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Dentists told to stop routine treatment during covid-19 crisis

Dentists told to stop routine treatment during covid-19 crisisBy Matt Discombe25 March 2020    Dental practices told to stop all routine treatment    Patients to be triaged on phone with some practices offering urgent care    Measure aimed at stopping spread of covid-19Dental practices have been told to suspend all routine treatment in a bid to reduce the spread of covid-19.In a letter sent to practices today, NHS England and Improvement said: “All routine, non-urgent dental care including orthodontics should be stopped and deferred until advised otherwise.”All dental practices should establish — either independently or with others — a telephone triage service for patients with urgent dental needs, the guidance added.Urgent and emergency care will be based on telephone advice and prescription of analgesics or antibiotics.NHS regions have been told to set up “local urgent dental care systems” to manage patients with emergency dental problems. Each system would involve provision at numerous sites to separate patients who either have possible or confirmed covid-19, or live with someone who has, and those deemed particularly vulnerable or at significant risk from the disease.NHSE’s chief dental officer Sara Hurley said in the letter: “We appreciate that these are significant changes that will have major implications on your personal and professional lives and will bring about new ways of working locally and nationally.“We know that the profession [is] calling for further guidance and we are fully committed to working openly and constructively to rapidly update and clarify guidance as the position evolves.”In a letter confirming the decision and offering regulatory guidance, Rosie Benneyworth, the Care Quality Commission’s chief inspector of primary medical services, added: “As this change in service provision affects the whole of the dental sector it is not necessary for providers to notify us at this time, unless a service closure is permanent.”SourceNHSE/I letterSource DateMarch 2020Source Letter URLhttps://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/issue-3-preparedness-letter-for-primary-dental-care-25-march-2020.pdf

Bernard Allen ● 2390d0 Comments ● 2390d

Prioritising ideological purity over lives

I quote from a summary of the Downing St lobby briefing this morning (apologies for the bold text, which I can't change): The spokesman dismissed suggestions that it was hard to understand why the government was not participating in the EU-wide procurement scheme for ventilators. Asked why the government was not doing this, he replied: “We are no longer members of the EU.” In fact, because the UK is in the post-Brexit transition period, the UK would have been able to participate. When it was put to him that people would find it hard to understand this decision, particularly in the light of the fact that the PM has called for international cooperation in the fight against coronavirus, the spokesman said: “I’m not sure that it is.” He also stressed that the UK was making its own efforts to procure ventilators. He said: 'You can see the efforts that we are making to secure ventilators.....We are working hard to ensure that we get extra ventilators into the NHS as far as possible.' This seems unforgiveably, indeed callously, stupid to distance the UK from the 27 at this time of great shared threat to life. It is the Guardian's take, so one should allow for some anti-Brexit bias in the reporting, but on the face of it, it's a very hard-faced decision. However, this is the same government that was prepared to sacrifice the older generation, whilst "herd immunity" was  built up, rather than have to shut down the economy.

Robert Fish ● 2422d36 Comments ● 2391d