Abstract

The key objective of creating the Isle of Wight orthodontic service managed clinical network (IOWOS MCN) was to create an integrated service measuring the referral and outcome data to inform future commissioning and service re-organization. Data were collected as part of a central referral triage process and were analysed from 2006 to 2009. The theoretical orthodontic need was assessed in the IOW population and compared to other methods of assessing need reported in the literature. The IOWOS referral outcomes were then compared to the expected theoretical outcomes. The referral outcomes were described and discussed in the first part of this two-part series. This second part provides an insight into some of the complexities of commissioning orthodontic care by reference to the referral outcome data. Clinical Relevance: There was a high level of appropriate referral for orthodontic treatment within the IOWOS MCN but the method of calculating orthodontic need is complex.

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