(a)

NHS England has the responsibility for commissioning dental services across the entire pathway which includes high-street dentists, urgent, community and hospital services;

(b)

new contracts introduced for general dental practitioner by Government in 2006 had impacted the way NHS dentistry was now made available;

(c)

high-street dentists set themselves up as a business enterprise and then offer their services back to the NHS.  High-street dentists are a business unit and constantly balancing how to stay afloat;

(d)

they were focusing on how to integrate the dental pathways across primary and secondary care models and the clinical lead advisory group ensures the maximum amount of dentistry for patients;

(e)

there were currently 2,500 children and 10,000 adults waiting to be seen by an NHS Dentist.  This figure was monitored on a monthly basis.

(f)

if you can find your way to the dentist you will receive treatment.  They target efforts around commissioning to meet health needs but cannot means test people for treatment;

(g)

there was a shortage of dentists across Plymouth in every area;

(h)

they were undertaking a piece of work between PCC and the NHS to review the waiting list and to look at where in the city residents live to ensure services are targeted appropriately;

(i)

that one of the strands within the Child Poverty Action looks at oral health and as a result a document has been produced on how to access dental services in Plymouth.  This was available to access on the Plymouth Online Directory (POD);

(j)

the Dental Access Centre had seen an increase in demand and on average receive between 75 to 80 calls per day.  They will see around 22 people a day in the clinic as commissioned by the NHS leaving around 60 people a day unable to have their pain dealt with;

(k)

they were looking at how they can prioritise a families y because they have children and an important issue for them to look at;

(l)

that over 700 children have their teeth extracted under general anaesthetic and nearly of all of those cases were preventable.  A number of projects were in place to address this such as supervised tooth brushing scheme, life education mobile classroom and dental champion training;

(m)

discussions were taking place to create a new practice in the city centre to relieve the pressure within the system;

(n)

the school dentist was no longer a national requirement but this service was retained for the special schools;

(o)

retention was a major problem and recruitment  ...  view the full minutes text for item 43.

(a)

they were not aware of what was paid to domiciliary care workers in Devon but generally they were paid more because of travel time.  They had increased the visit time from 15 minutes to 30 minutes and recently made the decision to take the Enablement Services back in-house;

(b)

they think the CQC will challenge them on their performance data.  They were fairly confident with the plan and have put in extra measures to address the issues to get them back on track with ED.  They may be challenges around primary care but the CQC recognise that this was a long term plan;

(c)

the Crisis Café has limited opening hours and initially small number going through the unit.  They were currently reviewing this service with Colebrook and were looking to scale this service up in terms of patient flow.

(a)

they do not put an apprentice into a temporary role and at Livewell SW always look to keep apprentices once they have completed their apprenticeship;

(b)

the career pathway over time would break down the stereotypes around the current stigma and gender around the caring profession.  The Proud to Care Network was undertaking good work in promoting and advocating caring as a career;

(c)

through the Future Workforce Team they have good links with PLUSS and mutually beneficial for them to work together to get people into great employment opportunities;

(d)

agency spend on Doctors was £4.7m, to address this they have a dedicated team working closely with medical directors to look at how to address this national shortage as well as looking at ways to attract people to this part of the world;

(e)

staff wellbeing was really important and have undertaken work to ensure they were offering good wellbeing to employees.