QMH Acute Dental Triage Form COVID-19


The conditions provided for by the QMH LUDC service include:

  • Life threatening emergencies, e.g. airway restriction or breathing/swallowing difficulties due to facial swelling
  • Trauma including facial/oral laceration and/or dentoalveolar injuries, for example avulsion of a permanent tooth
  • Oro-facial swelling that is significant and worsening
  • Post-extraction bleeding that the patient is not able to control with local measures
  • Dental conditions that have resulted in acute and severe systemic illness
  • Severe dental and facial pain: that is, pain that cannot be controlled by the patient following self-help advice
  • Fractured teeth or tooth with pulpal exposure
  • Dental and soft tissue infections without a systemic effect
  • Oro-dental conditions that are likely to exacerbate systemic medical conditions


Assess your patient according to the strict criteria of acceptance before considering referral. It is likely that you would already have previously advised and if appropriate prescribed for the patient, but the dental condition may not have responded sufficiently.

Please ensure that your patient fulfills the conditions outlined above before making a referral to the QMH LDUC

Complete this form answering every question and then click submit.

Our team will assess the referral and contact the patient as appropriate with a view to arranging an appointment for them to attend. Patients who do not fulfill the acceptance criteria will unfortunately be returned to your care for further advice.

The service will be strictly by appointment only and you should instruct your patient NOT to arrive without appointment and NOT to try to contact the hospital directly. They should wait to be contacted by our team.

The team at QMH LDUC will work to help alleviate the urgent dental service provision problems created through the current COVID19 crisis. Please help us to limit the demand for this service to true urgent care only as we cannot predict whether we will have a continued supply of appropriate PPE. Your help and co-operation with this is really crucial at this critical time.

We will keep you informed with the support of the Local Dental Committee regarding any service provision changes. If you have not already done so, please ensure that you join the mailing list for the Bromley, Bexley and Greenwich LDC by visiting the LDC website and subscribing. See: https://ldc.org.uk/

1. Solid organ transplant recipients.

2. People with specific cancers:

  • people with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
  • people having immunotherapy or other continuing antibody treatments for cancer
  • people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
  • people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs

3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.

4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).

5. People on immunosuppression therapies sufficient to significantly increase risk of infection.

6. Women who are pregnant with significant heart disease, congenital or acquired.

1. aged 70 or older (regardless of medical conditions)

2. under 70 with an underlying health condition listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):

  • chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
  • chronic heart disease, such as heart failure
  • chronic kidney disease
  • chronic liver disease, such as hepatitis
  • chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
  • diabetes
  • problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
  • a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
  • being seriously overweight (a body mass index (BMI) of 40 or above)

3. those who are pregnant