{"text_format":"1","workbook":"xlsx","n_sheets":3,"sheets":["Cover sheet","Introduction","Data sheet"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":178,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Cover sheet","index":0,"n_rows":0,"n_cols":0,"rows_kept":0,"cut":false,"hidden":false,"merged":[]}

{"sheet":"Introduction","index":1,"n_rows":23,"n_cols":2,"rows_kept":23,"cut":false,"hidden":false,"merged":[]}
[null,"Baseline assessment tool for oral health promotion: general dental practice (NICE public health guideline NG30)"]
[]
[null,"This baseline assessment tool can be used to evaluate whether practice is in line with the recommendations in Oral health promotion: general dental practice.  It can also help to plan activity to meet the recommendations."]
[]
[null,"The tool can be used by individual services or organisations. Alternatively, an assessment completed with the involvement of all relevant services or organisations would help to develop a picture of activity in the local area."]
[]
[null,"It should be used in conjunction with Oral health promotion: general dental practice (NICE public health guideline NG30)."]
[]
[null,"In the first instance, consider whether the guideline is relevant and record the conclusion in the box below."]
[]
[null,"Is the guideline relevant?"]
[]
[]
[null,"The data sheet contains the recommendations from the guideline. Information can be entered about current activity relevant to the recommendation, actions needed to meet the recommendation, deadlines and the names of the responsible leads.  Useful documents can be added as hyperlinks."]
[]
[null,"The table can be adapted to include any other local information that is thought to be useful."]
[]
[null,"If it would be helpful to group the recommendations, for example those that are key priorities for implementation or by deadline, use the filter function in the data menu. "]
[]
[null,"Tools and resources to help put the guidance into practice are available on the NICE website. "]
[]
[]
[null,"National Institute for Health and Care Excellence\nLevel 1A, City Tower, Piccadilly Plaza, Manchester M1 4BT; www.nice.org.uk\n\nCopyright\n© NICE 2018. All rights reserved. Subject to Notice of rights.\n"]

{"sheet":"Data sheet","index":2,"n_rows":21,"n_cols":12,"rows_kept":21,"cut":false,"hidden":false,"merged":[[0,1,0,11]]}
[null,"Baseline assessment tool for oral health promotion: general dental practice (NICE public health guideline NG30)"]
[]
[null,null,null,null,null,"Number of relevant recommendations",{"$f":"COUNTIF(E8:E21,\"Yes\")","v":0}]
[null,null,null,null,null,"Number of recommendations met",{"$f":"COUNTIF(G8:G21,\"Yes\")","v":0}]
[null,null,null,null,null,"Percentage of recommendations met",{"$f":"IF(ISERROR(G4/G3),\"-\",G4/G3)","v":"-"}]
[]
[null,"NICE recommendation","Guideline reference","Year of recommendation","Is the recommendation relevant?","Current activity/evidence","Recommendation met?","Actions needed to implement recommendation","Is there a risk associated with not implementing this recommendation?","Is there a cost or saving?","Deadline","Lead"]
[null,"1.1 Oral health advice given by dentists and dental care professionals"]
[null,"Give all patients (or their parents or carers) advice during dental examinations based on the oral health messages in Public Health England's Delivering better oral health. This includes:\n• advice on oral hygiene practices and the use of fluoride\n• advice about diet, smoking, smokeless tobacco and alcohol intake.","1.1.1"]
[null,"Ensure the advice is tailored to meet individual needs. (See section 1.2 in this guideline and recommendation 8 in NICE's guideline on behaviour change: individual approaches.)","1.1.2"]
[null,"Ask and record whether the person uses tobacco. Follow recommendations in sections 1.4 to 1.7 in NICE’s guideline on stop smoking interventions and services. If necessary, offer brief advice and offer to refer them to the local stop smoking service.","1.1.3"]
[null,"Consider asking people about their alcohol use, following recommendations in NICE's guideline on alcohol use disorders: preventing-harmful drinking.","1.1.4"]
[null,"Consider delivering oral health improvement messages in a variety of formats and using different media to meet the needs of different groups.","1.1.5"]
[null,"1.2 How dentists and dental care professionals can adopt a patient-centred approach"]
[null,"Encourage the dental practice team to develop a good relationship with patients so they can help them maintain good oral health. All staff, including reception and support staff, should understand the importance of creating a welcoming environment for everyone. This includes:\n• families with babies or very young children\n• children and adults with a physical or sensory impairment.","1.2.1"]
[null,"Recognise that contact with those who do not attend regularly (for example, when they attend for emergency care) provides an important opportunity to establish a positive relationship.","1.2.2"]
[null,"Provide information about how people can find a local dentist or find out if they qualify for free or subsidised NHS dental care. If they do qualify for free or subsidised care, tell them where they can find out how to make a claim.","1.2.3"]
[null,"Listen to patients' needs and offer tailored advice, without judging them if their oral health is poor or if some of their behaviours adversely affect their health (see NICE's quality standard for patient experience in adult NHS services).","1.2.4"]
[null,"Create an individually tailored dental care plan with the patient or their parent or carer. This should combine strategies to prevent, as well as to treat, oral health problems. To develop the preventive part of the plan, ask about the patient's:\n• personal circumstances and their oral health (in the past and now) to gauge their risk of poor oral health\n• oral hygiene practices and how often they use fluoride\n• behaviours that may affect their oral health in the short or long term, including their diet, smoking, or using smokeless tobacco or alcohol (see more information in the context section)\n• existing health conditions or any disabilities or other difficulties that might prevent them from maintaining or improving their own oral health, or the oral health of someone they care for.","1.2.5"]
[null,"Ensure the patient, or their parent or carer, understands the plan to maintain or improve their oral health.","1.2.6"]
[null,"Be aware of the personal, cultural, social, environmental and economic barriers to good oral health. This includes:\n• the links between poor oral health and socioeconomic deprivation\n• recognising that some people may not think it is important to go to the dentist regularly\n• understanding that some parents or carers may not realise that it is important to keep children's primary teeth healthy\n• being aware that people may need help to use dental services.","1.2.7"]