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SA Dental Service
Year Book 15-16
SA Dental Service Yearbook 2015-16 Page 1
Contents
2 Executive Director Report
3 Strategic Directions
4 Vision
4 Values
5 Organisational Chart
6 Statewide Dental Services Division
7 The Adelaide Dental Hospital Division
7 Health Promotion Division
8 Service Quality and Performance
Improvement Division (SQ&PI)
9 Corporate Services Division
10 Report on the Implementation of the
SA Dental Service Strategic Plan
Other Matters
22 Freedom of information
24 Adelaide Dental Hospital Statistics
26 School Dental Service Statistics
29 Community Dental Service Statistics
32 Aboriginal Dental Scheme Statistics
33 Human Resource Statistics
36 Financial Statements
SA Dental Service Yearbook 2015-16Page 2
> A further 1.7% increase in the number of
preschool children treated in the School Dental
Service reflecting a focus on reducing the
incidence of early childhood caries.
> In line with oral health s integral role within
general health, the number of public dental
patients receiving short interventions for tobacco
cessation increased again with more than 7,100
patients receiving one or more QUIT interventions.
> Sustained excellent outcomes in a range of
indicators of clinical quality including retreatment
rates for a range of services.
> Involvement in the development of the new
National Oral Health Plan 2015-2024.
> Continuation in the Child Dental Benefits Schedule
program with $15.6m revenue generated.
> Finalisation of the SA Health public tender process
for a Dental Education Partner with the University
of Adelaide being the successful bidder. SA Dental
Service contributed a significant amount of work
in July December 2014 towards development
of the Request for Proposal and in evaluating the
tender bids. In January June 2015 significant
work was required in developing the 30 year
Partnership Agreement between Central Adelaide
Local Health Network/SADS and the University of
Adelaide.
> A significant outcome of this process is that the
University will fund and build a new Adelaide
Dental Hospital (ADH) at the West End Health
precinct. The new ADH will be designed and
developed in collaboration with SA Dental Service
and will be managed by SA Dental Service when it
opens in mid-2017.
> Another significant outcome of the Partnership
Agreement was the commencement of a post
graduate course to train Dental Therapists to treat
adults as well as children.
> In February 2016 the SA Dental Service Executive
endorsed a recommendation to integrate the
Health Promotion division into the Service Quality
and Performance Improvement division. The
change will take effect from July 2016
Geoff Franklin
Executive Director
SA Dental Service
Executive Director s
Report 2015-16
Geoff Franklin
SA Dental Service has its own suite of strategic
outcomes 2011-2018 within the framework of the
SA Health Care Plan and the Department for Health
and Ageing s Strategic Directions. The SA Dental
Service strategic outcomes formed the framework
for activities during the 2015-16 financial year.
Highlights of the year include:
> A balanced budget, which has been achieved
every year for at least the past decade.
> Further focus on the Aboriginal Liaison Program
connecting Aboriginal communities with
mainstream public dental services. As a result
there was a further 2% increase in the number
of Aboriginal children treated in SA Dental
Service facilities and a 1% increase in the number
of Aboriginal adults, building on incremental
increases in previous years.
> On average 69 Homeless clients per month were
referred for care, an increase of 8% over the
previous year.
> Over the past year 652 (78%) Supported
Residential Facilities (SRF) residents have received
dental treatment which compares favourably
with attendance patterns of the general
population and is an extremely positive result for
this population group.
SA Dental Service Yearbook 2015-16 Page 3
Strategic Directions
SA Dental Service Strategic Outcomes for 2011-2018
Strategic Outcome 1 The oral health of the South Australian population is improved and oral health
inequalities are reduced with a particular focus on:
> people living in rural and remote areas
> Aboriginal people
> people experiencing homelessness
> people in Supported Residential Facilities
> older people living in the community and in residential care
> pre-school children
> people with chronic diseases
> migrants with a refugee background
Strategic Outcome 2 Oral health is sustainably integrated into the wider health system.
Strategic Outcome 3 The community and private dental sector are involved in the planning, design and
monitoring of public dental services.
Strategic Outcome 4 SA Dental Service is active in the development of public oral health policy at a State
level and National level.
Strategic Outcome 5 Population based health promotion underpins all of SA Dental Service Programs and
clinical programs have an increased focus on prevention and early intervention.
Strategic Outcome 6 Client focused quality systems drive improved clinical and non clinical services which are
demonstrably efficient and effective.
Strategic Outcome 7 SA Dental Service is an employer of choice, has sufficient skilled clinical and non clinical
workforce and is making full and flexible use of its capabilities.
Strategic Outcome 8 SA Dental Service is an active partner with the dental tertiary education and
research sectors.
Strategic Outcome 9 Public dental infrastructure supports the provision of contemporary public dental
services and is integrated with other health services wherever possible.
SA Dental Service Yearbook 2015-16Page 4
SA Dental Service Vision
Good oral health is essential for overall health and well being. A healthy mouth has a positive impact on
physical, mental and social well being, hence healthy smile - healthy life.
Mission
Working with the community to enable South Australians to achieve better oral health and well being through
> health promotion
> timely dental treatment with a focus on prevention and early intervention
> support for education and research.
Values
SA Dental Service Yearbook 2015-16 Page 5
Organisational Structure
SA Dental Service
Chief
Executive Officer
CALHN CALHN
WHS
HR
Finance
Business Reform
Asset Services
Shared Services
Accounts
Payable
Pay Office
SA Health
ICT (e-Health)
Biomed
Procurement
Chief Operating
Officer
CALHN
Executive Director,
SA Dental Service/
General Manager
Statewide
Dental Services
Statewide
Dental
Services
Director
Health
Promotion
Manager
Corporate
Statewide
General
Manager
Adelaide
Dental
Hospital
Director
Service
Quality &
Performance
Improvement
School Dental
Service
Community
Dental Service
Private Sector
Schemes
Remote Dental
Services
Attraction and
Retention
Teaching Clinics
Oral &
Maxillofacial
Surgery
Special Needs
Unit
Infection Control
Specialist
Restorative Unit
Orthodontic Unit
Safety and Quality
Clinical Risk
Program
Development
Capital and
Service Planning
Client Relations
Program
Evaluation
Research Programs
Health Promotion
Communication
Aboriginal Oral
Health Program
Risk Management
Policy
Administration
Contracts/Leases
Corporate Records
Asset
Management
ICT/Procurement
Business
Management
SA Dental Service Yearbook 2015-16
Statewide Dental
Services Division
Statewide Dental Services provide dental services
to children and eligible adults through two core
programs, the School Dental Service and the
Community Dental Service. Special arrangements
apply for those who may be particularly vulnerable
to the consequences of poor oral health including
babies and young children, Aboriginal clients, clients
with mental health issues, older people and people
experiencing homelessness. Those arrangements
may include priority access to care and/or free care.
In addition to services provided by qualified
clinicians, general dental services in School and
Community Dental Services are also provided
by undergraduate dental students and students
in the Bachelor of Oral Health Program. School
and Community Dental Service staff are involved
in the clinical supervision and training of these
undergraduate students.
School Dental Service
The School Dental Service offers a comprehensive
dental care program to all children up until their
18th birthday. This care is free of charge to all pre-
school children. It is also free for primary school
and high school students with a school card, or who
have or are dependents of a concession cardholder.
Children and young people may also receive free
care under the Commonwealth Child Dental Benefits
Schedule, which from January 2014 pays scheduled
amounts to the provider for dental care to children
in families eligible for a range of Commonwealth
means tested payments, including Family Tax Benefit
Part A. All other primary school and high school
students are required to pay a small fee for each
general course of care they receive, to a maximum of
one fee per calendar year for each child.
Care is provided by teams of Dentists, Dental
Therapists and Dental Assistants who work from a
network of 45 clinics and mobile vans throughout
the state. Many of these clinics are located within
Primary Schools while others are mobile services to
remote locations such as Leigh Creek, Nepabunna
and Marree.
Private dentists provide school dental services, under
a capitation agreement, to approximately 1,400
children who reside in areas remote from a school
dental clinic. No client fees apply for these services.
General Anaesthetics are required for some young
children with extensive oral health care needs
and these are provided both at local hospitals by
SA Dental Service dentists and under contractual
arrangements with the Department of Paediatric
Dentistry of the Women s and Children s Hospital.
Children are examined on a regular basis according
to their individual needs and receive a full range
of preventive and treatment based services. These
services are provided mainly by Dental Therapists
who work under a structured professional
relationship with dentists, in accordance with their
conditions of employment, supported by Dental
Assistants.
Community Dental Service
The Community Dental Service provides emergency
and routine dental services to adults who are the
holders of a concession card. Urgent needs are
attended to promptly, while routine care is provided
after recourse to a waiting list.
While the majority of care is provided by dentists,
some is provided by dental hygienists and extended
care dental therapists who have received additional
training to provide care to adults, all of whom
operate from a network of 35 clinics located
throughout the state. This care is supplemented
by private dentists through a range of schemes
such as the Emergency Dental Scheme, General
Dental Scheme, Pensioner Denture Scheme, and the
Aboriginal Dental Scheme. Client fees apply for most
services but some preventive items are provided at
no cost.
Two Domiciliary Dental teams operate in the
Adelaide metropolitan area and provide services to
homebound people in private homes and Residential
Aged Care Facilities.
Remote Dental Services
The Remote Dental Service team responsibilities include:
> Strategic planning to meet service needs in remote
areas, in particular for Aboriginal communities.
> Contractual arrangements with private dentists
to provide services in remote locations such as
Coober Pedy.
> Visiting services by SA Dental Service staff, for
example, services to children in Ceduna.
> Output or other funded services through
Aboriginal Community Controlled Health Services.
Page 6
SA Dental Service Yearbook 2015-16
Schemes Unit
This team has a range of responsibilities for
predominantly externally sourced services including:
> The payment of private practice scheme invoices
including Emergency Dental Scheme, General
Dental Scheme, Aboriginal Dental Scheme,
Pensioner Dental Scheme and Capitation.
> Fee Schedules for services provided through
private practitioners.
> Clinical quality issues relating to the outsourced
provision of oral health services.
The Adelaide Dental
Hospital Division
The Adelaide Dental Hospital (ADH) is one of the
two service provision arms of SA Dental Service
and is a core component of the SA Government s
approach to providing public dental care. The ADH
fulfils a number of essential roles including:
> the only dental teaching hospital in South
Australia that provides facilities, management and
staff to support the training of undergraduate and
postgraduate students of the School of Dentistry
of the University of Adelaide
> the sole statewide referral centre for specialist and
complex oral health care services
> provision of general and specialist public dental
services, continuing education, some specialist
and treatment planning advice to SA Dental
Service professional staff
> The provision of a specialist network and advice
supports the acute medical sector in SA.
General and emergency dental care is largely
provided by undergraduate dental and oral health
students under the supervision of SA Dental Service.
Specialist services in the ADH are provided by
a combination of staff and visiting specialists,
academic staff of the University and significantly by
postgraduate students in specialty training programs.
The range of specialty services provided include:
> Oral and Maxillofacial Surgery
> Orthodontics
> Endodontics
> Periodontics
> Fixed and Removable Prosthodontics
> Special Needs Dentistry.
In addition to managing the operation of the ADH,
and providing patient care, staff are involved in the
Page 7
clinical supervision and training of undergraduate
and postgraduate students.
Because of its historic relationship with the Royal
Adelaide Hospital (RAH), the ADH provides dental
services to inpatients of the RAH and operates
an after hours on-call service through the RAH
Accident and Emergency Department. All patients
requiring general anaesthesia for dental or oral
and maxillofacial surgery procedures are admitted
and treated in RAH theatres. Dental technicians
attached to the Oral and Maxillofacial Surgery Unit
provide maxillofacial prostheses on referral from
metropolitan hospitals.
In addition to providing specialist support to dentists
in SA Dental Service Community and School Dental
Services, the ADH also accepts a limited number of
referrals from the private sector. These patients are
accepted in circumstances where the resources of
the Hospital are better able to accommodate the
needs of particularly complex or difficult cases.
Health Promotion Division
The Health Promotion Unit works in partnership with
SA Dental Service staff, external agencies, clients and
the wider community to promote oral health as an
integral part of general health and wellbeing.
The Health Promotion Unit has responsibility for:
> incorporating health promotion principles through
organisational policies and work practices
> implementing population health promotion
programs to improve oral health
> developing evidence-based oral health resources
to support staff promote oral health in the
community
> assisting staff to plan and implement local health
promotion initiatives
> developing strategic partnerships and providing
education and training that increase oral health
knowledge and practice
> managing internal and external communication
strategies to ensure consistency of message and
branding
> conducting staff satisfaction and culture surveys.
Service Quality and
Performance Improvement
(SQ&PI) Division
The SQ&PI Division has a strategic, organisation
wide focus, and provides leadership to, and works
collaboratively with, all SA Dental Service Divisional
teams to challenge and support service improvement
and program development. SQ&PI promotes public
oral health principles, drives quality and service
improvement and provides high level advice and
leadership with respect to:
> Strategic and operational planning
> Safety, quality and clinical risk management
> Client relations and the management of consumer
feedback
> Program planning and development
> Capital and infrastructure planning and development
> Program Evaluation and Research.
The SQ&PI Division comprises the following Units:
> Quality, Patient Safety, Clinical Risk and Workforce
Development
> Client Relations
> Service Planning
> Evaluation and Research.
SQ&PI leads service improvement by:
> Promoting a culture of safety and quality as well
as clinical learning
- Engaging with staff to positively influence the
quality and safety culture of the organisation
in recognition that improvement has to be an
integral part of what the organisation does.
> Developing Programs
- Exploration and development of new and
innovative models of care
- Implementation of the SA Health Care Plan,
State and National Oral Health Plans
- Identification of at risk population groups and
their oral health needs
- Development of programs for at risk population
groups.
> Seeking and securing capital funding to support
the provision of public oral health services
- Identification of infrastructure requirements
- Pursuit of capital funding opportunities
- Oversight of capital developments.
> Evaluating programs and organisational clinical
performance
- Provision of program analysis and reporting
- Development of management information
systems
- Conducting and/or overseeing evaluation and
research projects
Page 8 SA Dental Service Yearbook 2015-16
Page 9
- Supporting research involving SA Dental Service
clients and staff.
> Promoting evidence-based approaches to service
and program delivery
> Promoting client-centred approaches to enhance
service quality
- Promoting and facilitating good consumer
practice at the interface between staff and
clients
- Developing and promoting mechanisms to
facilitate effective management of consumer
feedback
- Monitoring consumer experience.
Corporate Services Division
The Corporate Services Division provides non-
clinical support services to SA Dental Service for the
management of risk and corporate records, as well
as policy and procedure administration, contract
development, business management and executive
support services.
The Division leads strategic work for SA Dental
Service via strong links with the consolidated support
services such as eHealth Systems, Procurement and
Supply Chain Management, Biomedical Engineering,
Corporate Finance and Property Management, all of
which report under SA Health. There are also close
links with the Central Adelaide Local Health Network
(CALHN) Asset and Security Management Unit
who are responsible for building maintenance and
management via the Across Government Facilities
Management Arrangement.
SA Dental Service Yearbook 2015-16
Other non-clinical support services are provided by
SA Health staff out-posted to CALHN, who work
closely with SA Dental Service in areas such as
Human Resources, Finance and Business Advisory
Service, and Worker Health and Safety. Links are
also maintained with Shared Services SA who
provide Accounts Receivable, Accounts Payable and
Payroll functions under the Department for Premier
and Cabinet.
Page 10
Population Oral Health Program
The Population Oral Health Program aims to increase
the number of preschool children attending dental
services. A total of 15,667 pre-school children had
been referred to the program by 30 June 2016,
14.5% of whom identified as being of Aboriginal
and Torres Strait Islander decent.
Child and Family Health Service (CaFHS) nurses
referred 85% of external Lift the Lip referrals in
2015-16; 14 training sessions were carried out for
external Lift the Lip referrers. The Lift the Lip Work-
practice for SA Dental Service referrers was updated
to provide two referral processes for SADS clinical
staff, one for high-risk screening in areas with high
demand and one for screening and recruiting in
areas with low demand.
Of the total referrals received in 2015/2016, 48%
of children were aged under 4 years at the time of
referral, the same as in the previous year.
Aboriginal Oral Health
Since 2012 SA Dental Service has received
Closing the Gap (CTG) funding to support the
implementation of the Aboriginal Health Care Plan
in South Australia. This Closing the Gap funding
has been used to employ Aboriginal Oral Health
Project Officers to engage the Aboriginal and
Torres Strait Islander community, raise oral health
awareness and provide information about accessing
dental services at community and school dental
clinics across South Australia.
Due to the uncertainty of ongoing CTG funding post
2015-16, one ongoing Project Officer position was
funded by SA Dental Service operational budget.
Report on the
Implementation of the
SA Dental Service Strategic
Plan - Progress as at June 2016
Strategic Outcome 1
After continuous deterioration since the late-1990s,
the amount of permanent tooth dental decay in
12 year old children has reduced by 24% since 2008.
The 12 year-old mean DMFT is now 0.79, compared
with 1.05 in 2008.
The average 6 year-old deciduous decay experience is
now 2.35 teeth affected, which is approximately mid-
range since 2008, but remains higher than pre-2007.
Improved health and reduced health
inequalities
6 year old Mean DMFT SA SDS
2.5
2.4
2.3
2.2
2.1
2.0
1.9
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
13
20
14
20
15
20
15
/1
6
20
12
12 year old Mean DMFT SA SDS
1.1
1.0
0.9
0.8
0.7
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
14
20
15
20
15
/1
6
20
13
Number of new children seen under the
Lift the Lip program by SDS
1400
1200
1000
800
600
400
200
2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
0
SA Dental Service Yearbook 2015-16
SA Dental Service Yearbook 2015-16 Page 11
Aboriginal ADULT PATIENTS
5000
4500
4000
3500
3000
2500
2000
1500
1000
500
20
05
/0
6
20
06
/0
7
20
07
/0
8
20
08
/0
9
20
09
/1
0
20
10
/1
1
20
11
/1
2
20
12
/1
3
20
13
/1
4
20
14
/1
5
20
15
/1
6
0
16
78
16
00 18
91
28
77
33
96
38
77 41
12 42
74 45
73 48
03 48
73
Aboriginal CHILD PATIENTS
4000
4500
5000
3000
3500
2500
2000
1500
1000
500
20
05
/0
6
20
06
/0
7
20
07
/0
8
20
08
/0
9
20
09
/1
0
20
10
/1
1
20
11
/1
2
20
12
/1
3
20
13
/1
4
20
14
/1
5
20
15
/1
6
0
28
95
28
56
28
11
32
17
32
94 3
56
5
40
23
44
03 45
08
45
58 46
44
In January 2016, SA Health, Aboriginal Health Branch
contracted the South Australian Health and Medical
Research Institute (SAHMRI) Aboriginal Health Research
unit, Wardliparringga to conduct a rapid review evaluation
of Closing the Gap funded programs. The Aboriginal
Health Branch submitted a budget bid for 12 months
recurrent funding (2016/17) for a further in depth review of
existing programs and models of care as well as renewal
of the Aboriginal Health Care Plan, due to expire in 2016.
The SA Dental Service Aboriginal Oral Health
Program (AOHP) continues to provide state-wide
priority, free dental care for all eligible Aboriginal and
Torres Strait Islander clients. This priority free care is
embedded within SADS routine clinical care.
In 2015-16, 4873 Aboriginal adults were treated
through the Aboriginal Liaison Program. This is an
increase of 1% compared to last year and 26%
increase since 2010/2011 baseline.
In 2015-16, 4644 Aboriginal children attended SDS
an increase of 2% compared to last year and 30%
increase from 2010/11baseline.
Homelessness and Oral Health Project (HOHP)
The Homelessness and Oral Health Program
continues to deliver a flexible and accessible dental
treatment pathway for adults who are homeless
or at risk of homelessness in the Adelaide city and
metropolitan areas and a number of country areas.
The Program demonstrates the value of multi-
disciplinary, primary health care approaches in
improving the oral health of referred clients, many of
whom have exceptional needs, substance use issues,
and complex mental and general health diagnoses.
Since its inception the Homelessness and Oral Health
Program has successfully connected with over 50
key homelessness sector agencies. Promotion of
the Program by the homelessness sector workforce
in their day-to-day interactions with clients is a key
factor in increasing client engagement, trust and
willingness to attend their dental appointments.
Key elements of the Program include:
> an education and intervention package enabling
homelessness sector staff to integrate a simple
oral health assessment within routine client
assessment processes and to refer clients in need
of dental care
> dental treatment for referred clients which is timely,
free of charge, and available in all SA Dental Service
adult clinics and some private clinics.
> case-management to support and sustain
continuity of care.
In 2015-16 over 800 people were referred for
dental care as a result of this program which
successfully removes actual and perceived barriers
to oral health care for people experiencing
homelessness in South Australia.
Homeless Referrals - Annual
600
700
800
900
500
400
300
200
100
24
279
656
772
835
656
0
Total Referrals
2011/12
Total Referrals
2012/13
Total Referrals
2013/14
Total Referrals
2014/15
Total Referrals
2015/16
SA Dental Service Yearbook 2015-16Page 12
Supported Residential Facility (SRF)
Dental Program
People living in SRFs tend to have complex and
diverse needs; many have a history of chronic
homelessness and face significant barriers in
accessing mainstream health services. In South
Australia there are currently 25 SRFs accommodating
around 830 residents.
The SRF Dental Program commenced in 2004 and
continues to offer client-focused dental treatment
for all residents of licenced pension-only SRFs. The
Program s ongoing success and effectiveness is
underpinned by its partnership approach involving
SRF residents, SRF Managers and care staff, external
support agency staff, and public and private dental
professionals. Regular interaction with these
external partners supports greater awareness of the
importance of oral health, and improved engagement
and oral health outcomes for SRF residents.
Over the past year around 652 (78%) SRF residents
have received dental treatment which compares
favourably with attendance patterns of the general
population.
Innovation in Oral Health and Mental Health Project
In 2015, SA Dental Service successfully applied
for a second round of grant funding from the
Central Adelaide and Hills Medicare Local Partners
in Recovery. The funding supported phase 2 of the
Innovation in Oral Health and Mental Health Project.
Phase 2 aimed to achieve better oral health
outcomes for people with mental illness by
improving oral health awareness and skills of
mental health service workers, community
pharmacists and clients.
The second phase of the project focussed on
prevention, improving collaboration between service
providers and resource development. This was
achieved by:
> establishing relationships with mental health and
pharmacy sector staff
> delivering oral health education sessions to increase
the capacity of non-dental staff
> developing educational resources, including an
on-line oral health training package, videos and
written information, in consultation with key
stakeholders and clients
> working with the Pharmaceutical Society of
Australia to develop a National Oral Health
Education Program, due to commence in 2017.
Strategic Outcome 2
Building Better Oral Health Communities
The Commonwealth funded Building Better Oral
Health Communities project was led by SA Dental
Service as a public dental provider/ community aged
care partnership. The project successfully demonstrated
that home care providers can support older people to
maintain good oral health through appropriate oral
health assessment, care plan development, service
delivery and referral to dental care.
This approach actively supports the concept of
ageing well at home by providing community
based prevention and early detection of oral health
problems, oral health quality improvement strategies
for home care service delivery and improved oral
health knowledge and skills of home care workers.
Recommendations for sustainable change indicate
that improving oral health for older people has
practice and policy implications which require
ongoing inter-sectorial facilitation involving aged
care, vocational health education and dental sectors.
SRF Patients Seen Annually
700
600
500
400
300
200
100
2006/07
SRF External PATIENTS
2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
0
SRF Internal PATIENTS
215
169
190
195
305
199
318
168
327
174
350
212
416
174
383
178
456
205
457
195
Oral health is sustainably integrated
into the wider health system
Year 2011/12 2012/13 2013/14 2014/15 2015/16
HOHP
Referrals per 4.0 23.3 54.7 64.3 69.6
Month (Av)
SA Dental Service Yearbook 2015-16 Page 13
Strategic Outcome 3
Consumer Advisory Panel
The SA Dental Service Consumer Advisory Panel
(CAP) was established in 1999 as a sub-committee
of SA Dental Service Executive. Panel members
are representative of each of the major population
groups to whom public dental services are provided.
CAP s role is to advise the Executive Director on
effective consumer participation in oral health
programs, operational policy and strategy and
impact on quality oral health service outcomes.
CAP also advocates to the Executive Director on
behalf of the community to promote attention
and sensitivity to the needs of disadvantaged and
marginalised consumers and communities.
During 2015-16 CAP was actively involved in
> advocating on behalf of consumers for
improved access to and increased physical
parking drop off/pick up areas for the new
Adelaide Dental Hospital
> the development of infographics on consumer
feedback and safety and quality data, for
posting on the SA Dental Service website
> redevelopment of consumer information
and work practices related to Rights and
Responsibilities
> redevelopment of several pages of the SA
Dental Service Website
> promoting information about SA Dental Service
to their communities of interest.
SA Dental Service - Measuring Consumer
Experience
The April 2016 Survey focussed on ascertaining
client experiences of public dental services for
adults. Surveys were forwarded to a random
sample of 500 clients aged over 18 years who had
completed an emergency or general course of
dental care at a Community Dental Service clinic
or the Adelaide Dental Hospital within one to two
weeks prior to receipt of a Consumer Experience
Survey form. The survey group included clients
living in metropolitan and country areas, as well
as being from ATSI and CALD backgrounds. The
return rate was 34% (171 respondents).
Oral Health
for Older People Project
The Oral Health for Older People Study was led by The
Australian Research Centre for Population Oral Health
(ARCPOH) in collaboration with SA Dental Service
and general medical practitioners (GPs) from three
Medical Local areas (now Primary Health Networks).
The study followed oral and general health outcomes
for patients referred to public dental care following
the inclusion of oral health screening questions
with Annual Health Assessments undertaken by
GPs for people 75 years and older. Patients referred
immediately were compared with those waitlisted.
Results found participating older people had worse
oral health and oral health-related quality of life
than the national population of that age. Common
risk factors for poor oral and general health were
low socioeconomic status, comorbidity of chronic
conditions and high nutritional risk. Assessment
of the need for dental care and referral to public
dental care by GPs demonstrated improvement
in older people s self-rated oral health and their
oral health-related quality of life over one year
however no impact on general health and quality
of life was identified. No difference in health
outcomes were detected between older people
referred to clinics immediately and those referred
after 3 months waitlisting.
Study recommendations conclude that oral health
screening questions be integrated into the Annual
Health Assessments for people 75 years and
older, that a standardised GP public dental care
referral pathway be established and that older
people eligible for public dental care be given
opportunities to access timely dental treatment.
The community and private dental sector
are involved in the planning, design and
monitoring of public dental services
SA Dental Service Yearbook 2015-16Page 14
Similar to both the November 2014 Pilot Phase and
February 2015 Surveys (both of which focussed
on services for adults) the results were generally
positive.
Some of the key findings included:
> 161 (94%) respondents rated their dental clinic
experience as very good (70%) or good (24%)
> 158 (92%) respondents considered staff
welcoming and helpful
> 162 (95%) respondents felt they were treated
with dignity and respect
> 170 (99%) respondents felt that staff either
always (89%) or sometimes (10%) explained
things in a way they could understand
> 167 (98%) respondents felt that they definitely
(87%) or to some extent (11%) were involved
as much as they wanted to be in decisions about
their dental care
> of the 35 (20%) respondents who had questions,
worries or fears about their treatment, 80%
noted that staff discussed these with them
> 169 (99%) respondents thought dental staff
definitely (86%) or to some extent (13%)
worked well together to plan and co-ordinate
their care.
The April 2016 Survey results reinforced consistently
received feedback about the value clients place on
the accessibility and provision of high quality, public
dental services.
Strategic Outcome 4
Conclusion of the National Partnership on
Treating More Public Dental Patients
The Commonwealth funded National Partnership
Agreement (NPA) on Adult Public Dental Services
was signed by South Australia on 3 December 2015.
This twelve month NPA provided an additional
$12.480m to SA and aimed to reduce pressure on
public dental waiting lists.
Dental Service was required to provide an additional
14,617 units of activity described as Dental
Weighted Activity Units.
Nearly 206,000 adult visits were recorded in 2015-16,
a 12.3% increase above the state funded baseline.
While some additional clinical staff were employed in the
Adelaide Dental Hospital, the majority of the additional
activity was generated via the greater use of private
sector dental schemes including emergency, general,
denture, crown and bridge and endodontic schemes.
An additional 14,600 General Dental Scheme and an
additional 3,200 denture offers of care were made and
around 250 additional patients were offered specialist
care. A private sector scheme to assist increased capacity
for oral surgery care was introduced for the first time
in March 2016 and around 100 patients requiring
extraction of wisdom teeth received care.
The NPA on Adult Public Dental Services enabled
the majority of adult public dental waiting lists to
stabilise with waiting times at 30 June 2016 being at
similar levels with those of July 2015.
On 23 April 2016 the Commonwealth Minister
for Health announced there would be changes
to the Commonwealth funding for dental care.
The announcement included a new national Child
and Adult Public Dental Scheme would operate
through the public sector and that the Child Dental
Benefits Schedule (CDBS) would cease. However,
the legislation to close the CDBS did not pass prior to
the Commonwealth government entering care-taker
mode in the lead up to the Federal election to be held
on 2 July 2016. The Commonwealth Government has
indicated that State and Territory public sector access
to the CDBS will continue for a further six months and
that the NPA on Adult Public Dental Services will also
be extended for six months.
Australia s National Oral Health Plan
2015-2024
The new National Oral Health Plan 2015-2024 was
endorsed by the Council of Australian Governments
(COAG) Health Council in August 2015.
The new plan provides national strategic direction
for collaborative action on oral health over
the next 10 years, with targeted strategies in
six foundation areas and across four priority
population groups.
The Executive Director of SA Dental Service, Dr
Geoff Franklin, has continued in his role as chair
of the national Oral Health Monitoring Group
(OHMG). The role of the OHMG is to monitor
and report progress of the Plan. The OHMG has
commenced:
> Reviewing the strategies and Key Performance
Indicators recommended in the National Plan and
determining which are the core KPIs and national
SA Dental Service is active in the
development of public oral health
policy at a State level and National level
SA Dental Service Yearbook 2015-16 Page 15
Strategic Outcome 5
Smoking Cessation
Consistent with oral health s integral role within
general health, SA Dental Service introduced a
clinic-based smoking cessation support program
for adult clients in 2006. The program uses brief
intervention techniques to support smokers
interested in quitting. The program provides a
referral pathway to the Quitline and is supported
by Cancer Council SA and Drug and Alcohol
Services SA. Quit information/training sessions are
offered to ADH and SWDS staff via the Workforce
Development calendar.
During the year, Health Promotion supported various
events with quitting resource material, including a
goals that will be reported though to the COAG
Health Council over the life of the plan.
> Designing a standardised reporting framework
to enable National reporting against the agreed
NOHP KPIs and the ability to track changes in oral
health outcomes.
Population based health promotion
underpins all of SA Dental Service
Programs and clinical programs have
an increased focus on prevention and
early intervention
Smoking Cessation themed Expo at the Adelaide
Remand Centre. SA Dental Service and Cancer
Council SA continue to use the Mighty Mouth
resource as a support tool for smoking cessation
conversations with Aboriginal clients.
Since the project s inception 37,012 smoking
interventions have been recorded. 7174 persons
received one or more QUIT records this year,
a 2.6% increase from 2014/15. The program
continues to be embedded into daily clinical
practice.
Child Recall Intervals 2015-16
The reduction in median actual recall interval for
children treated in the School Dental Service was
sustained with a reduction to 18 months or less,
during 2015-16. This is well below the target of
18.7 months and achieved the shortest recalls, since
before 2005. Recent emphasis on ensuring timely
children s recalls, in particular for high risk children,
has demonstrated improvement with a further
reduction on the proportion and total number of
overdue recalls for each risk group.
Preventive Care 2015-16
The delivery of preventive services per client
improved across all of SA Dental Service. Across
the School Dental Service Fissure Sealants and
Fluoride application for children assessed as
being at higher risk of caries was maintained.
The outcomes of this sustained increase in clinical
prevention for children can be seen in the long
term trend of the Mean DMFT graph on page
10, which shows the amount of dental decay
experience in 12 year old children attending the
SADS TOTAL Number of People Receiving
Short Intervention for Smoking Cessation (QUIT)
7000
8000
6000
5000
4000
3000
2000
1000
2011/12 2012/13 2013/14 2014/15 2015/16
0
3803
5065
5531
6994
7174
SA Dental Service Yearbook 2015-16Page 16
stable, year-on-year, but at substantially higher levels
than two years previously when average waiting
times were below 9 months.
The average waiting time for patients removed from
routine care waiting lists remained stable at 13.2
months at June 2016 compared with 13.4 months
at June 2015. The weighted mean waiting time
for patients being removed from denture waiting
lists has increased by a month to 16.4 months at
June 2016 compared with last year, but both these
waitlists have increased since the initial NPA in 2013
and 2014.
The combined average waiting time for Specialist
Services at the Adelaide Dental Hospital reduced
slightly from 18.3 months in June 2015 to 18.1
months by June 2016.
Strategic Outcome 6
Child Dental Benefits Schedule
From 1 January 2014 the Commonwealth
Government introduced the Child Dental Benefits
Schedule (CDBS) which provides payments to
private and public dental practices for providing
a limited range of dental care services to children
eligible under the Schedule. Eligible children
receive free care from SA Dental Service and
Clinical Prevention Services
Rate per 100 Consenting Patients
70
50
40
60
30
20
10
20
06
/0
7
20
07
/0
8
20
08
/0
9
20
09
/1
0
20
10
/1
1
20
11
/1
2
20
12
/1
3
20
13
/1
4
20
14
/1
5
20
15
/1
6
0
Fluoride Visits
Fissure Sealant
Dental Emergency Courses of Care
commenced per annum
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
55,000
20
05
/0
6
20
06
/07
20
07
/08
20
08
/09
20
09
/10
20
10
/11
20
11
/12
20
12
/13
20
13
/14
20
14
/15
20
15
/16
School Dental Service fell for six of the past seven
years and is currently the lowest since 2003.
Adult dental emergencies 2015-16
Dental emergencies treated in 2015-16 were
29,649, a slight decrease of 889 or -2.9% since
2014/2015. Since the announcement of the
cessation of the Commonwealth s Medicare Chronic
Disease Dental Scheme (MCDDS) in late August
2012, there has been a substantial increase in
demand for both emergency and general services on
the state public system. An additional 5,172 (+21%)
more emergency patients were seen in 2015-16,
after the MCDDS closure, compared with the same
period from five years before.
Waiting Lists 2015-16
Waiting times on waitlists for general and denture
public dental care were similar to those of 2014/15
as shown in the graphs below. Additional
Commonwealth funded NPA dental services in the
financial year allowed for the waiting time to remain
Dental Wait Times (Months)
18
21
15
12
9
6
3
Specialist
Denture
General Restorative
Ju
n-
12
Se
p-
12
D
ec
-1
2
Ju
n-
13
M
ar
-1
3
Se
p-
13
D
ec
-1
3
M
ar
-1
4
Ju
n-
14
Se
p-
14
D
ec
-1
4
M
ar
15
Ju
n-
15
Se
p-
15
D
ec
-1
5
M
ar
-1
6
Ju
n-
16
0
Client focused quality systems drive
improved clinical and non-clinical
services which are demonstrably
efficient and effective
SA Dental Service Yearbook 2015-16 Page 17
To encourage dental care for eligible children,
a promotional campaign was undertaken to
ensure eligible families were aware they could
access the CDBS at School Dental Service clinics.
This included an online media campaign which
launched advertisements on Facebook, enhanced
online content on the SA Health/SA Dental
Service website, print media advertisements and
editorials.
Extensive efforts continue to maximise legitimate
CDBS claims including intensive auditing of claims
against client records, monitoring of claim errors
and adjustments, and retrospective claiming where
client eligibility was confirmed during, rather than
at the start of care.
During 2015-16 SA Dental Service received $15.6
million in Medicare benefits, while continuing to
maintain population oral health principles and the
provision of clinically indicated appropriate care to
individual children.
2015-16 ACHS Quality of Care & Clinical
Indicators
The SA Dental Service participates in the national
quality clinical indicators program managed by the
Australian Council on Healthcare Standards (ACHS).
The main oral health care clinical indicators focus
on monitoring and minimising returns for repeated
care, usually on the same tooth - also known as
retreatment rates, or unplanned return visits for
adult dental services (restorations, extractions and
dentures), endodontics and children s dental care
(restorations, pulpotomy and fissure sealants).
SA Dental Service results were statistically
significantly more desirable than national peer
aggregate results for four of the nine clinical
indicator areas across both the School and
Community Dental Services, for the first half-year
reporting period of 2016. Most other oral quality
indicators achieved statistically equal to or better
than the national peer aggregate results, with only
a small shortfall for the indicator associated with
completing root canal treatments within 6-months
of commencing endodontic treatment, where a high
rate is deemed desirable.
The rate of restoration (filling) re-treatments within 6
months, are two of the key ACHS clinical indicators.
The CDS adult rates were significantly better than
peer norm rates during 2014/15 and 2015-16 and
SDS child rates were statistically significantly better
during the second half of 2014, and the first half
of 2016 and similar to or better than peer national
rates during 2015. Both these measures define
positive quality results compared with interstate peer
organisations, sustained over several years.
Accreditation
SA Dental Service is accredited with the
Australian Council on Health Care Standards
(ACHS) until 10 March 2017. In line with the
annual review and progress report requirements,
SA Dental Service submitted the required
documentation to ACHS in July 2015. The
progress report comprised a desktop audit which
included:
> Review and update of member details which
outlines the role and purpose of SA Dental Service
together with a detailed description of where and
how services are provided
> Review and update of Quality Measures for
Standards 1, 2 and 3
> Progress report against the gaps identified at the
time of the 2013 Organisation Wide Survey.
The documentation was reviewed by one surveyor
who assessed SA Dental service as being well on
the path to continued accreditation at its next
organisation wide survey in August 2016.
ACHS Clinical Indicators
Restoration Retreatment (6mths)
Cl1.1 (adult) Cl3.1 (child)
1%
2%
4%
3%
6%
7%
8%
5%
20
11
_H
2
20
12
_H
1
20
12
_H
2
20
13
_H
1
20
13
_H
2
20
14
_H
1
20
14
_H
2
20
15
_H
2
20
15
_H
1
20
16
_H
1
0%
Reporting Period (allow for lag for return services)
Peer Adult Peer Child
Adult Child
include children in families receiving a number of
means tested Commonwealth payments, including
Family Tax Benefit Part A.
SA Dental Service Yearbook 2015-16Page 18
Crown & Bridge Dental Scheme
The Crown & Bridge Dental Scheme allows for
referral of country residents who require simple
crown and bridge treatment to the private sector,
reducing the Specialist Restorative Unit waiting
list for specialist crown and bridge treatment. This
scheme was first implemented in 2014 through the
National Partnership Agreement, and was continued
through 2015-16. In 2015-16, 80 country patients
on the Adelaide Dental Hospital crown and bridge
waiting list had been offered treatment under the
scheme. The uptake rate was 76%. As a result of
these offers in conjunction with waiting list removals
for treatment at the Adelaide Dental Hospital, the
number of patients on the crown and bridge waiting
list at the end of the 2015-16 year was 267, with
the maximum waiting time at 17 months.
Specialist Dental Scheme (Endodontics)
The Specialist Dental Scheme (Endodontics) was
launched in February 2013. The availability of this
scheme provides another means by which patients
can access specialist endodontic treatment, reducing
the Adelaide Dental Hospital waiting list for specialist
endodontic treatment. In 2015-16, 70 patients on the
endodontics waiting list had been offered treatment
under the scheme. The uptake rate was 67%. As a
result of these offers in conjunction with waiting list
removals for treatment at the Adelaide Dental Hospital,
the number of patients on the endodontic waiting
list at the end of the 2015-16 year was 133, with the
maximum waiting time at 4 months.
Specialist Dental Scheme (Orthodontics)
A pilot Specialist Dental Scheme (Orthodontics) was
launched in December 2014, offering care to country
patients at the top of the orthodontics priority 2 (P2)
waiting list. This scheme aims to provide additional
means for patients to access specialist orthodontic
treatment, reducing the Orthodontic Unit waiting list.
The initial round of offers for treatment under this
scheme occurred in December 2014, with care offered
to 30 country patients at the top of the P2 waiting list.
At 30 June 2016, orthodontic treatment
was underway for the14 patients accepting
the offer. In November 2015 the second round
of offers was extended to 80 country patients
waiting on the orthodontics P2
waiting list. At 30 June 2016, 38 of these
patients had accepted the offer with assessment
for treatment commencing. The uptake rate
from these 2 rounds of offers for care through the
Orthodontics Scheme is approximately 50%.
Specialist Dental Scheme (Oral Surgery)
The Specialist Dental Scheme (Oral Surgery) is a
pilot scheme introduced in early 2016. This scheme
provides a means for patients waiting on the Oral and
Maxillofacial Surgery Royal Adelaide Hospital General
Anaesthetic waiting list to access their care through a
private specialist oral and maxillofacial surgeon. At 30
June 2016, 150 patients who required extraction of
two or more wisdom teeth were offered care under
this scheme. The uptake rate was 66%.
SA Dental Service Online Content
The update and maintenance of SA Dental Service
Online content has become increasingly important
as clients and staff use the web more frequently to
access SA Dental Service information.
In 2015-16 the landing pages on both the SA Dental
Service webpage and the intranet were updated
with both including the carousel function to
promote key messages.
Internet and Intranet hits per month
25,000
30,000
20,000
15,000
10,000
5,000
Webpage Hits
Intranet Hits
Ju
n-
15
A
ug
-1
5
Se
p-
15
O
ct
-1
5
N
ov
-1
5
D
ec
-1
5
Ja
n-
16
Fe
b-
16
M
ar
16
A
pr
-1
6
M
ay
-1
6
Ju
n-
16
0
9,586
22,884
23,786
21,041
18,552
19,191
16,242
20,579
25,711
27,278
23,319
25,583
23,975
8,328
7,720 7,901
8,619
7,033
6,074
8,831
9,346
8,263
9,643
8,138
SA Dental Service Yearbook 2015-16 Page 19
To make it easier for parents/carers to make
appointments for children, an online booking
request form for School Dental Service clinics was
embedded in the SA Dental Service webpage and
1,202 appointment requests were received between
February and June 2016.
All SA Dental Service clinics were mapped using
google maps, enabling clients to search for their
nearest clinic and relevant information regarding
opening times, access and services available.
Strategic Outcome 7
Workforce Innovation - Extended Care Dental
Therapists
As a result of the 30 year Education Partnership
Agreement between Central Adelaide Local
Health Network and the University of Adelaide,
the Graduate Certificate in Oral Health Science
commenced in July 2015. This workforce reform has
been on the agenda for the public sector both locally
and nationally for some time and now this formal
pathway has been implemented.
The six month post graduate course is a pathway
for dental and oral health therapists to apply their
traditional dental therapist scope of practice to
clients of all ages.
Seven SA Dental Service staff were among the
inaugural cohort of 10 students and another dental
therapist commenced the course in January 2016. All
eight SA Dental Service dental/oral health therapists
successfully completed the course with a further dental
therapist acquiring an equivalent qualification from the
University of Melbourne. There are now nine dental
therapists working a minimum of 0.4 FTE treating adult
clients in the Community Dental Service.
Credentialling and Scope of Practice
SA Dental Service Credentialling Committee
maintained the credentialling status of over 500
Dental Practitioners. This includes all non-SA Dental
Service employees who provide and or supervise the
provision of dental care within SA Dental Service (eg
University Tutors).
Voluntary Dentist Graduate Year Program
(VDGYP)
The Commonwealth funded Voluntary Dental
Graduate Year Program ceased in December 2015
when graduates at Marleston, with rotations
through the ADH and Wallaroo Community Dental
Clinic, completed their placements. Under this
program new dental graduates worked in the public
sector providing treatment to eligible patients as well
as undertaking a structured educational program to
enhance their clinical practice.
Oral Health Therapist Graduate Year Program
(OHTGYP)
This Commonwealth funded program also ceased
in December 2015 when two graduates, based at
the Elizabeth GP Plus Dental Clinic, completed their
placements. The program was managed and funded
along the same principles as the VDGYP.
Staff Biennial Conference
Around 625 staff attended the 2016 biennial staff
conference held on 17 June 2016. The theme for
the day was It Starts With Us. Key topics for the day
included Responding to Racism, White Ribbon, Building
a new Dental Hospital, Communicating for Success
and A New Era. Everyday Excellence staff presentations
relating to the theme were also a feature and were
rated highly by attendees.
SA Dental Service is an employer of
choice, has sufficient skilled clinical and
non clinical workforce and is making
full and flexible use of its capabilities
SA Dental Service Yearbook 2015-16Page 20
Strategic Outcome 8
In June 2014, SA Health issued a Request for
Proposal (RFP) for an Educational Partner to join
with SA Dental Service to provide dental care for
eligible patients in SA. The RFP sought proposals
from Australian Universities to use SA Dental
Service facilities, provide dental care for patients
through clinical placements of dental students and
at the same time provide a capital infrastructure
solution for the future of the Adelaide Dental
Hospital. The University of Adelaide was the
successful education partnership tenderer and the
Dental Education Partnership Agreement between
Central Adelaide Local Health Network and The
University of Adelaide was signed in July 2015.
Strategic Outcome 9
Adelaide Dental Hospital
As part of the successful tender for an Educational
Partner (Strategic Outcome 8), a new 89 dental
chair Adelaide Dental Hospital will be constructed
as part of the University s Health and Medical
Sciences Building. In close proximity to the new
Royal Adelaide Hospital, the new ADH is planned
to open in July 2017 and will be operated and
managed by SA Dental Service. Work on the
design and layout of the new facility commenced
in January 2015 and has been a major focus for
managers and staff of the ADH during 2015-16.
Allan Pease, widely recognised nationally and
internationally as a communication expert,
entertained and motivated staff and provided the
audience with inspirational take home messages.
The current cohort of 30 and 40 year service
recipients were acknowledged with 33 staff being
presented with service badges and certificates.
Due to popular demand the Unsung Hero awards
returned and 5 staff and a work team were
acknowledged as unsung heroes. The social media
platform Twitter was used for the first time and
proved to be a popular innovation.
SA Dental Service is an active partner
with the dental tertiary education and
research sectors
Public dental infrastructure supports the
provision of contemporary public dental
services and is integrated with other
health services wherever possible
SA Dental Service Yearbook 2015-16 Page 21
Riverland Oral Health Centre
As part of the Education Partnership Agreement
with the University of Adelaide a new 10 chair
clinic will be established in the Berri campus of the
Riverland Regional Hospital. Planning and design
work is completed and a sod turning ceremony
was held at the site on May 20th 2016 to mark the
commencement of the building works. The building is
due to commence clinical operations in late 2016.
Other Infrastructure Improvements
Improvements to clinic infrastructure continued in
2015-16 with the following highlights:
> The new 6 chair Parks Dental Clinic opened in
late 2015
> Redevelopment of the Linden Park school dental
clinic was completed in January 2016
> A substantial upgrade to the dental clinic located
within Yatala Prison.
Linden Park Dental Clinic (below)
Parks Dental Clinic (right)
SA Dental Service Yearbook 2015-16Page 22
Freedom of Information
2015-16
Information Statement
The Freedom of Information Act 1991 gives
members of the public a legally enforceable right
to access information held by the South Australian
Government, subject to certain restrictions.
Functions of SA Dental Service directly impacts
on the public
The work of SA Dental Service directly impacts on
the public as a result of providing public dental
services to eligible children and adults who hold
current Pensioner Concession or Health Care Cards.
Public participation
The public can contribute to policy development
within SA Dental Service in a number of ways. SA
Dental Service accesses external expertise and policy
advice through statutory and non-statutory advisory
committees such as the Consumer Advisory Panel,
which are comprised of both government and
non-government representatives. SA Dental Service
consults with major consumer groups, circulates
discussion papers and calls for submissions on
particular topics. It also fosters a culture of inclusion
of communities and service providers in planning,
development and evaluation of services. These
processes ultimately facilitate the community s access
to services and their informed decision making about
service options and program developments.
Types of documents held by SA Dental Service
SA Dental Service holds various hard copy and/
or electronic oral health publications in addition to
administrative and client files. These include books,
reports, reviews, serial publications, pamphlets,
information sheets, codes of practice, surveys,
guidelines, policies, procedures, programs, strategies,
directories and evaluations.
Arrangements and procedures for seeking
access to documents
Application forms for access to documents can be
downloaded from the SA Dental Service website,
obtained through any clinic or provided by the
Client Relations Unit. The Client Relations Unit is
responsible for processing FOI requests and is able to
assist with any FOI related enquiries.
SA Dental Service Yearbook 2015-16 Page 23
Applications for Access (2015-16)
Details of Applications Personal Non Personal Total
New applications for the year 48 0 48
Applications brought forward from previous year 2 0 2
Total to be processed 50 0 50
Determined 48 0 48
Transferred in full 0 0 0
Withdrawn 0 0 0
Totally actually processed 48 0 48
Unfinished 0 0 0
Outcomes of Access Applications (2015-16)
Outcome description Personal Non Personal Total
Full Release 47 0 47
Partial Release 0 0 0
Refused access (no record) 1 0 1
Total 48 0 48
Applications for Amendment (2015-16)
Personal Non Personal Total
New Amendment applications 0 0 0
Total 0 0 0
Applications for Internal Reviews (2015-16)
Personal Non Personal Total
New Internal Review applications 0 0 0
Total 0 0 0
SA Dental Service Yearbook 2015-16Page 24
Adelaide Dental Hospital Statistics
Treatment Statistics
2012/2013 2013/2014 2014/2015 2015/2016
Patients 22,096 23,239 23,689 23,463
Attendances 77,174 80,425 79,685 77,240
Diagnostic / Preventive
Examinations 3,455 13,983 14,790 14,700
Consultations 12,238 12,683 13,315 12,849
Radiographs 27,830 30,296 28,413 28,050
Periodontal treatment
dental health education
18,551 17,317 17,085 16,460
Conservative Dentistry
Temporary restorations 1,915 1,784 1,693 1,786
Plastic restorations
(amalgam, GIC & resin) 14,708 14, 405 14,292 13,756
Complex restorations 943 1,312 1,218 1,117
Root canal treatment 947 1,175 923 992
Prosthetic Dentistry
Full dentures 498 593 608 546
Part dentures 834 880 929 880
Denture relines / re-bases 186 202 191 217
Denture repairs 194 216 256 252
Denture adjustments 1,056 1,166 1,341 1,291
Oral Surgery
Simple extractions 12,280 14,163 14,184 13,528
Surgical extractions 2,863 2,730 2,777 3,373
Orthodontics
Removable appliances** 982 1,148 1,068 1,009
Fixed appliance
(Arches) 1,134 1,026 1,250 1,186
SA Dental Service Yearbook 2015-16 Page 25
Adelaide Dental Hospital Statistics (cont.)
Waiting Lists
Number of people on waiting lists
Patient Visits seeing a dental student
06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16
Orthodontics 1,249 1,222 1,165 708 626 1,210 1,710 1,635 1,646 1,266
Oral Surgery 1,125 819 765 494 721 895 898 877 1,343 1,509
200
0
06/07 07/08 08/09 09/10 10/11 12/13 13/14 14/15 15/1611/12
400
600
800
1,000
1,200
1,600
1,400
1,800
Adelaide Dental Hospital Specialist Waiting Lists
Number of persons Waiting at 30th June
Oral Surgery
Orthodontics
5000
0
07/08 08/09 09/10 10/11 12/13 13/14 14/15 15/1611/12
10000
15000
20000
25000
30000
35000
40000
45000
Total Number of BDS Student Patient Visits per year
CDS-BDS5
SDS-BDS4
ADH
TOTAL
08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16
Adelaide Dental Hospital 25,816 26,003 27,272 29,707 29,193 29,713 27,065 26,835
Community- BDS5 6,978 9,716 7,990 7,386 9,272 9,134 9,031 11,310
School Dental/Pedo BDS4 1,242 1,539 1,296 1,982 2,163 2,099 1,949 2,115
All 34,036 37,258 36,558 39,076 40,628 40,946 38,045 40,260
SA Dental Service Yearbook 2015-16Page 26
School Dental Service Statistics
Children under care (consents)
In 2015-16, the School Dental Service cared for 144,576 registered children; 119,822 pre-school and primary
school children (+3,423) and 24,754 (-22) secondary school students. The number of patients under care is
3,401 more than the 2014/15 total, and the highest number enrolled since 2009/10.
A similar number of secondary school children have been enrolled in SDS for the past six years.
The number of pre-school and primary school children enrolled in the SDS increased to levels not seen since
before 2008.
The Medicare Teen Dental Plan voucher scheme for diagnositc and preventive dental services, covered under
Family Tax Benefit A entitlements, ceased in December 2013.
A Commonwealth funded scheme, the Child Dental Benefits Schedule (CDBS) commenced from
1 January 2014.
The number of children under care by the School Dental Service since 1972 is shown below:
> Note: lower secondary school participation since 1995, associated with an annual secondary school subscription.
> Note: Copayments were introduced for Primary (& some Preschool) children after first Free course of care
for non-cardholders from January 2007.
> Pre-school aged children are now free of copayments for school dental service care.
> The Medicare Teen Dental Plan voucher scheme introduced from July 2008, also now allows non-cardholders
to receive free SDS care in exchange for the voucher.
> The Child Dental Benefits Schedule (CDBS), a Commonwealth funded children s dental program commenced
in January 2014. The SA School Dental Service staff are deemed eligible providers under the CDBS, but dental
students and services under General Anaesthetic in hospitals are not entitled CDBS services.
50,000
0
19
75
19
77
19
79
19
81
19
83
19
85
19
87
19
89
19
91
19
93
19
95
19
97
19
99
20
05
/0
6
20
03
/0
4
20
01
/0
2
20
07
/0
8
20
09
/1
0
20
11
/1
2
20
13
/1
4
20
15
/1
6
100,000
150,000
200,000
250,000
SDS Number of Children Enrolled
Total Number of Children
Pre & Primary
Secondary & Tertiary
SA Dental Service Yearbook 2015-16 Page 27
School Dental Service Statistics (cont.)
Dental caries experience
A patient s DMFT index is the total number of decayed, missing or filled permanent teeth and is a measure of
decay experience. The mean DMFT for 12 year old children is presented below for years since 1977. The oral
health of 12 year old SDS patients is represented by a mean DMFT score of 0.79 in 2015.
While there had been noticable deterioration in children s oral health over approximately the decade leading
up to 2008, this had stabilised at about DMFT = 1.0 for about four years, and improved annually between
2009 and 2012. Since then the average DMFT index has stablised at around 0.8.
The average 12 year-old DMFT in 2015 is the same as 2003, at 0.79, and is the best rate observed since 2004.
1.0
0.5
0.0
1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 20152013
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
SA School Dental Service DMFT 12 year olds
SA Dental Service Yearbook 2015-16Page 28
School Dental Service Statistics (cont.)
Annual services per 100 children under care (registered consents)
* Estimated 5 minute time unit
** Estimated 15 minute time unit
# from January 2014 Child Dental Benefits Schedule Fluorides (as visits)
Not documented as Conc Fluoride per Tooth
2012/13 2013/14 2014/15 2015/16
Freq Per 100 Freq Per 100 Freq Per 100 Freq Per100
Consents Consents Consents Consents
Patients 84,975 86,666 85,709 84.604
Attendances 184,509 183,222 180,402 176,388
Examinations 83,967 62.2 98,218 70.3 112,261 79.5 120,535 83.4
Radiographs 92,273 68.3 99,531 71.2 103,114 73.0 102,160 70.7
Prophylaxis 15,390 11.4 19,829 14.2 22,833 16.2 22,975 15.9
#Topical Fluoride (visits) 20,235 15.0 #47,076 #33.7 #69,316 49.1 69,401 48.0
#Conc Fluoride (Teeth treated) 413,611 306.4 #198,357 #142.0 Not Applicable since CDBS
Filling (primary + permanent) 44,544 33.0 40,474 29.0 39,996 28.3 35,193 24.3
Pulpotomy (Primary) 2,207 1.6 1,816 1.3 1,815 1.3 1,672 1.2
Root Canal Treatment 285 0.2 244 0.2 211 0.2 219 0.2
Extractions
Simple (primary+perm) 15,872 11.8 15,433 11.0 15,808 11.2 14,585 10.1
Temporary dressing 2,617 1.9 2,240 1.6 2,237 1.6 2,100 1.5
Orthodontics
Active appliance 331 0.2 302 0.2 272 0.2 249 0.2
Referral 4,916 3.6 4,300 3.1 4,334 3.1 4,675 3.2
Mouthguard 933 0.7 724 0.5 480 0.3 497 0.3
Fissure sealant
and surface protection 80,479 59.6 81,793 58.5 91,573 64.9 87,208 60.3
Dental Health Education
Child-individual* 65,018 48.2 70,102 50.2 85,022 60.2 98,592 68.2
small group* 804 0.6 1,454 1.0 1,211 1.0 383 0.3
Parent-individual* 84,325 62.5 80,395 57.5 85,562 61.0 91,553 63.3
-group** 124 0.1 41 0.0 67 0.0 112 0.1
SA Dental Service Yearbook 2015-16 Page 29
Community Dental Service Statistics
Treatment Statistics (Community Dental Clinics and Private Sector Schemes)
Number of services provided 2015/2016
CDS Contracted Privately Total 2015/2016
Freq Per 100 Freq Per 100 Freq Per 100
Patients Patients Patients
Number of patients 45,033 22,210 64,303
Patient attendances 103,904 51,820 156,229
Examinations 44,793 99.5 15,139 68.2 60,183 93.6
Radiographs 50,184 111.4 19,762 89.0 70,141 109.1
Periodontal treatment /
66,000 146.6 13,702 61.7 80,021 124.4
dental health education
Temporary restorations 3,213 7.1 345 1.6 3,558 5.5
Plastic restorations
44,704 99.3 24,692 111.2 69,709 108.4
(amalgam, GIC & resin)
Complex restorations 105 0.2 3 0.0 108 0.2
Root canal treatments 958 2.1 143 0.6 1,101 1.7
Denture units 1,744 3.9 5,729 25.8 7,497 11.7
Denture relines / rebases 236 0.5 385 1.7 631 1.0
Denture repairs 237 0.5 6,882 31.0 7,131 11.1
Denture adjustments 1,967 4.4 68 0.3 2,044 3.2
Simple extractions 24,061 53.4 6,092 27.4 30,208 47.0
Surgical extractions 397 0.9 863 3.9 1,265 2.0
SA Dental Service Yearbook 2015-16Page 30
Community Dental Service Statistics (cont.)
Treatment statistics service mix profile
(Community Dental Clinics and Private Sector Schemes combined)
Number of services provided for the past four years
2012/2013 2013/2014 2014/2015 2015/2016
Freq Rate Freq Rate Freq Rate Freq Rate
Per 100 Per 100 Per 100 Per 100
Patients Patients Patients Patients
Number of patients 53,846 65,551 57,114 64,303
Patient attendances 131,350 167,479 131,798 156,229
Examinations 48,938 90.9 57,983 88.5 52,091 91.2 60,183 93.6
Radiographs 55,652 103.4 68,626 104.7 53,083 92.9 70,141 109.1
Periodontal treatment /
dental health education
47,883 88.9 69,537 106.1 64,503 112.9 80,021 124.4
Temporary restorations 3,076 5.7 3,246 5.0 3,398 5.9 3,558 5.5
Plastic restorations
(amalgam, GIC & resin) 59,200 109.9 86,014 131.2 47,911 83.9 69,709 108.4
Complex restorations 22 0.0 15 0.0 38 0.1 108 0.2
Root canal treatments 1,120 2.1 1,702 2.6 973 1.7 1,101 1.7
Denture units 6,096 11.3 7,127 10.9 6,047 10.6 7,497 11.7
Denture relines / rebases 438 0.8 593 0.9 611 1.1 631 1.0
Denture repairs 5,957 11.1 6,940 10.6 7,114 12.5 7,131 11.1
Denture adjustments 1,588 2.9 1,924 2.9 1,989 3.5 2,044 3.2
Simple extractions 23,684 44.0 28,645 43.7 26,920 47.1 30,208 47.0
Surgical extractions 1,271 2.4 1,851 2.8 889 1.6 1,265 2.0
SA Dental Service Yearbook 2015-16 Page 31
Community Dental Service Statistics (cont.)
State Adult Dental Waiting Lists
Waiting lists at Community Dental Service Clinics adult dental services
State Average Waiting Time (months) at Community Dental Service Clinics
06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16
Prosthetic Waiting Lists 6,378 6,075 3,776 3,043 1,615 927 429 1,861 2,823 2,501
Conservative Waiting Lists 42,051 32,429 31,289 28,143 23,951 21,373 13,473 20,371 37,324 33,026
06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16
Prosthetic Waiting Lists 40.6 38.7 27.8 28.6 16.6 14.8 11.4 9.0 15.4 16.3
Conservative Waiting Lists 22.6 19.1 17.3 17.7 16.8 16.0 11.5 8.4 13.4 13.2
10,000
20,000
30,000
40,000
50,000
60,000
70,000
0
05/06 06/07 08/0907/08 09/10 10/11 12/13 13/14 14/15 15/1611/12
CDS State Total Waiting Lists Restorative and Prosthetic
Number of Persons Names on Waiting Lists
Prosthetic Waiting List
Restorative Waiting List
SA Dental Service Yearbook 2015-16Page 32
Aboriginal Dental Scheme Statistics
Treatment Provided 2010/2011 2015/2016
Aboriginal Liaison Project Statistics
2010/2011 2011/2012 2012/2013 2013/2014 2014/2015 2015/2016
Practices participating 55 56 32 18 25 21
Claims submitted 847 611 566 356 292 240
Examinations 723 503 519 318 234 202
Dental prevention 91 57 54 163 127 107
Restorations 272 222 185 412 299 221
Endodontics 3 1 2 4 3 0
Radiographs 370 235 379 573 396 294
Extractions 408 275 244 274 198 127
Surgical extractions / oral surgery 75 82 85 79 25 15
Relief of pain / Temporary filling 11 9 11 4 2 5
Dentures units 46 29 5 17 34 31
Repairs / maintenance to Dentures 15 16 11 5 1 0
Adjustments or relines 3 5 2 0 0 1
2009/2010 2010/2011 2011/2012 2012/2013 2013/2014 2014/2015
Number of patients 1,351 1,840 2,216 2,500 2,934 3,377
Patient attendances 3,679 4,625 5,557 6,322 6,743 7,850
Courses of care 1,425 1,951 2,352 2,690 3,150 3,688
Examinations 1,511 2,108 2,442 2,767 3,188 3,964
Dental prevention /
periodontal treatment 909 1,189 2,197 2,898 3,866 5,465
Restorations 1,792 2,147 2,616 3,289 3,172 3,678
Endodontics 15 25 28 48 52 44
Radiographs 1,534 2,151 2,756 3,307 3,686 4,543
Extractions 1,506 1,812 2,338 2,518 2,339 2,847
Surgical extractions / oral surgery 7 10 5 12 8 28
Relief of pain / temporary filling 75 149 129 213 271 219
Dentures units 129 100 139 86 130 140
Repairs / maintenance to dentures 15 8 12 11 10 20
Adjustments or relines 53 52 75 71 66 119
SA Dental Service Yearbook 2015-16 Page 33
Human Resources Statistics
Number of Employees by Salary Bracket
Status of Employees in Current Position
Number of Executives by Status in Current Position, Gender and Classification
Employees Health Units Org Level DSSA
Persons 886
FTEs 661.82
Number of Persons Separated from the agency
during the last 12 months 114
Number of Persons Recruited to the agency
during the 15/16 financial year 112
Number of Persons Recruited to the agency during the 15/16
financial year AND who were active/paid at June 2016 79
Number of Persons on Leave without Pay at 30 June 2016 29
Male 15.69 15.08
Female 84.31 84.92
Gender % Persons %FTE
EXEC0A 1 1 1 50 1 50 2
Total 1 1 1 50 1 50 2
Classification Term Untenured Total
% of total % of total
Male Female Male Execs Female Execs Total
Male 74.96 18.33 1 5.48 99.77
Female 470.02 78.79 1 12.24 562.05
Total 544.98 97.12 2 17.72 661.82
Male 92 22 1 24 139
Female 605 102 1 39 747
Total 697 124 2 63 886
FTEs Gender Ongoing Short-term Contract Long-term Contract Casual Total
Persons Gender Ongoing Short-term Contract Long-term Contract Casual Total
0 - $57,599 12 434 446
$57,600 to $73,299 25 113 138
$73,300 to $93,799 14 113 127
$93,800 to $118,399 18 30 48
$118,400 Plus 70 57 127
Total 139 747 886
Salary Bracket Male Female Total
SA Dental Service Yearbook 2015-16Page 34
Human Resources Statistics (cont.)
Total Days Leave Taken Needs to be divided by average FTE figure for the financial year for per FTE figure
Number of Aboriginal and/or Torres Strait Islander Employees
Number of Employees by Age Bracket by Gender
Cultural and Linguistic Diversity
Total Number of Employees with Disabilities (according to Commonwealth definition)
0 - $57,599 4 446 0.90
$57,600 to $73,299 1 138 0.72
$73,300 to $93,799 1 127 0.79
$93,800 to $118,399 1 48 2.08
$118,400 Plus 0 127 0
Total 7 886 0.79
1) Sick Leave Taken 7655.20
2) Family Carer s Leave Taken 118.35
3) Miscellaneous Special Leave 488.91
Leave Type 2015/16
Number of Employees born overseas 52 161 213 24.04
Number of Employees who speak
language(s) other than English at home
10 37 47 5.30
1 6 7 0.8
Name Male Female Total % of Agency
Male Female Total % of Agency
Salary Bracket Aboriginal Employees Total Employees % Aboriginal Employees
15 - 19 0 11 11 1.24
20 - 24 3 61 64 7.22
25 - 29 18 107 125 14.11
30 - 34 17 61 78 8.80
35 - 39 23 66 89 10.05
40 - 44 14 53 67 7.56
45 - 49 9 80 89 10.05
50 - 54 7 93 100 11.29
55 - 59 23 132 155 17.49
60 - 64 17 73 90 10.16
65+ 8 10 18 2.03
Total 139 747 886 100
Age Bracket Male Female Total % of Total
SA Dental Service Yearbook 2015-16 Page 35
Human Resources Statistics (cont.)
Types of Disability (where specified)
Number of Employees using Voluntary Flexible Working Arrangements by Gender
Documented Review of Individual Performance Management
Disability Requiring Workplace Adaptation 1 5 6 0.7
Physical 0 0 0 0.0
Intellectual 0 0 0 0.0
Sensory 0 1 1 0.1
Psychological/Psychiatric 0 0 0 0.0
Disability Male Female Total % of Agency
Purchased Leave 0 0 0
Flexitime 8 11 19
Compressed Weeks 7 37 44
Part-time 75 508 583
Job Share 0 0 0
Working from Home 1 1 2
% Reviewed within the last 12 months 44.36
% review older than 12 months 41.08
% Not reviewed 14.56
Leave Type Male Female Total
Documented Review of Individual
Performance Management
Total
SA Dental Service Yearbook 2015-16Page 36
Financial Statements
SA Dental Service Financial Report as at 30 June 2016
Revenue YTD Actuals $ 000 YTD Budget $ 000 YTD Variance $ 000
Patient/Client Fees (19,924) (21,406) (1,482)
Goods and Services Recharge/Recoveries (294) (179) 115
Recharges - Employee Related Cost (3) 0 3
Commonwealth Grants (386) (363) 23
Grants, Donations & Subsidies (100) (154) (54)
User Fees and Charges Revenue (705) (951) (246)
Investment Income & Other Revenue (344) (334) 10
Revenue Total (21,756) (23,387) (1,631)
Expense
Employee Related Expenses
Salaries and Wages - Nursing 360 441 81
Salaries and Wages - Medical Officers 957 920 (37)
Salaries and Wages - Weekly Paid 442 440 (2)
Salaries and Wages - Clinical Academics 54 0 (54)
Salaries and Wages - Salaried Employees 44,222 46,051 1,829
AL, LSL and Revals for Leave and Oncosts 5,714 5,568 (146)
Other Employee Related Expenses 5,555 5,584 29
Employee Related Expenses Total 57,304 59,004 1,700
Non Employee Related Expenses
Agency Staffing 61 64 3
Food Supplies 34 23 (11)
Drug supplies 150 24 (126)
Medical, Para Med & Laboratory Supplies 4,161 4,133 (28)
Diagnostic Testing Charges 3 5 2
Housekeeping 1,482 1,338 (144)
Linen Services 3 14 11
Electricity, Gas, Fuel 466 573 107
Minor Equipment 23 81 58
Repairs & Maintenance 591 581 (10)
Fee for Service 12,572 12,781 209
Other Supplies & Services 6,334 5,954 (380)
Patient/Client Transport Assistance 19 22 3
S & W Purchased Staff from Other SA Health Regions 0 0 0
Other Expenses 13 0 (13)
Grants and Subsidies 366 334 (32)
Borrowing Expenses 0 0 0
Non Employee Related Expenses Total 26,278 25,927 (351)
Expenses Total 83,582 84,931 1,349
Capital Revenue
Contributed Assets & Services 0 0 0
Revaluation Increments Revenue 0 0 0
Proceeds from Assets Disposals 0 0 0
Cost or Valuation of Assets Disposed 978 0 (978)
Accum Depreciation of Assets Disposed (687) 0 687
Fixed Asset Impairments 5,480 0 (5,480)
Appropriations and SA Government Revenue - Capital 0 0 0
Capital Revenue Total 5,771 0 (5,771)
Capital Expenses
Financial and Investment Losses 267 0 (267)
Depreciation & Amortisation 3,614 3,870 256
Donated Assets Expense 0 0 0
Capital Expenses Total 3,881 3,870 (11)
Grand Total 71,478 65,414 (6,064)
Grand Total 77,663,547 77,935,406 271,859
For more information
SA Dental Service
GPO Box 864
Adelaide SA 5001
Telephone: 8222 8222
www.sahealth.sa.gov.au/sadental
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