Brunssum Dental Care

Lt Col E F Murphy RADC

BDS DPDS MFGDP(UK) MFDSRCPS(Glas)

Regional Senior Dental Officer (Germany)

Defence Primary Health Care

Brunssum

Mon 13 Jul 2015

Brunssum Dental Care•Host Nation Provision•Types of Treatment•Payment•Equipment & Laboratory Support•Specialist Care•Pharmacy Arrangements•Emergency /Out of Hours’ Provision•Dental Fitness

Host Provision

•www.bfgnet.de/health/dental/isodets/•YOU CAN GO TO ANY DENTIST YOU CHOOSE•Dutch Med Centre- suggested 3 local practices•English widely spoken in NL•Brunssum•Heerlen•Maastricht•Letter of Introduction

Tandartspraktyjk Schoffelen

Dental Clinics-Heerlen

Dental Clinics-Maastricht

Types of Treatment•Being paid for by the public purse•Military personnel-Range of treatment comparable to DDS•Civilian Patients-Range of treatment comparable to NHS-Cosmetic Bleaching and Implants not normally available on NHS-not available from publicly funded HN support

Types of Treatment•Emergency- no approval requiredUse Annex C from transition packImmediate Access

•Routine- no approval requiredUse Annex C from transition packInspectionsRadiographsHygieneFillingsRoot FillingsExtractionsNo more than two crowns

•Non-Routine-approval requiredAdvanced restorative work, >2 crowns, Bridges, Dentures, Wisdom teeth extraction Orthodontics for childrenGA

Payment•Letter of Introduction•Not normally pay for treatment personally•Keep copy of bill•Emergency/Routine-Form Annex C •Give Annex C to Dentist•Dentist (or you)sends Annex C with bill to HQ DDS•HQ DDS review Pt liable to ‘NHS’ Dental Charges•HQ DDS sends bill to EJSU SHAPE for full payment•Advises EJSU of need for recovery action•Military- EJSU JPA action to deduct from HoH pay•UKBC- EJSU bills Pt-pay EJSU directly- e.g. cheque

Equipment & Laboratory Support•Bright and Modern

•Central Sterilisation and Infection Control

•Well-equipped surgeries

•Dental Hygienists

•Digital Radiography

•Microscope for Root treatment

•Local lab support for crowns, bridges, dentures

Specialist Care•All non-routine and require approval- Annex A•PDO decision based on clinical need not costOrthodontics•free choice•2x Orthodontists in HeerlenMaastricht practice has own OrthodontistOral Surgery•Dentist sends Annex A to HQ DDS- local Dutch or MGRestorative•Dentist sends Annex A-approval-allowed to proceed •Refer to DDS Consultant for Restorative Dentistry?

Pharmacy

•Use same Pharmacy as BFGHS

•Liable to Prescription Charges if not-exempt

•Kring Apotheek

Rumpenstraat 2A

6443 CD

Brunssum

Emergency Treatment•Normal Hours-contact practice-same day service-Evenings & Weekends - extended hours -Ring practice- Answaphone message in English-Details of dentist on emergency roster-Take Letter of Introduction and Annex C-No time- pay cash and submit claim-TAS safety net-contact DDS duty DO for advice

Dental Fitness•Military Personnel- Personal Responsibility•Requirement for Annual Dental Inspection•Take Certificate of Dental Fitness•Dentist to sign when treatment complete•Send to HQ DDS (G)•Entered onto DMICP clinical records•JPA interrogates DMICP•CO EJSU run JPA reports of NATO personnel

Summary

PROs• High quality care• Dental Hygienist• Improved access• Opening Hours• After-school appointment• Saturday & after-work• Faster laboratory support• Access to other treatment

CONs• Change/Unfamiliar• Personal responsibility• More Admin• Not on JFC• Convenience?

Questions?