Ben Atkins - Clinical Director, Revive Dental

Care and NAPC Council member

NHS dentistry – the changing landscape

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Ben Atkins GDP from Sunny

Salford

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What factors will affect the dental

profession over the next 10 years?

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What are factors that dentists will have to adapt to in

the next 10 years?

Population Change,

Demographic change, pts

moving in & out of area.

Change in diet frequency

Government

NHS

Not as many practices

for pts to register

Decreased NHS

contracts

Political- access now

easier for pts to gain

Why us?

Government funding

NHS budgets

NHS fees

Direct access skill

mix

Financial Constraints on pts

income

Economy- other dental practices

Inflation

Recession

JOBS

Self-employment statusCost of stock increasing

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Top four factors

Four most influential external factors

1. Government contract

2. Patient expectations

3. Skill mix

4. Economy/ inflation/ finances

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Diagrammatic representation of

the distribution of dental disease

complexity circa 1978.

Diagrammatic representation of

the distribution of dental

treatment need complexity circa

2015

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Dental practice

• 8500 dental practices in the country

• Cooperates if following other markets like pharmacy

will only get bigger

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My practice stats

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Getting NICE guidelines

correct

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

3 month 6 month 12 month 18 month 24 month

Prototype compared to UDA Recalls

Prototype Practice A Practice B

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Car crash mouths

|

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So where’s the honey?

• We are actually doing something to prevent decay

• Skill mix is evolving

• The patient has to take responsibility for their teeth

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So how can we put the mouth

back in the body ????

• Difference between doctor and dentist?

• Generally visit the doctor when ill, visits the dentist generally

regularly to make sure they are not!!!!

• 60 % of people have attended the NHS GDP over the past 3

years.

• 15 % visit private dentist regularly.

• Challenging patients, ones that visit the dentist in frequently,

high needs hard to reach.

• 80% of decay in 20 % of the patients?

• 18% of my patients are red patients (classed as high needs!!!)

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The future - where does

primary care home fit in?

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80 : 20 rule

• You know the patients

• NAPC primary care home, let’s work on these patients

together.

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The dental world is changing for the better.

Email: ben.atkins@revivedentalcare.co.uk

Tel 07904193470

Twitter: @Ben_Atkins

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