Holistic care should be coming your way

Wilson, Nairn

doi:10.1038/sj.bdj.2017.878

Cited by 9 publications

(13 citation statements)

References 5 publications

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“…Limiting factors have included poor awareness and acceptability of the role among dentists [18,20]. Other issues cited are a need for training of dentists themselves, such that they are equipped to lead a multi-disciplinary, integrated team [21] and the perennial challenge of the terms of the existing National Health Service (NHS) general dental services (GDS) contract in England, which largely measures clinical productivity through 'units of dental activity' (UDAs) [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Development and retention of the dental workforce: findings from a regional workforce survey and symposium in England

Holmes

Burford

Vance

2020

BMC Health Serv Res

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Background: To help promote a flexible and sustainable workforce in dentistry, it is necessary to access accurate and timely data about the structure and nature of the evolving dental team. This paper considers the results and learning from a region-wide dental workforce survey conducted in one area of Health Education England and how the team has changed since the last survey a decade earlier. Methods: A mixed-methods approach comprised two phases. In Phase 1 a customised workforce questionnaire was sent to all dental practices registered with the Care Quality Commission in the North East of England and North Cumbria in March 2016. Findings then informed Phase 2, a regional symposium held in October 2016, where interactive workshops generated qualitative data that elaborated on factors influencing workforce development. Results: Of 431 primary dental care practices identified, 228 questionnaires were returned-a 53% response rate. The largest professional groups were dental nurses (n = 1269, 53% by headcount; 50% of fte) and dentists (34% by headcount; 42% by fte), though there had been increases in numbers of all staff groups over the decade, which was most marked for dental therapists (from 1 per 39 dentists to 1 per 8 dentists). The dental team predominantly fell into 'younger' age groups (< 46 years age), with evidence of a significant increase in the number of dentists reporting part-time working in a practice since the last survey. Around one third of dental practices reported employing dental nurses with additional skills (n = 74, 32.5%) or dental therapists (n = 73, 32%), and nearly half employed a dental hygienist (n = 104, 46%). However, there was considerable variability in whether these staff actually carried out the range of skills within their scope of practice. Factors shaping workforce development were identified as, the national context, loss of expertise, patients' health needs and expectations, surgery premises and financial constraints. Conclusions: The composition and work patterns of the primary care dental workforce have changed markedly over the last decade, though utilisation of skill-mix continues to be constrained. Consideration of factors determining career progression of dentists and dental care professionals is needed to optimise a sustainable future workforce.

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Section: Introductionmentioning

confidence: 99%

Development and retention of the dental workforce: findings from a regional workforce survey and symposium in England

Holmes

Burford

Vance

2020

BMC Health Serv Res

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“…Sir, Rai asked whether there is any official parameter for low/medium/high risk category which could be used for caries risk assessment. 1 This topic has been discussed by Doméjean et al 2 in the recent themed issue of minimum intervention in the BDJ. Scientific reviews of the literature have found that the single best indicator of a patient developing caries in the future is past caries experience.…”

Section: Caries Risk Assessment Toolsmentioning

confidence: 99%

“…3 Different caries risk assessment models have been developed to help dental professionals assess patients' caries risk. 2 While many dentists apparently do some type of informal caries risk assessment, there remains the need for broadly adopted ideally electronic caries risk assessment tools that can help dental professionals in establishing and documenting the caries risk status of their patients as well as tracking changes over time. Letters to the editor COMMENT Send your letters to the Editor, British Dental Journal, 64 Wimpole Street, London, W1G 8YS.…”

Section: Caries Risk Assessment Toolsmentioning

confidence: 99%

Oral health: The Sakata model

Kumagai

Nishi

et al. 2018

Br Dent J

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“…5 It may be because of a possible perception of dentistry as a 'poor relative' in relation to general medicine. 6 Nevertheless, there is scope for considering the place of dentistry in the new emerging organisational architecture of the NHS and its place in the wider health and social care context.…”

Section: Key Pointsmentioning

confidence: 99%

The shift to integrated care in the NHS: implications of the new care models for dentistry

Willcocks

2019

Br Dent J

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Holistic care should be coming your way

Cited by 9 publications

References 5 publications

Development and retention of the dental workforce: findings from a regional workforce survey and symposium in England

Development and retention of the dental workforce: findings from a regional workforce survey and symposium in England

Oral health: The Sakata model

The shift to integrated care in the NHS: implications of the new care models for dentistry

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