Specialist in Orthodontics - Band C - Community

Oxford Health NHS Trust; Packmoor; On-site; GBP 101,000 - 117,000; Part time

Job summary

Oxford Health NHS Trust is seeking a part-time Specialist in Orthodontics for the Community Dental Service based at JR Hospital. The post splits 50/50 between Oxford Health and OUH to deliver shared care across OMFS, Orthodontics, Oral Medicine and Restorative Dentistry, including care for patients with disabilities or complex needs.

The role involves leadership, referral management and quality improvement, with responsibilities across clinic settings and multidisciplinary pathways to improve

Qualifications

• Full General Dental Council registration
• Inclusion of GDC specialist list in orthodontics
• Membership in Orthodontics or equivalent postgraduate qualification
• Postgraduate qualification in education, leadership, management or QI

Responsibilities

• Undertake specialist orthodontic consultations, clinical examination, diagnosis and treatment planning with autonomous decisions within scope.
• Provide preventive, interceptive and active orthodontic care in community service with fixed/removable appliances.
• Deliver shared care with OMFS, Orthodontics and Restorative Dentistry coordinating care in correct sequence.
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Job description

Specialist in Orthodontics - Band C - Community

We are recruiting for a part-time Specialist in Orthodontics to join our Community Dental Service based at the JR Hospital to provide dental care for people who find it difficult to access treatment in a general dental practice.

You'll provide specialist orthodontic assessment, diagnosis, treatment planning and care within community and hospital dental services, working with Special Care and Paediatric Dentistry patients.

Your role will be split equally (50/50) between Oxford Health and OUH where you will deliver shared care and work closely with consultant colleagues for support and advice across Oral and Maxillofacial Surgery (OMFS), Orthodontics, Oral Medicine and Restorative Dentistry. You'll also contribute to multidisciplinary pathways for patients with hypodontia, dento-alveolar conditions, cleft lip and palate and craniofacial conditions.

This role involves managing children, young people and some adults whose orthodontic needs are complicated by disability, medical or behavioural factors, developmental dental conditions and complex social circumstances. You'll also contribute to clinical leadership, referral management and quality improvement.

If you are a Specialist in Orthodontics with full GDC registration and experience in specialist orthodontic practice, we would love to hear from you. Join our friendly, multidisciplinary team and make a meaningful difference to the lives of children, young people and adults who require specialist, person-centred dental care.

Main duties of the job

• Undertake specialist orthodontic consultations, clinical examination, diagnosis, risk assessment and treatment planning for new and existing patients, making autonomous decisions within the agreed scope of practice.
• Provide appropriate preventive, interceptive and active orthodontic care within the commissioned community service, including fixed and removable appliance treatment, space management, retention, urgent orthodontic care and long-term monitoring where indicated
• Use clinical records, photographs, radiographs, digital models or scans and other investigations appropriately, complying with radiation protection, information governance, professional guidance and local policy
• Deliver shared care with Special Care Dentistry, Paediatric Dentistry and OUH consultant colleagues in OMFS, Orthodontics, Oral Medicine and Restorative Dentistry, coordinating prevention, dental stabilisation, restorative or surgical care and orthodontic treatment in the correct sequence.
• Apply the relevant legal and professional frameworks for consent, children and young people, capacity and best-interest decision-making
• Contribute orthodontic advice to conscious sedation and general anaesthetic pathways where clinically justified and commissioned; recognise promptly when hospital-based or tertiary multidisciplinary management is required.

About us

As a Trust we provide physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and Northeast Somerset. Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible. Our vision is that no matter who you are or where you are, you will tell us that you receive: "Outstanding care delivered by an outstanding team"

Our values are: "Caring, safe and excellent"

We offer a wide range of benefits designed to support your career and wellbeing. These include:

• Excellent opportunities for career progression
• Access to tailored individual and Trust wide learning and development
• 27 days annual leave, plus bank holidays, rising to 33 days with continuous service
• NHS Discount across a wide range of shops, restaurants and retailers
• Competitive pension scheme
• Lease car scheme
• Cycle to work scheme
• Employee Assistance Programme
• Mental Health First Aiders
• Staff accommodation (please note waiting lists apply)
• Staff networking and support groups hosted by our Equality, Diversity & Inclusion team

Job responsibilities

Service context and scopeThe Community Dental Service provides care for patients who cannot readily access or receive appropriate treatment within high street orthodontic practice. The Specialist Orthodontist will work across community clinics as a core member of an integrated team, collaborating with primary, secondary and tertiary care services to provide safe, equitable and coordinated care and advice.

Key working relationshipsOHFT Clinical Director and OUH Clinical Lead; OUH consultant colleagues in Oral and Maxillofacial Surgery (OMFS), Orthodontics, Oral Medicine and Restorative Dentistry; specialists and clinicians in Special Care Dentistry and Paediatric Dentistry; orthodontic therapists, dental therapists, dental nurses and oral health improvement teams; general dental practitioners and local specialist orthodontic practices; anaesthetic, medical,allied health professional, education, social care and safeguarding teams; and patients, parents, carers, advocates and community organisations.

The community orthodontic caseload may include:

• Children and young people requiring specialist orthodontic assessment, interceptive care or treatment appropriate for a community setting
• Patients with learning disability, autism, physical or sensory disability, neurological or mental health conditions, complex medical needs, dental anxiety, behavioural support needs or communication difficulties
• Patients requiring coordinated orthodontic, preventive, restorative, surgical, special care or paediatric dental care
• Patients with eruption disturbances, impacted or ectopic teeth, developmental dental anomalies, trauma-related needs or complex interceptive treatment requirements
• Patients affected by health inequalities, social vulnerability, safeguarding concerns or other barriers to mainstream orthodontic services
• Patients requiring assessment and onward referral to hospital or tertiary multidisciplinary pathways where complex cases can be managed in the community with hospital oversight (hub and spoke model)

Person Specification

Skills

• Calm and resilient in complex situations
• Adaptive, reflective and willing to learn
• Committed to teamwork, inclusion and continuous improvement
• Evidence of active involvement in professional networks, community outreach, patient participation or service user co-design

Qualifications

• Full General Dental Council registration
• Inclusion of GDC specialist list in orthodontics
• Membership in Orthodontics or equivalent postgraduate qualification
• Postgraduate qualification in education, leadership, management or QI

Knowledge

• Specialist orthodontic assessment, diagnosis and treatment planning
• Interface between orthodontics and special care and paediatric dentistry
• Clinical governance, risk management, infection prevention, IG and patient safety
• Understanding of conscious sedation and general anaesthetic dental pathways
• Knowledge of Managed Clinical Networks and commissioning
• Knowledge of digital orthodontics and workflows

Experience

• Substantial experience in specialist orthodontic assessment, diagnosis, treatment planning and active treatment
• Experience in managing children and young people with complex orthodontic needs and fixed and removeable appliance therapy
• Experience adapting care for patients with disability, neurodivergence, medical complexity, anxiety, behavioural or communication needs
• Experience of MDT working and recognising cases requiring secondary or tertiary care
• Evidence of participation in audit, QI, peer review, risk management and incident learning
• Experience teaching, supporting or supervising dental professionals or learners
• Experience working in a Community Dental Service
• Experience managing adults with special care needs
• Experience contributing to sedation or general anaesthetic pathways
• Referral triage, waiting list management and demand and capacity work

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£101,434 to £116,573 a yearper annum | pro rata