Hospital Dental Service
Inpatient, Day Case and Outpatient Activity
The NHS Hospital Dental (secondary care) Service accepts patients on referral from medical and dental practitioners. Consultants in other areas/specialties, including Emergency Dental Services, also make referrals. Through the HDS, patients can be either treated in outpatient clinics or, depending on what treatment is required, admitted as inpatients or a day cases. HDS treatment is carried out not only in Scotland's two Dental Hospitals (Glasgow and Dundee) and the Edinburgh Dental Institute but also in many general hospitals across the country. There are no in-patient beds in the Dental Hospitals/Institute and therefore all inpatient activity occurs in the general hospitals.
Some key points relating to the HDS:
- Nearly one fifth of new attendances to an outpatient clinic are to a dental specialty. For inpatients and day cases combined, approximately 1 in 70 hospital discharges are from a dental specialty.
- The single most common reason for a planned (elective) hospital admission to a dental specialty is for extraction of multiple teeth. This procedure accounts for over 40% of all elective admissions where a procedure took place.
- Over 60% of "extraction of multiple teeth" procedures done in a dental specialty were carried out on patients who reside in SIMD 1 and 2 (most deprived) areas.
NB: With the introduction during 2007 of the new Oral and Maxillofacial Surgery (OMFS) specialty C13, significant shortfalls have arisen in SMR00 and SMR01 data for existing dental specialties in five NHS Board areas (Ayrshire & Arran, Borders, Dumfries & Galloway, Lothian and Lanarkshire). ISD's assessment is that this shortfall is due to the misinterpretation of the new Oral and Maxillofacial Surgery Code.