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If you’d like to register with an NHS dentist in all of the Somerset area you’re out of luck.

(43 Posts)
Urmstongran Mon 09-May-22 09:57:19

Apparently people living in that county as having to pay privately if they’re not already with a dental practice. All NHS lists are full. Oh, the exquisite pain of toothache too! It doesn’t bear thinking about.

The problem is with the Dental Contract, the system under which dentists get paid. At the start of the year dentists have to forecast how many patients they will treat (!) and for what conditions. They’ll then get a payment every month.. If they get it wrong and treat more patients than forecast they won't get paid for them. If they forecast more than they treat the difference has to be paid back!

Plus dentists now get paid the same for 1 filling or for 10 fillings with the same patient. Over 40,000 dentists are now registered in the UK and only some 20,000 are offering NHS treatment. Go figure!

Urmstongran Mon 09-May-22 18:06:14

Actually I agree with you Casdon in that although Blair made a dog’s dinner of it all with AfC, yes, 12y of Cameron/Clegg/May and now Boris ought to have reversed some of this mess. But who will drink from the poisoned chalice? The NHS is a toxic muddle now. It needs root & branch reform. Probably cross-party agreement so that subsequent governments of whatever shade can just take it forward. I don’t think any of Europe ‘envies our NHS’. Third world countries, yes but that’s no recommendation.

Casdon Mon 09-May-22 18:08:57

To repeat my point. Labour haven’t been in power for 12 years. Tony Blair left office 14 years ago. Whatever the sins of the past, it’s ridiculous to try in any way to hang the problems of dentistry today on them. It’s also not generally true that they took less action as a result of review body recommendations. The NHS benefitted hugely from the care given to it during the last Labour government’s tenure.

But that’s not the point of this post, is it? We are talking about now. What should be done now to improve dental care for those who can’t afford to pay, in the current government’s tenure?

growstuff Mon 09-May-22 18:13:27

kittylester

Thank you, i know I am right casdon. And, as dh said 45 years ago, stealthy privatisation has been on the cards since before then by all governments.

And, in fact, Labour governments have been by far the worst for ignoring review body recommendations.

Could you give some examples of that? Labour hasn't been in power for 12 years, so couldn't have done anything in that time. Which recommendations did Labour ignore?

kittylester Mon 09-May-22 18:13:59

There should be a core service on the NHS. Which is pretty well how it is going.

NHS dentistry hasn't really benefitted under any government. Patient charges were introduced almost immediately.

You are spot on urms - but who dares to say that.

growstuff Mon 09-May-22 18:16:11

Urmstongran

I remember that before Blair we all had access to NHS dentistry and had no problems getting a GP appointment or or a home visit, even out of hours, by a GP from your surgery.

By the time Blair was finished with us, all that had gone. Is there no end to the damage he wreaked on us all? ‘Agenda for Change’ has a lot to answer for in my humble.

I remember being able to see an NHS dentist and get a GP appointment long after Blair. The rot accelerated after the Health and Social Care Act 2012.

growstuff Mon 09-May-22 18:16:57

kittylester

There should be a core service on the NHS. Which is pretty well how it is going.

NHS dentistry hasn't really benefitted under any government. Patient charges were introduced almost immediately.

You are spot on urms - but who dares to say that.

Who dares say what?

What do you mean by core services?

growstuff Mon 09-May-22 18:18:19

By the time Blair was finished with us, all that had gone. Is there no end to the damage he wreaked on us all? ‘Agenda for Change’ has a lot to answer for in my humble.

What absolute nonsense!

kittylester Mon 09-May-22 18:18:26

growstuff. No government for the past 40 years has honoured the pay body review recommendations for Dental Surgeons completely. But Labour have been worse than the Tories for ignoring them.

growstuff Tue 10-May-22 19:46:32

kittylester

*growstuff*. No government for the past 40 years has honoured the pay body review recommendations for Dental Surgeons completely. But Labour have been worse than the Tories for ignoring them.

Would it be possible for you to be more specific?

Are you only talking about dentistry?

PS. How does this compare with pay body reviews for teachers and social workers, for example?

kittylester Tue 10-May-22 19:58:34

I'm talking about the Doctors and Dentist's review body who advise the government on the amount their pay should rise.

This is a thread about NHS dentistry.

growstuff Tue 10-May-22 20:05:13

kittylester

I'm talking about the Doctors and Dentist's review body who advise the government on the amount their pay should rise.

This is a thread about NHS dentistry.

I realise that, but I noticed "Agenda for Change" had been mentioned.

I would still be interested in some evidence for your assertion.

Casdon Tue 10-May-22 20:24:38

Agenda for Change didn’t cover doctors and dentists. I have clarified that fact for Urmstongran previously. kittylester is correct, there is a separate review body arrangement for doctors, and for dentists and opticians, and retail pharmacists.

kittylester Tue 10-May-22 20:53:14

Doctors and Dentists had their renumeration decided at the same time by the same review body.

The evidence for my assertion, growstuff, was listening to my hardworking, totally nhs, dentist husband swear every time the government wriggled their way out of honouring the recommendations of the review body.

And Labour were generally worse.

Casdon Tue 10-May-22 21:35:05

The Doctors and Dentists Review Body was established in the 1970s as far as I recall (many moons ago I worked for the Family Practitioner Committee), so it was already in place well before Agenda for Change came into play in the 1990s, albeit the constitution kept being amended. There are review bodies for all NHS contractor professions, and it would be fair to say that they have all become increasingly disgruntled with their settlements over the past 40 years or so.

kittylester Wed 11-May-22 07:15:00

1971 casdon.

Of course, in the mix, the Dentist's 'contract' has been changed on a regular (or irregular!!) basis.

DiamondLily Wed 11-May-22 07:35:13

Urmstongran

Blair obviously didn’t ‘like’ them either kitty!

Blair "reformed" the GP payments system, resulting in a money oriented GP service which fails the needs of patients but amazingly overlooked the separately funded dental sector.

As a result there was no money left for the dentists so a hotch-potch private/public funding model was cobbled together in a panic.

The result gas been to make NHS dentistry unrewarding.
The health system in the UK is broken. Completely - but no government is brave enough to face down the NHS unions and deliver real change.

We're being held hostage to a Soviet style "take what you're given" health service with the difference that we're paying top rates for it.

The waiting lists in 1986 were so long, I had to pay for an urgent hysterectomy!

Patient satisfaction with the NHS was higher than it was before, and has been since, under Blair.

growstuff Wed 11-May-22 07:46:35

Urmstongran

Blair obviously didn’t ‘like’ them either kitty!

Blair "reformed" the GP payments system, resulting in a money oriented GP service which fails the needs of patients but amazingly overlooked the separately funded dental sector.

As a result there was no money left for the dentists so a hotch-potch private/public funding model was cobbled together in a panic.

The result gas been to make NHS dentistry unrewarding.
The health system in the UK is broken. Completely - but no government is brave enough to face down the NHS unions and deliver real change.

We're being held hostage to a Soviet style "take what you're given" health service with the difference that we're paying top rates for it.

In what way are the unions hindering change? Specific examples rather than wild claims please!

PS. I remember being very satisfied with dentistry and other health services under Blair.

Is this just another of your unsubstantiated accusations?

I've been searching for some concrete evidence about some of the claims which have been made on this thread, but haven't found any, so it's not worth paying attention to them.