NHS England and NHS Improvement have launched a standard framework for local commissioning of dental services targeted for people affected with diabetes. The document called Commissioning Standard: Dental Care for People with Diabetes focuses especially on linking gum diseases and diabetes.
The commission considers people affected by type 1 diabetes, including those that are at high risk of type 2 diabetes. It also provides measures for guiding commissioners in introducing latest procurements for the current contracts, in addition to considering the local capability and capacity.
When focusing on local resourcing, the standards do not consider mandatory requirements for current providers. The recommended changes in the commission are based on the new procurements and consist of redirecting an existing resource.
The International Diabetes Federation and European Federation of Periodontology have created a well-laid-out strategy for understanding the association between type 2 diabetes and periodontitis and their joined-up management.
The commissioning also helps in examining the implementation of pathways for patients in order to avail benefits of periodontal management based on oral health and general health.
“It is now clear that there is a bidirectional link between diabetes and periodontitis (gum disease). People with type 2 and type 1 diabetes are at greater risk of developing periodontitis and people with periodontitis are at greater risk of developing type 2 diabetes. In addition, effective treatment of periodontitis in people with type 2 diabetes can improve glycaemic control to an extent that can reduce the need for an additional prescribed medication as well as to reduce systemic complications associated with increased glycaemia.
“People with type 2 and type 1 diabetes… need to access effective dental care and local pathways should be developed to support this. This will require local engagement between providers and commissioners of dental services and diabetes services, and the commissioning of dental services with the appropriate skills and competences to deliver the care required.”