and secure units"]
[null,null,"Settings based oral health accreditation programme in care homes Service ",null,"A services specification that may be used to accredit settings for promoting the oral health of adults with additional needs",2.2000000000000002,"Nursing and residential care homes"]
[null,null,"Sections for service specifications (appendix II)",null,"This includes quality standards for oral health in care homes that may be adopted for other settings",2.2000000000000002,"Care homes"]
[null,null,"NHS Wales: Fundamentals of Care","www.wales.nhs.uk/documents/booklet-e.pdf\n","Advises patients and carers of the standards outlined in Fundamentals of Care, that is what they should expect from care homes ","2.2, 2.7","Staff working in health and social care settings"]
[null,null,null,"www.wales.nhs.uk/documents/ACF1153.pdf"]
[null,null,"Health Education Kent, Surrey and Sussex: Mouth Care Matters ","www.mouthcarematters.hee.nhs.uk","Delivering training to care home staff\nRaising awareness through promotion and sharing of the work\nResources: e-learning, booklet, care plans, needs assessments, daily brushing charts","2.2,  2.3,  2.5,  \n2.10,  3.2","Nursing and residential care homes, Acute Trusts"]
[null,null,"GAIN (Guidelines and Audit  Implementation Network): Guidelines for the oral healthcare of older people living in nursing and residential homes in Northern Ireland","https://rqia.org.uk/RQIA/files/12/12a65998-23a4-4610-a1f6-afe6ce2fa059.pdf","Guidelines developed in Northern Ireland for standards of mouth care including a best practice model and resources for assessing oral health (see below) and referring for dental care. Includes audit tool and carers information to support training.","2.4, 2.5, 2.6, 2.7, 2.10, 3.2","Nursing and residential homes but may also be adaptable to community and care at home services"]
[null,null,"Sector led improvement audit tool (appendix III)",null,"This is a set of questions developed by PHE that may be used to inform sector led improvements or other audits  that consider vulnerable older people",2.4,"Not specific"]
[null,null,"GAIN Monthly oral health assessment ","https://rqia.org.uk/RQIA/files/12/12a65998-23a4-4610-a1f6-afe6ce2fa059.pdf ","Best practice assessment model for regularly assessing oral health of dependant older adults",2.5,"Nursing and residential homes (but may be adaptable for use by care in the community services)"]
[null,null,"1000 Lives Improving Mouth Care ","www.1000livesplus.wales.nhs.uk/mouthcare","Resources include:\nMouth Care Resource and Practice Guide\nMouth Care Assessment Tool\nMouth Care Plan \nMouth Care Monitoring Form\nCritical care mouth care assessment\nCritical care mouth care plan",2.5,"Nursing and residential homes (but may be adaptable for use by care in the community services) and hospitals"]
[null,null,"GAIN oral assessment on admission and oral healthcare in care homes best practice model ","https://rqia.org.uk/RQIA/files/12/12a65998-23a4-4610-a1f6-afe6ce2fa059.pdf ","Best practice: model assessment for nursing staff/carers on admission of a new resident in a nursing home. Includes guidance regarding triggers for seeking professional dental advice.","2.5, 2.10","Nursing and residential homes (but may be adaptable for care in the community services)"]
[null,null,"Norfolk Council, Suffolk Council: Oral health – a guide for care homes","www.norfolkandsuffolkcaresupport.co.uk/content/docs/uploads/generic/Oral_Health_in_Care_Homes_for_website.pdf","Practical guide for staff caring for dependant older adults including oral assessment, guidance about oral hygiene and resources to support training ","2.5, 2.6, 2.7, 3.1, 3.2","Nursing and residential care home staff and those providing care in the community services"]
[null,null,"NHS Scotland: Caring for Smiles Scotland","https://www.nes.scot.nhs.uk/education-and-training/by-discipline/dentistry/areas-of-education/priority-groups/oral-health-improvement-caring-for-smiles.aspx","Education and guidelines.  This is NHS Scotland’s national oral health programme. The guide supports delivery of training sessions in care homes and is a source of best practice information and oral health issues, which may be encountered by care home staff.   ","2.5, 2.6, 2.7, 2.9, 3.1, 3.2","Nursing and residential Care homes"]
[null,null,"Top tips for care homes ",null,"This is an advice sheet developed by PHE on what actions care homes and other settings can take to improve clients’ oral health",2.7,"Care homes"]
[null,null,"Sheffield CCG pharmacy guidance","https://www.england.nhs.uk/north/wp-content/uploads/sites/5/2014/09/dental-health-gp-pc.pdf \n\n","Guidance on prescribing to prevent oral disease and side effects on the mouth of common medications",2.8,"Not specific"]
[null,null,null,"www.england.nhs.uk/north/wp-content/uploads/sites/5/2014/09/dental-health.pdf  "]
[null,null,"All Wales Special interest Group: Oral Nutritional Supplementation and Oral Health","www.sigwales.org/wp-content/uploads/pdfmicrosoft-powerpoint-sigsippres1vickiedited4website1.pdf","Guidance on impact of nutritional food supplements and oral health and practical guidance",2.9,"Older people in supported settings, both in care home and the community, who have a risk of malnourishment "]
[null,null,"Finding an NHS dentist","www.nhs.uk/Service-Search/Dentist/LocationSearch/3","The NHS Choices website Includes a page on how to find a dentist and facility to search for a dentist as well as advice on a range of dental topics",2.1,"Not specific"]
[null,null,"NHS dental charges","www.nhs.uk/NHSEngland/AboutNHSservices/dentists/Pages/nhs-dental-charges.aspx","The NHS Choices NHS dental services explained webpages include the costs of dental treatment and who may be eligible for exemption from charges and how to apply for an exemption certificate.  There are also other pages giving advice on oral health",2.1,"Not specific"]
[null,null,"Health Improvement Scotland: Working with Dependent Older People to Achieve Good Oral Health","www.healthcareimprovementscotland.org/previous_resources/best_practice_statement/oral_health_in_older_people.aspx ","Best practice and guidance for nursing and interdisciplinary teams supporting dependant older people",2.11,"Applicable to services supporting dependant older people"]
[null,null,"NHS Essence of Care 2010. Benchmarks for Personal Hygiene","www.gov.uk/government/uploads/system/uploads/attachment_data/file/216697/dh_119976.pdf ","Includes standards for personal hygiene care, education requirements, standards for care of older dependant people in respect to personal hygiene. Effective oral hygiene protocols included",2.11,"Carers / nursing homes / dependant older people"]

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[null,"Resources to support commissioning of oral health improvement"]
[]
[null,null,"Name","Weblink / embedded document","Type of content","Category as per section introduction","Setting / Type of service"]
[null,null,"Liverpool Community Health: policy and procedure for training carers of patients with dementia (not available on the internet)",null,"Example of training programme which could be delivered to  nursing and residential care home staff and care in the community services. Care at home",3.1,"Nursing and residential care homes, day services, care at home services."]
[null,null,"Keys to Care, Relatives and Residents Association","http://www.relres.org/ ","Education and guide.  Small guide with information- basic jargon free easy to use information on  aspects of care including oral care ","3.1, 3.2","Care homes and domiciliary care providers "]
[null,null,"British Society of Gerodontology  DVD oral health for older people. Available free on the website if registered ","www.britishgerontology.org/ ","Video about the wider oral care needs and domiciliary dental care which would support training programmes","3.1, 3.2","Dependant older people in care homes and community settings"]
[null,null,"NHS England Healthy Ageing Guide","www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/healthy-ageing/ ","Hints and tips on how to keep fit and independent. It is aimed at people of any age but it is particularly relevant for people aged 70 years or older who are beginning to find that everyday tasks now take them longer to do and may be suffering from mild frailty",3.2,"All settings, a resource to be used directly with the target group."]
[null,null,"Health in Wales: Soraya’s Story: Becoming an Oral Care Champion","www.wales.nhs.uk/becominganoralcarechampion ","Example of  a nurse’s role volunteering as oral care  champion",3.3,"Care/nursing  homes"]
[null,null,"Norfolk Council, Suffolk Council: Oral health – a guide for care homes","www.norfolkandsuffolkcaresupport.co.uk/content/docs/uploads/generic/Oral_Health_in_Care_Homes_for_website.pdf","Practical guide for staff caring for dependant older adults including oral assessment, guidance about oral hygiene and resources to support training ","2.5, 2.6, 2.7, 3.1, 3.2","Nursing and residential care home staff and those providing care in the community services"]
[null,null,"NHS Scotland: Caring for Smiles Scotland","www.scottishdental.org/wp-content/uploads/2015/09/caring_for_smiles_guide_for_care_homes.pdf","Education and guidelines.  This is NHS Scotland’s national oral health programme. The guide supports delivery of training sessions in care homes and is a source of best practice information and oral health issues, which may be encountered by care home staff.   ","2.5, 2.6, 2.7, 2.9, 3.1, 3.2","Nursing and residential Care homes"]
[null,null,"Gerodontology journal 2006: Guidelines for the Development of Local Standards of Oral Health Care for People with Dementia","www.gerodontology.com/content/uploads/2014/10/Guidelines-for-the-Development-Of-Local-Standards-of-Oral-Health-Care-for-People-with-Dementia.pdf","Professional  guidelines: broad range of information about oral care for people with dementia including dental significance of the condition, oral assessment and mouth care guidance.","2.1,  2.2,  2.3,  2.5,  \n2.7, 2.11,  3.2","People who have dementia in  a variety of care home and community settings "]
[null,null,"Health Education Kent, Surrey and Sussex: Mouth Care Matters ","www.mouthcarematters.hee.nhs.uk","Delivering training to care home staff\nRaising awareness through promotion and sharing of the work\nResources: e-learning, booklet, care plans, needs assessments, daily brushing charts","2.2,  2.3,  2.5,  \n2.10,  3.2","Nursing and residential care homes, Acute Trusts"]
[null,null,"GAIN (Guidelines and Audit  Implementation Network): Guidelines for the oral healthcare of older people living in nursing and residential homes in Northern Ireland","https://rqia.org.uk/RQIA/files/12/12a65998-23a4-4610-a1f6-afe6ce2fa059.pdf","Guidelines developed in Northern Ireland for standards of mouth care including a best practice model and resources for assessing oral health (see below) and referring for dental care. Includes audit tool and carers information to support training.","2.4, 2.5, 2.6, 2.7, 2.10, 3.2","Nursing and residential homes but may also be adaptable to community and care at home services"]

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[null,"Examples of wider health improvement programmes and guidance"]
[]
[null,null,"Name","Weblink / embedded document","Type of content","Category as per section introduction","Setting / Type of service"]
[null,null,"Teeth Time- more information from HEENE team","https://madeinheene.hee.nhs.uk/dental_training/Non-dental-professionals/Elderly-Care-Older-People-Programme ","It'scalled Teath time as it’s associated with a social gathering ‘tea and teeth’. For residents and family members of care homes","4, 13","Care / Nursing homes"]
[null,null,"Public Health England: midlife approaches to reduce dementia risk","www.gov.uk/government/publications/health-matters-midlife-approaches-to-reduce-dementia-risk/health-matters-midlife-approaches-to-reduce-dementia-risk","General guidance about risk factors for dementia and reducing the risk including links to related documents and websites. Potential to link in oral health as part of the common risk approach",4,"Not specific"]
[null,null,"PHE and Health Education England: Making every contact count (MECC)implementation guide","www.gov.uk/government/uploads/system/uploads/attachment_data/file/495087/MECC_Implementation_guide_FINAL.pdf","Guide to support health improvement in local communities. Resource aimed at helping organisations develop their approach to MECC.",4,"Not specific"]
[null,null,"PHE and HEE Making every contact count , checklist for training","www.gov.uk/government/uploads/system/uploads/attachment_data/file/495086/MECC_Training_quality_marker_checklist_FINAL.pdf","Checklist for assuring quality of MECC training",4,"Not specific"]

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[null,"Commissioning better oral health for vulnerable older people - further resources "]
[]
[null,null,"Further resources:"]
[]
[null,null,"1. Key performance indicators to improve the standard of oral healthcare for those living in care homes or receiving ‘care at home’ services "]
[]
[null,null,"Key performance indicators (KPIs) contribute to the monitoring of improvement of quality and safety of services. "]
[null,null,"They relate to specific and measurable elements of health and social care and link to the quality standards set out in the service specification. "]
[null,null,"In turn the quality standards are informed by the evidence based academic literature."]
[]
[null,null,"2. Commissioning for Quality and Innovation (CQUIN) to improve the standard of oral health care for those living in care homes or receiving ‘care at home’ services"]
[]
[null,null,"The NHS England CQUIN scheme is intended to deliver clinical quality improvements and drive transformational change across NHS provider organisations. "]
[null,null,"These will impact on reducing inequalities in access to services, the experiences of those using them and the outcomes achieved. "]
[null,null,"Current CQUINs mainly focus on clinical quality improvements that will help achieve better outcomes for patients."]
[null,null,"Depending on provider performance, the CQUIN scheme is worth a maximum of 2.5%, payable in addition to the Actual Annual Value (AAV). "]
[null,null,"There are national CQUIN priorities and suggested local CQUINs."]
[null,null,"Local CQUINs can be adapted to reflect local circumstances and setting local areas of improvement."]
[]
[null,null,"In 2016/17 the local priorities for CQUINs covered the following:"]
[]
[null,null,"Integration","Learning disabilities",null,"Mental health"]
[null,null,"Person centred care","Physical health",null,"Productivity"]
[null,null,"Urgent and emergency care"]
[]
[null,null,"3. Additional resources (from BSG / OH Working Group)"]
[]
[null,null,"4. Non-categorised resources "]
[]
[null,null,"5. Supplementary resource - key questions to ask when assessing local oral health improvement delivery."]
[null,null,"Local authorities have a key role in the scrutiny of oral health improvement and dental service provision. Bringing together public agencies and organisations to establish the extent to which poor oral health is prevalent in local areas and to ask questions about planning for better outcomes from services, these are some questions local authorities can ask of themselves"]

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[null,"Key performance indicators to improve standard of oral health"]
[]
[null,null,"KPI title","Oral assessment for residents and service users"]
[null,null,"KPI description","A simple oral assessment is undertaken for all residents and service users on admission and reviewed at regular intervals"]
[null,null,"KPI rationale","Oral assessment will identify any current oral  problems which need attention and identify the support needed for daily mouth care"]
[null,null,"KPI target","100% of new residents or service users have an oral assessment."]
[null,null,null,"All residents have an oral assessment undertaken at least annually by a trained staff member"]
[null,null,"KPI calculation","% of total number of new residents with oral assessment completed"]
[null,null,null,"% of service users with oral assessment completed in the previous 12 months"]
[null,null,"Data source ","Resident/ service user  records"]
[null,null,"Monitoring frequency","Annual"]
[]
[null,null,"KPI title","Mouth care plan for all service users"]
[null,null,"KPI description","All residents have a mouth care plan describing help required for twice daily oral hygiene routine."]
[null,null,null,"May include: aids to support maintenance of good oral hygiene, use of high fluoride toothpaste  where prescribed, denture cleaning routine, management of dry mouth"]
[null,null,"KPI rationale","Maintenance of good oral hygiene and following an evidence based prevention routine will reduce the risk of development of dental disease (dental decay and periodontal disease) \nas well as reducing the recognised risk to general health. Good oral health will enable residents to eat and speak as well as maintaining personal dignity."]
[null,null,"KPI target","100% of residents and service users have  an agreed and documented mouth care plan."]
[null,null,"KPI calculation","% of total number of residents with an agreed  and documented mouth care plan"]
[null,null,"Data source ","Resident/ service user records"]
[null,null,"Monitoring frequency","Annual"]
[]
[null,null,"KPI title","Staff trained to support maintenance of good oral health for residents and service users."]
[null,null,"KPI description","Care home staff and those delivering care in the home services have been trained to recognise signs and symptoms of oral problems, are competent in helping residents clean their teeth and look after their dentures  and know how to access local dental services"]
[null,null,"KPI rationale","Many vulnerable older adults are dependent on carers to help them undertake daily mouth care. Signs and symptoms of dental disease need to be readily identified and referred to an appropriate dental service provider promptly to reduce the risk of serious or acute problems developing."]
[null,null,"KPI target","100% of new staff receive oral health training as part of induction training"]
[null,null,null,"Oral health update included as part of staff CPD programme"]
[null,null,"KPI calculation","% of new staff completing induction training which includes an oral health component."]
[null,null,null,"% of staff undertaking CPD including oral health."]
[null,null,"Data source ","Staff training record"]
[null,null,"Monitoring frequency","Annual"]
[]
[null,null,"KPI title","Named dental service provider for all service users"]
[null,null,"KPI description","All residents have a named dental service provider identified and current  information as to how the dental service can be accessed"]
[null,null,"KPI rationale","With the majority of residents and service users having at least some natural teeth, there is a need for regular dental checks to identify dental problems early, provide evidence based prevention and access to urgent dental care. People with no natural teeth should still see a dentist every two years"]
[null,null,"KPI target","100% of new residents or service users have a named dental service provider for routine dental care."]
[null,null,null,"All care homes and care in the community services have current information regarding accessing urgent and emergency dental care."]
[null,null,"KPI calculation","% of total number of residents and service users with a named dental service provider."]
[null,null,"Data source ","Resident /service user records"]
[null,null,"Monitoring frequency","Annual"]

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[null,"Commissioning for quality and innovation (CQUINs) to improve the standard of oral health care"]
[]
[null,null,"Local CQUIN priority","Example of general health care indicator","Indicator related to oral health care of Vulnerable Older Adults","Rationale"]
[null,null,"Learning disabilities","Improved physical health outcomes for people with learning disabilities","Oral assessment undertaken for service users","Oral assessment to identify obvious dental problems and assess ability of individuals to undertake daily mouth care and support required."]
[]
[null,null,null,null,"Mouth care plan in place for all service users","Evidence based daily mouth care including use of fluoride toothpaste to improve/maintain oral health."]
[]
[null,null,null,null,"Identified dental service provider for all service users","Ready access for routine and urgent dental care – including evidence based prevention to secure improved oral health."]
[null,null,"Physical health","Identification and care planning for those living with frailty","Oral assessment for all new service users and regular reviews","Oral assessment to identify immediate and need for ongoing dental care, assess ability of individuals to undertake daily mouth care and support required."]
[]
[null,null,null,null,"Mouth care plan in place for all service users.","Evidence based daily mouth care including use of fluoride toothpaste to improve/maintain oral health."]
[]
[null,null,null,null,"Identified dental service provider for all service users","Ready access for routine and urgent dental care – including evidence based prevention to secure improved oral health."]
[null,null,"Urgent and emergency care","Reduction in inappropriate 111 calls and visits to emergency services","All staff have up to date knowledge of how to refer a service user with a dental problem","Established arrangements for accessing local NHS dental services for routine and urgent  dental care services reduces the likelihood of need for using 111 or inappropriate use of emergency services."]
[]
[null,null,null,null,"Care homes have established arrangements in place for accessing urgent dental care services"]

{"sheet":"5.3","index":8,"n_rows":22,"n_cols":7,"rows_kept":22,"cut":false,"hidden":false,"merged":[[18,2,20,2],[18,6,20,6],[14,2,17,2],[14,3,17,3],[14,4,17,4],[14,6,17,6],[18,4,20,4],[18,3,20,3],[0,1,0,7],[10,6,12,6],[10,4,12,4],[10,3,12,3],[10,2,12,2],[5,6,6,6],[5,2,6,2],[5,3,6,3],[5,4,6,4],[7,2,9,2],[7,3,9,3],[7,4,9,4],[7,6,9,6]]}
[null,"Additional resources"]
[]
[null,null,"RESOURCE","DESCRIPTION","PUBLISHED","CONTACT","COMMENTS"]
[null,null,"Essence of Care","Patient focused benchmarking for health care professionals","Department of Health, Revised 2010","http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_119969","Includes oral hygiene under the section on Personal care"]
[null,null,"Quality of Care for Adults","Advises patients and carers of the standards outlines in the Fundamentals of Care","Welsh Assembly Government 2003","http://www.wales.nhs.uk/documents/ACF1153.pdf","Booklet for patients and carers including expectations for oral health and hygiene."]
[null,null,"Meeting the Challenges of Oral Health for Older People: A Strategic Review","As described in title","DoH funded. Jointly written by British Society of Gerodontology and British Society for Disability and Oral Health 2005","Gerodontology Volume 22 Supplement 2005 "]
[null,null,null,null,null,"http://www3.interscience.wiley.com/journal/118699430/issue "]
[null,null,"Caring for Residents’ oral health","A4 Poster based on Keep Smiling resource","Relatives & Residents Association 2010","The Relatives & Residents Association\n24 The Ivories, 6 – 8 Northampton Street\nLondon N1 2HY","Available direct from R&RA or downloadable via their website"]
[null,null,null,null,null,"Tel: 020 7359 8148 Email: info @relres.org"]
[null,null,null,null,null,"www.relres.org"]
[null,null,"Mouth, teeth and dentures: look good, feel better, eat well!","A 2 page A4 information paper for professionals working in UK care homes based on Keep Smiling resource","Relatives & Residents Association 2010","The Relatives & Residents Association\n24 The Ivories, 6 – 8 Northampton Street\nLondon N1 2HY","Available direct from R&RA or downloadable via their website"]
[null,null,null,null,null,"Tel: 020 7359 8148 Email: info @relres.org"]
[null,null,null,null,null,"www.relres.org"]
[null,null,"Dental Care & Dementia: Information Sheet 448 ","Information for people with dementia and their carers\n","Alzheimer’s Disease association","www.alzheimers.org.uk/factsheet/448","Written by Janice Fiske and recently updated"]
[null,null,"Factsheet 5: Dental care: NHS and private treatment","Explains expectations for patients on NHS dental treatment, charges, complaints and private dental treatment","Age UK (merger of Age Concern & Help the Aged)","Age UK, York House, 207 221 Pentonville Rd, London Ni 9UZ","Free to download. Updated annually by Age UK. Last revised May 2010"]
[null,null,null,null,null,"www.ageuk.org.uk"]
[null,null,null,null,null,"Describes the situation in England. Advises contacting respective national Age UK offices for information specific to Scotland, Ireland and Wales."]
[null,null,null,null,null,"www.ageuk.org.uk/globalassets/age-uk/documents/factsheets/fs5_dental_care_nhs_and_private_treatment_fcs.pdf"]
[null,null,"Factsheet 5w: Dental care, NHS and private treatment in Wales\n","Explains expectations for patients on NHS dental treatment, charges, complaints and private dental treatment","Age UK (merger of Age Concern & Help the Aged)","Age Cymru, Tý John Pathy, 13/14 Neptune Court, Vanguard Way, Cardiff CF24 5PJ","Free to download. Updated annually"]
[null,null,null,null,null,"www.agecymru.org.uk"]
[]
[null,null,"Dry Mouth","Leaflet produced for management of dry mouth in Sjögren’s Syndrome","Sjögren’s Syndrome Foundation","www.sjogrens.org","Very small print for patients to read"]

{"sheet":"5.4","index":9,"n_rows":6,"n_cols":5,"rows_kept":6,"cut":false,"hidden":false,"merged":[[0,1,0,5]]}
[null,"Non-categorised resources"]
[]
[null,null,"Name","Weblink / embedded document","Type of content"]
[null,null,"Health Education England","http://www.mouthcarematters.hee.nhs.uk/","Dementia Resources and training links"]
[null,null,"Working with dependent older people to achieve good oral health ","www.healthcareimprovementscotland.org/previous_resources/best_practice_statement/oral_health_in_older_people.aspx","Health Improvement Scotland. Best practice statement "]
[null,null,"Oral Health and Nutrition Guidance for Professionals  ","www.scottishdental.org/wp-content/uploads/2014/10/OralHealthAndNutritionGuidance.pdf   ","NHS Health Scotland. Oral Health and Nutrition Guidance\nfor Professionals"]

{"sheet":"5.5","index":10,"n_rows":1,"n_cols":2,"rows_kept":1,"cut":false,"hidden":false,"merged":[[0,1,0,5]]}
[null,"Key questions to ask when assessing local oral health improvement delivery"]