Freedom of Information () Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

NHS Tayside has now considered your request dated 7 January 2020.

NHS Tayside wishes to advise you that there are exemptions applicable to the information requested. Please refer to the exemptions section of this correspondence.

Extract from Request

1) “In the financial year 2018-19, how many patients presented at your A&E departments (to include major A&E departments, minor injuries units and walk-in centres) with dental health problems?

Of these: a) Of the patients presenting with dental health problems, how many received treatment at the hospital during that visit? b) Of the patients presenting with dental health problems, can the numbers please be broken down by type of problem e.g. toothache, loss of teeth, bleeding from the mouth. c) Of the patients presenting with dental health problems, can the numbers please be broken down by age of the patient e.g. 0-9, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80-89, 90+ d) Of the patients presenting with dental health problems, how many were not registered with an NHS dentist?

2) Can I please get the figures above, but for the following financial years (separately): 2014-15 2015-16 2016-17 2017-18 2019-20 to Jan 1st 2020.”

Everyone has the best care experience possible Headquarters: & Medical School, , DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 1 of 6 Chief Executive, Grant R Archibald Freedom of Information (Scotland) Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

Response

Questions 1, 1a, 1b, 1c and 2.

The information in the table below is the patient activity that is recorded as attending Dundee Dental Hospitals A & E clinics only, the system does not record what type of problem the patients present to the clinic with. The information below has been split into years and ages

Please note that the response to the above questions have been split into two, the data has been presented as follows: This is to reflect the different ways in which the information is recorded/coded within NHS Tayside’s patients administrative system (PAS)

Table 1 – Dundee Dental Hospital A & E information only Appendix 1 - is all other hospital locations

Please note that the figures in the table below have been provided by calendar year Age Age Not Year 0 - 16 17 - 19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 90-99+ Recorded 2014 782 129 937 489 406 398 307 262 130 7 105 2015 788 167 1228 650 476 486 370 258 136 23 159 2016 886 114 1178 634 490 491 411 314 158 24 182 2017 640 130 1033 665 444 485 419 334 219 33 72 2018 424* 124 901 626 414 451 373 248 220 20 0 2019 316* 123 976 565 386 393 332 283 152 26 0

Everyone has the best care experience possible Headquarters: Ninewells Hospital & Medical School, Dundee, DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 2 of 6 Chief Executive, Grant R Archibald Freedom of Information (Scotland) Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

Note - * due to a vacant Consultant in Paediatric Dentistry post and as a result all of the patients requiring a General Anaesthetic (GA) for extraction of deciduous teeth have been redirected to the Public Dental Service (PDS) within NHS Tayside during 2018/2019. Where the values of statistics provided in appendix 1 fall below 5 but are greater than 0, these statistics are represented by ‘<5’. Due to the small numbers of patients involved further detail cannot be provided as disclosure of the information may lead to the identification of individuals.

Due to the small numbers involved information surrounding the type of problem patients presented with has been aggraded. To provide this information may lead to the identification of individuals.

The information in Appendix 1 is the patient activity that is recorded as attending another (not Dundee Dental Hospital) A & E department; minor injury unit and walk-in centre with-in NHS Tayside,

Questions 1d – This information surrounding patients presenting with dental health problems and not registered with an NHS Dentist is not recorded within the NHS Tayside Patient Administrate System (PAS)

Question 2 Please see response above in table 1 and Appendix 1.

Everyone has the best care experience possible Headquarters: Ninewells Hospital & Medical School, Dundee, DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 3 of 6 Chief Executive, Grant R Archibald Freedom of Information (Scotland) Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

Exemptions Section – application of Freedom of Information (Scotland) Act 2002 exemptions and Data Protection Act 2018 Principles.

Document Ref. FOISA Exemption Applied Justification IGTFOISA7285 Section 17 – • NHS Tayside does not hold Information not held the information requested. • Information not recorded for Dundee Dental Hospital (1b) • Information not recorded with in PAS (1d) Section 38 (1)(b) – • Information relating to an Personal information individual is personal (Q’s1 & 2). information. • Disclosure of information which would allow the identification of individuals would be in breach of confidentiality and Data Protection principles.

Everyone has the best care experience possible Headquarters: Ninewells Hospital & Medical School, Dundee, DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 4 of 6 Chief Executive, Grant R Archibald Freedom of Information (Scotland) Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

Under section 20 (1) of the Act, if you are dissatisfied with the way NHS Tayside has dealt with your request, you have a right to request a review of our actions and decisions in relation to your request, and you have a right to appeal to the Scottish Information Commission.

A request for an internal review must be made in writing no later than forty working days from receipt of this response and sent to:

Head of Information Governance Maryfield House (South) 30 Mains Loans Dundee DD4 7BT

Or by email to [email protected]

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

Scottish Information Commissioner Kinburn Castle Doubledykes Road St Andrews, Fife, KY16 9DS

Or via the online appeal service: www.itspublicknowledge.info/Appeal

Everyone has the best care experience possible Headquarters: Ninewells Hospital & Medical School, Dundee, DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 5 of 6 Chief Executive, Grant R Archibald Freedom of Information (Scotland) Act 2002 Response to correspondence dated 7 January 2020 Request: Patients with Dental Problems at A & E departments Applicant: Claire Wilde Reference: IGTFOISA7285

If you have any queries about this correspondence, please contact:

Information Governance Team Maryfield House 30 Mains Loan Dundee DD4 7BT

Telephone - 01382 424413 E-mail: [email protected]

Information Governance NHS Tayside 3 February 2020

Everyone has the best care experience possible Headquarters: Ninewells Hospital & Medical School, Dundee, DD1 9SY (for mail) DD2 1UB (for Sat Nav)

Chair, Mrs L Birse-Stewart IGTFOISA7285 Response Page 6 of 6 Chief Executive, Grant R Archibald Age Band Age Not Financial Year Diagnosis 00 - 09 10 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 - 99+ Recorded 2014/2015 Not Recorded Toothache 19 23 58 42 38 35 13 7 <5 41 Dental abscess Avulsed tooth

2015/2016 Not Recorded Dental abscess Toothache 12 15 35 29 21 19 11 <55 26 Avulsed tooth Bleeding tooth socket

2016/2017 Not Recorded Dental abscess 17 19 31 27 13 16 6 7<5 24 Toothache Avulsed tooth

2017/2018 Not Recorded

ED diagnosis - dental/maxillo facial (not injury) - other ED diagnosis - dental/maxillo facial (not injury) - Dental abscess ED diagnosis - dental/maxillo facial (not injury) - Toothache Dental abscess Toothache ED diagnosis - dental/maxillo facial (not injury) - Temporomandibular joint disorder ED diagnosis - dental/maxillo facial (not injury) - Salivary gland abscess 14 16 41 27 25 16 7 18 8 19 14 16 41 27 25 16 7 18 8 19 ED diagnosis - dental/maxillo facial (not injury) - Salivary gland stone Dental abscess without sinus Fracture of tooth ED diagnosis - dental/maxillo facial (not injury) - Dislocation of temporomandibular joint Loss of teeth due to accident, extraction or local periodontal disease Avulsed tooth ED diagnosis - dental/maxillo facial (not injury) - Gingivitis / gingivostomatitis Dislocation of tooth Dental caries, unspecified

2018/2019 ED diagnosis - dental/maxillo facial (not injury) - other Not Recorded ED diagnosis - dental/maxillo facial (not injury) - Dental abscess ED diagnosis - dental/maxillo facial (not injury) - Toothache ED diagnosis - dental/maxillo facial (not injury) - Salivary gland stone ED diagnosis - dental/maxillo facial (not injury) - Dislocation of temporomandibular joint ED diagnosis - dental/maxillo facial (not injury) - 6 10 47 28 21 18 7 7 11 12 Temporomandibular joint disorder ED diagnosis - dental/maxillo facial (not injury) - Oral herpes simplex Fracture of tooth ED injury - soft tissue - Other Soft tissue injury ED diagnosis - Gastrointestinal - other ED diagnosis - dental/maxillo facial (not injury) - Salivary gland abscess ED diagnosis - Left before clinical assessment ED injury - bone and joint - Closed fracture

2019/2020 ED diagnosis - dental/maxillo facial (not injury) - other ED diagnosis - dental/maxillo facial (not injury) - Dental abscess Not Recorded ED diagnosis - dental/maxillo facial (not injury) - Toothache ED diagnosis - dental/maxillo facial (not injury) - Salivary gland stone ED diagnosis - dental/maxillo facial (not injury) - Temporomandibular joint disorder 10 11 38 25 22 26 14 17 6 7 ED diagnosis - dental/maxillo facial (not injury) - Dental caries ED diagnosis - dental/maxillo facial (not injury) - Oral herpes simplex ED diagnosis - dental/maxillo facial (not injury) - Salivary gland abscess Dental caries, unspecified ED diagnosis - dental/maxillo facial (not injury) - Dislocation of temporomandibular joint Dental caries