Buy it now:

 

:Practice systems templates

:Effective Dental Sales system

:A-Z of drugs and solvents

:Medical Emergency Management System

 

 

 

 

Sign Up For Our FREE Weekly Newsletter

Name:
E-Mail:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Latest News

 

July 2008

BDA Executive wishes to fully support Eddie Crouch's case

Peter Ward, Chief Executive of the British Dental Association, said:

We are very disappointed that the Department of Health has sought to challenge the decision of the High Court. Effectively the department is saying that a primary care trust should be able to say to a dentist, ‘your contract will come to an end tomorrow, just because we feel like it.

Every right-minded person can see that this is totally unreasonable and would destroy the viability of family dental practices. How can dentists plan for the future if they have no security? A success for the Department of Health would be bad for dentists, bad for patients and disastrous for the health of the nation. We will continue to fight on behalf of Dr Crouch and the profession against this ridiculous clause.

 

20 March 2007

PRESS RELEASE

Registrants Triple on the FGDP(UK) Career Pathway

The Faculty of General Dental Practice (UK) is delighted with the number of new participants joining its Career Pathway over the past year, helped by a recent free event to highlight the opportunities provided by the Pathway – a career development framework for general dental practitioners (GDPs).
Fully subscribed since early January, the Career Pathway Open Day drew
dentists ranging from the recently qualified to the practice principal to hear how the Pathway can facilitate their professional development. Comprising three stages (Foundation, Stage 2 and Fellowship), the Pathway works through the accumulation of credits gained by completing FGDP(UK) and accredited non-FGDP(UK) postgraduate courses, certificates, diplomas and masters degrees. It also  provides a route to Fellowship of the FGDP(UK) that is accessible and achievable for all GDPs, regardless of age or stage of career.  Richard Hayward, Dean of the FGDP(UK), said, "Unlike the secondary care sector where there has long been established a structure for career development, the career paths available in primary dental care have been less clearly defined. The FGDP(UK)'s Career Pathway may provide the answer to the question


'What next?' for GDPs considering their career beyond a primary dental
qualification and wishing to improve the quality of care for their patients."
Richard continues, "In bringing together postgraduate training and education in a flexible framework, the Pathway provides life-long learning and support, while enabling participants to progress at their own pace and with minimal time away from the practice. It also allows the development of special interests within primary dental care along the way."
Participation on the Pathway is open to all GDPs and the eligibility
criteria is simple: a primary dental qualification (ie, BDS or equivalent) and membership of the FGDP(UK).


For further information on the Career Pathway, please contact

Sally Hunter on 020 7869 6766 or shunter@rcseng.ac.uk,

or visit www.fgdp.org.uk/career_pathway.


ENDS

The Faculty of General Dental Practice

 

August 3rd

NHS DENTAL REFORMS: MONITORING PROGRESS


1. We asked SHAs at the time of launch, to provide information
about the number of new NHS dental contracts signed and rejected –
and the approximate service value of these contracts expressed
in 'units of dental activity' (UDAs) . Gateway 6500 covered the
final stage of this exercise. The return is referred to throughout
this note as the 6/4 return confirmed through the w/c 24/4 return.


2. The information was very helpful in showing that, although
there were 1,051 contracts rejected (compared with 8,377 contracts
signed), the rejected contracts represented only around 4% of
services . This is because many of the rejected contracts were for
dentists who did relatively little NHS work; and many of the signed
contracts were for practices with a number of dentists, whereas the
rejected contracts tended to be individual practitioners.


3. As some SHAs pointed out, this comparison between the UDA
value of signed and rejected contracts did not tell the full story.
Several PCTs had already made progress in re-commissioning services.
In these cases, the figures exaggerated the temporary drop in service
availability as of the start of April.


4. We would like to be able to make available further figures to
demonstrate the progress the NHS is making in re-commissioning
services. This will help in demonstrating the success of local
commissioning and reassuring the public that services are not being
permanently lost.


5. We would also like to be able to demonstrate the full extent
of dental services commissioned locally. Many communities we know are
commissioning further dental services using the new local
flexibilities. We would like to be able to demonstrate that fears
that NHS dentistry is contracting are unfounded.


6. Finally, we would like to be able to demonstrate progress in
resolving disputed contracts. At the moment, it is easy to
scaremonger by pointing to the third or so of contracts signed in
dispute. In reality, SHAs and PCTs have indicated that many of these
are for relatively minor, technical issues that ought to be capable
of being resolved locally. The sooner we can show these issues have
been resolved, the better.


7. We intend to collect information on these three areas through
a monthly data collection via UNIFY. SHAs will be expected to confirm
PCT returns.


8. These information collections do not replace information
provided to the BSA. The information on re-commissioned services and
disputed contracts is a temporary collection which will cease when a)
services have been commissioned to replace the contracts rejected on
1 April and b) all disputes have been resolved.

----------------------------------

BLAH BLAH BLAH BLAH BLAH BLAH

I have two words for you........................

Practice Plan

 

 

July 12th

PRESS RELEASE

Dental Faculties of UK & Ireland to Offer New Examinations

The dental faculties of the UK and Ireland have announced plans
progressively to replace the existing MFDS/MFD and MFGDP(UK)
examinations with new examinations from October 2007. These will be
run by each individual College and are intended to summate two years
of general professional training.

The new assessments are being designed to enable reciprocity between
the Colleges and, except in Ireland, will not require specific
approved training posts to have been completed. To that end, part 1
of the examination offered by each faculty may be taken during the
first year after graduation, and part 2 during the second year. The
first diets of part 1 and part 2 will be held by all faculties in
October and November 2007 respectively.

There will be some differences in the assessment format between each
faculty. The assessments offered by the Faculty of General Dental
Practice (UK) and the Faculty of Dental Surgery of The Royal College
of Surgeons of England, will consist of:

  • A workplace-based portfolio
  • Part 1 in the form of one written paper containing multiple
    choice questions (MCQs) and multiple short answer questions, and
  • Part 2 in the form of an objective structured clinical
    examination (OSCE) and structured clinical reasoning (SCR) exercise.



For the assessments offered by the dental faculties of the Royal
College of Surgeons of Edinburgh, The Royal College of Physicians and
Surgeons of Glasgow, and the Royal College of Surgeons in Ireland:

  • Part 1 will consist of two written papers with a variety of
    question styles including MCQs, multiple short answer questions and
    extended matching questions, and
  • Part 2 will consist of an OSCE, with an additional viva in
    Ireland.



The faculties are putting in place transitional arrangements with
respect to the current examinations, and these will be displayed on
the individual websites.

May 12th

A system has been created that encourages neglect, that deters the taking on of new patients, and promotes supervised neglect.  A system has been created where a single tooth acrylic partial denture carries the same UDA value as a full mouth rehab.  A system has been created where a sealant restoration carries the same UDA total as 17 RCT's.  This is a poor system, and it is here whether we like it or not.

People think that, if they complain, things will change.  THings won't change.  There may be the occasional alteration at the peripheries of the system, the names may be changed to protect the guilty, but the essence of the system will remain.  You have to look at the NHS as a whole to understand this.  You have to understand the huge decaying Albatross that the NHS represents.  The country cannot afford it, not with the way oil revenues are about to decline.  The NHS is the worlds third largest employer, it cannot continue.  Slowly, and surely, parts of it will be privatised.  Its structure will be kept constantly in flux so that nobody can tell exactly what is happening.  And before you know it, the NHS, as we know it will no longer exist.

In my opinion, this contract is designed to speed the conversion of dentistry to the private sector.  Because dentists, on mass, were reluctant to leave the NHS, the decision has been made for them.  The message is clear.  "You have three years, get your act together and leave.  Try and stay, and we will make your business unworkable". 

You think it cannot happen?  Think again. 

 

 

April 11th

I want to introduce you to a concept I learnt of about a year ago.  The concept is something called Peak Oil.  Basically Peak Oil theory concerns the effects on our industrialised world once half the worlds oild reserves have been pumped out of the ground.  The current rise in oil prices is not due to Peak Oil, but due to there being too mcu demand, too much uncertainty (eg Iran) and not enough processing capacity.  We are using it faster than we can pump it.

      However, Peak oil is very close.  As we reach the half way point, every subsequant barrel of oil gets harder to extract, harder to process, and requires more energy to get out of the ground.  We will never run out of oil, but we may come to the point where it takes a barrel of oil to extract a barrel of oil.  After that there is no point.

Oil is not just used to drive cars.  It:

  • Is the basis for the worlds fertilisers
  • Is the basis for our plastics
  • It drives the tractors that allow for industrial farming
  • It provides our aviation fuel
  • It provides heating oil

Unfortunately, western society cannot survive without it in its present form.  This is not to say its all doom and gloom, but things need to be done quickly.  Perhaps spending a trillion dollars on liberating Iraq might not have been the best option, when that trillion dollars could have been used to help change Western society from a hydrocarbon society.

But what has this got to do with dentistry.  Well, the Chancellor makes billions each year from North sea oil.  North sea oil production peaked in 1999, and is dropping year on year.  This means less money to the treasury (North sea oil is effectively the reason behind the UK's resurection from the basket case it became in the 70's).  That means there will be even less money to fund the NHS.  THat makes April 1st 2009 even more ominous.

Enough from me on this, the rest I leave to the experts.

www.peakoil.com

www.lifeaftertheoilcrash.net

 

April 1st

April fools day came and went.  THere was, and still is, much gnashing of teeth by dentists.  We seem to have forgotten that life isn't fair and that government, by it's very nature is incompetent.  Not just this government, every government.

       It has happened, get over it.  THe NHS as a whole has just been given bad news by it's doctor.  It's cancer I am afraid, and the patient is unlikely to pull through.  The siblings of Mr NHS (Private and HMO) are rubbing their hands with glee.  Sooner or later the worlds third largest employer will collapse under the weight of its own mismanagement... how lucky that the government are showing us a way out before this happens.

        I have said it before, so I will say it again.  NHS dentistry is dead, it just hasn't been buried yet.  There will still be an NHS dental service 5 years from now, but it will be limited in nature, overly bureaucratic, and offer little if no job satisfaction to the people working in it.  Private care is now the future, and let us just hope that the government don't start fiddling with that like they are doing in Germany.

       THe main problem is on the sidelines.  The prosperity of this country over the last 20 years has been down to one thing - OIL.  North Sea Oil dragged the UK out of the pit of despair that was the 70's.  Maggie Thatch was able to do what she did because of the revenues from oil.  We are the fourth largest economy because of the revenues from oil.  And even then we are one of the most highly taxed countries in the world.  Imagine what things will be like when billions of pounds of oil revenue are no  longer flowing into the coffers of the Treasury.  North Sea Oil production has peaked, and will decline rapidly over the next ten years.  The high price of oil will counter this decline in the short term, but things will get interesting very quickly.

 

March 5th

This gets wappeir by the day.  The whole NHS, it seems is on the brink of collapse.  £600 million in the red, a whole 1% of the budget - are you kidding me.  £60 billion spent on the NHS!!!!!!!!.  This is insane.  The NHS has become a huge bloated monster, festering sores at every orifice.  It wastes money like an IT girl with a brand new platinum card.  Resourcesd are wasted on making the NHS look nice, when the reality is that flash new hospital wings and ambulances that have enough equipment to guide satelites do nothing for the fact that people die of infections in hospital because the bloody places are dirty. 

The thing that really tickles me is the way National insurance was raised to fund the NHS.  Think about that.  National Insurance is a tax on employment, which is taken off both employees AND employers.  The NHS is the worlds third largest employer......... so now they have an even bigger tax bill to pay.  Absolutely stark raving bonkers.  It's like having the bleeding Chuckle Brothers in charge.

 

February 28th

Well, despite the governments best efforts, things aren't going to plan.  Even Rosie Wintertons own constituant PCT have been unable to get the contracts out to their dentists in time for the 28th Feb deadline.  Crazy times

 

February 12th

DO YOU WANT TO KEEP YOUR NHS DENTIST - IF SO PLEASE READ ON

  • On April 1st the Government will impose a new NHS contract on dental practices.
  • If you do not already have a NHS dentist you will find it much more difficult to find one unless this contract is changed. It is already very hard to register with a practice.
  • DENTISTS ARE CONCERNED THAT THIS IS A VERY BAD DEAL FOR PATIENTS
  • Tees Local Dental Committee calls on patients to lobby MPs to call for this contract to be delayed whilst it is tested and discussed.
    Dentists are facing very difficult decisions
  • Some will choose to reject the contract and become entirely private practices
  • Others will accept the contract and try to make it work as best they can.
  • Any dentist leaving the NHS will have taken the decision after much thought and will be doing so because they feel it is in the best interest of their patients
  • Other dentists want to stay in the NHS but do not want to work to artificial imposed targets which do not benefit patients. You can help by supporting us.
  • The new contract offers the following "deal" for patients:- You will NOT BE registered with a practice as NHS registration ceases.
  • Practices MAY be able to give priority to their regular patients although you will not be registered with the practice. This is a very backward step.
  • You will pay for treatment in 3 charge bands £15.50, £41.40 and £189
  • Simple treatments and exams will be up to 3x as expensive
  • Single crowns and some dentures will be up to 2x as expensive
  • Large treatments will be cheaper but dentists will have to ration such treatment otherwise they will not be able to meet the targets mposed on them.
  • Finding a NHS practice may be difficult with waiting lists becoming the norm.
  • Even regular patients may well have to wait longer for an appointment as practices limit certain appointment times to meet targets.
  • Dentists will be paid a fixed sum of money based on the work they did in the previous year.
  • They will be required to do a similar number of treatments or they may lose funding.
  • Dentists will not be gain any credit for doing lots of necessary treatment
  • There is no credit for doing more than one filling or more than one crown
  • There is no credit for preventive treatment, scale and polish or root fillings.
  • New patients requiring a lot of treatment will find it difficult to find a dentist.
  • Dentists providing a few simple braces may be unable to continue to do this.
  • Dentists have to negotiate their contract with their local Primary Care Trust (PCT)
  • The PCT has been given inadequate cash limited funding
  • They have not received the reassurances they need from the
    Government that they can spend the money they need to spend on dentistry
  • The PCT cannot at this stage commit to funding new dentists or even some dentists who are already working in the area.
  • The Local Dental Committee (LDC) has urged the Government to ensure the PCT has the funding needed to meet existing demands.
  • The LDC urges you to lobby your MP to seek an urgent review of the new contract and especially the target system called UDA ( units of dental activity)
  • The LDC believes that the new contract will dramatically reduce NHS dentistry on Teesside


Tees Local Dental Committee February 2006

 

Sunday 29th Jan

From the University of Liverpool press release:

In partnership with the NHS community in the local region, a
consortium involving the University of Liverpool, the University of
Central Lancashire (UCLan), Lancaster University and St Martin's
College submitted the bid and will now be able to expand medical and
dental education in the region.

The dental students will be based at UCLan which will have lead
responsibility for undergraduate dental education in Cumbria and
Lancashire. The degree will be a four-year graduate-entry programme.
The new graduate-entry programme is in its first year at Liverpool
and is one of only two such courses in the country.

so they will be able to say that dentists are trained by the NHS?

............

After the first year, the students will be based in Dental Education
Centres in Blackpool, Carlisle, East Lancashire and Lancaster. This
innovative approach will ensure the students gain experience of
working with patients in the local community - where most will work
after qualification.

The University of Liverpool and UCLan will work with local NHS
Trusts, the Strategic Health Authority and the local HE partners -
Lancaster University and St Martin's College - on the establishment
of the Dental Education Centres and the delivery of the programme.

Under supervision, the students will treat patients after the first
year of their degree, meaning residents in the areas covered by the
Dental Education Centres will see an increase in dental provision
from October 2008.

Professor Paul Wellings, Vice-Chancellor of Lancaster University,
said: "This is a very important development for the people of
Lancashire and Cumbria and for Lancaster University. It enables the
University to develop its expertise in research and teaching in
health and medicine and to use that expertise to train doctors who
are then likely to stay in the area. We are delighted to play a major
part in this initiative in collaboration with the University of
Liverpool and consortium partners."

Dr Malcolm McVicar, Vice-Chancellor of the University of Central
Lancashire, said: "UCLan has been at the forefront of the campaign to
address the shortfall in NHS staff in the region for the last five
years.

"We are delighted that local people will now have the opportunity to
become local doctors and dentists. This will build on UCLan's
existing expertise in post-graduate dental and medical education and
complement our provision in other health-related professions."

 

Chuff me!!!!!!!!!!!!!!!!!

 

Saturday 28th Jan

VOCATIONAL TRAINING IN GDS/PDS


This advice note describes the new arrangements for dental vocational
training and the implications for dentists. Dentists with a VDP or
those seeking to engage one should also read the DH Fact sheet 6
Vocational Training available on www.primarycarecontracting.nhs.uk.
Payments for Vocational Training Payments for vocational training are
fixed nationally and contained in the Statement of Financial
Entitlements for GDS and PDS. They are non-recurrent, that is, only
paid for the period of the vocational training and are not part of the
contract value. PCTs cannot offer lower amounts to practices to engage
a VT as they could under old style PDS. The allowances are as follows
for a full time VDP and are at 2005/6 prices which will be subject to
a pay and prices uplift following the DDRB recommendations:

A trainer's grant of £684.50 The VDP salary of £2,281 per month A
monthly payment for clinical service costs (that is the cost of the
VDP surgery, materials and laboratory fees) £4,750

Total amount £7,715.50 per month or £92,586 per year. This amount will be paid on the contractor's schedule by the Business Services
Authority. PCTs will be given this money net of patient charge revenue
which means that the UDAs agreed with the practice for the VDP will
have to be enough to ensure that the appropriate amount of Patient
Charge Revenue is generated. Patient charge revenue collected from the
VDP earnings will be netted from the VDP payments so bad debts
attributable to the VDP will result in a reduction of these payments.
UDAs The VDP's clinical work will attract a UDA quota but this must be
negotiated with the PCT based on local averages - national guidance is
expected on how the amount is to be calculated. Care must be taken
that the UDAs do not represent a requirement on the VDP that imposes
unnecessary stress or that the VDP cannot reasonably be expected to
fulfil. Failure to provide the UDAs will count towards the fulfilment
of the contractor's contract requirement so might lead to breach of
contract if the VDP is not able to complete the required number of
UDAs and they are not provided by another Performer. If the VDP is not
able to produce enough UDAs then advice should be sought from the
Deanery and the PCT. The additional UDAs will be included as a
non-recurrent contract requirement. The patient charge revenue will be
collected as normal which will be netted off the monthly payment to
the contractor. Post VT If the practice wishes the VDP to stay after
the VT year, there will have to be UDAs available under the practice
based contract or additional UDAs must be obtained from the PCT. The
PCT is not obliged to commission additional UDAs from a practice and
will only do so if it has funds and the practice is in a location
where there is oral health need or access problems that are sufficient
to warrant action by the PCT. Appointment of vocational
trainers/training practices The appointment of trainers will now
involve PCTs and Dental Deans and will depend on new criteria.
Trainers will need to have experience of dental education and training
and Postgraduate Deans and PCTs have been instructed to take into
account: · · the location of the practice. Designation as a VT
practice can be an important means of improving services locally the
trainer's level of commitment to the NHS.

In the DH's view, comprehensive vocational training cannot be provided
unless the trainee acquires wide-ranging experience of NHS dentistry.
Postgraduate Deans/PCTs have been asked to work towards ensuring all
VT practices have at least 60 per cent NHS commitment. It is unlikely
that an application will be approved for practices where the VDP
provides the majority of the NHS care. Advanced training practices
PCTs may support and fund training for dentists who are not eligible
to come onto their Performers List after 1st April 2006 because they
have not completed vocational training and are not exempt from the
requirement to undertake VT. This training would be less than one year
in duration and contain practice elements that would give the dentist
the required skills and experience that the Dental Dean judges
necessary. Satisfactory completion will mean that the dentist receives
a VT certificate. It is likely that this training will be undertaken
by advanced training practices.


Existing VT practices Practices with trainees on 1st April must agree
with their PCT a fixed term addition to their contract value/UDA

requirement to cover the period to the end of the VT contract. The PCT
and Deanery are able to decide the method by which they identify and
recruit training practices and, if the practice either decides not to
apply for another trainee or is unsuccessful in its application, then
the PCT is not obliged to commission additional UDAs in order to
provide care to the VDP's patients after the VT year. The Strategic
Health Authority will make a decision on funding balancing the
requirements of its area.

This may have implications for practice
staffing and it may be necessary to make staff redundant

 

Absolute insanity.  Just where are all these new graduates that they are squeezing out of the dental schools going to work????????????

 

 

Tuesday 24th Jan

I was recently asked by Chris Barrow "What makes a good lab"?  Well, my answer was simple:

 

“They MUST:

  • Follow your written instructions to the letter
  • Phone if they are unsure about ANYTHING
  • Be honest if they think your impression is crap
  • Deliver what they say they will deliver, when you want it delivered, preferably by some form of courier the day before the job is to be fitted
  • Be registered with the relevant bodies
  • Be able to do the basics like trimming dies to the highest standards - this comes before any of the fancy stuff like metal free bridges etc
  • Be upfront with their prices and not whack on an extra 20% for "alloy used" - I hate it when they do that
  • Be able to take a shade
  • Not try and make dentures on plaster models. Stone please
  • Be contactable
  • Never try and make an excuse for doing shoddy work. I had a lab do that with me and I dropped them like a stone.
  • Put the alloy into the crown that you are SUPPOSED to put in as per the regs
  • Put things right free of charge if it's not right and it's their fault
  • Be consistent. Don't start off with a new dentist by doing your best crowns and then 3 months down the line switching all said dentists work to the YTS trainee



By contrast the dentist MUST



  • Know how to use bloody retraction chord or equivalent
  • Know how to do a decent impression, which are disinfected before being sent to the lab
  • Give clear and concise written instructions to the lab
  • Know how to do a decent preparation, and have the post graduate development to back this up
  • Have done a postgraduate course on full and partial dentures since leaving dental school
  • Not blame everything on the technician
  • Use decent trays and not solo disposables for your top end private stuff Know what a retention groove is
  • Know what occlusal reduction means
  • Know how to use a facebow
  • If the patient was difficult to treat, tell the lab. If that's the 20th imp, and it's the best you can get, tell the lab.
  • Not Make crowns in the presence of poor OH and poor gingival health
  • Not cement anything in someone's mouth if they wouldn't cement it in their own
  • Communicate with the lab in a positive manner instead of throwing a strop
  • Pay the bills on time
  • Tell the lab when they do exceptional work
  • Tell the lab when they do poor work
  • Know that alginate begins to distort after 15 minutes and don't even think of using it for a crown prep
  • Know what an opposing model is
  • Give the lab the time they need to do the job


Sunday 22nd January

       I was thinking the other day about the debate regarding NHS and Private practice.  there are many who will cling to the NHS as if their very lives depended on it.  There are others in Private practice who have little or no respect for their NHS practicing colleagues, and poor scorn on them at every opportunity.  These are the two extremes of the bell curve, and represent a minority.  There views should therefore be ignored.

      The more reasonable view, I feel, is that nGDS is an opportunity.  Assuming you have a PCT who know what they are doing and who are willing to work with you (as well as being basically solvent) then it offers a

 prime opportunity to work towards privatisation in a way that can only be of benefit to you. 

       There have been many practitioners who have jumped off the NHS ship, usually by doing a quick overnight conversion, even making the people who come to see them queue up to be guaranteed a place on their new private scheme.  They often get adverse publicity and sometimes even have the local MP on their case.  That to me sounds like possibly the worst way of doing things (although I appreciate some practitioners may have felt they had no option).  I would propose that the best way to do things would have been to start your preparations several years ago. 

  • Start by getting rid of your C/D patient base
  • Build up a top level customer service for your A/B patients
  • Invest in yourself, your team and your practice
  • Reduce patient numbers so you are no more than 2 weeks booked up - and yes you could do this on the GDS.   Why the hell have you got so many patients anyway.  You shouldn't be looking after more than 2000 people.  For Gods sake, there is a life outside dentistry.
  • Having removed yourself from the Treadmill (which was a result of how you worked under the NHS system, not the system itself) decide on where you want to be in three years.
  • Should you decide you need to go private, get in an expert like Sheila Scott, or use the guys at Practice Plan to help you.  Don't do it overnight, because in my mind that will just build up resentment.  An overnight conversion should be a last resort sort of thing.
  • Follow their advice, which usually entails talking to each individual patient over a period of months and explaining in honest terms why you cannot stay in the NHS.  Your A/B patients deserve this.  They are generally decent human beings (as are most C/D's by the way) who deserve this.  In my mind it shows you respect them.

Hindsight, of course doesn't really help. 

As I see it, the problem with a quick overnight conversion is that most practices who do this didn't filter out the C/D's first.  You will therefore have a high likely hood of vocal, potentially abusive people who suddenly expect a vastly superior level of service because they are now paying privately.  Your chances of being sued actually increase because there is also a general feeling of resentment towards you and your team.  I would suggest that this is also very stressful for everyone concerned.

Of course, I could be completely wrong on everything I just said.  After all, I have not undergone a private conversion......... but I have taken a considerable amount of advice on how to do so.  You don't want people coming to see you because they feel they have no other choice.  You want people to be coming to your private practice because they feel that you are the only dentist for them, and if you want to charge what you feel you are worth, then that is the price they are willing to pay.

 

 

 

 

Lawyers now have to fight for legal aid work - Fri, 28th Jan 2005 at 14:16
Hmmm, why am I not upset about this?

Scottish CDO goes part time - Fri, 28th Jan 2005 at 13:56
Perhaps he won't be needed soon !!!!!

Contract put back AGAIN!!! - Thur, 27th Jan 2005 at 23:47
But then there is an election coming up...........

NHS dentists will be rarer than pink ducks - Thur, 25th Nov 2004 at 23:45

Dentistry heading for disaster - Thur, 25th Nov 2004 at 23:45

The effects of dental neglect - Fri, 19th Nov 2004 at 20:08

NHS job cuts - Thur, 20th May 2004 at 19:25
Quangos under fire

teeth like the stars - Thur, 20th May 2004 at 19:24
Unreasonable expectations?

Grow your own teeth - Tue, 11th May 2004 at 23:14
Just don't ask what shape it might be!!!!!!

Want a dentist? - Tue, 11th May 2004 at 23:11
Go to prison

Dental X-ray link to small babies - Wed, 28th Apr 2004 at 10:58
Is anything safe?

New dentist in Scarborough - Tue, 27th Apr 2004 at 13:06
Let's hope she enjoys taking teeth out ;)

Out of hours provision for GMP's - Wed, 31st Mar 2004 at 19:42
Will the PCT's have any money left?

Fizzy drinks damage teeth - Fri, 12th Mar 2004 at 21:03
Talk about stating the obvious....

NICE - Sun, 07th Mar 2004 at 20:56
Dental recall clinical guideline - first consultation

More on "dodgy dentist" - Thur, 26th Feb 2004 at 18:30
This was almost front page news

Superbugs on the march - Thur, 26th Feb 2004 at 18:27
Do you really need to prescribe those antibiotics???

Dentist has criminal record - Thur, 26th Feb 2004 at 18:24
Oooops, who missed that one

Freedom of information act - Thur, 19th Feb 2004 at 21:12
Are you in compliance with the regulations???

A shortage of dentists? - Thur, 19th Feb 2004 at 18:58
Who would have thought it

NHS drop in centres - Wed, 18th Feb 2004 at 20:34
Value for money? Or just a sign of desperation?

This will make Tony happy - Wed, 18th Feb 2004 at 20:30
Patients line up to try and get NHS dental care

NHS close to meltdown - Fri, 13th Feb 2004 at 9:35
The libdems voice their concerns

Cancer risk of dental x-rays - Wed, 04th Feb 2004 at 0:05
On second thoughts, maybe we don't need that OPT........

growing risk of skiing injuries - Wed, 04th Feb 2004 at 0:02
Perhaps it is the beach this year then

Extra cash for performing trusts - Wed, 04th Feb 2004 at 0:01
Those that do well profit. Those that don't.....

GDC consultation with the CRHP - Fri, 02nd Jan 2004 at 21:10
It would appear the GDC now has a regulatory body.

Is the GDC now irrelevant - Fri, 02nd Jan 2004 at 21:09

GP's don't know how to give adrenalin shots - Fri, 02nd Jan 2004 at 21:09
A slightly worrying state of affairs