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Dentist Exodus Hits NHS

BDA survey finds that half of dentists have cut back NHS work, with more to follow as crisis mounts. It said that the unmet need for NHS dentistry is at record high – 1 in 4 of adult population in 2022…reports Asian Lite News

The exodus of dentists from the NHS is continuing at a pace, but going unseen in official figures, according to new survey evidence from the British Dental Association.

A survey of 1,921 General Dental Practitioners in England shows that over half of dentists in England (50.3%) report having reduced their NHS commitment since the start of the pandemic – by 27% on average. This movement is not tracked in official workforce data, which counts heads not commitment, and where dentists doing one NHS check-up a year carry the same weight as an NHS full timer.

It also revealed that the proportion of dentists now reporting their intention to reduce – or further reduce – the amount of NHS work they undertake this year stands at 74%.

43% indicate they are likely to go fully private. 42% say they are likely to change career, seek early retirement. Over 1 in 10 (12%) state they are likely to move to practice abroad.

According to British Dental Association, the crisis is fuelled by failed contracts and underfunding, and has left England facing the worst access crisis in the nation’s history.

Analysis undertaken by the BDA of government data indicates unmet need for dentistry in 2022 stood at over 11 million people, or almost one in four of England’s adult population.

Nearly six million tried and failed to get an appointment in the past two years, and 3.6 million did not try because they thought they could not secure an appointment.

Those put off by cost are equivalent to over one million adults, those on waiting lists estimated at around 0.5 million. These figures exceed pre-pandemic norms by every measure. In 2019 unmet need sat at over 4 million people, or nearly one in ten adults, it added.

The BDA said that no element of a 5-point plan, unveiled by Prime Minister Rishi Sunak to end the access crisis last summer, has been taken forward.

“This is a desperate warning from this profession, as much for the opposition as it is for government,” Shawn Charlwood, Chair of the British Dental Association’s General Dental Practice Committee said.

“NHS dentistry is running out of road. Every day a broken system remains in force we lose dentists, while millions struggle to access care.”

“This crisis won’t be fixed with soundbites or tweaks at the margins. To turn the corner, we need a plan based on real reform and fair funding,” he added.

The Health Committee is currently holding an inquiry into the crisis in the service, and the BDA has stressed both the government and the opposition now have a duty to set an urgent plan of action. While minor tweaks to the discredited NHS contract fuelling this crisis were taken forward in November, there are serious concerns over limited ambitions on rebuilding the service.

The Health Service Journal recently reported that up to £400m of NHS dentistry’s already inadequate budget is set to be lost from the frontline, as dentists are penalised for failing to hit contractual targets. This money is not ringfenced and, in the face of this crisis, will likely be redistributed to balance other budgets elsewhere in the NHS.

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Dentist shortage ‘Time Bomb”

One in eight (13%) NHS dentists are approaching retirement, at a time when NHS dental appointments are scarce…reports Asian Lite News

One in eight NHS dentists are approaching retirement, research by the House of Commons Library commissioned by the Liberal Democrats has revealed. The party warned the figures show the dentist shortage crisis could soon get worse, especially for rural communities.

The data reveals that 3,416 dentists who carry out NHS work in England are over 55 years old and therefore close to retirement. This amounts to 14% of the 23,733 dentists carrying out NHS activity in 2020/21. The figures also show the number of NHS dentists has fallen by almost 4% from 24,684 in 2019/202.

Areas at the greatest risk of an exodus of dentists include rural areas such as North East Lincolnshire in the North, where 29% of dentists are approaching retirement, and in the South West, with 20% of dentists in Cornwall and 17% of those in Devon and Dorset aged 55 or more. The other worst affected areas are Morecambe Bay in Cumbria (23%), Norfolk and Waveney (21%), and East Sussex (19%).

The Liberal Democrats are calling on the Government to get a grip of this potential ‘retirement time bomb’ by improving access to NHS dentists. The party is also calling on the Government to ensure there are enough NHS dentists in coming years by reforming the current NHS dental contract and committing to long-term workforce planning.

It comes as the government admitted it does not know how many dental practices applied to access an extra £50m of funding announced earlier this year.

Responding to a parliamentary question tabled by the Liberal Democrats, Conservative Health Minister Maria Caulfield MP admitted that the government does not know how many dental practices applied to access the funds or how many of those applications were successful. The Liberal Democrats said the response showed the government is “asleep at the wheel” on the dentist crisis.

“The shortage of NHS dentists is a scandal and is now set to get worse with this retirement ticking time bomb,” said Daisy Cooper MP, Liberal Democrat Health and Social Care spokesperson. “It is sadly no wonder people are desperately turning to DIY dentistry and being forced to spend hundreds, if not thousands, on private care.

 “Remote rural areas already get a raw deal on health services. Ambulance services are at breaking point in the South West, and now areas like Cornwall and Devon are most at risk from a dentist retirement crisis.

“All ministers have been able to cook up is a botched funding scheme which it seems has made no impact. It shows this Conservative Government is asleep at the wheel on the NHS dentist shortage crisis and is completely failing patients. The Liberal Democrats are demanding action now to recruit more NHS dentists, so people can get the treatment they need.”

Stem the Exodus

British Dental Association said the government is not doing enough the stem the exodus of dentists from the system.

 “What we are seeing here is just the tip of the iceberg. Dentistry was in crisis before Covid hit, with NHS commitments on the wane and many younger dentists simply not seeing a future for themselves in the service,” said Shawn Charlwood, BDA General Dental Practice Committee Chair.

“The UK media is focusing on the very real threat to NHS dentistry. MPs have angry constituents knocking at their door – many who are having to wait years for treatment – whilst some have even pulled out their own teeth in desperation,” he told BBC.  “We’ve worked to shine a light on this crisis, and now new analysis by the BBCindicates that NHS dentistry in England and Wales has lost the equivalent of 8% of the workforce. Every vacancy that goes unfilled translates into thousands of patients unable to access care. The service is hanging by a thread. Here’s what you need to know:

“Clearly these new figures don’t tell the whole story. We know counting heads in NHS dentistry is meaningless when those doing an hour a week of NHS work count the same as full timers. Rather than punishing colleagues with impossible targets, we need a service that recognises and rewards commitment.”

“Now colleagues are exhausted, demoralised and looking for the exit. The government’s handling of the pandemic has merely sped up what was already in motion, and we are now facing an exodus. Even dedicated colleagues who have never contemplated working anywhere else are now giving up on NHS dentistry”

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