UKDentalNews.co.uk

Dental news from around the world, for the UK

UKDentalNews.co.uk - Dental news from around the world, for the UK

Follow UKDentalNews LIVE for “Dentistry 2013: Commissioning, access and the new dental contract”

Make a note in your diary to follow @UKDentalNews on Twitter for LIVE coverage of the Westminster Health Forum Keynote Seminar “Dentistry 2013: commissioning, access and towards the new dental contract” from 9am next Tuesday, 2nd July.

Speakers at the meeting in London will include John Milne (BDA), Paul Batchelor (UCH), Evlynne Gilvarry (GDC), Tony Donaldson (OFT) and Barry Cockcroft (CDO, England).

Get minute-by-minute news and analysis of the dentistry market from UKDentalNews.

Do the early findings published by the Dental Contract Pilots Evidence and Learning Group support the move to a new dental contract? What challenges have been highlighted by the pilots and how will the extension, including the addition of new sites, help “fine tune” the proposed contract?

How should concerns surrounding the transition, such as the pathway model taking longer per patient than previously and whether care provided is appropriate to needs, be addressed before implementation in 2014? Given the early findings, are any amendments needed to the Dental Quality and Outcomes Framework (DQOF), and if so, what?

Considering the present economic environment,to what extent will the NHS be able to continue providing the range of treatments as at present, and what would be the impact of an increase in the role of private providers?

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New NHS contract may include fee-for-item payments – Earl Howe

Earl Howe, the Lord in charge of dentistry, has admitted that the new NHS pilots in England have resulted in fewer patients being seen. Speaking to a meeting of British Dental Association members, he said that a significant part of the learning from stage one of the NHS pilots was that there has been “a drop in the number of patients seen and a reduction in patient charges revenue in the pilot practices”. This formed “a significant part” of the learning from the first stage, he said. Patients in stage two of the pilots have had their charges adjusted to treat them “more equitably”. He said “I would not rule out an element of fee for service in the new contract. I have yet to be advised as to whether is going to be necessary.”

He also refused to promise that the new contract would be introduced before the next election in 2015 and said that he could not answer about whether the new contract would have a fixed term as he was waiting for “Barry Cockcroft and his team” to advise.

Source: BDA Conference

Homoeopathy is safe to treat ‘non-tragic’ conditions says dental Lord

Dental Baroness Trixie Gardner spoke in defence of homoeopathy, a discredited treatment which relies entirely on the placebo effect, in the House of Lords in a debate on 19th March 2013.

She said “…is the Minister aware that homeopathy started at a time when the one treatment they gave people was to bleed them? It was effective because they did not bleed them and allowed them to recover normally; I was on the board of the Royal London Homeopathic Hospital for a good many years, where I learnt that. Does the Minister not think that, faced with a situation where antibiotics have been used too casually, it is time to look at what we should not be taking? Does he think it important that patients should have the right to whatever treatment they choose provided that homeopathy does not allow them to escape proper diagnosis for cancer or some other tragic condition, which could be overlooked if it is not combined with ordinary medicine?”

Earl Howe replied “We are clear in recommending that patients should talk to their GPs before stopping any treatment that has been prescribed by a doctor in favour of homeopathy and before they start taking homeopathic remedies. It is important that people understand that homeopathy may not be effective in many situations.

Source: TheyWorkForYou.com

Follow ‘Developing the health and care workforce’ LIVE on 10th July @UKDentalNews

UKDentalNews will be reporting LIVE from the Westminster Health Forum Keynote Seminar “Developing the health and care workforce: priorities, regulation and Health Education England” on Wed 10th July 2013 in Central London.

Timed to follow the authorisation of Health Education England (HEE) and Local Education and Training Boards (LETBs), this seminar will focus on the impact of changes to the delivery of training, education and workforce development in health and social care.

Delegates will discuss the priorities for the next year and beyond for HEE and LETBs, and how they will work with local authorities, commissioners and new bodies in the NHS. Further sessions will focus on the challenges of providing a flexible workforce, the key issues surrounding continued development and staff morale, and regulation and revalidation – following the release of the Mid Staffordshire NHS Foundation Trust Public Inquiry and its recommendations for training and patient safety.

The Westminster Health Forum is strictly impartial and cross-party, and draws on the considerable support it receives from within Parliament and Government, and amongst the wider stakeholder community. Forum events are frequently the platform for major policy statements from senior Ministers, regulators and other officials, opposition speakers and senior opinion-formers in industry and interest groups. Events regularly receive prominent coverage in the national and trade press.

To follow this meeting LIVE, follow @UKDentalNews from 9am on Wed 10 July 2013.

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Health is no longer the trump card in public fluoridation debate

HoC PortcullisIN a series of written answers in the House of Lords, Earl Howe has given information regarding the government’s new approach to fluoridation of the public water supplies. On 27th February 2013 he said:

In response to representations we received to our consultation on the content of the regulations, we have decided that the overarching consideration should no longer be that, “the health arguments in favour of proceeding with the proposal outweigh all arguments against proceeding”. We consider a wider range of factors should be taken into account including the extent of the support for the proposals, the strength of any scientific evidence or ethical arguments advanced and any evidence of benefit to the health and wellbeing of individuals who would be affected by the proposal.

A combination of oral health promotion programmes and fluoridated water provide the best means of reducing tooth decay. Evidence that support and education alone may not achieve optimum results can be found from experience in Manchester. Here there has, over many years, been a range of programmes targeted at families with young children including the provision of free fluoride toothpaste, toothbrushes and trainer cups from the age of six months and supervised toothbrushing in nursery classes, children’s centres and nurseries. Training in the key dental health messages has also been provided for a wide range of personnel who meet parents of young children and healthy food policies have been implemented in primary schools and their attached nurseries. However, the results of the NHS Dental Epidemiology Programme five year-old child dental health survey of 2007-08 show that children in the Manchester local authority area had an average of 2.39 decayed missing or filled teeth (dmft) compared to a figure of 1.35 dmft in Birmingham where the water is fluoridated.

Source: TheyWorkForYou.com / Hansard

Rules of engagement drawn up for private sector to work in NHS

A series of questions in the House of Lords on 11th February, has shed light on the government’s attitude towards private sector companies working in contract to the NHS. In a series of responses, Earl Howe clarified that:

  • Private sector providers of NHS services will not be exempt from corporation tax.
  • Monitor will ensure that any private provider who can improve the services offered to patients will be given a fair opportunity to do so.
  • Competition will only be deployed in the interests of patients and will be on the basis of quality, using a system of pre-set tariffs.
  • Tariffs will be set locally and nationally. National tariffs can be varied if there is local variation in costs. Regional pay is allowed for under Agenda for Change.
  • Monitor is looking at how the private sector might contribute to training of NHS staff and the length of contracts.
  • The Care Quality Commission will administer quality tests to private sector providers.

Read the debate

Impact of change in income support allowances depends on patient’s circumstances

On 4 Feb Lord Hunt (Labour) asked “what assessment (the Government) has made of the impact on NHS dental patients of the change in threshold levels for patients who apply for patient charge exemption status using forms HC1 or HC2.

Earl Howe (Parliamentary Under Secretary of State (Quality), Health; Conservative) replied “National Health Service low income scheme claims are made using form HC1. Those entitled to full exemption from NHS dental charges receive certificates HC2. Those entitled to partial exemption from NHS dental charges receive certificate HC3. Calculation of entitlement in the NHS low income scheme is based on income support regulations. In April 2013, income support allowances will increase by 1%. The change in allowances may impact on an individual’s entitlement to support from the NHS low income scheme and depends on individual circumstances.

The Direct Access Debate

with Sarah Murray, Christina Chatfield, Chris Ritchie, Richard Lishman and Derek Watson

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Lord Lipsey questions the basis for dental “scale-and-polish”

HoC PortcullisOn 21st January in the House of Lords, Lord Lipsey (Labour) asked what was the total cost to the National Health Service of providing scale-and-polish treatments and what is the government’s assessment of their efficacy and on the basis of what evidence that assessment was made.

Earl Howe (Parliamentary Under Secretary of State (Quality), Health; Conservative) replied:

Plaque and supra-gingival calculus removal, colloquially known as scale and polish, is integral to the clinical treatment of gingival and periodontal disease. Professional guidance on periodontal disease is clear on this. Information on the cost of National Health Service dental care is not collected in the form requested.

Dentists are remunerated for NHS dental care through weighted courses of treatment made up of units of dental activity rather than per individual treatment delivered. These courses of treatment will, if there is a clinical need, include plaque and supra-gingival calculus removal alongside any other treatment required.

Source: Hansard