Dentistry provided by the National Health Service (NHS) in the UK was originally intended to ensure that dental care is available to the entire population. However, for dentistry it has been centrally limited for some time, struggling to even see 55% of the population in a period of one year. Unlike medical treatments, fees are made for most people. In the UK, the new but experimental UDA target system was enforced by the government on April 1, 2006, but in 2008 the investigation of the Parliamentary Health Elections Committee found that UDA is not eligible for use. Dentists act as private contractors for the NHS, which, simply means dentists buy buildings and complete operations, hire all staff and pay all operational costs including wages, materials and insurance, to provide NHS dental services.
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According to NHS Options "All the treatments your dentist trusts are required to achieve and maintain good oral hygiene are available in the NHS, which means that the NHS provides the care you need to keep your mouth, teeth and gums healthy and free of pain. These include if clinically necessary: ​​dentures, crowns and bridges, orthodontics, root canal treatment, scaling and polishing, white patches, Implants, Emergency Dental Care, Childcare.
Many dentists who provide NHS services also offer additional services, such as a janitor, for payment. A dentist is allowed to refuse treatment under the NHS and then offers to do the same treatment personally. However, this practice is far from clear.
The revised contract is being discussed in 2013 with a greater emphasis on health and mouth quality indicators. The British Dental Association is eager to see the reforms, having campaigned vigorously against the "targeted, weak setting" introduced in 2006 that is currently in force.
Maps NHS dentistry
Availability
Following the government's introduction of a new contract in April 2006, NHS dentistry was not widely available as before, with 900,000 fewer patients visiting the NHS dentist in 2008 and 300,000 losing their NHS dentist within a month. This has forced many patients to pay a much higher amount for private care, and has been criticized by the British Dental Association as "failing to improve patient care access and failing to allow dentists to provide the modern preventative care they want to provide."
Ben Bradshaw when the Minister of Health was questioned on Radio 4 in 2007 about the shortcomings in NHS dentistry that prevented patients from accessing NHS dentists and even had to pull their own teeth. He suggested that those in need of immediate care should go to their doctor, encourage the British Medical Association to observe that a General Practitioner does not replace a qualified dentist.
There are recurring stories about the lack of NHS dental services, especially in remote areas like Skye and Cornwall. Lack of access to emergency dentistry is often thought to contribute to overcrowding in hospital accidents & amp; emergency department. As of May 2007, there is a 14,000 deposit of people who can not apply to NHS dentists in Cornwall. The waiting period for a routine appointment is up to eighteen months.
Cost
Initially NHS dentistry was free at the time of use but cost for patients was introduced in 1951 and has increased over time. Costs vary across countries in the UK.
In April 2016 there were three standard fees for all NHS dental care in England and Wales, with prices rising in the UK by 5% to:
- Band 1 treatment - Ã, Â £ 20.60 in England, Ã, Â £ 13.50 in Wales; including examination, diagnosis (including X-rays), suggestions on how to prevent future problems, scale and polish if necessary, and fluoride varnish application or fissure sealant. Band 1 also includes emergency care such as stopping bleeding, trauma, fainting teeth, severe pain or swelling, even if more than one visit is required.
- Line treatment 2 Band - Ã, Â £ 56.30 in England (Wales: Ã, Â £ 43.00) includes everything listed in Band 1, plus patching, root canal or teeth removal.
- Treatment of 3 band bands - Ã, Â £ 244,30 (Wales: Ã, Â £ 185.00) includes everything listed in Bands 1 and 2, plus crowns, dentures, and bridges.
It was announced in March 2016 that the indictment in the UK will increase by 5% in April 2016 and 5% again in April 2017. The British Dental Association complains: "This unprecedented increase in dental costs will only serve to prevent most patients need care. "
Dentists are paid in "Units of Dental Activity". Typical values ​​for UDA are Ã, Â £ 20-35, and they are paid 1 UDA for 1, 3 band therapy courses for 2 band band treatments, and 12 for band maintenance 3. The patient costs are deducted from these values. For many treatments, the rate of payment is below the cost of providing care for modern standards, and as a result, many dentists will refer patients to unprofitable services.
In Scotland and Northern Ireland, the system works differently and relies on a mixture of capitation payments alongside the Item of Service charge. Screening in Scotland is free for patients, but dentists pay £ 8.10. For most other treatments items, patient fees are set at 80% of the total cost. The fees paid are roughly one-third to half of what they earned in 1948, once adjusted for inflation.
Exceptions
Some groups of people are released for dental care:
- children under 18,
- people under 19 and in full-time education,
- people who have some proven benefits,
- women who are pregnant or have had babies within the previous 12 months and have a valid maternity release (MatEx) certificate when they begin the course of care
- People in custody
- people who have HC2 full certification of assistance that gives them the right to receive dental and other NHS care under the NHS Low Income Scheme.
- The HC3 limited help certificate reduces the required payment, without full exemption. A patient is only required to pay triple the amount of their income beyond the level of free care. All fees paid in a three-week period are added together and counted as one charge.
From 2013 to 2015, 632 patients in Oldham are receiving Universal Credits and are therefore entitled to a free recipe issued with a penalty notice charge of £ 71,000, as the NHS form has not been updated to reflect the introduction of Universal Credits. Patients with learning difficulties and with dementia have been issued with a penalty because they made the honest mistake of ticking the wrong box in a complex form. This has caused stress for the patient and goes the extra mile for the dentist to try to resolve the problem.
History
The school dental services provided by the local authorities grew slowly after 1907 when this first service was established in Cambridge. The Royal Commission on the National Health Service in 1979 reported that local authorities have a legal obligation to make comprehensive dental care available to students since 1953, but undermanning has prevented the dental services of the school to give birth. In 1968, 37% of the population of England and Wales over the age of 16 had no natural teeth. In Scotland 44% of the population over 15 in 1972 did not have it.
There were about 14,000 general dentists doing NHS work in the UK in 1977, employing about 20,000 dental assistants, and 1145 dentists. 46% of adults with some of their own teeth in England and Wales regularly visited the dentist in 1978 compared to 40% in 1968. In 1979 there were about 400 dental consultants in hospital services, mostly based in 17 dental hospitals undergraduate and an undergraduate institute post.
At the beginning of the NHS establishment in 1948 there were 3 branches of dental services, and these 3 branches still exist today, although the service organizations in the UK have changed far more than in other parts of the UK:
- Local authorities health care services that provide dental check-up and care for school children, pre-school children and for pregnant women and mothers of infants under one year, but are now primarily a special need of dentistry. This was transferred to the NHS in 1974 reorganization. The service employs an all-time equivalent of about 1,980 dental officers, assisted by 370 dental assistants, 2,900 dental assistants, 70 janitors and 140 dental technicians in the UK in 1977. They are repeatedly reorganized , like other community services. Most are run by Primary Care Trusts until they are removed in April 2013.
- General practitioner services. Proposals for all-time salaried services at the health center have no results and almost all General Dentists are in private practice. The contract was initially held by the Local Executive Council, and later by his successors, the Family Practitioner Committee, the Family Health Care Authority, and the Primary Care Trust. They are now held by NHS England
- Hospital dental services, with access to a maxillary and mouth surgeon. Managed initially by their Regional Health Authority became part of the NHS Trust, mostly in educational hospitals.
Contract
The contract between the NHS and the dentist determines what work is provided for under the NHS, dentist payment, and patient fees. The contract has been revised several times, covering more than just cost and price. A contract introduced in 2006 said by the British Dental Association in 2016 does not fit the purpose, rewarding dentists to meet government targets for care and repair, but not to improve oral health of patients.
Performance
In June 2015 Mana consumer group? contacted 500 dental operations listed on the official NHS Choices website and found that 31% of them refused to take new NHS patients. They are calling for Competition and Market Authority to intervene to ensure the dentist obeys the rules. The British Dental Health Foundation. HealthWatch UK says that in some parts of the UK only a fifth of the operations are receiving new NHS patients. Chairman of the British Dental Association, says "Byzantine system" has failed dentists and patients.
The BDA said that the 2006 contract did not meet its objective of improving access to NHS dentistry and concentrating on prevention, and has been criticized by patient groups, governments, Health Select Committee and Duty Chiefs for England and Wales.
In January 2016, more than 400 dentists signed letters stating that the NHS dental system in the UK was not feasible for purposes and revealed public secrets, to warn and expose centralized failure to develop appropriate dental and preventive health strategies.
See also
- Special needs dentistry
- Dental discount package
- Dental Insurance
- Delta Teeth
References
External links
Source of the article : Wikipedia
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