I worked as an NHS dentist for 10 years. I almost went bankrupt. As I could not deliver the UDA targets as I was spending too long with patients and doing complex procedures all on the NHS I often ended the month with a negative outcome. No other sector is treated the same way as dentistry. We are strictly regulated. Many dentists are also in fear of performing complex treatment for fear of being sued or struck off the dental register.
Well, most bike repair shops don't charge just for looking at the problems. Not sure about laptop repairs because I've never actually taken my laptop to repairs. By the time they stop working, it's due for a upgrade. Or it's just the power electronics, (mostly old caps) failing needing replacement. But DC side almost never fails because it's low voltage. It's the AC side, the power brick which is easily replaced. And back when I was in Hong Kong, private ones don't charge you seperately for the operations... The check ups without any problem always include deep cleaning. The university dentist charges seperately but check up is free once a semester anyway so it's only the polish and scaling that costs £10.
Well said Raggy. Difficult topic to address as there's a taboo about telling the public the truth about how NHS dentistry works. As a dentist it is a system which punishes the dentist for doing the right thing. When I worked in the NHS system I was forever juggling emergency patients back and forth to the waiting room so that I could treat properly and extirpate in between my booked patients. Patients assume NHS is paying the dentist a fortune for this. Actually if correct treatment is given it is very poorly paid and at times incredibly stressful. It is also unfair on the booked patients who are regular attenders and look after their teeth, as the dentist is more stressed for their appointments as they are rushing to juggle everything. As well as the x-rays, diagnosis and treatment that you mentioned, there is also the process of educating the patient of what has happened and their options to fix it. This consent process is hugely important not just for the patient but also for the dentist in this litigious climate. Or as you say you give antibiotics which we all know is rarely the correct treatment. I think had I spent longer working in this system I would have ended up doing that more and more due to the stress it was creating for me and my team by trying to do what I considered to be the right thing.
There is no such thing as an nhs dentist anymore and as for nhs doctors I've been waiting on a call back since 5th dec 2022 it's now 15th jan 2023. Haddington east lothian doctors named and shamed dr smith
Dentists are taking on less NHS because the private sector seems better in the wage packet. Doctors and Nurses etc will leaving NHS for private medical jobs as the pay is better. So the poor will lose out just as the Tories prescribed. Austerity keeps Britain Rich.
There is no money to run a practice. It's as simple as that. Any other business would shut their doors when they can't afford a building to practice in and staff/materials to work with. It's not just that the wage packet is BETTER it's that there is NO pay if they stay with how the NHS UDA system is run. If they wanted to fix the UDA system, they need to aggregate all the data that it takes to run a dental practice including adequate levels of staff and time per patient, and then move forward. Rationed healthcare will always have limits but will treat the worst off first and more urgently than someone who is receiving standard care. It's not a question of "seeming" better in the wage packet, it is better. While you can blame someone for being greedy and wanting more money, the reality is that new treatments, better treatments that are more time intensive but preserve patient health cost money. The truest low cost dentistry you can get is people without dental phobia eating healthfully and brushing their teeth twice per day with flossing and some form of floridation (toothpaste, gels, and water supply) every single day. There is the possibility they could separate out Emergency dental care completely from a regular practicing dentist but overnight wage fees are guaranteed to be higher, thus they won't actually increase the number of dentists for patients in acute need. If anything it's a great way to drive full exit level burn out.
I worked as an NHS dentist for 10 years. I almost went bankrupt. As I could not deliver the UDA targets as I was spending too long with patients and doing complex procedures all on the NHS I often ended the month with a negative outcome.
No other sector is treated the same way as dentistry. We are strictly regulated. Many dentists are also in fear of performing complex treatment for fear of being sued or struck off the dental register.
Well, most bike repair shops don't charge just for looking at the problems. Not sure about laptop repairs because I've never actually taken my laptop to repairs. By the time they stop working, it's due for a upgrade. Or it's just the power electronics, (mostly old caps) failing needing replacement. But DC side almost never fails because it's low voltage. It's the AC side, the power brick which is easily replaced. And back when I was in Hong Kong, private ones don't charge you seperately for the operations... The check ups without any problem always include deep cleaning. The university dentist charges seperately but check up is free once a semester anyway so it's only the polish and scaling that costs £10.
Well said Raggy. Difficult topic to address as there's a taboo about telling the public the truth about how NHS dentistry works. As a dentist it is a system which punishes the dentist for doing the right thing. When I worked in the NHS system I was forever juggling emergency patients back and forth to the waiting room so that I could treat properly and extirpate in between my booked patients. Patients assume NHS is paying the dentist a fortune for this. Actually if correct treatment is given it is very poorly paid and at times incredibly stressful. It is also unfair on the booked patients who are regular attenders and look after their teeth, as the dentist is more stressed for their appointments as they are rushing to juggle everything. As well as the x-rays, diagnosis and treatment that you mentioned, there is also the process of educating the patient of what has happened and their options to fix it. This consent process is hugely important not just for the patient but also for the dentist in this litigious climate. Or as you say you give antibiotics which we all know is rarely the correct treatment. I think had I spent longer working in this system I would have ended up doing that more and more due to the stress it was creating for me and my team by trying to do what I considered to be the right thing.
Totally agree buddy. It’s sad really as if the system was fairer, I’m sure there’s a good chance many of us would still be in it 🙌🏾
Very well said doc, it’s a very common topic to deal with
Thanks Shaine
Bupa is closing 85 practices soon .two in my area and one under review.
Very relevant topic Dr Raggi
Thanks Doc
There is no such thing as an nhs dentist anymore and as for nhs doctors I've been waiting on a call back since 5th dec 2022 it's now 15th jan 2023. Haddington east lothian doctors named and shamed dr smith
I’m so sorry to hear of your experience. I hope you have managed to gain dental care
@@yourdentistsays6572 I have a private dentist now and still waiting on that call back from the doc
Dentists are taking on less NHS because the private sector seems better in the wage packet. Doctors and Nurses etc will leaving NHS for private medical jobs as the pay is better.
So the poor will lose out just as the Tories prescribed. Austerity keeps Britain Rich.
There is no money to run a practice. It's as simple as that. Any other business would shut their doors when they can't afford a building to practice in and staff/materials to work with. It's not just that the wage packet is BETTER it's that there is NO pay if they stay with how the NHS UDA system is run. If they wanted to fix the UDA system, they need to aggregate all the data that it takes to run a dental practice including adequate levels of staff and time per patient, and then move forward. Rationed healthcare will always have limits but will treat the worst off first and more urgently than someone who is receiving standard care. It's not a question of "seeming" better in the wage packet, it is better. While you can blame someone for being greedy and wanting more money, the reality is that new treatments, better treatments that are more time intensive but preserve patient health cost money. The truest low cost dentistry you can get is people without dental phobia eating healthfully and brushing their teeth twice per day with flossing and some form of floridation (toothpaste, gels, and water supply) every single day.
There is the possibility they could separate out Emergency dental care completely from a regular practicing dentist but overnight wage fees are guaranteed to be higher, thus they won't actually increase the number of dentists for patients in acute need. If anything it's a great way to drive full exit level burn out.
@@katydid5088 enough money to run a private practice it seems.