The increased costs associated with developing and delivering appropriate training to all GPs, not just for those with a specialist interest, must be acknowledged and provided.
A lack of quality training means staff are not always equipped to deliver appropriate healthcare messages or treatment.
To deliver appropriate care, unmet needs should be identified [ 9].
"[We want] to ensure that these lifesaving domestic and sexual violence services are protected and delivered by appropriate trained professionals in quality specialist services, to ensure the best protection and support for vulnerable women and children," she said.
Health professionals require well-defined, effective and ethically justified methods to identify and refer individuals who require specialist diagnostic assessment, and appropriate training to deliver these services.
While this study of Childsmile's EDDNs did not specifically measure the impact of their utilisation on productivity in general dental practice, a gap that has recently been acknowledged in the research literature [ 28], it concurs that with appropriate training EDDNs can deliver health promoting aspects of a dentist's role in Scottish general dental practice.
In practice, it can be delivered by a single health care provider with appropriate training or relate to health care delivered by a team comprising of orthodox and complementary practitioners working together.
The existence of specialised training centres managed by district health network provides an appropriate training environment that delivers comprehensive training and increases CHWs' knowledge, skills and motivation to serve local communities.
To deliver NHS Health Checks effectively, staff need to be provided with the appropriate training to ensure patients are supported and enabled to make lifestyle changes.
The high levels of role satisfaction, perceived utility of training and extent of preventive care delivered by EDDNs found in this study demonstrate that with appropriate training and ongoing support from colleagues, EDDNs can supplement the role of GDPs in dental practice in Scotland and suggest a wider cultural shift towards preventive team-based approaches.
