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Development of this implementation advice

The Scottish Dental Clinical Effectiveness Programme

The Scottish Dental Clinical Effectiveness Programme (SDCEP) is an initiative of the National Dental Advisory Committee (NDAC) and operates within NHS Education for Scotland (NES).

SDCEP was established in 2004 under the direction of the NDAC to give a structured approach to providing clinical guidance for the dental profession. The programme’s primary aim is to develop guidance that supports dental teams to provide quality patient care. SDCEP brings together the best available information that is relevant to priority areas in dentistry, and presents guidance on best practice in a form that can be interpreted easily and implemented. The guidance recommendations may be based on a variety of sources of information including research evidence, guidelines, legislation, policies and expert opinion as appropriate to the subject. SDCEP guidance takes a variety of forms to suit the diverse topics being addressed.  

SDCEP also develops implementation advice, which clarifies and advises on changes in legislation, professional regulations or other developments relevant to patient care.

Recognising that publication of guidance alone is likely to have a limited influence on practice, SDCEP also contributes to the research and development of interventions to enhance the translation of guidance recommendations into practice through its participation in the TRiaDS (Translation Research in a Dental Setting) collaboration (www.triads.org.uk).

All of SDCEP’s activities are overseen by a steering group that includes representatives of guidance development groups and the dental institutions in Scotland. Current membership of this steering group is available at www.sdcep.org.uk

SDCEP is funded by NHS Education for Scotland. The views and opinions of NES have not influenced the recommendations made in this implementation advice. 

The Short-life Working Group included individuals from a range of relevant branches of the dental profession, other healthcare disciplines, including cardiology, cardiac surgery, pharmacy, and microbiology, and two patient representatives.

Andrew Paterson (Chair) Clinical Senior Lecturer, University of Glasgow; Honorary Consultant in Restorative Dentistry, NHS Greater Glasgow & Clyde 
Carly Dixon Clinical Lecturer in Paediatric Dentistry, University of Manchester; Specialist in Paediatric Dentistry, Manchester University NHS Foundation Trust
Elaine Cook Vice President, Faculty of Forensic and Legal Medicine, Royal College of Physicians
Paul Cooney General Dental Practitioner, Hamilton
Alexander Crighton Consultant in Oral Medicine, Newcastle Dental Hospital, Newcastle upon Tyne NHS Foundation Trust
Iona Donnelly Patient Representative
Ian Dunn General Dental Practitioner and Specialist Periodontist, Liverpool; Council member, British Society of Periodontology and Implant Dentistry
Fiona Ellwood Executive Lead, British Society of Dental Nurses 
Paul Forsyth Cardiology Consultant Pharmacist, NHS Golden Jubilee, Glasgow
Abdul Haleem General Dental Practitioner and Dental Practice Advisor, Glasgow
Mostafa Hassaan General Dental Practitioner and Deputy CDO Wales
Andreas Hoschtitzky Consultant Cardiac Surgeon, Guy’s and St. Thomas’ NHS Foundation Trust; President of British Congenital Cardiac Association
Rhiannon Jones President, British Society of Dental Hygiene and Therapy
Anup Karki Consultant in Dental Public Health, Cardiff
Leonard Maguire General Dental Practitioner, Portadown
Bridget McCann Patient Representative
Narain Moorjani Consultant Cardiac Surgeon, Cambridge; Past President, Society for Cardiothoracic Surgery
Lochana Nanayakkara Consultant in Restorative Dentistry, Barts Health NHS Trust, London 
Rakhee Patel Senior Clinical Lecturer and Honorary Consultant in Dental Public Health, King’s College London 
Helen Patterson Consultant in Special Care Dentistry, Glasgow; President of British Society of Special Care Dentistry
Carol Philip Lead Antimicrobial Management Team Pharmacist, NHS Lothian
Fiona Price Medical Microbiologist, Manchester University NHS Foundation Trust
Simone Ruzario President Elect, British Society of Dental Hygiene and Therapy
Lee Savarrio Consultant in Restorative Dentistry; Dental Director and Postgraduate Dental Dean, NHS Education for Scotland
Rana Sayeed Consultant Cardiac Surgeon, Oxford; Representative of the Society for Cardiothoracic Surgery
Dominik Schlosshan Consultant Cardiologist, Leeds General Infirmary; President Elect, British Heart Valve Society 
Brian Stevenson Consultant in Restorative Dentistry, Dundee Dental Hospital and School
Michael Stewart Consultant Cardiologist, South Tees Hospitals NHS Foundation Trust
Neil Swanson Consultant Cardiologist, South Tees Hospitals NHS Foundation Trust; Vice President (Clinical Standards and Guidelines), British Cardiovascular Society
Mina Vaidyanathan Consultant in Paediatric Dentistry, Guys and St. Thomas’ NHS Foundation Trust; Chair of the Consultants in Paediatric Dentistry Cardiac Clinical Excellence Network
Melanie Wilson Consultant in Oral Microbiology, Cardiff
Alison Wright Consultant in Oral Surgery, Dundee Dental Hospital and School

SDCEP’s Programme Development Team (PDT) operates within NHS Education for Scotland and is responsible for the methodology used for the development of implementation advice and guidance. Working with members of the short-life working group, the team facilitates all aspects of the development of the advice. The following PDT members were directly involved in the development of the second edition of this implementation advice. 

Jan Clarkson Programme Director, SDCEP; Associate Postgraduate Dental Dean, NHS Education for Scotland; Professor of Clinical Effectiveness, University of Dundee
Samantha Rutherford Programme Lead (Guidance), SDCEP, NHS Education for Scotland
Laura Beaton Specialist Research Lead, Translation Research in a Dental Setting (TRiaDS), NHS Education for Scotland
Michele West Specialist Research Lead, SDCEP, NHS Education for Scotland
Margaret Mooney Senior Administrative Officer, NHS Education for Scotland
Jenny Wilson Administrative Officer, NHS Education for Scotland

The Short-life Working Group would like to thank Anne-Marie Glenny, Professor of Health Sciences, and Tanya Walsh, Professor of Healthcare Evaluation, from the University of Manchester/Cochrane Oral Health for their contribution to the evidence appraisal related to the classification of ‘at-risk’ dental procedures.

The Short-life Working Group would like to express their gratitude and appreciation to those who shared personal stories about how infective endocarditis has affected them and their families.

SDCEP would like to thank all external expert reviewers for their valuable feedback. 

All contributors to SDCEP are required to declare their financial, intellectual and other relevant interests. At each group meeting, participants are asked to confirm whether there are any changes to these. Should any potential conflicts of interest arise, these are discussed and actions for their management agreed. External expert reviewers are also asked to declare any interests. All declarations of interest and decisions about potential conflicts of interest are available on request.