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Oral health service plan for Sydney Local Health District

University: Western Sydney University

Task:
The health service plan will undertake health service review and development for one clinical stream for Sydney Local Health District, based on a choice of a series of options from three clinical position papers.
The following sections are to be included in the plan:
- Introduction
- Planning principles
- Demographic analysis including relevant population projections
- Needs assessment
- Service profile within Sydney LHD, including Role Delineation Levels and Models of Care
- Current activity levels, including separations and bed days by facility and across the LHD
- Catchment and reverse catchment profiles
- Situational analysis - Strategic Issues and Priorities
- Future Services Profile by Facility and across the LHD and Proposed Role Delineation Levels and Models of Care
- Key goals, objectives, strategies in table format.
- Overarching recommendations and conclusions.

Answer

Introduction & Planning Principles

Oral health and other vulnerable consequences are considered as a foremost exponent of general health and a pertinent literature seems to serve the evidence to consolidate the urge to align it with an awareness of systematic health. The Sydney Dental Hospital (SDH) is dedicated to provide tertiary and quaternary oral health services to the eligible residents of NSW, which is designated as level six in the hierarchy of oral health services. The clinicians and several experts of this discipline have identified the fact that the urge for oral health services began to evolve in order to respond to the growth of population. Furthermore, the experts recognize a considerable alteration in the patterns of disease and the subsequent appropriate care. This subtle yet significant discovery direct them towards greater awareness regarding oral health issues and simultaneously supplement their principles to execute their strategies to accomplish those.

The planning principles has been framed across the obligations to;

·         Emancipate the visiting patterns for all the population seeking dental and other oral health care services

·         Introduce concentrated activities and targeted service provision in order to prioritize the residents in terms of severity of need

·         Emancipate the cumulative oral health index of the community through a persistent dedication towards the oral health promotion

·         Develop a circumspect awareness regarding the prevention strategies

This body of paper is supposed to evaluate the current service profile of SDH along with their future service profile backed by their ability to assess the immediate oral health needs across the demography of their community. On a note of moral obligation, the paper is supposed to provide a overview of the profiles of the oral health while looking for the eligible residents in accordance with the severity of need of care. 


Demographic analysis & Population projection

On a slight offbeat note, their vernacular language can characterize the population of the immediate community of SDH since they are accustomed to speak in Mandarin, Arabic and Greek instead of English. As per the accurate recognition that needs of oral health services has been evolved over the years, the demographic trends typically revolves across’

·         Children and adolescents

·         Older people; since the periodontal maladies and several other symptoms associated with dental caries appeared to be prevalent among the senile residents

·         People with low pay scale or deprived of petty social advantages

·         Residents with the requisite of special attention (such afflicted from impairment or the victims of trauma or other psychological shocks)

·         Aboriginal people, since they are supposed to have more experience about dental caries as they have to leave their dental caries untreated (Aboriginal adolescents and adults as well having issues regarding missing teeth)

Monitoring the governing trends in population growth over several past years it can be admitted that, the Sydney Local Health District (SLHD) provincial government is supposed to experience a large growth in population (As per the expectation of projected population, the gross population is supposed to be increased by 200,000 people in the upcoming two decade) (Lindsay et al, 2014). The socio-economically and culturally diverse population is supposed to experience a gross leap of 75% of the senile people (Aged over 65) in the upcoming decade.

The prime index of the cumulative oral health status among the SLHD is extensively characterized by the prevalence of dental caries. The pattern that its outbreak exhibit suggests that it is chronic yet largely preventable malady of microbial origin and typically considered as a inevitable by-product of the multifactorial lifestyle (Drummond et al, 2015).   

Needs Assessment

It is very evident from the planning principles of SLDH that they are supposed to prioritize among the eligible residents in accordance with the severity of their needs (World Health Organization. 2013). In order to assess the general and specific requirements it is necessary to understand the services that the SDLH wants to provide for the communities. As per the foreword of the Clinical director the oral health services desires to grow in response to the population growth. In order to do so it is important to improve the dental visiting patterns for the eligible population. It is significant to continue to deliver efforts in order to provide quality service to the people in need. In order to improve the community’s oral health status it is important to enhance the promotion and also develop the prevention strategies. The priority actions that need to be met accordingly are:

  • Implementation of the SLHD oral health workplace culture improvement strategy.
  • On order to expand their domain of their health care services, it is important to strengthen their relationship with different institutions including educational institutes and provide health care programs and workshops.
  • Development of strategies in order to ensure implementation of the Oral Health Activity-based Funding model (Funk, 2016).
  • Improvement of the corporate and the clinical productivity of the their oral health services.

In order to ensure the achievement of the mentioned needs it is important to improve the current infrastructure and the equipment priorities. These priorities include

  • Strategize a proper planning in order to ensure expansion of the current community oral health clinic. In order to expand their services it is important to reach more people and increase their knowledge of the oral healthcare.
  • Another necessity is to redesign the speciality units that includes upgradation of the special support, endodontic departments, surgery redesigning and and oral surgery recovery areas. In order to increase prosthetic dentistry department ceramic laboratory is required and it can also increase the prosthetic dental work (Funk, 2016).
  • Another important factor is to finalise the rollout of the SCAN Ex imaging-Photo Stimulable Phosphor Program across the Oral health clinical scheme.

Another important requirement is to grow the IT capacity of the SLHD Health services. Improving of the IT capacity includes:

  • Developing a new information management system which is capable of integrating with PAS, PAX and other health related IT systems which also includes the electronic media records.
  • The current microwave linkage of the of the Royal prince Alfred Hospital requires replacement and also a faster connection is required to transfer to the RPA server for the means of data storage, digital managing and scanning and 3D imaging data is also another necessity.
  • A high capacity data storage server is also required (Xu et al, 2014).
  • It is important to access the important information through improved and faster WiFi internet access.
  • Incorporating social media platforms in order to grow awareness among the people is also important. In order to do so broader communication platforms for discussion forums.


Service profile; Role delineation & Models of Care

Paediatric Dentistry: 

  • The service typically incorporate intricate restorative treatmemts, minor teeth extractions and several oral surgeries of of moderate complexities.
  • Furthermore, the unit consists of a consciousness sedation wing with the latest facilities of operative equipment, anasthesia and dental diagonistic.

Orthodontics: 

  • This unit is supposed to endow the eligible residents with both permanent and removable orthodontic appliances.
  • Waiting lists are the worst side of the aspect due to the presence of huge demand

Endodonotics:

  • Dedicated to provide root-canal services as a quaternary referral unit to the eligible residents
  • Stable and regular services typically include scheduled endodonotic procedures.

Periodontics:

  • It encourages the improvement of oral hygeine and simultaneously serves the cardinal areas of incerceptive surgery.
  • Deep scaling also have been performed in order to reduce the likelihood of destructive periodontal infections.

Prosthodontics:

  • This unit is dedicated to provide upgraded restorative treatments, fixed crowns and temporary dentures.
  • The unfortunate reality of waiting list due to excessive demand

Models of Care:

The evolution of Models of Care has been discussed over here in accordance with the planning principles;

  • Weekly and scheduled service primarily to the senile eligible residents with special disability. SDH is supposed to provide that.
  • Evolution and further execution of the innovsative tools intensive to SLHD, in order to provide regular and scheduled towards the disadvantaged and medically compromised children. 
  • The Hub and Spoke approach proposed by SDH in order to outreach the services intensive to community clinics
  • Education and skill-improvement oppotunities to train the staffs of the community clinics


Current activity levels

As the performance statistics suggest, a large number of patients afflicted with several oral maladies are endowed with the comprised services of NAPOOS (Non Admitted Patients Occasions of Services). The statistics further suggest that the growth of the patients who have been able to seek the services from NAPOOS in the subsequent fiscals.

Furthermore, as per the declarations of the joint venture that has been introduced between NSW and Commonwealth and which is  dedicated to provide additional oral health services exhibited a commendable leap towards their desired objectives. On a moral note, they have segmented the recipients of service from the section of the residents, which is financially undermined and disadvantaged.

Apart from the aforementioned services, SLDH has been able to provide oral health care in very impatient circumstances though it was not adequately quantified along with the surgical and advisory assistance. As the vision of the alliance between NSW and Commonwealth and which is  dedicated to provide additional oral health services exhibited a commendable leap towards their desired objectives. On a moral note, they have segmented the recipients of service from the section of the residents, which is financially undermined and disadvantaged.

Apart from the aforementioned services, SLDH has been able to provide oral health care in very impatient circumstances though it was not adequately quantified along with the surgical and advisory assistance. As the vision of the alliance between NSW and Commonwealth states, the moot impulse that the experts and the clinicians are serving is to introduce a significant leap in the agreement-based performance in order to emphasize the awareness of oral health as an integral aspect of hygienic living.

The patients who have obtained the corresponding services are unique and exclusive in terms of their affliction. The respective maladies range patients suffering from severe oncological complications and surviving with the vulnerability of a solid organ transplant to the ones with benign diabetes and cardo-vascular diseases. The prime thing that needs to be admitted over here is the agreement has been able to serve the medically compromised ones along with the extractions and restorations that are supposed to be provided by the private service provider units.

In this regard, it is a moral urge to admit the potential challenges and circumstantial severities under which the concern has to perform. The potential challenges can be categorized as;

·         Population Growth

·         Workforce

·         Senility of the Population

·         Abysmal obtaining in the oral health profile

·         Restoration of the balance between population prevention and individual recovery services

Infrastructure of Senility    


Catchment & Reverse Catchment Profiles

SLHD has 160 public dental chairs among which 121 are included within the specialist and clinical reaching areas of SDH. The clinics are in the Canterbury Hospital DEntal Clinic, Concord Community oral Health Clinic, Croydon Community Oral Health Clinic and few more.

Situational Analysis; Strategic Issues and Policies

As far as the current situation is concerned the strategic issues and policies which have been implemented are helpful for the development of SLHD. the strategy of the organization facilitates the achievemenmt of the objectives. The five goals which are to achieved are:

  • To maintain the oral health of the eligible populations.
  • Provide appropriate evidence based health services to the people in need.
  • Improving the overall wellness of the individuals.
  • Opportune more people to acquire the healthcare services. 

Future Services Profile

The organization aims at developing their service to the regions and the people who are deprived of the current organizational health care services. In order to do so it is important to expand their services to other regions and establish more healthcare centres.

Key objectives & Strategies

Key objectives of this organization is to improve the infrasstructure in order to provide better healthcare services to the prople in need.

Recommendations & Conclusions

In the light of the above study it can be recommended that SLHD needs to expand their care centers through the establishment better clinics as this will ensure more people come under their quality services.

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