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DEC
13
0

'tis the Season....

'tis the Season....

Tis the season to be jolly
Fah la la la lah, la lah la lah

 

Well after an autumn break to see how the land takes up the fertiliser of restful thought, we approach the Christmas break with a need for reflection.

What has 2016 thrown at us?

A reason to be cheerful? A season of Goodwill? A sense of hope?

There are three major areas that seem to be affecting the profession at this time.

 

There is the issue of the GDC and its new Case Examiners.

It is too early to say if this will genuinely make a difference. What we want is for the GDC to stop trying to be a Complaints House, taking everything on no matter how trivial.

 

Dr Colin Campbell, a widely-respected colleague in the Midlands, with a personal history of the dealings of the bludgeon that is FtP, clearly thinks not – again with personal experience.


But then again, why would CEs make a difference? They have been tasked and trained by the very organisation that had the problem in the first place.  And the problem is that the GDC do not reject anything.

Some of the recent cases suggest that the GDC still do not know what a proper complaint is. The whole list of FTP is awash with material that is either better managed locally and or indeed a simple internal disciplinary matter.


So, if you have not done so, get your £900 out for another year of outrageous wasteful use of your money. But do so with a good grace. It could be worse. 

Couldn’t it?

Is it me or have we become so numb and subservient that we just accept it as a nuisance nowadays?

 

 

NHS Pilots – self funded by dentists!!

Meanwhile, perhaps all is well with new NHS Pilots. We all know there is new money, and we all know that the DH wants to get bodies through the doors, never mind whether anyone does any dentistry.  But the idea of a Care Pathway appears to be well received on its own merits.

But there appears to be strange anomaly that the pilot practice may face up to 10% - YES TEN PERCENT – clawback – which if your profit is running at 20% reflects HALF THE PRACTICE PROFIT -  which for most Pilot Principals suggests a cold winter looms.

Good on the BDA for highlighting this matter, on stage at the Local Dental Committees Officials Day , with the DH Head of Finance and the “fabulous” Dr Sara Hurley [You did see the Good Morning interview spat between our CDO for NHS England and Dr Tony Kilcoyne didn’t you?] sitting along side as Dr Henry laid into them in no undertain terms.



Indemnity in Crisis?

 

Maybe all is well with our support network, the Medical Indemnity Organisations. You know – Dental Protection, DDU, MDDUS and the newer companies such as Taylor Defence Services.


Well, who knows?  There are stories of some colleagues finding their cover withdrawn in a discretionary manner halfway through a case.  There are many stories of colleagues finding their annual cover suddenly approaching 5 figures and beyond.  There is still no clear method for subscription calculation although one hears mutterings about the legendary ‘grid’.  A sort of Spot the Ball for Indemnity subscriptions!

 

Whatever the truth, there is a financial crisis in Indemnity, driven by a combination of commercially proactive lawyers and an overzealous GDC. So much so that there is a one day crisis conference being held in January

After many discussions about rising Indemnity and concerns some colleagues have been left with no cover or representation etc., A 1-day Seminar is being organised by Dental Practice at the Hilton Metropole, Birmingham NEC, on Friday 27th January 2017 from 08.30 to 17.30pm.

Concerns are being expressed across the dental sector about the delivery of Professional Indemnity cover and what is and is not included in the various offerings from the MDO’s. As a result, and in conjunction with many key decision makers, it has been decided to hold this 1-day seminar to look at the current situation, with much time for Q&As.

Places will be limited and are expected to be in high demand so, to avoid being disappointed, contact Rodney Pitt, Editor and Conference Organiser at This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Well that all makes for an energetic start to 2017.

It must be time for another letter to educate the public again, if the recernt rubbish written  by Hunter Davies in the Times is anything to go by!

 

I suggest we all turn to our loved ones and count our blessings.  In the year that we have lost Leonard Cohen, AA Gill and Greg Lake, we will not be short of words and music.

 

Put your practice to bed, and come back refreshed after a nod to the year, raring to go – unless of course you rely on Southern Railway in which case, the very best of luck!

If Christmas is your celebration, may yours be peaceful and joyful. That much we can be assured of

 

 

http://campbellacademy.co.uk/blog/failed-hurdle/
Dr Colin Campbell – the GDC have failed at their first hurdle

 

https://www.gdpuk.com/news/latest-news/2403-henrik-gives-update-on-prototypes
Henrik Overgaard-Nielsen, Chair, BDA General Dental Practice Committee, has posted an update about the prototype contracts on the BDA website


Also here for BDA members
https://bdaconnect.bda.org/dental-contract-reform-an-update-on-prototypes/

 

http://www.content.digital.nhs.uk/catalogue/PUB22526  for NHS report of Motivation

Dental Working Hours, 2014/15 and 2015/16 Motivation Analysis, Experimental Statistics

  6284 Hits
6284 Hits
MAR
04
0

Tiers for fears …

Tiers for fears …

Let me start with an apology ...

Those of you of a certain age may recognise my poor attempt at an ironic pun. That of course is nothing to do with my age – I am just a poor punner, so to speak.

 

One Week to go, Eight Weeks from certainty, 

We are 8 weeks from a General Election the outcome of which is regarded widely as the most uncertain for many generations. We are also less than a week from a most important event: Roll up, roll up, it’s the GDC under the microscope of political accountability … [well, hopefully!]

By the time you read this the House of Commons Health Committee will have parked dentistry [though the GDC Accountability Hearing] on the electoral back burner.  We’re done, the politicians will say, slamming shut their leather bound folders.

 

Long live the GDC

Of course we have all blown a lot of hot air about the GDC. I for one wrote majestically of the

“Delusional Management Executive and Council, demonstrably out of touch with the real events”.  I have to say I was rather proud of that!

What’s the point is making such a comment, though, if the examining Health Committee were to be so easily misled by a slippery GDC presentation?  We shall see. Our medical colleague, Dr Sarah Woolaston [a GMC Registrant] strikes me as a good pair of hands to chair the Committee and we live in hope that the GDC are “flamed”.  I for one called for the GDC to be placed in Special Measures.  Will there be tears for the GDC? I suspect not.

So for this Parliament, dentistry is all over. The Chief Dental Officer [NHS England] appointment is not even worthy of news yet.

 

Tiers of Tears?

And yet an ominous clinical change is afoot which will potentially be a most divisive one.  I refer to the introduction of Tiers to the delivery of dental care.  Orthodontics is now beginning to see it being proposed, while it has been flagged for some time in GDP and of course Oral Surgery have systems being rolled out.

In essence, perhaps we could liken it to our childhood friend Noddy:

 

Tier 1  -  Noddy can talk to Big Ears about driving but not drive a car

Tier 2  -  Noddy can drive, but not on the road at the same time as  Big Ears

Tier 3  -  Noddy can drive on the same road as Big Ears at the same time

Tier 4  -  Noddy and Big Ears can share the driving of Mr Plod’s police car

 

If there is one subject you should examine for your future practice, I urge you keep your eye on this ball.  As a young practitioner, it may simply guide your career development.

But as an older practitioner, the way these tiers are being mooted may expect to have an enormous impact on your ability to provide more advanced dentistry as part of your mixed practice.
 

You may wish to plan your practice development now, before the prototypes come in and before Tiers are presented to you on a plate, rather like a new diet of limited crumbs

Because I suspect many practices are only truly viable because of the ability to mix NHS and private care. Their clinical skill comes from the apprenticeship that is a life in General Dental Practice

While Tiers are arguably driven by good thinking about the big picture, and are here to stay, I worry that the unexpected outcome will be to drive unexpected massive change through older practitioners, who in many cases of course are the practice owners.  In all of this, the reality of Austerity 2 after the election – there has already been flagged real terms budget cut of up to 20% - makes the reality at GDP level quite different

Don’t let you and your practice be the one to experience Tears for Fears.  The Law of Unexpected Outcomes may well be alive and well

 

Valedictum

On a closing note, not unrelated, I am sure tears will be shed for the retirement of our colleague , the Chief Dental Officer, Dr Barry Cockcroft. The old position of CDO was of course downgraded, politically speaking, to NHS England, now outside the Elephantine corridors of power in London. This poacher turned gamekeeper [for he was indeed in high office at the BDA] can have improved access to a safe retirement in the knowledge that his project of UDAs has lasted the test of time, even if did not pass any other test!!  Let us hope that the next incumbent of the position does not also leave office with the same defunct system in place in years to come.

We reserve the right to have a barney with you Barry, but the least you deserve is a drink on us.  A glass of Chateau Fluoride perhaps – the one with the varnished cork?

 May your retirement be a long, happy and enjoyable one. 

 

 

 

 

http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/inquiries/parliament-2010/2015-accountability-hearing-general-dental-council/

http://www.parliament.uk/business/committees/committees-a-z/commons-select/health-committee/membership/

http://www.england.nhs.uk/wp-content/uploads/2013/02/commissioning-dental.pdf

 

 

 

  5835 Hits
5835 Hits
JAN
12
0

What’s in a date?

What’s in a date?

 

For those who despair at the actions of our fellow human beings at time, this weekend has been one to affirm that feeling. The 7th January will in time become as meaningful as 9/11 and 7/7 in its own way. [1]

 

What level of hatred inspires [if that is the right word] someone to kill a fellow human in cold blood? I for one struggle.  In the ‘Je suis Charlie’ motif, a worldwide empathy has poured upon our French neighbours as they ponder a surreal weekend. 

 

Dentistry does feel strangely safe after that sort of event. 

 

Of course, while a small number of unexpected and sudden deaths in the street of Paris seems to trigger a media frenzy, the mass loss of death in Africa from Ebola, [2] and the even greater human distress in the civil war in Syria seem to lie uneasily on our minds. [3]

 

Perhaps we struggle to understand the magnitude of the Syrian problem –  maybe that is one reason for the distancing of the issue. The UNHCR data indicates in excess of 3.2 MILLION people have been displaced. If you live in Manchester or Leeds, imagine just moving out. That is without pondering the 191,000 estimated deaths. [4]

 

West Africa seems so far away. At the time of writing over 8200 deaths have occurred from the disease 

 

And yet 20 die in Paris and we are not moved to fill the streets. I wonder why? 

 

As we all go to work this week, perhaps thoughtful, perhaps a little sad at matters outside our control,  just take a little more time perhaps to help your fellow human suffering. 

 

It’s what we do, and indeed it is by and large all we can do. 

 

The 2nd January marked the date of the second Dental Profession’s letter protesting our Governments dishonesty in dealing with our small but proud and effective profession. [5] 

 

Allthough the clock is ticking, The 7th May is after all far enough away that a week of reflection will do no harm. 

 

Indeed may you remain safe and loved.

 

 

  5771 Hits
5771 Hits
DEC
21
0

Be of good cheer ...

Be of good cheer ...

2015… anticlimactic or more to come?

It been a funny old year.  As you sup your Christmas tot, you might perhaps take some time to reflect? Pull a chair up, let’s while away a minute. It’s cold outside, so would you be kind and throw a log on the fire?

For a profession that should really be quietly under the public radar, and in the state of a ship sailing steadily and smoothly, the waters have been mighty choppy this year.  The raging CQC currents have by and large subsided, while the torpedo of the ARF, allied to the air strike that is Medico Legal costs arising from the FtP debacle, was a direct hit.

Tears or Tiers?

The winds of NHS “Tiering” are gathering, and forecast is that a storm will develop around the Prototype Contracts which has yet to peak.  The UDA unfairness continues to block out the sun, especially for those of you who by whatever means have run out of UDAs for the last 3 months.

Great Deeds for Christmas?

The GDC have, shall we say, come to our attention this last year in an unprecedented way. The present leadership of the GDC have shown themselves to be arrogant, intransigent, out of touch, and in an irony befitting of their Standards document, utterly without a care in the world about the profession.

I hope you have not been in a time warp and that the events of the last few weeks have not passed you by.

The GDC now finds itself on the wrong end of a judgement at the High Court. Do not believe everything you read in their oh-so-friendly e-mails – honesty and transparency are two things woefully lacking in this broken organisation. However, they offer a level of Spin for which a former Prime Minister would be proud.

The time has come, the walrus said…

In answer to your question “What next?” I suggest you ALL whizz over to the petition at the link below to sign your support for the resignation of Mr Moyes and Ms Gilvarry.  It is you, my friends who will keep this agenda alive – please do your bit. Responsibility must be acknowledged and frankly after this last few months, there can be no other honourable way.

There are 36000 Dentists and if you do nothing else to support your profession this year, please sign it.  Unless of course you think the GDC are spot on and a fine example of public body efficiency…

PLEASE SIGN THIS PETITION

Please visit https://www.change.org/p/gdc-gdc-leadership-resignations-needed-the-courts-and-profession-have-spoken

Better Deeds for All?  

Go’arn, go’arn, go’arn … you know you want to

But the BDA in contrast have risen to the challenge. If you are not a member, and can stretch to the additional cost, my commendation is at least throw them one year’s membership as a thank you for their action on your behalf. 

https://www.bda.org/strongertogether

Because of their resistance to the GDC steamroller, a process has been started at the political level which, in my opinion, will likely see some change driven by ministers over the next year. If you did not see the debate raised by our colleague Sir Paul Beresford, it is worth an hour of vCPD to see Mr Dan Poulter the Minister state unequivocally that in his eyes the GDC were bang out of order! This is the link
http://www.parliamentlive.tv/Main/Player.aspx?meetingId=16685&st=11:00:00

 

A Christmas Truce?

As The Christmas season passes [and for those not so inclined, may it be an appropriately Festive one] it is time to stop worrying about matters dental and just chill out with your family & friends. If you are like me and prefer your own company, may the mountain that you climb offer perspective and energy. 

Perhaps we might find it in our hearts to wish all those at the GDC peace and goodwill.

 

So will 2015 quieten down?

We shall see. The agenda will change but it seems like there is much more to grab your attention on the way. To our young graduate colleagues, welcome to the funny farm and good luck coping with the massive changes that are brewing.

 

Be positive for 2015

Remember, the NHS is not the only outfit in town. Behind all the huff and puff of politics and the GDC qwankers1, private practice is a driving example of modern, efficient small business, focussed absolutely on patient care through a strong relationship with the dental team, offering a route to lifelong dental health aided by some amazing CAD CAM technology. Indeed the Good Ship SS Private Practice has been quietly sailing around all the politics and as any members of it ‘crew’ will tell you, when you sit down with your patient and start building trust, the rest of the world melts away.

If you have half an inkling to start a process of being less, or indeed NOT dependent on the Government for your business income, why not use the next couple of weeks to plan your first step. With all the changes afoot, allied to a certainty that there will be no more money when they demand extra activity from you, it’s the least you can do for your patients.

Life without the NHS actually makes tolerating the GDC a whole lot easier! And without NCAS and spurious GDC referrals, you will be a lot less likely to have your FtP day . Hurrah!!

 

So 2014 is a wrap.

To all my reader my thanks. To all of you, a peaceful end to the year and remember … they’re only teeth !  But they don’t ‘alf cause trouble, eh?

 

1                     http://www.urbandictionary.com/define.php?term=Quanker
 

2                     Join the BDA at https://www.bda.org/strongertogether
 

3                     http://www.parliamentlive.tv/Main/Player.aspx?meetingId=16685&st=11:00:00

 

4                     Sign the petition seeking GDC Resignations at
https://www.change.org/p/gdc-gdc-leadership-resignations-needed-the-courts-and-profession-have-spoken

 

 

 

 

  5714 Hits
5714 Hits
AUG
22
0

Swarm theory - what's buzzing?

Swarm theory - what's buzzing?
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.
 
OR
 
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
 
  5940 Hits
5940 Hits
MAY
27
0

Are you Independent?

Are you Independent?

Welcome back from the long weekend, now just a few weeks to run and you can all zip off to the sun again  smiley

 

Monday  was perhaps the new Independence Day, as the Euro results poured in. I worry that this word 'Independence' is being politically hijacked

 

So:   Are you independent of mind and decision? Really?  Truly?

 

The EU elections this weekend have thrown three major GDPUK topics into a shaft of light.

Those of you who gaze from a distance at the sheer energy of some of our more vocal members will have notice three threads of great length. One touching on that supposedly untouchable subject, matters of belief and faith, while another has been exploring the issue of the Scottish vote on Independence due to take place later this year. 

Combined with the now famous histrionics of the orthodontic thread, you would be forgiven for having pressed the ‘snooze’ button.

 

So wake up at the back.   I want you to answer a question for yourself.  What does being independent mean to you?

 

Mr Farage is celebrating scoring some points in what is normally a three horse race, by arguing for the UK’s independence, and arguing against the £12Bn net spend to the EU every year.

As dentists, we pride ourselves on being independent – in practice, in thought and in action.

Ask 10 dentists a question to which the answer is Yes or No and you will get 20 different answers.

 

But are we independent? Really? Truly?  Where is the fine line between that and bloody mindedness?

 

If you practice under Government funding in any of the 4 parts of the UK, do you really feel independent? Or are you reluctantly beholden to how someone else wants you to help and practice dentistry for your patients against your better instinct??

If you are in private practice, are you one of those for whom the next big case is always the one to clear the overdraft?  Therefore you are always on the lookout for some poor soul to benefit from your great skills? Or perhaps you feel you cannot practice good dentistry because of a limited private capitation funding stream not of your making?

We even have this long abused concept of Independent Practice, as though “Private Practice” could be rude and insulting perhaps?  Will the BDA rinse that off for the next batch of unknown NHS England contract changes, I wonder?

Perhaps independence of thought and action is actually impossible without feeling pressurised or being selfish.

 

Cooperation over independence?

 

What dentists are masters at is cooperative action.  We run or work within highly efficient micro businesses and at a moments notice we can adapt and cooperate with whomsoever requires our skills and time.  The CQC roll into town – we change and adapt.  A patient arrives – we change and adapt.  New staff requirements develop - we change and adapt.

Long may this be the case because with EU and Scotland and a General Election, the next 18 months are going to be interesting.

That old French phrase has come to life.  Plus ça change, plus c'est la même chose.

Strangely while everything around you seems to be up in the air, it takes a very strong sense of independent spirit to simply wind the windows shut and focus on your patient needs with one hand while with the other you change and adapt

So that’s why four-handed dentists have developed !!

 

May your June be flaming. Ta-rah for now, fellow enamel warriors

  4920 Hits
4920 Hits
NOV
24
0

Them and us

b2ap3_thumbnail_them-and-us-Y.jpg

As the autumnal fall returns once again and the ominous portent of a Comet Ison[1] in the morning sky passes I am minded to wonder at our innate ability to disagree.  There is a really intriguing book out there called   Them and Us: How Neanderthal predation created modern humans by Danny Vendramini  [2] Basically, our behaviour is nothing new!

The BDA saga has not gone away, we are told – well, actually we are NOT told …  but the vox pop of internet chat suggest that those in office at the BDA are running in internal disagreement, and of course all the outsiders like myself are far better placed to run the show.  There is no agreement it seems, and we are polarised into them and us.

Then of course there is how to deal with ‘the problem patient’.  Not only do we all differ, separating into the “This is how to do it” camp on the one hand, and the “No you fool, do it this way” camp on the other.   Never mind that the poor bloody patient is always wrong.  Them is always right and Us is never wrong.

Orthodontics appears to be generating a fair share of divisionary comment:  Far from everyone synergising to the wider benefit of the patient community and for the greater good, we just have to bicker and squabble over long term or short term, GDP or specialist , ultra modern self ligating or out of date elastics.  Throw in a spooful of commercial self interest and the fuse is lit for a right royal bust up.

What would the public think?    Oh – them and us again!

There is a fine line between appropriate professional disagreement and internecine  warfare. We must as a profession beware of breaching it ... if we actually care. Maybe we just like a good fight!

Gawd ‘elp the poor old GDPs if the BDA and BOS combine forces …

Seriously:  who will draw this disparate medley of headstrong prima donnae professionals together? 

If we fight amongst ourselves, the Governments work is done.

Ah … now there is the Ultimate “Them and Us”.

I blame Comet Ison.  Enjoy Thanksgiving, don't all fight over the Turkey now. That would far too Neanderthal ...

 

[1]  http://www.bbc.co.uk/news/science-environment-25001732

[2]  http://www.themandus.org/   
Them and Us by Danny Vendramini
With acknowledgement to the author for the image

  6042 Hits
6042 Hits
NOV
12
0

And the winner is …

And the winner is …

Those of you who read and digest the news and views of dentistry at large will perhaps have noticed the recent Private Dentistry Awards1.  A rip roaring time in London for all who attended.  A sore head or two the next day I’ll bet.

The recent announcement of the winners serves to highlight the lengths that many colleagues will go to strive for excellence. They are also extraordinary in that they can find the time to document their activities and seek to obtain external recognition. To all who entered and indeed were in the awards, heartfelt congratulations.

To all of you who did not enter, I am sure I am not alone in noticing that the effect rubs off.

You read about how others do things.  You read about ideas and marketing. You introduce these things in your own way into your own practice.  Just because you do not enter does not mean you are not a winner.

Of course, the clue is in the name – none of these particular practices lay claim to  providing dental care under the NHS, although how many of them employ NHS associates remains to be detailed.

But as we witness NHS England purging their Performers List with suspect letters of a dodgy tone threatening removal arbitrarily simply because it suits someone in London’s database management skills, it seems to me that there is no doubt about this: Beware the false security that the Government offers.

Left to its own devices, Dentistry as a business and a profession would make a far better job of marketing its services at the right price, in the right place, to best suit a particular patient base than any mish-mash of Reds, Ambers and Greens that the Government’s Department of Health lackeys can come up with. Why it is that our academic colleagues often fail to see or understand this paradigm remains a mystery.  Are we all really that imbued with social guilt so that any talk to do with the NHS simply proves it is culturally embedded?

That must be the counterpart message of the BDA as it emerges leaner, poorer, but fitter and raring to “engage”.

By all means engage with the DH, but the BDA must lay out the subtle threat that we do have to courage to do it ourselves, and will do it better.

Now that is a profession in a win-win position. The winners of such a brave approach would be everyone, patients included.

 

1        http://www.dentistry.co.uk/news/smiles-and-success-uk%E2%80%99s-private-practices

2        http://www.privatedentistry.co.uk/awards/

 

  12145 Hits
12145 Hits
OCT
23
1

Good and bad salesmen

 

b2ap3_thumbnail_Blog-image.jpg

So.. its all over. That’s it for another year.  

Farewell BDTA Showcase ....   Sadly true

Farewell BDA problems. ....   Sadly untrue

I find myself intrigued by the numbers. About 4000 dentists attend, and about 14000 ‘others’. It seems there is a massive networking opportunity here, and perfectly positioned at the centre of the country, and yet barely 20% of owner dentists attend. I wonder what would make it a “MUST” – maybe a GDC standard?

To those of you who did indeed support our industry, well done.  Your investment in the future of good dentistry, at your risk, using your money [well maybe with a little help from a finance company] speaks volumes for the ethics of dentists.  If you did not make that purchase decision, perhaps you were put off by a pushy salesman who reckoned he or she knew it all?

When the new Government contract comes around, you will be fully IT’d up … won’t you?  Do it now, build your IT Ark  BEFORE the storm.

It was also of course an opportunity for some big organisations to get down and dirty. 

The GDC stand saw a steady  passing of interested people, many of them DCPs …  I wonder if like me you feel nervous going up to them – should you be anonymous just in case?  Can they really call you to account for just ‘having a go’ at the stand? I sincerely hope not.

GDPUK of course ‘trailblazingly’ set the standard for shiny shoes - but I never did find an answer to how to get shiny white crocs in the surgery!  It was THE place to meet and chat though.  If there was a centre to the Showcase, the GDPUK stand was it.  Just like it’s the centre of open opinion now. And if you have one, about anything, please come online and jot it down.

Talking of pushy salesmen, the BDA missed a trick in Birmingham, choosing instead to simply whip up a bit of spin with their racket by issuing yet another “All part of the grand plan” statement, care of the Chief Executive and PEC Chairman.  Good on you, lads.

Dodgy salesmen eh? You can smell that reptilian oil from a mile off.

 

With thanks to Matt at The Telegraph for the image. The original may be found at http://www.telegraph.co.uk/news/matt/?cartoon=10371411&cc=10345727

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Nigel Bannister

Good and bad salesmen

Enamel Prism, Good blog-thank you. The Exhibition layouts need a big shake up in my humble opinion. A good place to start-The I... Read More
Sunday, 27 October 2013 14:44
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JUL
01
1

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

 

b2ap3_thumbnail_Dragon.jpg

 

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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JUN
14
0

LDCs: BDA will seek your backing for ‘New Contract ‘ ….

Well, the summer has been, and the summer it would seem, that fickle season of the North, has gone. The suntan is rusting, but the LDC fortunately met indoors, by and large, if one ignores the lightning strike hazard of the Golf match.

It intrigues me that Denplan are the Platinum Sponsors of this quintessentially NHS aimed representative body.

It is almost as though Denplan see themselves as the ethical side of ‘mixing’.  I mean… what can THEIR interest be in the machinations of turgid DH driven change?

But perhaps the biggest news to come out of the LDCs appears to be the wording on Page 12 in respect of the 2012 LDC Motions . An informed reply elsewhere on this forum pointed out that the GDPC are obliged to act upon any LDC Motion, and one assumes therefore that given the serious nature of such motions, any reply issued on behalf of the GDPC will carry due authority and weight.

Such is its import that I have taken the liberty of quoting direct from the LDC 2013 papers at http://www.ldcuk.org/documents/doc_download/142-2013-ldc-conference-papers

 

LDC Conference Motions 2012  GDPC Activities

Birmingham LDC motion

This Conference believes that, …, the Department of Health cannot be trusted to install a new dental contract with thetrust of the profession.

GDPC Response:

GDPC understands LDC Conference’s view but … will continue to ensure that the voice of the profession is represented during the formation of any new contract and will not offer support to any new contract without the backing of the profession.

 

So your heard it here first.

The GDPC will not offer support to any new contract without the backing of the profession.

 

Which to my mind means that some form of personal opportunity to say yea or nay to the New Contract is assured.

 

NHS Bullshit Agency?

Maybe you should renew that BDA Membership after all? You are only 2 weeks late.  Which of course is nigh on criminal in the minds of the CQC Factoring Agency [NHSSBS] who seem to have installed a CQC fee collection system which makes DVLA look positively benign.  When the CQC phone you, simply say you have passed your invoice to your accounts office who  “No, you cannot contact”. Or tell them to get lost! 

 

May your June continue be flaming.

 

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MAY
13
1

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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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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MAY
08
0

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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Health & Safety Quiz

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APR
15
0

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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09
1

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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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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APR
01
3

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.

 

[1] http://www.bda.org/news-centre/press-releases/41760-direct-access-decision-misguided-says-bda.aspx

[2] http://www.oft.gov.uk/shared_oft/market-studies/Dentistry/OFT1414.pdf

[3] http://www.gdc-uk.org/Newsandpublications/viewfromthechair/Documents/Evidence%20based%20policy%20Feb%202013%20Final.pdf

[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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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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MAR
25
1

BDA

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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20
0

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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14
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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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