Prevention is very much on the ‘new norm’ agenda and, for some time now, NHSE Yorkshire & Humber have been exploring innovative ways of delivering prevention using skill mix. This was mainly a response to high levels of poor child oral health and the realisation that a targeted approach was required.
The In Practice Prevention programme (IPP) was commissioned following a small pilot in 2016. IPP (http://inpracticeprevention.org.uk/ipp/) uses the whole team to deliver prevention and, in particular, trained dental nurses to deliver targeted prevention pathways to children with dental decay and those being referred for general anaesthetic extraction.
Outcomes were that over a two and half-year period, 17,500 evidence-based, patient-centered dental nurse-led appointments were delivered across a group of practices in Yorkshire. Access improved, as did fluoride varnish application rates.
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