Post Brexit – dental roundup

We recently participated in a post-referendum Westminster Forum. The general view was that Brexit would have no specific immediate effect on the budget for the NHS dentistry. The GDS pilot scheme and the new dental scheme are still proceeding, and new dental contracts may be in place by 2019. However, with a General Election due by 2020 implementation of the new contracts may again be pushed back.

Many sellers are concerned about the effect Brexit may have on property values, although the goodwill value on the dental practices have not yet been affected and confidence is still high.

The free movement of people may become an issue in future if practices seek to recruit dentists/and or dental care professional. The importation of dental equipment will also be closely monitored.

People with significant control (“PSE”) and confirmation statements

A reminder to those who own corporate dental practices, the PSE register has been effective from 6 April 2016 and statutory books should be updated to reflect these rights. With effect from 1 July this year, annual returns have been replaced by Confirmation Statements. Our Company Secretarial team can provide advice on the new legal requirements.

Dentist in trouble

Desmond D’Mello, the dentist at the centre of the biggest recall of patients in NHS history has been removed from the register by the GDC.

A professional conduct committee (PCC) decided on 18 August that all but one of the 56 allegations against him had been proven. Among the charges faced by Mr D’Mello were:

1. Failure to maintain basic standards.

2. Failure to ensure good infection control.

3. Prescribing antibiotics without thorough assessments of patients’ needs.

Gavin Scott, Chair of the PCC said “Mr D’Mello has abused trust of his patients in exposing them to serious harm”.

Mrs Caroline Surgery, a dental nurse, also admitted to 27 allegations and is now subject to a conditional registration for 12 months.

 BDA seeking clarification on delivery of services

The post-referendum Ministerial changes may delay progress in reforming the GDS contract. Amongst other issues ministers may be re-thinking are the sugar levy and delivery of prevention programmes in areas of high need.

Scottish dentist struck off

Alan Morrison was struck off the Scottish register after he put 6,000 patients at risk by using dirty equipment.

Mr Morrison reused gloves and failed to clean instruments. Patients were offered HIV and Hepatitis B and C tests by the Local Health Board after the risks posed by the practice were brought to light. Four patients have so far tested positive for Hepatitis C.

GP patient survey – dental stats

1.1 million Adults were asked between 1 January and March 2006 about their views on dentistry including obtaining appointments, overall experience. Some 416,000 people responded.

60% of those who responded tried had to get an appointment over the last two years and of those 93% were successful in obtaining appointments, and 85% had a positive experience. Those who had not visited practices before were less successful and younger adults and ethnic minorities had a lower success rate.

The remaining 40% had not sought appointments. Of these 21% had never tried to get a dental appointments, 17% had tried but more than two years ago and of these, 38% stated that private dentistry was a reason: 23% preferred private treatment, and 15% stated that they were moving from NHS to private and 22% stated that they didn’t need dental care.

De-commissioning additional dental services and tender process

A letter has been sent to some practices which offer additional services outside of the core GDS contract stating that these services are to be de-commissioned and an end date of 31.08.2017 will be inserted in the NHS contract. The services to be procured are open to all providers and an advert will be published on during the week commencing 26th September 2016 for the tender process.