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Posted by on in DentistGoneBadd

Confused by New Dental Contract

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© & @DentistGoneBadd, 2014
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Posted by on in Digital Dentistry
Yo is a relatively new app that over the last few months has been at the top of the iOS App Store.
Or Arbel, a thirty two year old app developer from Tel Aviv, Israel, had an idea for a new app and within eight hours he had created "YO." The app has received USD$1 million in investment from a group of investors led by Moshe Hogeg, CEO of Mobli, who had originally asked Arbel to design a single-button app to call his assistant. “It’s not just an app that says Yo,” says Mr Arbel. “It’s a whole new means of communication.”
You have probably heard of it over the last few months. Simple ideas often work the best and this is messaging without the messages! All you can do is send a friend a notification that says “Yo” It has really started to take off and now millions of messages have been sent, over he course of 3 months as friends experiment with and send each other a "Yo".
Already a Yo Index is building - So as a user you can subscribe to an account eg the Chelsea goal account. Every time Chelsea score, the subscriber will receive a “Yo”.
Jonny's top 4 uses for Yo;
  1. Let someone know you are outside their house waiting in the car. Just send them a "Yo".
  2. Thinking of that special someone, send them a "Yo".
  3. Your chinese takeaway is ready, you receive a "Yo" and go to pick it up.
  4. Tell a patient in your surgery that you are ready to see them now! Or is that taking things to far?
In the modern era, we are drowned in a range of communication tools, whether it is email, twitter or snapchat. Is this a brilliant way of cutting down on communication and getting right to the point, or will this app disappear into the wilderness? Let me know your thoughts.
Why don’t you download it this weekend and find out for yourself.... 
Further info / blogs
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Posted by on in Enamel Prism
Welcome back if you have been away.  Isn’t it lovely to get back to the predictable routines of work after the manic family reunions on a beach somewhere?!  Just over 100 days to Chr… Oops’ sorry, it’s the C word :)  [1]
Have you got your cheque books ready? How old am I? Sorry, have you got your debit cards ready?
Unless I am reading the autumnal tea leaves incorrectly, the ARF will be heading up to dizzy heights in December.  The brief storm of professional unity, demonstrated by the lightning strikes of letters to MP’s, the heavy rainfall of FoI requests to the GDC,  the storm surge of letters to the Professional Standards Authority seems to have failed to break down the defences of the GDC Bunker.
The Chairman has been giving us the ‘Agincourt wave’ while the Chief Executive continues to see spending millions on a building upgrade while watching reserve funds drain way as a good way to go to work each day. Easy money innit?
What have we achieved, other than a smug sense of self-satisfaction?  Anything? Anything at all?
The BDA have taken the view that the legality of the consultation is the weak point to aim for. We shall see, but I for one am hesitant to be overly optimistic on that front.
 The phoney war of words, with the GDC threatening claims for damages upon the BDA suggest that if the BDA is to slug this one out, there will be a loser and the price of  losing will be very heavy.  Ironically the profession pays the legal costs of this stand-off either way.  Any victory will look somewhat Pyrrhic. [2]
So to those of us simply plying our trade, it looks like next year will see a big rise on the ARF, and a big rise in indemnity costs.  Oh for the heady days when the CQC were the bad guys! [3]
What does it take for a disparate group of headstrong entrepreneurial prima donnas such as dentists [for indeed that is what we are] to unite in action which WILL cause change in a gargantuan untouchable body such as the GDC, all fancy and dandy in their ivory tower?
Perhaps we need to swarm? [4]
Perhaps we can learn from our animals &insects – bees and ants, shoals of fish, herds of caribou, you name it. 
Please do read that fascinating article on National Geographic. Here are some gems for you to think about:
Honeybees have evolved ways to work through individual differences of opinion to do what's best for the colony
How swarm intelligence works: simple creatures following simple rules, each one acting on local information. No ant sees the big picture. No ant tells any other ant what to do.
The bees' rules for decision-making—seek a diversity of options, encourage a free competition among ideas, and use an effective mechanism to narrow choices
We need to understand that we do not need to know the big picture, but for our collective action to be effective we must act as a swarm.  The history of our profession suggests that never have we ever acted in such a way.   The history of the BDA confirms the difficulty they have had over the years firing up swarm or herd like behaviour.
Perhaps now, after all, we have started to demonstrate some features of a swarm. Perhaps we should hope that as the year peters out, we become an effective by all working together in a collective manner.
Perhaps then, the theory suggests, we will cause change at the GDC
The GDC can say and do what it likes to us as individuals, and indeed is doing so with belligerent arrogance. Government wrote their rules and there ain’t nothing we can do about it.
As a united colony of dentists with swarm like activity.
This summer has seen a taster of what we can achieve. But everyone needs to play their part.
  • 30000 angry letters to MP’s WILL count.
  • 30000 angry letters to the GDC WILL count.
  • 30000 angry letters to the PSA WILL count
  • 30000 angry dentists arriving at the GDC on a chosen day to pay their ARF WILL really get their attention
  • 100,000 letter from dentists and DCPs – now THAT will really get attention!
If you have not played your part, the swarm cannot work.  If you have not written your letters, why not?  It is a small act for all of us to act in the better interest of our "colony", the profession at large.
We need to reach that critical mass where not only do they listen in Wimpole Street but they also act.  "Listening"  in that "Quankeresque" manner is not enough!  If there is a role for the BDA it is to develope the dental swarm.
Get buzzing boys and girls, we are not there yet. This battle is far from over, but it is also far from won.
For more on Swarm Theory – start here
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Posted by on in Simon Thackeray

The revelations of a recent FOI request showing the cash reserves and short term access assets of the GDC potentially raise questions of the financial fortitude of our regulator.

If indeed the figures supplied by the GDC are correct, and represent the full and correct answer to the question asked, then it would appear they have access to about £11.9million of funds within a 5 day period. (I’ve got that figure from 10.5m less 4.8m at 22/7/14 added to the 6.2m at 1/8/14)

Given that the GDC costs £104,000 per day to run by their own admission, then this sees us with a regulator that looks like it is going to have no more cash by the end of November 2014. Coupled with the £7.1million that it is spending on refurbishing its HQ on Wimpole Street, it doesn’t seem all that surprising now that the GDC is threatening the BDA with its losses if the judicial review fails (if it goes ahead).

The GDC usually takes its run of Direct Debits for the ARF in the first week of December, so this would then have the effect of restoring its cashflow straight away.

However, what if all the registrants cancelled their direct debits? What if the BDA were to lead a concerted effort to get us to do this? It won’t fall foul of the legality of having to pay the ARF, it’s just that the GDC won’t be able to actively take it to help their cashflow; we will give it to them when we decide. As long as it is paid before the end of that month, then we cannot be erased for non-payment of the ARF. Wouldn’t it be great for the BDA to suggest ALL registrants cancel their Direct Debits with the GDC?

If this is the case and the GDC is running out of money, then in all likelihood they will just delay the FtP cases and other hearings until the cashflow looks better. Since these equate to the majority of their expenditure this would be a fairly easy way to massage the situation swiftly;  but this then becomes even more intolerable to those stuck in the ever increasing queue for the March to the Scaffold. That means that yet again there will be  practitioners that indeed represent a danger to the public still unpunished and still working, along with those in the queue probably because they used the wrong grade of soflex to polish a composite. Is that any way to protect the public?

But what happens if a regulator is effectively insolvent? Has this ever happened before, and if it is boracic, will it get bailed out by the Government?  What happens to the role of protecting the public if this happens, and how does this square with the requirement in the Dentists Act to have a regulator? If it does indeed become insolvent and is bailed out by HMG, then this shows us that it is indeed a wholly owned subsidiary of HMG, so if they want it to remain solvent , then they and not us should fund it.

Many a profitable business has gone bust in this and the recessions before due to a cashflow problem, so why should any other type of organisation be immune from this when it gets its sums wrong or experiences an increase in its expenditure?

Would the duty of the GDC then be better served by the CQC instead? After all, the CQC now realises dentistry isn’t that bad, and that it recognises the need for experts to be involved in its inspection processes. It appears to have grown a pair of ears more recently. If we are going to have a super-regulator foist upon us, wouldn’t we rather have one that whilst it still seems a bit dim, does  appear to be learning from its mistakes, or continue with one that treats us with arrogance and contempt whilst (possibly) overspending its funding? That’s discussion for another day.

This is all probably hypothetical and the figures have been interpreted incorrectly and they don’t include the contingencies for the refurbishment etc;  if so the GDC isn’t going to run out of money .


But if this IS the situation, the GDC isn’t just Broken, it's Broke.

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Posted by on in DentistGoneBadd

Avoid Silly Dental Mistakes

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©, @DentistGoneBadd
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