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Plymouth Oral Health Needs Assessment (2019)

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Plymouth Oral Health Needs Assessment (2019) OFFICIAL PLYMOUTH ORAL HEALTH NEEDS ASSESSMENT 2019 Author: Office of the Director of Public Health, Plymouth City Council Date: December 2019 (v1.1) This document is produced as part of Plymouth’s Joint Strategic Needs Assessment. OFFICIAL Document information Document status Final Carol Harman (PCC), Zoe Allen (UoP & PHE), Robert Nelder Author (PCC) and Robert Witton (PDSE, UoP & PHE) Document version 1.1 Original document date December 2019 Amendment record Version Date Reason(s) for change Pages affected Update and clarification of number of patients 1.0 17 January 2020 treated and the amount of appointments attended 79 to 82 per PDSE DEF, academic year 2018/19. Office of the Director of Public Health Plymouth City Council Windsor House Plymouth PL6 5UF Tel: 01752 307346 [email protected] Date: December 2019 (v1.1) Prepared by: Carol Harman For queries relating to this document please contact: [email protected] Acknowledgements: We are grateful to those colleagues and partners that have contributed to this report. In particular, thanks are expressed to Claire Roberts and Elaine Knight (Plymouth Community Dental Services Ltd), Sue Casey (UHP NHS Trust), Di Dymond (Livewell Southwest), Reena Patel (PHE), Laura Juett (PCC), Sarah McFarlane (NHSE) and Tony Gravett (Healthwatch Plymouth). We are also grateful to PHE and NHS England for provision of data used to inform this report. © Office of the Director of Public Health 2019 2 OFFICIAL Contents 1. Executive summary .............................................................................................. 5 2. Introduction ........................................................................................................... 7 3. Plymouth in context ............................................................................................. 8 3.1 Background .............................................................................................................................. 8 3.2 Population (current and projections) ................................................................................. 8 3.3 Deprivation ............................................................................................................................ 10 4. Vulnerable groups ............................................................................................... 12 4.1 Background ............................................................................................................................ 12 4.2 Looked after children .......................................................................................................... 13 4.3 Children with special educational needs and disabilities.............................................. 16 4.4 People experiencing homelessness ................................................................................... 17 4.5 People affected by substance misuse ................................................................................ 19 4.6 People who smoke ............................................................................................................... 21 4.7 Asylum seekers and refugees ............................................................................................. 23 4.8 Gypsy, Roma and Travelling communities ...................................................................... 25 4.9 Adults with long-term health conditions ......................................................................... 27 4.10 Adults with disabilities ......................................................................................................... 29 4.11 Older people .......................................................................................................................... 30 4.12 People living with dementia ................................................................................................ 33 5. Oral health in Plymouth ..................................................................................... 35 5.1 Background ............................................................................................................................ 35 5.2 Three year old children ....................................................................................................... 35 5.3 Five year old children........................................................................................................... 36 5.4 Twelve year old children .................................................................................................... 37 5.5 Children attending special schools.................................................................................... 38 5.6 Oral health behaviours of secondary school pupils ...................................................... 38 5.7 Survey of adults ..................................................................................................................... 40 5.8 Oral cancer ............................................................................................................................ 40 6. Current oral health improvement programmes in Plymouth ...................... 42 7. Primary care dental services ............................................................................. 46 7.1 Background ............................................................................................................................ 46 7.2 Dental service providers ..................................................................................................... 46 7.3 General dental practices ..................................................................................................... 47 7.4 Community dental services ................................................................................................ 47 7.5 Peninsula Dental Social Enterprise.................................................................................... 48 7.6 Domiciliary dental care ....................................................................................................... 50 8. Secondary care dental services ......................................................................... 51 3 OFFICIAL 9. Dental waiting list ............................................................................................... 53 9.1 Background ............................................................................................................................ 53 9.2 Analysis by electoral ward .................................................................................................. 54 9.3 Analysis by deprivation group ............................................................................................ 57 10. Access to primary dental care ........................................................................... 58 10.1 Background ............................................................................................................................ 58 10.2 Children (aged 0-14 years) ................................................................................................. 59 10.3 Young people and working age adults (aged 15-64 years) .......................................... 60 10.4 Older adults (aged 65+) ...................................................................................................... 61 10.5 Waiting times for specialist dental services in secondary care .................................. 63 10.6 Healthwatch ........................................................................................................................... 63 11. Primary care dental services activity ................................................................ 65 11.1 Background ............................................................................................................................ 65 11.2 NHS dental practice activity ............................................................................................... 65 11.3 Community dental service activity .................................................................................... 68 11.3.1 Analysis of referrals ........................................................................................................ 68 11.3.2 Child dental extractions under general anaesthetic ............................................... 70 11.3.3 Urgent care ...................................................................................................................... 75 11.4 Peninsula Dental Social Enterprise activity ...................................................................... 79 11.5 Domiciliary dental care ....................................................................................................... 85 12. Secondary care dental service activity ............................................................. 86 12.1 University Hospitals Plymouth (UHP) activity ............................................................... 86 12.2 Provision of dental extractions in secondary dental care ........................................... 86 13. Evidence of what works ...................................................................................... 90 14. Conclusions .......................................................................................................... 92 15. References............................................................................................................ 93 4 OFFICIAL 1. Executive summary A healthy mouth and smile means that people can eat, speak and
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