Toothy Tigers Dental Students’ Initiative to Promote Good Oral Health Among Children 2 | Scottish Dental Magazine JUNE 2021
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ESSENTIAL KNOWLEDGE FOR DENTAL PROFESSIONALS IN SCOTLAND JUNE 2021 RRP £5.50 Toothy Tigers Dental students’ initiative to promote good oral health among children 2 | Scottish Dental Magazine JUNE 2021 ENSURE YOU CONTINUE TO RECEIVE SCOTTISH DENTAL MAGAZINE Sign up to receive email notifications from Scottish Dental magazine, including the latest issues in digital format, news, and Show updates. Visit WWW.SDMAG.CO.UK/EMAIL-SUBSCRIBE 04 Editorial 07 Insider 09 News FEATURES 24 The growth in private care plans 28 Celebrating Vermilion’s 10th anniversary 34 Practice recovery and remobilisation 36 CDO quizzed on where next for dentistry? 40 Report from the annual Scottish LDC Conference 41 42 Launch of CGDent - bringing the dental team together 44 The Glasgow graduate rebuilding dentistry in Mosul 46 Making mental health a priority 47 R unning Scotland update 48 Dundee’s Toothy Tigers MANAGEMENT 50 Never let a good crisis go to waste 52 Dental managers take the floor PROFESSIONAL FOCUS 54 Advisers and suppliers 72 Meet the Professionals 78 Product News 44 MANAGING EDITOR ADVERTISING EDITORIAL BOARD © Connect Publications David Cameron Ann Craib Tony Anderson Peter Ommer (Scotland) Ltd [email protected] Tel: 0141 560 3021 Roger Currie Andrew Paterson The copyright in all articles EDITOR [email protected] Ulpee Darbar Professor J Mark Thomason published in Scottish Dental Dr Michael Davidson Dr Donald J Thomson Will Peakin DESIGN magazine is reserved, and Toby Gillgrass Professor Angus Walls Tel: 0141 560 3019 Scott Anderson may not be reproduced Professor Mark Hector [email protected] without permission. Neither SUBSCRIPTIONS Professor Richard Ibbetson the publishers nor the editor Will Peakin Gordon Morson necessarily agree with views Tel: 0141 560 3019 expressed in the magazine. [email protected] ISSN 2042-9762 June 2021 | 3 Editor Will Peakin [email protected] Follow Scottish dental on Twitter at: @ScottishDental As a patient, I just don’t get it ere’s my Nye Bevan anecdote; the second – free care for all NHS patients – is to be delivered over founder of the NHS once bought my the lifetime of the parliament; that is, five years. He said they mum a fish supper. I remember, as a were “mindful” of the potential for increased demand, even child, her telling me and her specific use initially with care experienced patients. “In terms of the free of the phrase “fish supper”. Which is odd, dental care,” he said, “in my mind that’s tied up with the new given she was born in Murton, County model of care that we were hoping to do. There’s probably no Durham, where her father was a miner point in having two major policy changes over the course of the and a local councillor. Or perhaps not. Possibly fish supper is Parliament – ‘let’s make dentistry free and then let’s completely Ha phrase commonly used in the North East of England. I don’t change the system of how we deliver dentistry’. Our view is recall. Sweet and sour chicken and fried rice was more my part of that system reform will bring in a new, preventatively thing as a teenager growing up in Durham City; more effective, focused, patient centred dental system that is free at the point come the end of an evening, at absorbing previously consumed of care, and we’ll do both things together.” pints of beer. Or possibly it was because of a family affinity with And we could be talking five years. Scotland (see ‘Cross-contamination laddie’1). Anyway, I digress. As Scottish Dental went to print, there was a warning On the occasion of the fish supper, Bevan was in Murton of “flaws” in the Government’s plans for interim tiered campaigning on behalf of my grandfather. support arrangements (see page 18). It is understood that the What I had not known, shamefully until quite recently, was Government currently plans to use Item of Service (IoS) as the that Bevan – and Harold Wilson – resigned from the Labour sole measure of activity in the forthcoming arrangements. It Government in 1951 because their colleagues forced through is said that using IoS as the sole measure of activity will force a proposal to introduce prescription charges and fees for young patients to the back of the queue, widening the gap dental and optical care. Now, here we are today, with the SNP’s in dental health inequalities and increasing the likelihood of manifesto commitment – and the new Scottish Government’s life-threatening and avoidable general anaesthetic procedures. policy – to scrap the patient charge for NHS dental care. What Using IoS, as the sole measure of activity also does not take can possibly go wrong? Plenty, according to the profession. into account the administrative demands of the new Standard As we report in this edition (see page 9), scrapping the charge Operating Procedures. In all, it is claimed that NHS dentists – which currently subsidises the provision of dental care by effectively face a pay cut of up to 45 per cent. around £75m - coupled with the increased demand from In my naïve moments, of which there are many, I wonder patients, caused by lifting this barrier to access, would require why – and this is speaking from the perspective of a patient, between £90m and £100m in funding. This is according to an rather than the editor of a dental journal – NHS dentistry analysis presented at the annual conference of Scottish Local is provided by what are effectively small businesses (and, Dental Committees (LDCs) and an estimation by the British increasingly, corporates). I get that an entrepreneurial Dental Association (BDA). approach can help meet demand where the state might be Is the Government going to faithfully replace that £75m too bureaucratic and slow to respond. A community needs a funding of NHS dentistry and top it up with another £25m practice, or an additional practice? Go for it. Young, aspiring to meet the increased demand (and that’s without even practitioners fulfil their ambition and communities are well taking into consideration the increase in demand caused by served with a mix of NHS and – if they can afford it – private deteriorating oral health experienced during the pandemic)? “A care. But then other times, I just don’t get it. Why is NHS hae ma doots,” as my mum might have said (ok, possibly that’s dentistry not provided across Scotland by well-funded – and stretching it a bit). Scepticism aside, if only it was that simple. leading edge in their expertise – practices, that are purely NHS? Before we were so rudely interrupted by the pandemic, the If there remains a demand for purely private care – as there is in Government had been working on its – increasingly general health provision – that’s fine. infamous – ‘new model of care’ which was intended Of course, that’s probably a step too far for those currently to replace the then existing Item of Service funding tasked with formulating the long-term model for NHS model with one that rewarded prevention of dentistry. There are currently around 1,100 mixed practices disease, not treatment. As I have written previously, in Scotland. What would it cost for all but say, 100, to be fully it’s difficult to discern what work – if any – has funded by the NHS? Considerably more than the ‘missing’ been done on this during the 12 months-plus of £100m that the profession is currently concerned about, lockdown. obviously. As I write this, Friday evening is approaching. As we also report in this issue (see page 36), Tom I may have a beer, or two. And a fish supper; perhaps its Ferris, the Chief Dental Officer, and his team are alcohol absorption properties are equal to sweet and sour currently working on the first part of SNP commitment chicken after all. on dentistry, to remove dental charges, within 100 1Editorial, Scottish Dental, June 2020 days, for care leavers and young adults. The 4 | Scottish Dental Magazine June 2021 | 5 Insider Arthur Dent is a practising NHS dentist in Scotland Got a comment or question for Arthur? Email [email protected] New model of care? Let’s stop talking about change and start talking about patient care, and what dentistry can do to treat everyone as soon as possible want to get over COVID-19. Not that I’ve had the stuff that’s coming out and I see no assessment it. I want us all to get over it. I want to stop of the issues, no understanding of the massive unmet writing about it. I’m getting frustrated with the need which is growing and will overwhelm us. No delay to my life and everyone else’s. Midway understanding of the workforce nightmare we face with through last month, Glasgow was told it had a year group delayed and a large chunk of senior dentists to remain in Tier 3. The hospitality sector was waiting for the end of financial support measures to dismayed once again, and the Delta variant retire. Not to mention the DCPs who are on furlough or was driving a fresh increase in cases. However, the the self-employed equivalent who, if there is no change Iearly information suggested that this variant, although to provide an incentive or ability to work more, could potentially more transmissible, does not seem to lead drop from the profession. to more serious illness and the vaccine appears to be All the time we are talking about a ‘New Model of useful in limiting its effect. So, are we going to see more Care’, Core Service and financial models including stringent restrictions again? If cases are rising, then salaries.