Denplan has released its latest research (commissioned through Facts International), based on a survey asking NHS dentists* for their views on a variety of issues related to NHS dentistry. The survey examined their opinions about the current contract as well as their knowledge of the pilots and prototypes. Other key issues the NHS dentists were asked about included their confidence around NHS funding commitments filtering through to primary care dentistry, motivation levels for making changes to their practice situation and the impact of the Friends and Family Test.
The key findings are summarised below:
Current NHS contract and prototypes
- Nearly half the dentists (49 per cent) are dissatisfied with working under the current NHS contract, with only 3 per cent very satisfied and 29 per cent saying they are fairly satisfied.
- Two thirds (65 per cent) of dentists don’t feel very knowledgeable about the current situation regarding NHS dentistry pilots and prototypes, rating their knowledge as fair or poor.
- Three quarters (76 per cent) agree that they are frustrated that more than four years after piloting began we are still no nearer to a final model.
- 57 per cent of these frustrated dentists have decided on making changes to their practice in the next 12 months.
- Only 54 per cent are aware that the pilots will soon terminate and that a number of practices will act as prototypes for the reformed NHS contracts in England. Of these, 66 per cent think that it is unlikely the prototype model will free them from the UDA system.
NHS funding for primary care dentistry
- 95 per cent of dentists are not confident that political assurances for NHS funding commitments will filter down to primary care dentistry.
- 56 per cent think that the 2006 contract cap on the dental budget will not be reversed.
- 86 per cent of dentists overwhelmingly agree they would like NHS England to state clearly what is and what is not available in NHS dentistry – just 2 per cent disagreed.
Impact of Friends and Family Test
- 72 per cent have commenced using the Friends and Family Test (FFT) that was introduced in April but the majority of respondents (73 per cent) didn’t think the FFT would be useful for either their practice or their patients
Roger Matthews, Chief Dental Officer at Denplan commented: “It is apparent from these survey results that many NHS dentists continue to feel disillusioned and frustrated with the lack of clear direction around the NHS contract changes. There also appears to be a general lack of understanding in relation to the pilots and prototype models. With the realisation that the NHS funding situation for primary care dentistry does not look likely to improve, it is unsurprising that many NHS dentists may be feeling uncertain as to the future viability of their practice if they stay with the NHS. The result is that a significant proportion of NHS dentists are considering a change to the way they manage and fund their practice in the foreseeable future.
“Dentists appear to also be concerned about the hours it will take their practice to compile the statistics from the now mandatory Friends and Family Test, with half saying it will take their practice between 1-4 hours a month to process the results. This could add up to the equivalent of at least six days a year spent away from delivering patient care.”
Roger added: “Managing the transition from NHS to private dentistry can be a daunting prospect for many dentists, but at Denplan we have a long heritage in supporting NHS dentists in making this transition, helping to ensure they retain their practice income and continue to run a successful practice in the future. Denplan ‘Principal only Transitions’ give dentists the option to retain NHS patients whilst benefitting from all the support and experience necessary to choose the right payment plan for them, their practice and their patients.”
Denplan is running a series of seminars throughout June, entitled “Your practice, Your Choices” which will examine the upcoming changes to NHS contracts for dentists, how dentists might be affected and to help them understand what actions they need to be considering now. For further information and to book a place practices can visit: www.denplan.co.uk/events-and-training/your-practice-your-choices or call 0800 169 5697.
*100 dentists responded to an online survey in April and May 2015, with all respondents holding an NHS contract in England, treating over 70 per cent of their patient base as NHS patients. They were not part of a corporate body or a member of a payment plan provider.