Specialist Secondary Care Dental Services : Lot 1 Orthodontic Level 3b Service - Insourced framework

Scope of Services

1.Orthodontics is the dental speciality concerned with facial growth, development of the dentition and occlusion, plus the assessment, diagnosis, interception and treatment of malocclusions and facial irregularities

2.Orthodontic care includes the provision of advice and education for patients, parents and other health-care professionals. It includes monitoring the development of teeth and providing interceptive measures, with appliances, where appropriate

3.The majority of Orthodontic work is carried out with removable and fixed appliances when all the deciduous teeth have been lost.

4.The overall aim is to provide equitable, accessible, high quality and cost-effective Consultant-led orthodontic services in line with the NHS England National Guide for Commissioning Orthodontics, 2015 ('the Commissioning Guide')

5.The service is aimed at those patients who require orthodontic procedures, defined in this Service Specification that are not expected to be within the remit of general dental practitioners or Specialist Orthodontic services

6.The Supplier must treat all eligible patients and not discriminate in any manner contrary to the relevant regulations

7.There are no geographical boundaries

8.The patient must be under regular continuing care of a General Dental Practitioner

9.The Index of Orthodontic Treatment Need (IOTN) is a clinical assessment of malocclusion severity utilised within the NHS to select those individuals who would benefit most from Orthodontic treatment. The supplier will provide a service to patients who cannot be treated in primary care.

Orthodontic Service Provision will cover

As per the 2015 Commissioning guide suppliers must be able to undertake all the following dental elements:

1.Patients with clefts of the lip and/or palate or craniofacial syndromes

2.Patients with significant skeletal discrepancies requiring combined orthodontics and orthognathic surgery

3.Patients who require orthodontics and complex oral surgery input (for example, multiple impacted teeth)

4.Patients with complex restorative problems requiring secondary care input in a multidisciplinary environment.

5.Patients with complex medical issues, including psychological concerns, which require close liaison with medical personnel locally.

6.Patients with medical, developmental or social problems who would not be considered suitable for treatment in specialist practice.

7.Complex orthodontic cases not considered suitable for management in specialist practice; and

8.Referrals where advice or a second opinion is required from secondary care

Payment of services will be in line and not exceed with the national tariff pricing structure hence the 0% weighting