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NHS dentist patient numbers fall NHS dentist patient numbers fall
(40 minutes later)
The proportion of the population who were treated by an NHS dentist in the last two years has fallen since the service was overhauled, data shows.The proportion of the population who were treated by an NHS dentist in the last two years has fallen since the service was overhauled, data shows.
But both the number of NHS dentists and treatments provided in England did rise in 2008/2009 from the previous year.But both the number of NHS dentists and treatments provided in England did rise in 2008/2009 from the previous year.
However data from the NHS Information Centre shows complex treatments, like crowns, have fallen dramatically.However data from the NHS Information Centre shows complex treatments, like crowns, have fallen dramatically.
A new dental contract, introduced in 2006, has been heavily criticised and is now to be revamped itself.A new dental contract, introduced in 2006, has been heavily criticised and is now to be revamped itself.
Some 53.8% of the population saw an NHS dentist in the two years ending March 2009, down 1.9 percent from the two years ending March 2006, although this has started to creep up marginally in the last year.Some 53.8% of the population saw an NHS dentist in the two years ending March 2009, down 1.9 percent from the two years ending March 2006, although this has started to creep up marginally in the last year.
The new dental contract was introduced in a bid to end what was dubbed the "drill and fill" culture, in which dentists were paid by the number of treatments they carried out.The new dental contract was introduced in a bid to end what was dubbed the "drill and fill" culture, in which dentists were paid by the number of treatments they carried out.
However there has been severe criticism of the new contract, which was structured to allow dentists to spend more time on preventative work with individual patients, by paying them a flat salary.However there has been severe criticism of the new contract, which was structured to allow dentists to spend more time on preventative work with individual patients, by paying them a flat salary.
An average dentist's take-home pay is in the region of £90,000, NHS data shows, and many earn in excess of £200,000.An average dentist's take-home pay is in the region of £90,000, NHS data shows, and many earn in excess of £200,000.
Because they receive this wage regardless of whether they carry out simple or complex treatment, critics argue that the financial incentive to carry out difficult work such as crowns or root canals has been removed.Because they receive this wage regardless of whether they carry out simple or complex treatment, critics argue that the financial incentive to carry out difficult work such as crowns or root canals has been removed.
NHS Information Centre figures show that the number of crowns fell by nearly 50% between 2004 and 2009, while the number of root canals fell 40% over the same period, from nearly a million.NHS Information Centre figures show that the number of crowns fell by nearly 50% between 2004 and 2009, while the number of root canals fell 40% over the same period, from nearly a million.
The number of dentures meanwhile increased by nearly 14%.The number of dentures meanwhile increased by nearly 14%.
Quality careQuality care
Overall, the number of treatments has increased in the last year, up nearly 6% from 2007/2008. There are significant regional variations, with treatments in the North East Strategic Health Authority substantially higher than the South Central.Overall, the number of treatments has increased in the last year, up nearly 6% from 2007/2008. There are significant regional variations, with treatments in the North East Strategic Health Authority substantially higher than the South Central.
There were 528 more dentists providing treatment in this past year than the year before, a 2.5% increase.There were 528 more dentists providing treatment in this past year than the year before, a 2.5% increase.
But in June, ministers agreed to an overhaul of the system although the row over whether the problem lies with the contract or the propensity of dentists to "play the system" continues.But in June, ministers agreed to an overhaul of the system although the row over whether the problem lies with the contract or the propensity of dentists to "play the system" continues.
In the autumn a new scheme will be piloted. It is thought likely to put more emphasis on the need for quality treatments.In the autumn a new scheme will be piloted. It is thought likely to put more emphasis on the need for quality treatments.
"This is crucial," says Dr Anthony Halperin of the Patients Association. "The fall we have seen in complex procedures is very significant and very concerning."This is crucial," says Dr Anthony Halperin of the Patients Association. "The fall we have seen in complex procedures is very significant and very concerning.
"Numbers are not enough - what is vital is the quality of care. This is what needs to be urgently addressed.""Numbers are not enough - what is vital is the quality of care. This is what needs to be urgently addressed."
Conservative shadow health minister Mike Penning said: "The very fact that the Government was forced to set up such a detailed review of their contract only shows how flawed it was in the first place.
"We now learn that the type of treatments patients are receiving is changing - with increases in dentures and a fall in the amount of bridges provided. It is vital that Labour ensures dentists are properly supported to give patients the most appropriate care."