Tier 2 Oral Surgery referrals – IMOS:
Published as a News Post Sep26 and being relocated to the Referrals Drop Down Menu area at an appropriate time.
Tier 2 Oral Surgery refers to intermediate level oral surgery procedures that go beyond routine extractions performed in general practice (Tier 1), but do not require hospital-based specialist care (Tier 3).
Which Procedures Are Included in Tier 2 Oral Surgery?
- Surgical extractions (e.g. non-complex impacted wisdom teeth)
- Removal of buried or fractured roots
- Exposure of impacted teeth (for orthodontic purposes)
- Minor soft tissue surgery (e.g. cyst removal, biopsies)
- Apicectomy (surgical root-end resection)
- Management of dental trauma and related complications
- Management of patients needing IVS for their oral surgery procedure
- Management of some patients with more complex medical histories
Ref: https://www.baos.org.uk/learning-development/primary-care-tier-2/
IMOS providers are now subject to an audit process to ensure appropriate use of the service; the ICB letters below provide guidance to IMOS providers and GDPs on inappropriate referrals, the rejection process and managing patient expectations.
Guidance for IMOS providers
Further information – Oral Surgery clinical standards:
https://www.england.nhs.uk/long-read/oral-surgery-clinical-standard/