The Blog

All that's new in the world of dentistry

We must stay IN!

We must stay IN!

We must stay in!
We are the civilised and ancient democracy!
We must strive to exert change from within.
Our mistake was not joining at the beginning and before you start I know it was personal politics De Gaulle etc!

The whole argument has horrified me because...there are NO Facts just subjection!!!

I feel we are in a smaller world with more connections..why do I want to leave and become smaller??
I like my European family and think they have so much to teach US!!
We should be paying MORE because we are so lucky!
We should be caring for the less fortunate!
In fact I think that we should STAY BECAUSE IT IS RIGHT!!


Dr Alisdair McKendrick is a GDP in Northamptonshire.


Image credit -Abi Begum under CC licence - not modified.

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4279 Hits

Start a Revolution - in writing, if you please ...




Come the revolution, my father used to say, some group of ne’er do wells would be the first to feel the pointy end of his sword.  I am left wondering if this advice is as pertinent as ever. 


In a week that the CQC almost imploded we now have three examples of groups for whom professional respect runs low.  Low – pah! If only our respect was THAT high! It’s more the unfairness of it all: we do our job and they simply  don’t do theirs. 


In dentistry, all we are asked is to do the job. Whether it be the check up, the filling, the root canal or the moistening of nervous brows – we just get on and do it – in arguably the most efficient health care delivery model around – namely the small practice. 


IT'S NOT DIFFICULT  we all think - actually - since there are so many incompetents around, maybe we should start by recognising how good we are doing a very demanding job. Back to revolutionary thoughts ... 


Firstly there is the dreadful CQC.  Moving aside the argument of whether they achieve anything toward patient safety, this last week has seen both previous and current senior management trying to bury the Morcambe Bay truth about incompetence, incompetently. They were saved only by the Metropolitan Police ringing the Stephen Lawrence bell. 


Next up the gallows are those at hospital level who invented Triage Referrals – all we want is for Mrs Grumbles and her nasty wisdom tooth to be seen to get the bloody thing out safely.  Now the forms have to be the latest version, and every box ticked in a remake of that 1970’s film noire  The Ultimate Quanker Revenge. Only one “tick” need be “a cross” by mistake and voilà! You have helped the hospital meet their waiting targets.  How magnanimous of you all … 


Finally and worryingly Madame la G awaits NHS England.  The stories of what is happening with Local Area Teams and the slow moving nature of this organisation give little confidence. When you consider what has happened to LDC Levies, allied to the fact that the new contract will likely be finalised by this already seemingly incompetent body - don’t even mention the seniority payment scandal [also known as THEFT, Minister] - we all have good reason for “CONFIDENCE Zero” – an organisation free from all useful contents! Dentistry risks, once again, being cut out of the healthcare planning loop. 


The NHS Changes on 1st April it appears  served simply to shut all the PCT offices, reopen some new ones [at your expense] while many of the old guard simply ported their redundancy payment & employment to the new organisation, around the corner in its new offices with its new water machine and new coffee facility. A change of biscuit was no doubt also essential. These doors were revolving so fast that Superman would have struggled to keep up. 


The only consistent cause factor has to be the politicians.  We need to rise up ladies and gentlemen. Our MP’s need to be attacked eruditely and daily by a vociferous professional demand


Enough is enough and this has to stop. 


The summer is a great time because that’s when they go away. But we must believe that in this revolution, the pen IS mightier than the sword. 


It is YOUR politicians who have created these organisations and undue authority to act with ALL power and NO responsibility. Their purpose is solely to deflect responsibility from Westminster. 


It has to stop. I don’t know about you lot but for me, the time for professional revolution is fast  approaching.  Where's my pen?


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Paul Isaacs

Wishful thinking

Sad but true, the sword is mightier than the pen.
Thursday, 18 July 2013 23:23
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Complaint Handling

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CQC and BDA - possible bedfellows?

The CQC and the BDA 


The CQC are a’changin’ .. It seems that the CQC are modifying their broad brush approach previously employed to inspect dental practices and developing a more focussed  approach .  It seems that dentists now assist the CQC directly.

Not so much a light touch, more like the right touch

It seems that evidence that the BDA is also a’ changin’ comes in the changes to the CQC arising in large part from sensible dialogue between these two large bodies.

Should I whisper it or shout it from the roof top? 

Both the CQC and the BDA are to be congratulated.

[Blimey, it didn’t hurt either … ]

The PCT’s however, and so for the moment one assumes, NHS England [or Wales Scotland or N Ireland] ,  are still somewhat further off the 'improving' status, if one is to judge by the recent tragic case of a dentist who felt that taking his own life was the only option following the PCT grilling. 

perhaps we can feel assured that, if the BDA statement is anything to go by,  the BDA will seriously go gunning for any such heavy handedness in future.

Dentistry is a cottage industry, a swarm of buzzing micro-businesses.  However, that does not mean there should not be standards and consistency of standards across the profession.

Perhaps the CQC will go where the Dental Reference Service never quite reached. Or pehaps thy will be squeezed by a budget that make it impossible to maintain long term involvement of dentists in this way? Time will tell.

Maybe we reaching the point of suggesting the CQC is ‘a good thing’, and noting perhaps that it will drive profession wide improvements?

Whether that Pink Pig flies by or not, here's hoping your barbecue was suitably warmed up over the Whitsun break as you cooked up the next good idea for your practice.


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27962 Hits

Which voice rules UK healthcare?


The NHS remains an institution loved overall by so many in Britain. Yet in 2013, more and more reports and comments remind us that the system is not always offering the best for patients. The voices of the professional and the voices of the patients are ignored these days, even though the leaders say those inputs are received. Only one voice rules, those of the healthcare technocrats.

One aspect is that an element of harm is allowed to occur to patients, unbelievably it is seen as the norm by the managers, this failing is enshrined in the NHS Constitution “The NHS aspires to put patients at the heart of everything it does”.  Sadly it is only aspiring.

In a major speech reported widely in early May, David Prior, Chair of the Care Quality Commission (CQC) reminded us the CQC has already found around 20% of hospitals are “not terribly good” and a further 20% are “coasting along . . not doing terribly well”.

Yet these hospitals seem to have billions spent on them, thousands of managers, yet the system is failing the most important people, the patients. If you buy a fridge and the fridge goes wrong, you can complain, you can always buy a new one. In healthcare, if the end result goes wrong, you may die. This has happened to thousands of people in the UK already.

In dentistry, fortunately, thousands do not die. Yet the lessons of the past are ridden over roughshod by the managers of the present. The professionals, the clinicians with experience, may review the new systems brought in with metronomic regularity by those managers, they may express their reservations in writing on paper, in protests, and most definitely online, yet the managers invariably roll onwards and just do what they want. Thousands of years ago, Genghis Khan found decisions made by committees did not work!

There are many examples in dentistry where warnings were sounded, but the system ploughed on. Millions of people must have had extractions of teeth that would have, or could have been saved. Millions of pounds have been wasted repeatedly autoclaving sterile instruments. Out of hours services? Don’t even ask.

The managers remain on their merry-go-round of jobs, only staying a few years in each role, as this is better for their career. The system allows them to make mess after mess, public enquiries are not heeded, healthcare professionals are ignored.

My proposal is not dictatorship, but there must be a method for the voice of the professions and very importantly the voice of the patients to be heard with clarity, otherwise the NHS loved by millions, will reach the point when people realise other countries do manage healthcare better.


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Recent comment in this post
Keith Hayes

Which voice rules UK healthcar...

There are many examples in dentistry where warnings were sounded, but the system ploughed on. Millions of people must have had ext... Read More
Monday, 13 May 2013 08:24
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Choices? Out of stock, Sir


Dentists told to 'go compare'

Welcome back from the long weekend. Sunshine does starnge things to people and so this little gem could well be evidence of sun spot activity on Government activity!

The DH stated in early May that  NHS Choices will shortly write to all dentists offering them the opportunity to manage their pages on the NHS Choices website

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8301 Hits

Health & Safety Quiz

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10214 Hits

Direct Access: An issue to unite dentists?

The present Chair of the General Dental Council, someone I have a great deal of time for, Prof Kevin O'Brien stresses the concept again and again, that the role of the GDC is "protecting the public". Dentists understand this, but for so many years the GDC regulated the profession in a different way, in what was a different world. But I personally, along with so many professional colleagues, cannot see how Direct Access will make things safer for the public. Risks must be higher, and there will be people who effectively have to be examined by dental hygienists and dental therapists, within their scope of practice, and inevitably they will carry out examinations, and will effectively become dentists.

What about the career pathway and the investment young people must now make to become a dentist? £9,000 a year for five years in tuition fees alone. We anticipate in five years from now, some colleagues will qualify with debts of £70,000. Will demand for dental school admission hold up when sixth formers and their parents do the maths?

What will the role be for dentists in the UK when successive governments have fully taken out their revenge on the dental profession for having the temerity to think and act independently? Politicians and the media all fail to recall a simple fact - the existence of any general dental service in the UK is provided by the investment of the profession, often based on the security of their homes, dentists are almost all independent practitioners, and some decide to enter into contracts to provide NHS dental services. These simple facts, dental practices are small businesses in which efficiencies are high, and nimble brained practice owners make rapid decisions on what is best for their financial well being, both in the very short term, as well as the longer term over-view. Unfortunately, when analysed, the decision on DA must be based on the revenge for independence created by the system which dentists inhabit.

The GDC sought advice from the profession in general in a wide operation. The BDA [representing 18,000 dentists] made their input, which was against DA. Both the content and the weight of this advice were discarded by the GDC in their deliberations.

Interestingly, there are not many issues which unite the UK dental profession. In this case, and in my opinion, there is strong feeling amongst the grass roots, this is now a cause
which could be used by the BDA to really pull together disparate parts of the profession.


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HTM 01-05 Pictorial Guide


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The cycle of reprocessing life … whither Paragraph 2.4 [l]

Well another week, another major document to chew up...


A mere 98 pages for this one -a mere 4 years in the making and of course I could be referring to the Hobbit . But that is no way to refer to the esteemed CDO [of the DH, or NHS England, or the deputy underling CDOs- you choose which job is being shared in the new logo-free Department of Health].  And no, I am not referring to 50 Shades of Porcelain. 

Calm yourselves , but its true. HTM 01-05 [2013 edition]  has or is about to thud its way into your inbox.  And a riveting piece of contraceptive literature it is.

Of course instead of highlighting the differences between the documents, in a formal, living document method, the whole text has to read alongside the 2009 edition to see where the changes are… so you need both copies on the desk.  What, you mean you can’t find the other? Shame on you, you bug ridden cesspit of casuality, you!

Let me skip you to the good news.  Paragraph 2.4k – leave them in the bags for a year now – shhh… you are not supposed to say that ….

Even stranger though: the continuing mystery of what should have been in 2.4l [for Lima] which never made the final 2009 cut is also kept out of the 2013 version. So invisible redaction is alive and well.. Oh well. In this case you could make it up.

Lots of bigger brains than my little apology have cast their eyes over this and its preceding ‘advice’ only to find it a glorified version of Civil Service speak for ‘our opinion is worth more than yours’. As we remind ourselves of the numerous infection related deaths, epidemics and microbial population flares that have arisen over the years  from day to day dentistry, what exactly is the purpose of HTM 01-05 in dentistry?

One assumes that this stuff is taught to the point of theatrical performance at Dental Schools. The implication is that much of the EU now adopts such thinking. If all of that is true why do the Department of Health feel the need to allocate so many resources of manpower to such a tome?  The first evidence they should present is the stuff to prove there was even a problem in the first place!

I love it when the preamble states

It is not the intention within this suite of documents to unnecessarily repeat international or European standards, industry standards or UK Government legislation. Where appropriate, these will be referenced.

So we are to assume that while a 5 years degree confers an assumption of learning ability we are not be trusted with reference to the documents that are causal in the need for 98 pages of …[ you fill in the adjective of choice]. Stuff transparency – we know better and you do not need to know.  How very quaint, how deliciously old fashioned. How unfit for purpose the arrogance of the DH makes them.

Another quote caught my eye for all you entrepreneurs out there:

Where new practices are commissioned or new premises contemplated, it is advised that the full best practice provisions of this guidance be utilised wherever reasonably practicable.

So presumably your essential pre-opening CQC registration will take due note of this…

Don’t you just love this little ‘get-out-of-jail card?

References  - It should be noted that this list may not be totally inclusive at the time of reading. Advice should be sought on the currency of these references and the need to include new or revised documents.

Now I am all in favour of good standards. Indeed in a funny sort of way I can understand the need for consistent proper standards in such a basic area of patient safety, and like any proud profession we should be jumping at the chance to trumpet our safety standards to our patients. Ok, so maybe  we can argue about the science behind it all, but there is an irrefutable logic.  

If the only way to sterilise is to have a validated process , then the only way to wash and disinfect, given the huge variety of human skill and competency, is to use a….washer drierPatently it does not fix the problems of the world and self evidently they are pain in the neck in the cottage industry of compact, no-free-space practice.  But there is a logic to the need for some such technology if we genuinely believe in profession wide standards.  The clever bit would be to combine science and evidence with the technological, low cost outcome. But then again, when was the outcome of a Government Department ever to be regarded as clever?

So what happens if in 2015 another 10% of the profession - 1500 practices give or take - use the best practice espoused in HTM 01-05 [2013] to argue that they can longer, as independent businesses who must put the safety of their patients above any business need [cf GDC Guidance]  decide that compliance with the HTM protocols requires the practice to operate outside the NHS?

For sure it seems that it will be down to practice owners to fund any compliance – and it seems unlikely that there will be any Scottish methods of grant based funding from the English side of the border. Wales is an interesting area though – and we shall see how they handle the matter. Across the water is also a different climate of political process.

So maybe the true unspoken purpose of HTM 01-05 [2013] is to force upon dental business owners s who may be eeking to equip a practice such onerous costs that they may prove  unsustainable under the nnGDS, but perfectly manageable for for a future outside the NHS?

Many of us have been saying that for years. Maybe as we come out of recession another cycle of the private practice life will begin. 

Exciting times, eh Caruthers?  And what was paragraph 2.4 l-Lima?

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The Iron Lady went to the dentist

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”

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Recent comment in this post
Anthony Kilcoyne

Mrs Thatcher visits the Dentis...

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 empathis... Read More
Tuesday, 09 April 2013 09:01
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Direct Access - threat or opportunity?


Ta DA  -  here it is folks.

Roll up, Roll up, it’s the finest oil you can buy.

What a week!

Well, what a week it has turned out to be. Just as the BDA go all inclusive on us, ‘inviting’ membership of this august Trade Union-esque body at various levels, they go all protectionist on us with their latest missive [1]. Maybe they are modelled on the old dinosaur Unions after all? What on earth are they on about?  If ever there was a bullet in the foot, this latest BDA tripe is worthy of ribald derision. Whether this stance will prove a monumental cock up or success will of course remain for the future to know.

It all started of course with what many might consider to be perhaps one of the earth shattering weeks in the history of the UK dental profession.   

Actually, not true: it all started with the OFT report of 2012[2] in which the threat of a full market review was hung over the profession and the GDC. The condition for its NOT being actioned was, amongst other things, the opening up of access to DCPs.

The GDC of course like being a strategic body. But I am sure they felt like a rabbit in the headlights of the OFT and an academic onslaught from Dundee, Manchester and Kent.  

With too many opinions to be able to “lead”, they did the classic “Large Committee” thing and sat on the fence examining their navels, asking the whole world what they thought about something of which they had not heard [Evidence Based Policy[3] …  hmmm ]  and then promptly fudged through the Direct Access changes come what may despite many shortcomings and misgivings.

This was not, it might seem, because they genuinely felt it was an appropriate release of professional skills.  It seemed that they were more concerned that having built up such a head of advance steam with the various reports and consultations that the only release was DA at any cost of any sort. Just get the OFT off their backs …

So what have we got? 

Well, on Easter Tuesday, not much has changed. Relax mes amis. 


Go to work and start to think about it.  As of March 2013 there are 38777 registered dentists.  There are 6265 hygienists and 2077 therapists, and encouragingly all have a known gender.


In practice I simply cannot see how DA will change much – other than oiling the wheels of efficient Dental Health Maintenance.  The need for a periodic dental examination to simply re issue a prescription for care can be eased back – who knows to what interval? Would a 5 years examination be acceptable in the presence of a trail of DA Maintenance by a DCP?  


If I were a Clinical Dental Technician I would feel I had been shafted and ignored – but since there are only 230 of this rare breed, I sense they were trampled by the rush. It seems they may be doomed to remain a niche business – but good luck to them for they are a light of success in many cases.


But in a fine example of joined up Government there remains the lack of freedom to prescribe simple analgesic drugs for placement in the mouth – how stupid can they be? If ever the GDC missed a trick of leverage, it must be here. Still I am sure it is high on the MHRA’s agenda.  Yeah, right.

DA is a bit like all the hype about 4G mobiles – it would be nice if they got 3G working everywhere first.  The OFT and GDC “selling” DA as “the next big thing” seems to have a whiff of snake oil about it if you ask me – and I work closely with a hygienist so declare an interest.

On the other hand, that occasional comprehensive examination by a dentist will now become a full works task – full charting, full mouth photographs, appropriate radiographs, TMD and parafunctional evaluation, aesthetic discussions, orthodontic review – you get the idea. 

Every Challenge is really an Opportunity

Maybe suddenly the periodic dental examination is actually a marketing opportunity to add value instead of down selling a simple “check up” [Don’t you HATE that phrase anyway ?]

But for the 6500 odd practices who employ DHs and DTs, little will change. In house protocols WILL change but surely this will be to the benefit of all involved. Patient care will become better for being seamless. Surely even the BDA can see that?

Will DCPs be rushing out to start their own practices – well not without substantial access to the capital funds required. And I cannot see HMG suddenly discovering a pot of money in the next 10 years.

Will DCPs now be able to obtain a Provider Number from the NHS Commissioning Boards? – well, there is an interesting prospect.  Because many might feel that this OFT driven change by the GDC is barely worth the paper it is written on without such a possibility.

Will the long term NHS Access strategy be to allow access to employed DCPs in enhanced outreach?  While many would see that as a very positive step [just thinking of the Scottish model] that raises issues of employment such as access to the NHS pension.

Perhaps what is clear is that there remains a conflict between the many thousands of Practice Owners and how they lead their teams, and a very small cadre of Dental Academics [4] who, seeming to have the ear of the CDO and his DH advisers, are re-writing the agenda for the provision of State funded dentistry.

It’s simple guys and girls:  Stop panicking like headless chickens and take a chill pill.  This “DA” seismic shift is fantastic news but not in the way the Government would like it to be.

The market is no sensibly estimated even by the OFT at £7.2B, and Private Practice is now £3.88B and rising. [Why the OFT excluded the ‘cosmetic element ‘ of £1.47B remains a political mystery – I don’t think so!] [5]

The Business of Dentistry needs DA to develop proper dentistry in high investment, high technology ultra professional Private Practice while the Government and its academic luvvies merely fans the flames of Rome-like “access” while living the NHS Big Lie of “Problem, what problem?”



Private practice needs DHs and DT more than the Government will pay them, and so exactly how will DA help Government policy? Well, it won’t and by the time the next Government start installing the next contract, dentistry will be up and away and the NHS offering will be sidelined to a minority social backstop.


I put it to my assembled colleagues: in the classic event driven by The Law of Unexpected Consequences,  Direct Access alongside the New Contract   will be  the death knell for Government management of NHS Dentistry because Private Dentistry will make better use of the work force and skill mix , more efficiently  and more  quickly than anything the DH can achieve. And it will pay better.


Finally we will have a core service indeed from the DH.


It is perhaps a shame that the apple is rotten.





[4]  The OFT has had detailed discussions with a number of academic experts from dental  schools in England and Scotland, including Manchester, King’s College London, Leeds, Newcastle, Kent, Surrey and Sussex Deanery and Glasgow. The consensus among these experts  is that direct access can be implemented without compromise to patient safety and is necessary in order to make dental provision more efficient, effective and flexible for the patient, with benefits to be gained for the profession as a whole

[5] From the OFT Report 2012 - 'Dentistry UK Market Report 2011', Laing and Buisson, page 4.
The estimate that the dentistry market is valued at an estimated £5.73 billion a year is for 2009-10 and does not include cosmetic dentistry. The value of the dentistry market including cosmetic dentistry was estimated as £7.2 billion in 2010 according to 'The UK Dentistry Market Development' Market and Business Development (2010)

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Recent Comments
Anthony Kilcoyne

Ta Da - Direct Access actually...

There are still issues to be resolved for Direct Access, which is really Wider Access for some DCP groups limited to their Scope (... Read More
Tuesday, 02 April 2013 22:39
Chas Lister

So where next

interesting points AK with which one can but agree surely, and of course I am conscious pf your official standing too. What about... Read More
Tuesday, 02 April 2013 23:42
Anthony Kilcoyne

Socially deprived Pro Bono?

Whilst this SHOULD be the job of the NHS system, like a lot of Charities are finding in a recession, HMG simply cannot cope and de... Read More
Wednesday, 03 April 2013 00:48
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A Fold for a Flock of Sheep or a Den for a Wolf Pack?........

Many of you will have noticed a worrying discussion occurring in GDP UK. The obvious stress and uncertainty of professional life at the various levels of practice in dentistry appears all too often to take an invisible toil.

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Anthony Kilcoyne

BDA and bold comments like NHS...

A very interesting article about the BDA. I suppose the main point from the diagram is that whilst all Members are placed at the ... Read More
Wednesday, 27 March 2013 09:01
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Range of opinion

The first in a series of blogs by this writer, covering all the wide range of topics which are current in UK dentistry.
Enamel Prism is a dentist in practice in the UK, involved in hands on work as well as education.

Any one who casts an eye around the virtual dental world will sense that the heat of practice is growing. A junior colleague on another site is struggling to understand how he interacts with his colleagues and whether a whistle needs to be blown. The argument for and against the benefits of CDT based denture treatments seems to have pricked a conscience or two. And now we have an interesting discussion emerging about the idea of private gaming.

It seems that whether you are trying to make the NHS work in day to day practice or are in patient-funded private practice, there is a wide range of opinion about any circumstance - clinical or administrative. Those of you of a confident age value that very opportunity to be 'individual'.

The beauty of the profession of dentistry is that it accommodates a wide range of characters with a wide range of opinion which by and large marry a wide body of patients in a mutually satisfactory manner. That range of opinion is the very essence of professional practice.

It has always been difficult for dentists to be consistent in their approaches and their activities. But suddenly it seems that the width of the zone of acceptable opinion may be narrowing. Are we witnessing a profession wide loss of tolerance?

Perhaps the unexpected outcome of a long recession , regulatory changes by the truck load, and an uncertain Government commitment, allied to the perverse certainty of uncertain but major change, is that we have all become a bit too twitchy - in planning our self-defence, maybe the trigger is a little too light. A word or warning to all, though: there is a fine line between a healthy difference of opinion and infighting. And we all suspect we know which way the Government would like things to develope, so that they can slide though their changes of choice.

Calm down dears, its good to differ. But let's remain allied in professional friendship and mutual respect.

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Closing Ceremony

The Closing Ceremony will already be getting reviews in the press by now, generally very positive but it's also difficult to please all viewers I guess.
From my perspetive we got to see the preparations beforehand, on a vast scale, with the blue bowler hat light-bulb people numbering over a thousand alone.
The Athletes also have to be lined-up in the village then pass-over to the Olympic Park away from public access points. I was fortunate enough to be helping with this on the night, though it does mean missing the actual ceremony within the stadium, which starts before we have even got the athletes over there and ready. Again there was so many of them I even needed to hitch a ride in the police buggy to get from the end of the moving line to the beginning before they reached the Stadium!

Once there they entered through the audience, with much music, pomp and celebration and of course the obligatory firework display near midnight.
Awesome is a word used a lot for these London 2012 Olympic games - it's not difficult to appreciate why!



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12603 Hits

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