Dental Contract

GDPC update: January 2017 meeting

The General Dental Practice Committee (GDPC) met for its first full meeting of the year on 27 January. The Committee received a presentation from the Chair of COPDEND, Nicholas Taylor. Members also discussed the professional regulation and the GDC Shifting the Balance consultation, contract reform, issues with Capita and performer lists, an EU-wide phase down on amalgam, parental leave changes and... »

The NHS Contract: the real rip off

This weekend the failed NHS dental contract was back in the media spotlight. On Saturday The Times led with stories of ‘the great dental rip off’ (£) and a focus on the broken Unit of Dental Activity (UDA) system at the heart of NHS dentistry. Some out there would like to say this profession puts ‘profit before patients’. We know the reality – that our broken NHS contract s... »

Stepping into a minefield every day: something has to give in the NHS

The present NHS dental contract has meant stress and frustration for me. I feel like working conditions in general dental practice are now stacked against us. How can you squeeze the vast expertise and range of dentistry into three bands? Some patients are high needs and need work more regularly than others. The rules and regulations in relation to treatment are very unclear under the present cont... »

Struggling to make it work: NHS contract disadvantages ‘good’ patients

As a recent graduate, trying to build a list from new NHS patients is very difficult due to the high needs of our local population. Some months, I find I am earning less money than when I was DF1, despite a full-book, full-time. This just reflects the inadequacy and unfairness of the system for young dentists. And many of my patients really don’t believe me when I say one filling costs the s... »

NHS in crisis – is dentistry really ‘sorted’?

Last week I went to speak to our friends at the British Medical Association for their emergency conference on the crisis facing our NHS. There were so many familiar themes. privatisation, corporatisation, over-regulation, red tape and spin. The dental profession has been at the cutting edge of all of these. And now we are having to seek ‘efficiencies’ when we represent 3% of the NHS budget, mannin... »

Business suicide? At the cross-roads for NHS dentistry

The 2006 NHS dental contract has changed my working life dramatically for the worse. Both I and my patients are confused as to who we are obliged to see. How do you define clinical capacity? My defence organisation says that I must see all patients and not give priority to my regular attenders, which sounds like business suicide to me and a sure way to lose goodwill. I like to think that I am an e... »

Just another treadmill for dentists: we need to fight back

The current NHS dental contract is just another treadmill for dentists, devaluing us and our professional skills, which we have invested time and money in. I believe the item of service contract was better than the UDA system. The current NHS tendering process to open a new practice is a farce. Why? Because the government has now limited the opening of dental practices and limited access for the p... »

A committed focus on prevention and education

When the Telegraph reported back in February that more than 33,000 children had to have rotten teeth removed under general anaesthetic in hospitals last year there was collective shock across many areas of British society. But there is a major problem; from within the dentistry world this did not surprise us as much as it should have. We have actually heard headlines like this for far too long. No... »

Handcuffed by cost limitations: are dental patients deceived?

For me, the 2006 dental contract initially reduced the treadmill pressure put on dentists. But the subsequent introduction of many other metrics and outside pressures mean that it has become a treadmill by another name, and this time the total income is capped no matter how many patients I see. Morale is low, and I know full well that I am capable of doing much better work outside of the NHS but I... »

The NHS dentistry supermarket: one size doesn’t fit all

To me NHS dentistry currently feels like a bit of a supermarket: there are only three prices. I have to divide my patients up into three types – 1, 3 or 12 UDAs, but real people have multiple different types of need. It’s unrealistic and unworkable. The worst affected patients are those with multiple decayed teeth needing many fillings, root fillings, extractions and periodontal treatment, b... »

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