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The dilemma of commissioning: the isle of wight orthodontic managed clinical network: a 3-year review part 2: referral outcomes Elizabeth Lammiman Robert Ireland Dental Update 2024 6:2, 707-709.
Authors
ElizabethLammiman
BDS, MSc
Specialist Orthodontic Practitioner, Isle of Wight
The key objective of creating the Isle of Wight orthodontic service managed clinical network (IOWOS MCN) was to create an integrated service measuring the referral and outcome data to inform future commissioning and service re-organization. Data were collected as part of a central referral triage process and were analysed from 2006 to 2009. The theoretical orthodontic need was assessed in the IOW population and compared to other methods of assessing need reported in the literature. The IOWOS referral outcomes were then compared to the expected theoretical outcomes. The referral outcomes were described and discussed in the first part of this two-part series. This second part provides an insight into some of the complexities of commissioning orthodontic care by reference to the referral outcome data.
Clinical Relevance: There was a high level of appropriate referral for orthodontic treatment within the IOWOS MCN but the method of calculating orthodontic need is complex.
Article
The development of the Isle of Wight orthodontic service managed clinical network (IOWOS MCN)1,2 has allowed collection of referral and outcome data to inform future commissioning and service re-organization. Prior to 2006, there was no integrated data and access to orthodontic services was poor and commissioning of services had no evidence base. The current justification for orthodontic treatment is complex and the method of calculation heterogeneous.3,4,5,6 This review analysed outcome data for the IOWOS from 1st July 2006 to 30th June 2009.
Referrals were from a potential NHS list of 62 primary care dentists, secondary care including oral and maxillofacial surgeons and other medical specialties, and a few referrals from general medical practitioners and a few transfer cases from the UK mainland.2
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