| Revolution in the provision of dental services in the UK. | |
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MedLine Citation:
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PMID: 22998314 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: This paper provides a historical overview of NHS dental services and some personal reflections on the main challenges over the next five years. METHODS: A narrative review of the literature and some subjective observations and comments. RESULTS: In 2006 there was a radical change to NHS dental sservices in England; central budgets were capped and general dental practitioners. Dentists who were previously paid on a fee-for-item basis moved to a new contract that required them to hit activity targets to maintain their historical income. This contract was unpopular with dentists and has been criticized for not improving access or quality. A new dental contract has been promised based on capitation. Against this background significant issues have to be addressed including: a rapidly growing gap in between demand and resources and a need to make substantial cost savings across the whole of the NHS; a significant decline in dental need; inequalities in utilisation of dental services; and provision of treatments of doubtful effectiveness. CONCLUSION: The NHS dental healthcare system faces significant challenges and consideration needs to be given to the consequences of a focus on need rather than demand. Logically this would require a needs-based resource allocation formula and a needs-based approach to service and workforce planning. A move to a needs-led service is a political decision with associated political risks. |
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Authors:
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Martin Tickle |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Community dentistry and oral epidemiology Volume: 40 Suppl 2 ISSN: 1600-0528 ISO Abbreviation: Community Dent Oral Epidemiol Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-09-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0410263 Medline TA: Community Dent Oral Epidemiol Country: Denmark |
Other Details:
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Languages: eng Pagination: 110-6 Citation Subset: D; IM |
Copyright Information:
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© 2012 John Wiley & Sons A/S. |
Affiliation:
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Dental Public Health and Primary Care, School of Dentistry, The University of Manchester, Manchester, UK. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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