Dentistry - community and specialist dental services

Service overview

The CLCH community and specialist dental service provides dental treatment for adults and children who cannot be treated in a general dental setting.

Our specialist dental teams provide a wide range of services, with specialist teams in the following clinic fields:

  • oral surgery
  • restorative dentistry
  • paediatrics.

We also provide a walk-in dental service for the homeless people, which runs at the Great Chapel Street Health Centre, 13 Great Chapel Street, London W1F 8FL.

We provide an emergency dental service at St Charles Centre for Health in the evenings and at weekends and public holidays. Our emergency dental service is not a walk-in service.

If patients repeatedly do not attend appointments and do not cancel with sufficient notice, they may be discharged back to the care of their referring dentist.

There are waiting times associated with some Specialist Dental Services.  For current waiting times please call 020 7534 6529.

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Who is our community & specialist dental service for?

  
CLCH community and specialist dental services provide dental treatment for patients who are unable to receive treatment in a high street dental setting and who live in, or are registered with a GP in Hammersmith & Fulham, Kensington & Chelsea and Westminster.

If a patient is unable to access high street dental care as a result of a complex medical/social/psychiatric or other relevant history that makes attending a high street dentist difficult, then a referral can be made into our community dental service.

If a patient is unable to have a particular course of treatment carried out in a high street dental setting owing to the complexity of the treatment required, then a referral can be made into our specialist dental service.

In addition, we run a walk-in dental service for the homeless at the Great Chapel Street Health Centre, 13 Great Chapel Street, London W1F 8FL.

Please see the 'What do our community & specialist dental services do?' section below for more detailed information on the acceptance criteria for our services.
  

What do our community & specialist dental services do?

  

The aims of the community dental service are:

  • providing quality dental care to special care and paediatric groups and selected other hard to reach groups, in both clinic and community settings
  • providing a range of public health functions for special care and paediatric groups
  • delivering the national dental public health epidemiology programme and any local surveys agreed with NHS England (London region) or the local authority
  • improving access for special care groups, paediatrics and selected hard to reach groups as defined in the service specification
  • providing support for outreach teaching as agreed in the specification
  • providing post-graduate training as agreed with Health Education England (HEE) and NHS England (London region)
  • collaborating in relevant oral health research programmes

The services we provide can be broken down into two main service areas; the community dental service and the specialist dental service:

Community dental service

Our community dental service provides care for those patients who live, or are registered with, a GP in Hammersmith & Fulham, Kensington & Chelsea and Westminster and are unable to be treated in a general dental setting. The following section is a summary of the criteria for the community dental service.

The CLCH community dental service comprises of two main elements:

  1. CLCH paediatric dentistry - paediatric dentistry is concerned with the care and oral health improvement of children in society, from birth through to adolescents, that may demonstrate a physical, sensory, intellectual, mental, medical, emotional, psychological or social impairment or disability or, more often, a combination of these factors. In some cases, there can be difficulty in accessing care in general dental practices due to different factors, or in the case of young children may be pre co-operative and require specialist level care.
    The paediatric community dentistry service specification can be downloaded as a PDF
     
  2. Special care dentistry for adults - special care dentistry is concerned with the improvement of the oral health of individuals and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or disability or, more often, a combination of these factors. The specialty focuses on adolescents and adults only (age 16 years old and above) and includes the important period of transition as the adolescent moves into adulthood.
    The adult community dentistry service specification can be downloaded as a PDF 

Specialist dental service

Our specialist dental teams provide a wide range of services including:
 
  • oral surgery - the treatment and ongoing management of irregularities and pathology of the jaw and mouth that require surgical intervention. This includes the specialty previously called surgical dentistry.
  • restorative dentistry - the restoration of diseased, injured, or abnormal teeth to normal function. Includes all aspects of:
    • endodontics - the cause, diagnosis, prevention and treatment of diseases and injuries of the tooth root, dental pulp, and surrounding tissue.
    • periodontics - the diagnosis, treatment and prevention of diseases and disorders (infections and inflammatory) of the gums and other structures around the teeth.
    • prosthodontics - the replacement of missing teeth and the associated soft and hard tissues by prostheses (crowns, bridges, dentures) which may be fixed or removable, or may be supported and retained by implants.

All our specialist dental services are referral-based.

General dental practitioners must send through written referrals outlining the specific treatment that they require the specialist dental team to carry out - in line with our acceptance criteria.

  

Where do we provide our community & specialist dental services?

  
Our community and specialist dental teams work out of a number of community based health centres and dental surgeries, as well as in people's homes.

 

Hammersmith & Fulham

  • Parsons Green Health Centre, 5-7 Parsons Green, London, SW6 4UL
  • Parkview Health Centre, 56 Bloemfontein Road, London W12 7FG
Kensington & Chelsea
 
  • Colville Health Centre, 51 Kensington Park Road, London, W11 1PA
  • St Charles Hospital, Exmoor Street, London, W10 6DZ 
  • Violet Melchett Health Centre, 30 Flood Walk, Chelsea, London, SW3 5RR
Westminster
 
  • Great Chapel Street Health Centre, 13 Great Chapel Street, W1F 8FL
  • Lisson Grove Health Centre, 8 Gateforth Street, London, NW8 8EG
  • Medical Centre, 7e Woodfield Road, London, W9 3XZ
  • Soho Centre for Health & Care, 1 Frith Street, London, W1D 3HZ 
  • South Westminster Centre, 82 Vincent Square, London, SW1P 2PF
  

What can you expect from our community & specialist dental service?

  
Our staff are skilled in delivering the care required to our special needs patients and those referred to our specialised services.

We aim to:
 
  • provide high quality dental care to all of our patients
  • promote good oral health
  • prevent and treat dental disease
  • see everyone in a timely manner
In addition we can provide:
 
  • domiciliary services for those people who are unable to leave home
  • dental treatment under inhalation sedation for children
  • dental treatment for adults under sedation
  

Who do our community & specialist dental teams work with?

  

Our community & specialist dental teams work with local dentists, GPs and a variety of healthcare professionals depending on the needs of the patient.

  

Who works in our community & specialist dental teams?

  
Our community and specialist dental teams are made up of a number of specialised roles:
 
  • dentists
  • dental nurses
  • dental therapists
  • clinical lead for restorative dentistry 
  • clinical lead for oral surgery
  • honorary consultant in restorative dentistry
  

How do you access our community & specialist dental services?

  

The CLCH community and specialist dental services are referral-based services. Patients can be referred by their dentist, GP and other healthcare professionals. 

  

Service opening times

  

To access the emergency dental service, patients must phone 111 for an initial telephone triage and to organise any subsequent visits. You will not be seen if you turn up without an appointment, it is not a walk-in service.

The opening times for the emergency dental service are:

Monday: 19.00 to 22.00
Tuesday: 19.00 to 22.00
Wednesday: 19.00 to 22.00
Thursday: 19.00 to 22.00
Friday: 19.00 to 22.00
Saturday: 10.00 to 16.30 and 19.00 to 22.00
Sunday: 10.00 to 13.30 and 19.00 to 22.00

 

  
 

Our community dental teams work in the boroughs of:

  • Hammersmith and Fulham
  • Kensington and Chelsea
  • Westminster

Referrers

This information is for GPs, GDPs and other healthcare professionals who refer patients to our community dental service teams.

Referral criteria for our community & specialist dental teams

  

Community dental service


Our community dental teams provide care locally for those patients who live in:
  
  • Westminster, Kensington & Chelsea and Hammersmith & Fulham - dental care provided across these three boroughs for patients who live in, or are registered with a GP in any of three boroughs and are unable to be treated in a general dental setting.

 

The CLCH community dental service comprises of two main elements:

  1. Paediatric dentistry  - paediatric dentistry is concerned with the care and oral health improvement of children in society, from birth through to adolescents that may demonstrate a physical, sensory, intellectual, mental, medical, emotional, psychological or social impairment or disability or, more often, a combination of these factors. In some cases, there can be difficulty in accessing care in general dental practices (GDPs) due to different factors or in the case of young children may be pre co-operative and require specialist level care.


    Guidance on making referrals to the paediatric community dental service is available to download as a PDF

     
  2. Special care dentistry for adults  - special care dentistry is concerned with the improvement of the oral health of individuals and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or disability or, more often, a combination of these factors. The specialty focuses on adolescents and adults only (age 16 years old and above) and includes the important period of transition as the adolescent moves into adulthood.

    Guidance on making referrals to the adult community dental service is available to download as a PDF

 

Our specialist dental teams provide a wide range of services including:

  • Oral surgery - the treatment and ongoing management of irregularities and pathology of the jaw and mouth that require surgical intervention. This includes the specialty previously called surgical dentistry.
  • Restorative dentistry - the restoration of diseased, injured, or abnormal teeth to normal function. Includes all aspects of endodontics, periodontics and prosthodontics.
  • Endodontics - the cause, diagnosis, prevention and treatment of diseases and injuries of the tooth root, dental pulp, and surrounding tissue.
  • Periodontics - the diagnosis, treatment and prevention of diseases and disorders (infections and inflammatory) of the gums and other structures around the teeth.
  • Prosthodontics - the replacement of missing teeth and the associated soft and hard tissues by prostheses (crowns, bridges, dentures) which may be fixed or removable, or may be supported and retained by implants.
All our specialist dental services are referral-based. General dental practitioners must provide written referrals outlining the specific treatment that they require the specialist dental team to carry out - in line with our acceptance criteria (as below):


Download our 
Specialist Dental Referral Acceptance Criteria

  

What referral information do our community & specialist dental teams need?

  
All referrals into CLCH dental services will require the following information:

Patient details
  • patient name
  • patient address
  • patient contact details
  • patient date of birth
  • patient NHS number
  • patients GP details
Medical details
  • reason for referral
  • active problems
  • significant past problems
  • current medication
  • relevant past medication
  • known allergies
  • whether the referral is urgent, non-urgent, or routine
Referrer details
  • referrer name
  • referrer organisation
  • referrer address
  • referrer contact details
Community referrals require a full medical history to be provided with all referrals.

Specialist referrals will require the following:
 
  • up to date medical histories
  • copies of relevant radiographs
  • periodontal charting for periodontal referrals
  • study models for prosthodontic referrals
  

How do you refer to our community & specialist dental services?

  

To refer a patient registered with a GP to our service, please use the appropriate referral form below:

Community referrals

Adult (16 years old and above): download the adult community dental services referral form as either a Word document or a PDF

Children (15 years old and younger): download the paediatric community dental services referral form as either a  Word document or  a PDF

Specialist referrals

Download our specialist community dental services referral form as either a Word document or  a PDF

If being sent from an NHS.net account, completed referral forms can be securely e-mailed through to the designated referral e-mail address:

clcht.dental@nhs.net

Alternatively, referrals can be faxed to 0300 008 3279 or posted through to the referral management centre at the following address:

Dental Referral Management Centre
Soho Centre for Health & Care
1 Frith Street
London
W1D 3QS
  

Waiting times for our community & specialist dental services

  
Hammersmith & Fulham, Kensington and Chelsea and Westminster:

Waiting times fluctuate depending on a multitude of factors.
For up to date waiting times for any particular service area, please call us on 020 7534 6529/6524 and we will provide you with waiting time data accurate as of the last reporting month.
  

Core Hours for our community & specialist dental services

  
The core hours of our community & specialist dental service are:

Monday - 09.00 to 17.00
Tuesday - 09.00 to 17.00
Wednesday - 09.00 to 17.00
Thursday - 09.00 to 17.00
Friday - 09.00 to 17.00
Saturday - Closed
Sunday - Closed
Bank holidays - Closed

Emergency dental service

We provide an emergency dental service at St Charles Centre for Health in the evenings and at weekends and public holidays. Our emergency dental service is not a walk-in service. All cases are triaged by telephone (020 3402 1312) prior to an appointment being allotted:

The opening times for the emergency dental service are:

Monday - 19.00 to 22.00
Tuesday - 19.00 to 22.00
Wednesday - 19.00 to 22.00
Thursday - 19.00 to 22.00
Friday - 19.00 to 22.00
Saturday - 10.00 to 16.30 and 19.00 to 22.00
Sunday - 10.00 to 13.00 and 19.00 to 22.00
  

Discharge criteria for our community & specialist dental services

  
Provided a referral meets our accepted criteria for the specialist dental services, a patient will be seen for one specific course of treatment. Following the completion of this course of treatment, all patients will be referred back into the continuing care of the referring dentist.

The following discharge processes apply for community dental services:
  • patients with a special care and paediatric needs which meet the criteria for moderate complexity or above will remain in the service and are recalled according to NICE guidelines
  • patients without a special care and paediatric need are discharged after one course of treatment. This applies only when explicit licence has been given by the commissioner to see non-special care and paediatric patients
  • patients currently seen in the service who do not meet the criteria for moderate complexity above, or who through their time with the service pass to a state where they no longer meet the moderate complexity or above, shall be discharged, and then signposted and supported back into general practice.

 

  

Management contacts for our community & specialist dental teams

  
Referrers can contact our clinical business unit manager via the following methods:

Susan Yadin: Clinical Business Unit Manager - Dentistry
Hammersmith & Fulham, Kensington and Chelsea, Westminster
susan.yadin@clch.nhs.uk
  
 

Locations

 
 
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