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DSC 2018 ®

Sedation Blog

By Dr Andrew Jones

Which Guidelines do I need to follow?

7/21/2018

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WHICH SEDATION TRAINING GUIDELINES APPLY TO YOU......

In case you are a little unsure as to which guidelines you should be following whether you are in England, Scotland, Wales or Northern Ireland we have summarised the answer here:

The Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) guidelines came out in April 2015 with the aim of creating a UK-wide guideline document for conscious sedation in dentistry; this was soon implemented by NHS England and underwent a review process by the Chief Dental officers and assigned bodies in Scotland, Wales and Northern Ireland. (It could not be implemented simultaneously in all countries of the UK as a result of the devolved nature of the health service)

In Scotland The Scottish Dental Clinical Effectiveness Programme (SDCEP) 2017 sedation guidelines are the latest to follow; they reflect the IACSD guidelines in almost all aspects and in terms of conscious sedation education and training refer directly to the IACSD 2015 document.

In Wales the IACSD guidelines 2015 alongside the SDCEP 2017 guidelines are also followed and training guidelines refer directly to the IACSD 2015 document again.

In Northern Ireland currently the IACSD 2015 guidelines are yet to be fully implemented and so the Department of Health's advice is to continue to follow the ‘Minimum Standards Dental Care and Treatment’ (NI), 2011. Especially relevant are Standards 8.6 & 12.1-4. and ‘Conscious Sedation in the provision of dental care’, Standing Dental Advisory Committee report, Department of Health, 2003. As a result the training requirements are not quite as strict as those in the other UK countries but they are similar in terms of the need for both adequate and specific theory and mentored practical training as well as appropriate life support training.

see documents for download below:

England
IACSD 2015 guidelines- https://www.rcoa.ac.uk/system/files/PUB-STDS-CONSC-SEDN-DNTL-2015.pdf
NHS England commissioning document - https://www.england.nhs.uk/wp-content/uploads/2017/06/dental-commissioning-guide-service-standards-conscious-sedation-2.pdf

Northern Ireland
2003 guidelines - https://www.dentalfearcentral.org/media/conscious-sedation-in-the-provision-of-dental-care.pdf
Apr2016 DoH NI statement - https://www.health-ni.gov.uk/articles/professional-dental-guidance

Wales (and refer to IACSD and SCDEP)
Conscious Sedation service standards Welsh Government
https://gweddill.gov.wales/docs/dhss/publications/180615dental-sedation-stdsen.pdf

Scotland (and refer to IACSD)
SCDEP 2017 guideline - http://www.sdcep.org.uk/wp-content/uploads/2018/07/SDCEP-Conscious-Sedation-Guidance.pdf
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    Andrew is our Course lead and has a keen interest in anxiety management in dentistry and further afield. He is passionate about improving peoples quality of life by helping to relieve some of their anxieties...

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