The arrival of the modified HTM 01-05 document, yesterday [3rd April 2013] without a real fanfare, has been seem as some sort of victory across the UK dental world overnight.
But I see it differently, the original one, a "living document", was riddled with unscientific inaccuracies that were easily demonstrated by many commentators to be clearly erroneous. When challenged some years ago, it took the DH months and months to publish a list of references, many of which were not scientific. But English dental practitioners and their teams had to work with and work to the flawed concepts. Of course the germs in the other parts of the UK are different, they have different rules for decontamination in dental practices in Wales, Northern Ireland and Scotland, as this area of Government policy seems to be based more on opinion than scientific facts.
Yet, some of the new provisions still do not catch up with published scientific evidence.
And the sharper colleagues have noticed that this publication coincides with the promotion of its author to be the new Deputy Chief Dental Officer for England at the Department of Health.
Yet again this seems to go against the results of the Francis report, thankfully no-one has died here, but flawed legal style documents influencing thousands of people with no attributable authorship lead to advancement of careers.
DoH = Meritocracy?
I had this letter published in the BDJ in 2009 - over 3 years ago !!!!!!!!!
HTM01-05 is STILL not fit for purpose and we are all still threatened with the Sledgehammer of English DH bodies like PCTs and CQC if we don't divert many £1000s away from frontline care and into wasteful theoretical Policy-driven guidelines
See the GDPUK HTM critical analysis done in detail here on GDPUK years ago too:
So yes it's great that now bagging dates can be extended up to a year, now can we please be freed to be responsible Professionals and follow Scientific Evidence based Dentistry, instead of being bullied and forced to follow centralised dogma instead ???
As per Francis report, that is the Top-Down centralised mis-management Folly that needs debriding-away to protect the Public, first and foremost.
If ever a case was needed to show how our Professionalism is compromised AGAINST the PUBLIC INTEREST, HTM01-05 would be close to the top of the list of examples.
It's time to do what the Francis report tells us we should do, raise concerns publicly!
The profession owe you a huge debt of gratitude for all your hard work and persistence in exposing the flaws in HTM 01-05. You seem to have been the only one who has managed to even make a dent in the DoH bureaucracy. Keep up the good work and I hope that the rest of the profession support and thank you for your efforts.
Thanks for your kind words Jim - hopefully the English DH mindset will change to one of synergy rather than conflict, in the public interest overall - until then we all need to be willing to point out the more obvious flaws more publicly.
Yours also Progressively,