Visit us at the BDIA Dental Showcase at the NEC Birmingham on the 22-24 October 2015 Stand No.F110


By law, all dental practices must be registered with the CQC in England in order to treat patients. A practice that is not registered is not permitted to provide services. CQC inspect practices to make sure that they meet national standards.

CQC will frequently inspect a practice on receiving notification of a change at the practice. CQC usually give advance notice of inspections unless there are concerns about the care a practice provides. 
Recent inspections have been streamlined to concentrate on the following standards:-

  • Are services safe?
  • Are services effective?
  • Are services caring?
  • Are services responsive?
  • Are services well led?

CQC check to see that patients are respected, involved and told what is happening at every stage of their treatment; that patients’ needs are met and that the care is supported; whether the practice is safe and protected from risk of abuse, and in a clean environment. They also check to ensure that staff have the right skills to deal with their job properly and that there are sufficient levels of staff available to meet patients’ needs.

Failing to meet outcomes could lead to recommendations for improvements and a follow up procedure, or in serious cases, immediate closure or recommendation for closure. 
If a practice isn’t meeting standards CQC may take action and then re-inspect to check whether the standards have been met.

Typically, inspections take just over a day to complete. CQC inspection reports are published online and are frequently used by both patients and other interested parties to check whether the practice is CQC compliant and meets standards. CQC reports can have a direct consequence on practice livelihood, so it is essential to take any remedial steps that are required.


The GDC erased Mihai-Gabriel Marcu in September. Amongst the allegations that he faced were:-

  • He failed to take appropriate bitewing radiographs;
  • He provided a poorly fitted CEREC Crown;
  • He failed to provide a patient with written cost estimate and treatment plan;
  • He failed to ensure an effective complaints procedure was in place; and
  • He was financially motivated.

The Committee concluded that “Mr Marcu did place those under his care at unwarranted risk of harm and in some instances caused avoidable harm”. The Committee also concluded that he brought the profession into “disrepute through his misconduct” and consequently erased him from the register.


New NHS England guides to commissioning dental services have been published. The guide supports the breakdown of artificial divide between primary dental care and hospital specialists and encourages providers to work together to focus on patients and their needs.

“The five year forward view” sets out the shared view of challenges to be faced and applies to all health and care services including dentistry. The aim of the guide is to provide a standardised framework for local commissioning of dental services and intended to be used as a support rather than a prescriptive mandate on improving access to care. Common themes include:

  • A pathway offering clarity and consistency for patients and professional commissioners.
  • Commissioners to offer a consistent clear and collaborative approach to commissioning.
  • Detailed mandatory clinical competences.
  • Greater choice for patients and nationally agreed minimum specifications.
  • Best practice contract content and design.

Implementation of the commissioning guides is expected to take place across England at a varying pace. More details on the national commissioning can be found at the following website: -