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NHS England

P-002368 · Statement · Decision date: 15 December 2023 · View NHS England scorecard
Complaint (AI summary)
Mr E complained NHS England's special care dental service guidance does not comply with the Equality Act 2010, making it difficult for autistic people to access dental care.
Outcome (AI summary)
The ombudsman found no sign that anything went wrong with NHS England's special care dental service guidance and decided not to take further action.

Full decision details

The Complaint

3. Mr E complains that NHS England’s special care dental service guidance does not follow the Equality Act 2010 and this means it does not consider the needs of people protected under this Act.

4. Mr E says the policy makes it difficult for autistic people to access dental care.

5. Mr E would like NHS England to acknowledge that it has a duty to meet the needs of autistic people when giving dental care. He would also like it to acknowledge that its policy does not meet the needs of autistic people.

6. Mr E would like NHS England to realise that the criteria for special care dental services should be based on need and not on available resources. He wants NHS England to acknowledge that the recent change in how the criteria is managed and used was in response to a change in available resources.

7. Mr E would like us to ask NHS England to make sure it has a policy that includes a special care dental service that autistic people can access.

Background

8. The special care dental service is about the improvement of oral health of people who have a special need or disability.

9. In 2020, Mr E says he had needs which could only be met by special care dental services. In 2021, he was told he could no longer use this service and was discharged from a dental practice in the Bristol area (the dental Practice). Mr E says his needs had not changed in any way.

10. In 2021, Mr E complained to us about the dental Practice and we decided not to take further action on that complaint. After this, Mr E complained to NHS England about the policy which led to the dental Practice’s decision. We are only looking at Mr E’s complaint about NHS England.

Findings

13. When we consider complaints, we first look at if the organisation did anything wrong. We do this by comparing what happened with what should have happened.

14. When considering what should have happened, we looked at the Equality Act 2010. We cannot say if the law has been broken, but we can say if NHS England followed the law in its actions.

15. Chapter 1 (S1-S14) of the Equality Act 2010 outlines a list of protected characteristics and says that a person who has a disability falls under this list.

16. Chapter 2 (S15-S27) of the Equality Act 2010 outlines that persons with a protected characteristic should not be discriminated against and reasonable adjustments should be put in place for those with a disability, to stop them from being discriminated against.

17. S149(3) of the Equality Act 2010 states a public authority must have due regard to allow equal opportunities for persons who share a relevant protected characteristic. This involves having due regard to the need to:

• remove or minimise disadvantages suffered by persons who share a relevant protected characteristic (when the disadvantage is caused by the person having that protected characteristic)

• take steps to meet the needs of a person with a relevant protected characteristic

• encourage people with a relevant protected characteristic to participate in public life or in any other activity in which participation by such persons is very low.

18. We have looked at whether NHS England followed the guidance in the Equality Act 2010.

19. The special care dental service guidance says special care dentistry can and does form part of routine care provided by general dentists, where the patient does not need specialist care. It says all dentists need to know the current guidance for special care dentistry patients such as safeguarding, consent, and management of patients taking certain medication. It also says all dental providers are required to make reasonable adjustments for patients with additional needs.

20. The guidance sets out three levels of care:

• level one - most patients who need level one care may receive most of their care from a general dentist, but may need a referral for specialist care for certain treatments

• level two - patients who need level two care have significant needs, such as communication difficulties due to multi-sensory or cognitive impairment, or a disability that significantly interrupts treatment due to the patient’s inability to tolerate procedures. It says these patients need care from a dentist with enhanced skills or experience

• level three - patients who need level three care have severe needs, such as no verbal communication ability or severe cognitive impairment or disability. It says these patients need care from a registered specialist or consultant.

21. This guidance is built around the fact that a standard approach to dentistry does not meet the needs of everyone. The policy removes barriers to accessing NHS dental services. It gives those who cannot get the service they need in a general dental practice an alternative to meet their needs.

22. We understand Mr E says autistic people should be able to get special care dentistry. The policy is a needs-based policy rather than a diagnosis-based policy.

23. Two people with the same diagnosis may have different needs. We know that some autistic people are likely to need special care dentistry, but some may have their needs met by a general NHS dentist. A needs-based and personal approach is about giving services to meet the needs of people with protected characteristics.

24. The guidance says that every person has different needs and not all people can have their needs met by a general dentist. It puts a process and a service in place to fix this. The guidance also recommends that some people may need to see a special care dentist for some treatments, but not others.

25. By people being referred to special care dentistry, it makes sure that there is a process to allow access to dental services. This removes barriers for people who could not otherwise access dental services.

26. We have not seen that NHS England did anything wrong. We are pleased the guidance meets the requirements of the Equality Act and aims to reduce problems in accessing NHS dental care. We will take no further action.

Our Decision

1. We have carefully considered Mr E’s complaint about NHS England. We are sorry to learn about the difficulties Mr E had in accessing dental services.

2. We looked at all the evidence, but we have seen nothing wrong. We will not take any further action on this complaint and we explain the reasons for this decision in this statement.

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