Oral and maxillofacial surgery report

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The oral and maxillofacial surgery report from the ‘Getting It Right First Time’ (GIRFT) programme sets out 15 recommendations to improve the way oral and maxillofacial surgical services are organised and delivered in England.

What the report found

The report focuses on the way oral and maxillofacial surgery (OMFS) in England is organised and delivered. Key aims of the recommendations are to improve the experience for thousands of OMFS patients every year through shorter stays, fewer admissions, fewer repeat visits and potentially shorter waiting times. The proposals would give patients greater access to the most appropriate care, reduce the number of follow-up appointments post-surgery, and enable more procedures to be carried out outside hospital.

The report’s 15 recommendations include looking at why more simple surgery, such as wisdom tooth removal, isn’t being done outside of hospital, as well as further developing hub and spoke networks for OMFS across the country, especially for head and neck cancer work and orthognathic (jaw) surgery. 

Additional recommendations for the organisation of emergency surgery would optimise efficiency. The report suggests allocating dedicated oral and maxillofacial theatre time for OMFS emergencies to help prevent out-of-hours operations and the cancellation of planned procedures. 

The 15 recommendations fall under six themes:

  1. Data quality and data collection
  2. Performing dentoalveolar surgery in an appropriate setting
  3. Improving efficiency by organising care through networks
  4. Optimising the secondary care pathway
  5. Litigation
  6. Procurement

For further information about this report and GIRFT programme, contact Michelle Tompkins michelle.tompkins1@nhs.net.

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