Tag: British Dental Association

Dentists ready to work with next Scottish Government to rebuild services

The British Dental Association has indicated it is ready to work with a future SNP government on wide-ranging pledges made in the party’s manifesto, which could fundamentally change the way dentistry is delivered in Scotland.  
 
The party has pledged to abolish patient charges over the course of the next parliament, and to work with the BDA to “shape a reformed funding arrangement for NHS dentists so that they are supported for the future”.

Approximately 20% of the NHS dental budget – some £74 million in 2018/19 – is drawn from charges. The BDA believes charges represent a tangible barrier to care for those on modest incomes but will be seeking assurances that any move will not lead to a reduction in overall funding for the service. 
 
The Scottish Budget 2021- 22 provided £431 million for general dental services, a rise of just 0.6% from the year before which represents a real-terms cut at a time the service faces an unprecedented backlog. The dental budget in Scotland has been cut in real terms in three out of the last four years. 
 
The dentist’s union has warned of widening inequality following the COVID pandemic, with high street services operating at a fraction of their former capacity, with an estimated 2,500 children now facing up to year-long waits for dental extractions in hospitals.  

Public Health Scotland data has shown a dramatic reduction in NHS dentistry due to COVID, which is hitting those in most deprived communities the hardest. Between April and November 2020, the number of courses of treatment delivered was 83% lower than during the same period in 2019. Practices are operating at significantly reduced capacity to meet infection control protocols, and the BDA is seeking capital investment in areas such as ventilation that can help restore patient volumes.

David McColl, chair of the British Dental Association’s Scottish Dental Practice Committee, said: “Dentistry in Scotland risks becoming a casualty of this pandemic. We have called for wholesale change to the way care is delivered, and we will work with the next Scottish Government to achieve that.  
 
“These are big plans to bring down barriers to care and improve access, but they must go hand in hand with needed investment if services millions depend on are going to remain sustainable.

“Practices are now operating at a fraction of their former capacity. Dentists will need real and ongoing support if we’re ever going to meet historic levels of demand.”

Dentists urge action on ‘shameful’ oral health inequalities

The British Dental Association has urged all candidates contesting the Scottish election to pledge to commit to tackling the shameful inequalities in oral health set to go into overdrive as a result of the pandemic.

Unpublished data from Public Health Scotland has shown a dramatic reduction in NHS dentistry due to COVID, which is hitting those in most deprived communities the hardest. Between April and November 2020, the number of courses of treatment delivered was 83% lower than during the same period in 2019.  

Official figures show that primary school children from the most deprived communities experience more than four times the level of tooth decay compared to children in the least deprived areas. Latest data also shows that in 2020 children and adults from the most deprived areas were less likely to have seen their dentist within the last two years than those from the least deprived areas (73.5% compared to 85.7% of children and 55.9% compared to 67.1% of adults) and this gap has widened compared to the year before.   

The impact is now being felt in all corners of the service. The Public Dental Service– which treats specific patient groups including care home residents, children with additional needs and adults with disability – also faces a huge backlog, with many of its staff redeployed to urgent dental care centres. 2,500 children are now estimated by the BDA to be on waiting lists for dental extractions under general anaesthetic, which may take years to clear.   

High street practices continue to face wide-ranging restrictions, which have radically reduced patient numbers, including the need to maintain gaps between most routine procedures where surgeries are left ‘fallow’ to reduce risk of viral transmission.

Governments in Northern Ireland and Wales have already offered millions to help practices invest in new ventilation systems to cut down this time, and hence significantly expand patient volumes. The BDA is seeking commitments from Scotland’s parties to follow the same path.      

The BDA says prevention is now more essential than ever. The pioneering Childsmile programme, delivered via primary schools and nurseries, has secured record-breaking reductions in decay but has been suspended for much of the last year, with many core elements like supervised brushing yet to resume.

Restarting that programme, and providing additional support in high needs areas is at the centre of the BDA’s plan, alongside calls for Health Boards to be supported to conduct feasibility studies on water fluoridation. 

Dentistry challenges are now likely to be exacerbated by workforce problems. None of Scotland’s dental schools is on track to graduate classes at the usual time this year, which will have a domino effect on workforce planning for years to come. The BDA has called for a long-term strategy to ensure Scotland has the dentists it needs to meet this threat, and parallel challenges – including Brexit.   

Oral cancers kill three times more Scots than car accidents – and the country has one of the highest rates for the condition in Europe.

Residents in Scotland’s most deprived communities are more than twice as likely to develop and die from oral cancer as those in more affluent areas. The BDA is therefore seeking action on smoking cessation, and assurances that a rapid catch up programme will be in place to ensure school children are protected from the Human Papillomavirus via vaccination.

HPV is an important risk factor for oral cancer, and while steps were in place to extend the programme to boys in the last academic year, the programme continues to face massive disruption as a result of school closures.   

The Association is making direct contact with every candidate seeking election to Holyrood to ask them to commit to addressing oral health inequality.  

Robert Donald, Chair of the British Dental Association’s Scottish Council said: “A wealthy 21st century nation shouldn’t accept that a wholly preventable disease remains the number one reason its children are admitted to hospital. Sadly, COVID risks undermining hard-won progress, while leaving our dental service a shadow of its former self.  

“The result is that from decay to oral cancers, Scotland’s oral health gap is set to widen, and we need all parties to offer a plan. 

“In this campaign we need candidates to do more than talk about ‘prevention’. From helping practices boost capacity, through to expansion of the sugar levy, we have set out simple steps that can put that principle into action, addressing inequality, and restoring services to millions.”

The BDA Scotland manifesto: Bridging the Gap: Tackling Oral Health Inequalities (PDF)  

Dentistry in Scotland at risk as dental schools face uncertain future

The British Dental Association has urged the Scottish Government to provide a clear safety net to protect students, universities and the future of patient care, as questions emerge of whether Scotland’s dental schools will graduate classes in 2021. 

The COVID pandemic has limited the clinical experience of many dental undergraduates. In an open letter to Cabinet Secretary for Health and Sport Jeane Freeman, and Deputy First Minister and Cabinet Secretary for Education and Skills John Swinney the BDA has warned action is needed to minimise wide-ranging impacts on the future of education, training and the sustainability of the NHS workforce.

The union has warned against saddling undergraduates with unmanageable debt. Scottish dental students can already expect to graduate with over £34,000 debt. An additional year of study could push it to over £40,000.

Dentist leaders have stressed that any changes will have an impact not just on this year’s graduating class, but on the shape and size of the 2021 intake.

The BDA is now calling on the Scottish Government to support any undergraduates who are required to take additional periods of study via an emergency bursary, to offer appropriate support for dental schools covering tuition fees where appropriate, teaching grant and clinical placement funding, and ongoing support for the network of NHS trainers who take on trainees following graduation.

Any disruption will have a significant impact on patient access. Graduate dentists are typically given higher needs patients to maximise their clinical experience during their vocational training. Longer-term this disruption may also translate into fewer qualified dentists entering the NHS workforce in years to come. The BDA has stressed any inaction will make the huge backlog facing Scotland’s dental services even more difficult to clear.

David McColl, Chair, British Dental Association’s Scottish Dental Practice Committee said: “What dental students across Scotland really need now is certainty. The Scottish Government must offer a safety net, which protects the next generation, supports our universities, and secures the future of patient care.

“Should these students be unable to graduate in 2021 it will have a serious impact on both the workforce and patients’ ability to access NHS services.

“The pipeline of health professionals should not be left at risk. We need to see a plan that guarantees graduates aren’t saddled with unmanageable debt, keeps schools viable, and ensures Scotland has the dentists it needs.”