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COVID-19 – see latest update

20/03/20

updated 24/03/20

RE: COVID-19 pandemic – Delay phase

All patients who are booked in for appointments will be triaged, and any routine recalls for patients who are over 70, have an underlying health condition or are pregnant will be rearranged for later in the year.

  • The new guidance will set out that individuals will still be asked to self-isolate for 7 days from the onset of COVID-19 symptoms but any individuals in the household will now be asked to self-isolate for 14 days from that moment as well. (https://www.gov.uk/government/news/new-guidance-for-households-with-possible-covid-19-infection)
  • Travel history is now irrelevant
  • Anyone with a high temperature or continuous cough who is WELL can stay at home and does not need to engage with NHS111 or be tested.
  • Anyone with a high temperature or continuous cough who is UNWELL should go to NHS111 online first for advice, rather than approaching their GP practice or pharmacy (111.nhs.uk/covid-19)
  • This applies to staff as well as patients

Emergency appointments for people with COVID-19 or symptoms should email England.lancsat-dental@nhs.net (see poster on reception).

We will, until further notified:

  1. Radically reduce the number of routine check-ups by cancelling patients for patients who are over 70, have an underlying health condition or are pregnant (and offer cancellations to anyone else who wishes to do so). Cancel all check-ups.
  2. We will provide, where necessary, the provision of any urgent, emergency and routine NHS work that cannot be delayed.
  3. Set up the text reminders, emails, social media and the voicemail to establish whether any potential patient or anyone in their household has symptoms, prior to any visit.
  4. Call all new patients to assess if they are medically compromised (COPD, asthma or respiratory problems) before they come and re-arrange appointments for later in the year if necessary.
  5. Consider the potential risk of asymptomatic cases attending in this delay phase and reduce exposure of staff and patients to infection by avoiding all aerosol generating procedures wherever possible.
  6. Clearly display the materials on COVID-19
  7. Use robust infection control procedures, wiping down surfaces between patients with extra vigilance to include door handles etc. and use standard PPE

Definitions:

Routine NHS Work examples:

  1. Mild or moderate pain, pain not associated with an urgent care condition and that responds to pain relief
  2. Minor dental trauma – such as banged primary tooth, bitten lip etc.
  3. Post extraction bleeding that patient is able to control
  4. Loose or displaced crowns
  5. Fractured loose fitting dentures
  6. Fractured posts
  7. Fractured fillings and/or teeth with mild or moderate pain
  8. Bleeding gums

Urgent Dental Problems examples:

  1. Dental and soft tissue infections without a systemic effect
  2. Severe dental and facial pain, pain that cannot be controlled
  3. Fractured teeth with pulpal exposure or severe pain

Dental Emergency examples:

  1. Trauma including facial oral laceration / dental alveolar injury for example avulsion of a permanent tooth
  2. Facial swelling that is significant and worsening
  3. Post extraction bleeding that the patient is not able to control
  4. Dental condition resulting in acute systemic illness or raised temperature
  5. Severe trismus (lockjaw)
  6. Oro dental conditions likely to exacerbate medical conditions such as diabetes and cancer patients.

To all dentists, we know from speaking to other practices in Lancaster and the surounding areas, this week has been a challenging one to say the least. Dentists are short staffed due to isoloation, either from COVID-19 issues, childcare issues or pregnancy.

To all dentists, we know from speaking to other practices in Lancaster and the surrounding areas, that this week has been a challenging one to say the least. Dentists are short staffed due to isolation, either from COVID-19, childcare or pregnancy issues. If any practice needs any help with recalls or urgent treatment or you are simply unable to open your practice, please contact us and we can arrange your patients to temporarily come to see us.

We have 7 dentists and 6 surgeries available, so please do notworry about any burden, if you wish to send us any patients.

Please email brockstreetdentalpractice@gmail.com from your practice email account to be given our practice principal’s (Anna Allen) direct contact details.

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