1 / 20

The organisation of dentistry in the UK

The organisation of dentistry in the UK. Dr D White. Outline. Historical perspective The role of the General Dental Council The dental team Dentistry within the NHS. Dentistry within the NHS (1948). Tripartite system Hospitals general / dental Local Authorities school dentists

tova
Download Presentation

The organisation of dentistry in the UK

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The organisation of dentistry in the UK Dr D White PH & Epidemiology - October 2006

  2. Outline • Historical perspective • The role of the General Dental Council • The dental team • Dentistry within the NHS PH & Epidemiology - October 2006

  3. Dentistry within the NHS (1948) • Tripartite system • Hospitals • general / dental • Local Authorities • school dentists • General Dental Practitioners • independent contractors PH & Epidemiology - October 2006

  4. Changes since 1948 • NHS reorganisations • 1974, 1982, 1990 • Little effect on GDS PH & Epidemiology - October 2006

  5. Purchasers Local commissioning authorities (DHA) (GMP fundholders) Providers Hospital Trusts Community Trusts NHS dental services following 1990 reorganisation General Dental Practitioners PH & Epidemiology - October 2006

  6. General Dental Council • Regulatory Body for Dentistry • Compulsory registration for dentists, therapists and hygienists • Continuing Professional Development • Complaints • Quality Assurance of Dental Education • Publications – consent, confidentiality etc PH & Epidemiology - October 2006

  7. The Dental Team • Dentist • Dental Care Professionals (DCPs) • Nurse • Hygienist • Therapist • Technician PH & Epidemiology - October 2006

  8. Dental Hygienist • Diploma – 2 year course • Work to dentist’s prescription • Clean, scale & polish teeth • Apply prophylactic materials • Administer local anaesthetic PH & Epidemiology - October 2006

  9. Dental Therapist • 2 – 3 year course (may be BSc) • Work to dentist’s prescription • Extract deciduous teeth • Simple dental fillings • Clean, scale & polish teeth • Apply prophylactic materials • Administer local anaesthetic • Take X-rays PH & Epidemiology - October 2006

  10. Register of DCPs • Opened 31st July 2006 • 2 year transitional arrangements • Dental nurses & dental technicians • Existing qualifications OR • Experience & demonstrate competency in 6 areas PH & Epidemiology - October 2006

  11. Oral health care in the UK (Daly et al 2002) • Public Sector provision (£1674 million/yr) • General Dental Services (GDS) • Community Dental Services (CDS) • Hospital Dental Services (HDS) • Personal Dental Services (PDS) • Dental Defence Agency (DDA) • Private Sector provision (£926 million/yr) PH & Epidemiology - October 2006

  12. NHS dentistry facts and figures • 21,082 dentists (GDS & PDS) - Sept 2005 • GDS • 14,377 principals • 1,111 assistants • 375 VDPs • PDS • 6,809 dentists • 303 VDPs • 18.3 million registered adult patients (45%) • 7.3 million registered children (62%) Dental Practice Board, 2005 PH & Epidemiology - October 2006

  13. NHS Services in Medicine and Dentistry Medicine Dentistry PH & Epidemiology - October 2006

  14. National contract covering patient registration, dentist remuneration & other procedures Dentists independent contractors New contract in 1990 - registration and emergency ‘out of hours’ provision New contract April 2006 - Units of Dental Activity (UDAs) General Dental Services PH & Epidemiology - October 2006

  15. Working in the GDS • Vocational Training • Principals, Associates and Assistants • Contract with Primary Care Trust (PCT) • Monitoring through Dental Reference Service PH & Epidemiology - October 2006

  16. Community Dental Service • Established in 1974 (from local authority) • Salaried service - terms and conditions negotiated nationally • 1700 dentists (1999) • Contractual arrangements with PCT and Consultant in Dental Public Health PH & Epidemiology - October 2006

  17. The role of the CDS • Treatment of special needs groups • Specialist referral service (GA, ortho) • ‘safety net service’ • Screening • Epidemiology • Oral Health Promotion PH & Epidemiology - October 2006

  18. Hospital Dental Service • Salaried service • 2500 dentally qualified personnel • Provision of specialist dental care • Training of undergraduates and postgraduates • Consultants have parity with medical colleagues • Contractual arrangements with PCT PH & Epidemiology - October 2006

  19. Personal Dental Services • Commenced 1998 • New ways of providing dental care • Pilot sites • Three waves • Dental Access Centres (DACs) • Pilot schemes ended when new GDS contract implemented PH & Epidemiology - October 2006

  20. Recommended reading • Essential Dental Public Health. Daly et al. Chapter 19 • www.dpb.nhs.uk • www.gdc-uk.org/ PH & Epidemiology - October 2006

More Related