Wednesday, 7 May 2003
Adjournment Matters. - Dental Service.
I wish to ask the Minister of State for Health and Children, Deputy Tim O'Malley, why people with multiple handicaps in County Roscommon cannot avail of a senior orthodontist. I believe this is their right, particularly in the year of the disabled. The non-availability of a senior orthodontist in the county has gone on far too long.
I thank the Senator for giving me this opportunity to inform the House of the developments that have taken place in the dental services, which are aimed at providing services to those children with special needs. The House should be aware that the provision of dental treatment to patients with special needs is the responsibility of the health boards in the first instance.
I am aware that the level of dental care has declined in all socio-economic groups. However, children from socially disadvantaged groups and those with disabilities suffer disproportionately from the effects of oral disease. Important steps have already been taken to focus greater attention on developing dental services for people with special needs.
A mark of a civilised society is the extent to which it caters for the needs of those with disabilities. Frequently, their voice is not heard to the same extent as that of other groups. Significant research is underway regarding the oral health needs of persons with disabilities. This research is part of the National Survey of Adult and Children's Dental Health being carried out by health boards, University College Cork and the Department of Health and Children. The outcome of this research will be used in the formulation of a new strategy for the dental services. Ultimately it will have a major impact on the evolution of dental services in the future.
In 1994, the dental health action plan was agreed which allowed for the reorientation of the dental services towards the provision of structured care for special needs patients. In this regard, health boards have restructured their dental services to give greater recognition to those involved in delivering dental services to persons with special needs.
A grade of senior dental surgeon in special needs duties has been created. The remit of the senior dental surgeon in special needs includes the identification of specific target groups in the community who may have difficulty in gaining access to, accepting oral health care, or who may be at greater risk from dental disease or oral dysfunction than the majority of the population. Such target groups include the medically compromised and those with physical and intellectual disabilities. In addition, the senior dental surgeon in special needs is responsible for the prioritisation of the oral health needs of these groups and the supervision of the on-going training needs of dental staff working with people with special needs.
My Department recognises the importance that leadership in the area of special needs dentistry can bring to the future direction and development of this area. I am pleased to advise the House that the Department has funded the appointment of a professor of special care dentistry at the Dublin Dental School and Trinity College, Dublin. A professor for this post has been appointed and is playing a very important role in developing education, training and research in the arena of special care dentistry.
A number of boards refer patients who are medically compromised and who need complex care to specialist dental units in Cork University Hospital and Our Lady's Hospital for Sick Children, Crumlin. In this way, the health boards ensure the welfare and safety of these patients. Equally, the Dublin Dental School and Hospital acts as a national resource for health board and general practice dentists for the referral of patients who require specialist treatments that dentists cannot provide. The Dublin Dental School and Hospital has service agreements with a range of agencies to provide specialist care services and these play an important role in specialist and consultant training programmes, as well as delivering specialist care for patients. A paediatric dental service is provided at Tallaght and Temple Street Children's Hospitals by the Dublin Dental Hospital. Discussions are taking place regarding the provision of a more comprehensive service at Temple Street Hospital, Dublin.
In addition, the hospital provides an emergency service to which general hospitals and general dental practitioners can refer patients for whom they cannot provide a service. Emergency out-of-hours services are also provided by the hospital. Likewise, at the Cork Dental School and Hospital, senior staff including specialists in paediatric dentistry provide an important consultant service within their area of specialisation.
The health strategy envisages a health system that is accessible, fair and empowers the community to achieve their full oral health potential. Embracing this vision means participating in a system that is equitable, people-centred and responsive to the needs of the individual. These equity and people-centred visions foster a culture of removing barriers to health care for people with disabilities. The strategy declares, "A special needs based approach will be taken to developing dental services over the next five to seven years." Consequently, greater attention will be focused on developing dental services for people with special needs at national and regional level over the next five to seven years. Ultimately, building on steps already taken in this important area will be a priority.