Mrs Thatcher went to her dentist. As she lay back she asked, “Now Dr Rill – may I call you David? How are things going? Do not spare me – I am here to listen”.
The dentist proceeded to let her have it in true Exocet style.
“Mrs Thatcher, I run a micro business, it is my business and I get no subsidy from anyone. I pay my taxes and employ my staff. I am the most efficient arm of delivery of Government policy. The banks lend me money which I pay back. The dental laboratories rely upon me for my dental work and their businesses in turn. The dental supply businesses rely upon my successful business and the investment I make in this new chair for example.
So why are you lot attacking me and my colleagues from all angles? It almost like politicians are jealous of all we do and all we achieve.
I have to pay £800 to the CQC to tick a load of boxes. We all know how efficient they are – they could not find a rabbit in a phone box, let alone a dud practice. They do not change anything about what I do in day to day practice. What they do is create a heavy load shelf full of manuals.
We have to pay to be CRB checked before we even get to work [or whatever they call themselves today – barely worth the expensive anti fraud paper it is written on . And remind me – how many dentists have assaulted their patients?
Your Department of Health has produced the HTM documents , and in dentistry we have HTM 01-05 which others clutch at as being as though handed down from the Cross Infection God when in reality they are merely the assembled. Remind me … how many patients have dentists infected or killed?
Now we have a new NHS and no one knows how it works or who to write to for queries. Meanwhile our UK graduates cannot get NHS Provider Numbers and are unemployed , God help us, without undertaking first year post graduate training [so called FD1] but our EU colleagues can by and large waltz in and start work unhindered by such detail. This is madness, sheer madness.
There is a new NGS contract being piloted but the CDO has gone off to NHS England to enable all the changes to the NHS – so there is a feeling of impending worse chaos down the line as once again those of us who are the most efficient contractors the Government has are once again expected to squeeze an impossible litre out a 100ml bottle. The DH expect us to believe that all is hunky dory with selective statistics when you and I know that extracting children’s decayed teeth is the third commonest reason for admissions for Gas & wrecking hospital paediatric plans It simply cannot go on Mrs T. The Big Lie of successful politics in dentistry is getting Bigger.
We have a GDC that seems to be seeking to grab practitioner by the nether regions and is chucking unlimited amounts of money at their cases, which seem to consist of one charge and 20 charges in the “and another thing” classification of i-dotting and t-crossing. Meanwhile any Tom dick or Harriet sets up a whitening parlour and simply snubs all and sundry with two very white fingers. And don’t get me started on Dental Nurse registration which is by any description nothing more than a tax on employment.
Now Mrs Thatcher, I do not need to remind you that we need each other, and in particular you need my skills with a local anaesthetic.
What we need is a proper recognition that dentistry is the original Privatised Industry – we lead the way and you lot are trying to stop us.
What do you say, Mrs T?”
As Mrs Thatcher fell asleep, she murmured “Leave it with me Dr Rill. I will see what I can do”
Wouldn't it be great IF we could have direct and unfettered access to the Top?
I think if they could hear us, they would empathise and actually try to help us - it's all the middle-management that mess things up (aka Francis Report Top-Down manipulations) for oiur Professionalism and thus the patients, but Spin it as something else!
As soon as any Minister truly understands Dentistry and it's problems, they are moved on to Transport or the Environment it seems
Thus sometimes going direct to the Public is a better means of bypassing the bias/spin of middle-management, so everyone, Public and Politicians, can begin to understand the main obstacles to Dentistry working Optimally for all.
If the rest of the NHS could ever become even 50% as efficient as Dentistry, then that would be progress - instead the Strategy seems to be to dumb-down Dentistry to the inefficiency of the rest of the 'departments' they manage centrally
We need our own good PR and our own Strategy as an antidote to such continued biased battering upon Dentistry as a whole!
Love her or hate her, Maggie Thatcher WOULD DO something significant!