title: Clinical record keeping by general dental practitioners piloting the Denplan 'Excel' accreditation programme.
abstract: BACKGROUND
  Denplan is a private capitation-based system of providing primary dental care in the UK. An additional programme called Denplan Excel has been developed which requires General Dental Practitioners to instigate various quality processes within their practices in order to become accredited. Clinical record keeping is one area where standards are monitored. This study reports changes in record keeping at patient recall appointments following the implementation of the Denplan Excel programme.
  
  
  METHODS
  Fifty dentists participating in the Denplan Excel pilot programme from different areas of the UK were sampled by means of cluster sampling. Twenty records for each dentist were sampled and items recorded for patients recalled both pre- and post-pilot were compared.
  
  
  RESULTS
  The majority of dentists recorded presenting complaint, diagnosis and treatment plan both pre- and post-pilot. However, post-pilot there were a number of improvements in record keeping. Caries recorded on a grid increased from 7% of records to 46%, basic periodontal examination increased from 48% to 85% of records and the updating of medical history increased from 51% to 65% of records. These findings were all significant at the p<0.01 level.
  
  
  CONCLUSIONS
  Changes can be achieved by voluntary participation in a system of structured record keeping.
authors.affiliation: The University of Liverpool, Liverpool University School of Dentistry. Ireland@liverpool.ac.uk
authors.forename: R S
authors.initials: RS
authors.lastname: Ireland
authors.forename: R V
authors.initials: RV
authors.lastname: Harris
authors.forename: R
authors.initials: R
authors.lastname: Pealing
mesh_terms: D000068:Accreditation; D016009:Chi-Square Distribution; D003792:Dental Records / Q000592:standards*; D005792:General Practice, Dental / Q000458:organization & administration*; D006801:Humans; D007347:Insurance, Dental; D010865:Pilot Projects; D012494:Sampling Studies; D006113:United Kingdom