Document Detail

Revolution in the provision of dental services in the UK.
MedLine Citation:
PMID:  22998314     Owner:  NLM     Status:  In-Data-Review    
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.
Martin Tickle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2012-09-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0410263     Medline TA:  Community Dent Oral Epidemiol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  110-6     Citation Subset:  D; IM    
Copyright Information:
© 2012 John Wiley & Sons A/S.
Dental Public Health and Primary Care, School of Dentistry, The University of Manchester, Manchester, UK.
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