Access to and success of endodontist treatment within and external to 'general dentistry' and success rates

The request was successful.

Dear NHS England,

1. I would like to know whether a NHS patient in Worcestershire

(a) can be referred to NHS services for specialist NHS funded endodontist treatment with regards to upper molar RCT or indeed other teeth
(b) what is the criteria for that to happen and how are such services delivered
(c) what is the waiting period for such treatment (with as accurate an indication as you can provide)
(d) any treatment outcome statistics in relation to such referral
(e) How many persons within any particular or entire region of NHS England are referred for such treatment

2. As regards endodontist treatment within general dentistry do NHS England have evidence as to the average success rates of such within general dentistry in any statistical configuration such as for example

(a) By type of tooth such as upper molar. pre molar etc
(b) whether or not the tooth is a previously restored or RCT tooth

Yours faithfully,

andrew brown

Contactus England (NHS ENGLAND), NHS England

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FOI England (NHS ENGLAND), NHS England

Dear Mr Brown,

 

Thank you for your communication dated 27 Jul 2016.

 

NHS England has assessed your communication as a request under the Freedom
of Information (FOI) Act 2000. As such, please be assured that your
request is being dealt with under the terms of the FOI Act and will be
answered within twenty working days.

 

For further information regarding the FOI Act, please refer to the
Information Commissioner’s Office (ICO) website. For further information
regarding NHS England and the information it publishes please visit our
website here.

 

If you have any queries about this request or wish to contact us again,
please email [NHS England request email] and the message will be forwarded
appropriately. Please remember to quote the above reference number in any
future communications.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [NHS England request email].

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [NHS England request email]

 

‘High quality care for all, now and for future generations’

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FOI England (NHS ENGLAND), NHS England

Dear Mr Brown,

 

Our reference: Request for Clarification (FOI: 011363)

 

Thank you for your Freedom of Information (FOI) request dated 27 July
2016. 

 

Your exact request was:

 

“1.   I would like to know whether a NHS patient in Worcestershire

 

(a)  can be  referred to NHS services  for  specialist  NHS funded 
endodontist treatment  with regards to upper molar RCT  or indeed other
teeth

(b)  what is the  criteria for that  to happen  and how  are such
services  delivered

(c)   what is the  waiting period  for such treatment (with as accurate an
indication as you  can provide)

(d)  any treatment  outcome statistics in relation to such referral

(e)  How many persons within any particular or entire  region of NHS 
England are referred for  such treatment

 

2.  As regards endodontist  treatment within general  dentistry  do NHS
England have evidence as to the average  success rates  of such  within
general dentistry in any  statistical  configuration such  as  for example

 

(a)  By type of tooth  such as  upper molar. pre molar  etc

(b)  whether or not the tooth is a previously restored or RCT tooth”

 

NHS England may hold information relevant to your request.  However, we
are unable to begin processing your request without further clarification.

 

Under Section 1(3) of the FOI Act, an authority is not obliged to comply
with an FOI request when it reasonably requires further information in
order to identify and locate the information requested. I would be
grateful if you would clarify the following:

 

·         Please clarify the timeframe that your request relates to. It
would be helpful if you could provide the dates (from and to) that you are
requesting the information for.

·         With regard to question 2, are you requesting the average
success rates for the procedures or something else? Do you want this
information for the whole of Worcestershire or specific postcodes within
this area?

 

Please be assured we are keen to assist with your request. However, I
cannot guarantee that Section 12 or any other exemptions under the FOI act
will not apply to any further information requested.

 

Please send your clarified request to [1][NHS England request email] quoting
your reference number as it appears in the subject bar.

 

Kind regards,

Freedom of Information

Corporate Communications Team

Patients and Information Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [2][NHS England request email]

 

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References

Visible links
1. mailto:[NHS England request email]
2. mailto:[NHS England request email]

Dear FOI England (NHS ENGLAND),

With regards to question (1) I should be happy to have the most recent statistics available for a 12 month period and for Worcestershire or if not kept specifically by County the regional statistical profile for those issues specified in question (1)

As regards question (2) I am interested in the success rates for such procedures in so far as you can provide that. I should like the Worcestershire / City of Worcester details if available but if not collated with that degree of regional precision then whatever statistics are available identified by region.

If available statistics for other than Worcestershire in relation to (1) and (2) above would be appreciated which would assist me compare available services and outcomes between NHS England areas.

Yours sincerely,

andrew brown

FOI England (NHS ENGLAND), NHS England

Dear Mr Brown,

 

Thank you for your communication dated 12 August 2016.

 

NHS England has assessed your communication as a request under the Freedom
of Information (FOI) Act 2000. As such, please be assured that your
request is being dealt with under the terms of the FOI Act and will be
answered within twenty working days.

 

For further information regarding the FOI Act, please refer to the
Information Commissioner’s Office (ICO) website. For further information
regarding NHS England and the information it publishes please visit our
website here.

 

If you have any queries about this request or wish to contact us again,
please email [NHS England request email] and the message will be forwarded
appropriately. Please remember to quote the above reference number in any
future communications.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [NHS England request email].

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [NHS England request email]

 

‘High quality care for all, now and for future generations’

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FOI England (NHS ENGLAND), NHS England

Dear Mr Brown,              

 

Re:      Freedom of Information request (Our Ref: FOI-011545)

 

Thank you for your clarified Freedom of Information (FOI) request dated 12
August 2016.

 

Your exact request was:

“With regards to question (1)   I should be happy to have the most recent
statistics  available for a 12 month period and for Worcestershire or if
not  kept  specifically  by  County the regional  statistical profile for
those issues  specified in  question (1)

 

As  regards  question (2)    I am interested  in the   success  rates  for
such procedures in so far as you can provide that.  I should like the
Worcestershire  /  City of Worcester details if  available but if not
collated with that degree of regional precision then whatever statistics 
are available identified  by region.

 

If  available statistics for other than Worcestershire in relation to (1) 
and (2)  above would be appreciated which would assist me compare
available services and outcomes between  NHS England areas.”

 

For reference, your original request read:

“1.   I would like to know whether a  NHS patient in Worcestershire

 

(a)  can be  referred to NHS services  for  specialist  NHS funded 
endodontist treatment  with regards to upper molar RCT  or indeed other
teeth

(b)  what is the  criteria for that  to happen  and how  are such
services  delivered

(c)   what is the  waiting period  for such treatment (with as accurate an
indication as you  can provide)

(d)  any treatment  outcome statistics in relation to such referral

(e)  How many persons within any particular or entire  region of NHS 
England are referred for  such treatment

 

2.  As regards endodontist  treatment within general  dentistry  do NHS
England have evidence as to the average  success rates  of such  within
general dentistry in any  statistical  configuration such  as  for example

 

(a)  By type of tooth  such as  upper molar. pre molar  etc

(b)  whether or not the tooth is a previously restored or RCT tooth”

 

NHS England holds some information relevant to your request.

 

We have liaised with the relevant departments within NHS England and are
in a position to provide the following.

 

With regard to question 1(a) - A patient can be referred to Birmingham
Dental Hospital or any Dental Hospital for specialist endodontic care to
upper molars but the dentition would need to fulfil the referral criteria.

 

With regard to question 1(b) - The following is information is taken from
the restorative specification from one of NHS England’s providers:

 

It should be noted that providing the medical history does not dictate
otherwise the following are not considered appropriate reasons for
referral:

1.       Endodontic treatment:

a)       Second and third molar teeth unless there is an unusual or
compelling clinical need.

b)       Where the long-term viability of the tooth is in question.

 

NHS England does not hold and recorded information with regard to the rest
of the information requested. It may help if we explain that NHS England
does not currently collect separate waiting time information for
endodontics. Referral to Treatment (RTT) information would be within the
category “other” which encompasses a large number of specialties and local
service level information was collected previously collectively for
restorative dentistry rather than endodontics.

 

We do not currently collect information on endodontic outcomes – we will
be reviewing this as part of the implementation of the commissioning guide
when released.

 

We also do not currently collect information on endodontic referrals – we
will be reviewing this pending introduction of a referral management
system.

 

Detailed information on endodontic outcomes is not part of the Dental
Assurance Framework (DAF) dataset.

Further information relating to your request may be held at service level
by the Birmingham Dental Hospital. Please note that this is likely to
cover a regional rather than local footprint. We have included the link
below to the Birmingham Community Healthcare NHS Foundation Trust contact
page, as they are responsible for the dental hospital, should you wish to
re-submit your request:

 

·         [1]http://www.bhamcommunity.nhs.uk/contact/

 

We hope this information is helpful. However, if you are dissatisfied, you
have the right to ask for an internal review by writing to us, within two
months of the date of this letter, to:

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Email: [2][NHS England request email]

 

Please quote the reference number FOI-011545 in any future communications.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Telephone: 0303 123 1113

Email: [3][email address]  

Website: [4]www.ico.gov.uk

 

Please note there is no charge for making an appeal.

 

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [5][NHS England request email].

   

Yours sincerely,

 

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [6][NHS England request email]

 

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References

Visible links
1. http://www.bhamcommunity.nhs.uk/contact/
2. mailto:[NHS England request email]
3. mailto:[email address]
4. http://www.ico.gov.uk/
5. mailto:[NHS England request email]
6. mailto:[NHS England request email]