Retrospective analysis of referrals to the North East of England intermediate oral surgery service

AbstractIntroductionThe intermediate oral surgery service in North East England was introduced in 2009 following changes in the primary care contract in 2005 allowing primary care organisations to locally commission services to meet population need. The aim of this service introduction was to reduce pressures on secondary care and improve efficiency and costs of oral surgery service provision. Where there are geographical variations in the number of referrals received to intermediate oral surgery services in North East England, this study aimed to identify the reasons for these.Materials and methodsA retrospective analysis of referrals to the National Health Service (NHS) Intermediate North East of England Oral Surgery Service was completed. Analysis of 48,286 referrals from 2009 to 2019 was assessed from two NHS specialist oral surgery providers. Primary care practice referrals were located to practice postcode; the sum of referrals from each postcode accumulated over this period. Referral variations were compared with NHS primary care contract sizes, distance to specialist provider and Index of Multiple Deprivation of provider location to identify correlations.ResultsData indicat