Dental Core Trainee, Oral and Maxillofacial Surgery, Ashford and St Peter´s Hospitals NHS Trust, London Rd, Stanwell, Ashford, TW15 3AA, United Kingdom.
Clinical Director Dentistry, OMFS and Ophthalmology, Royal London Dental Hospital, Barts Health NHS Trust, Turner St, London, E1 1FR, United Kingdom.
Br Dent J. 2023 May;234(10):739-745. doi: 10.1038/s41415-023-5849-y. Epub 2023 May 26.
Pressure on paediatric dental general anaesthetic (GA) waiting lists has recently been at its highest, further compounded by the COVID-19 pandemic. Project Tooth Fairy (PTF), a pan-London collaborative project, was conceived in response to this backlog. A dedicated day case GA suite was established within The Royal London Dental Hospital (Barts Health NHS Trust) for use by multiple trusts to enhance elective recovery.Over ten months, 895 patients were treated and discharged by PTF, averaging 101 patients per month. The majority required simple exodontia and comprehensive care and some patients were treated for surgery related to orthodontic treatment. Patient-reported experience measures highlighted an overall positive experience and appreciation for the service.Several governance domains were considered in the service development, including risk management, workforce recruitment and information governance. Training opportunities have arisen for team members to develop their skills. Patient-reported experience measures have guided the provision of service focusing on paediatric dentistry and paediatric GA.PTF has demonstrated the creation of a service centred around collaboration to successfully reduce GA waiting lists and therefore improving patient outcomes. The development of this service can be used as a template for the establishment of similar regional collaborative projects.
儿科牙科全身麻醉（GA）等候名单的压力最近达到了历史最高水平，新冠疫情更是雪上加霜。为应对这一积压问题，伦敦各地合作项目“牙仙子计划”（PTF）应运而生。在伦敦皇家牙科医院（Barts Health NHS Trust）内设立了一个专门的日间 GA 套房，供多个信托机构使用，以加强选择性康复。在十个月的时间里，PTF 共治疗和出院了 895 名患者，平均每月 101 名。大多数患者需要进行简单的拔牙和全面护理，有些患者则因正畸治疗相关的手术而接受治疗。患者报告的体验措施突出了对服务的总体积极体验和赞赏。在服务开发中考虑了几个治理领域，包括风险管理、劳动力招聘和信息治理。团队成员有机会参加培训以提高技能。患者报告的体验措施指导了专注于儿科牙科和儿科 GA 的服务提供。PTF 已经证明，创建一个以协作为中心的服务可以成功缩短 GA 等候名单，从而改善患者的治疗效果。该服务的开发可以作为建立类似区域合作项目的模板。
