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TV's Dispatches investigates unethical dentists

20th May 2011

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A new TV documentary being screened on Monday (23 May) promises to lift the lid on the unethical practices of some of the UK's dentists.

As the government's cuts to the NHS start to bite, Sam Lister, The Times' health editor, investigates dentistry, going undercover to reveal how some dentists are misleading patients about their rights to NHS treatment.

The programme claims it will expose dentists who are waiting until patients are 'lying back in the chair' before telling them they must pay hundreds of pounds for private treatment, which should be available on the NHS.

Dispatches also reveals that children's teeth are being neglected under the NHS and that cost-cutting dentists are outsourcing lab work to countries like China where there are little or no checks on safety or quality.

During the three-month investigation, the programme claims it uncovered evidence of a system that often prevents the patient from getting the right treatment at the right price.

Channel 4 claims how the programme found some NHS patients were often none the wiser when asked to pay two or three times the amount they should.

The PR says: 'We sent reporters undercover to identify common ways in which dentists "game" the system, while professionals themselves also blow the whistle on concerns about how NHS dentistry has become less about the promotion of oral health and more about the pressures of time, money and an unworkable Government contract.

'Reforms brought in five years ago were meant to improve dental health and access to dentistry. They were meant to make life more straightforward for dentists and patients, turning a fee-per-item system into one with three bands of treatment, and three rates for the patient to pay.

'But while the changes have increased the number of people seeing an NHS dentist, in many instances they have had damaging repercussions. Some dentists have found themselves unable to give up the time for the procedures their patients need, and out of pocket if they try.'

It adds: 'For some, it is now simply a question of working a flawed system as best they can, but as experts and insiders show, the fundamentals of good NHS care and full disclosure are being badly compromised. Our reporter needed a root canal treatment for an infected molar tooth, one of the most common procedures on the NHS.

'Despite checking in as an NHS patient, he was encouraged to go privately wherever he went - with dentists waiting until he was in the operating chair before advising that the only option for safe and successful care was to pay far more than the NHS rate.

'Others warned that going on the NHS would be impossible unless a patient was referred to hospital, or if they went for the extreme fix of having the tooth extracted. None were clear about the prices that our patient should have been paying.

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The investigate TV documentary also visits dental laboratory workers who reported how the care of patients is now being compromised by cost cutting.

Unregistered laboratory work imported from abroad, for a fraction of the market price, is becoming ever more attractive.

But, as the programme shows, the safety of such products is, at best, unknown.

The Truth about Your Dentist is on Dispatches on Channel 4 at 8.00pm on Monday.

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What the hell do they expect? Getting 3 UDA's for a Molar Endodontic treatment !! It is a joke. "root canal treatment for an infected molar tooth, one of the most common procedures on the NHS" . Hillarious. A 2-3 hr treatment (If you want to do it properly) which will cost you (Material cost only £60-£80) and you will get £60-£70 for it. (Pat. pays £47) It is f.... charity work!! And what the hell do they mean by "with dentists waiting until he was in the operating chair before advising that the only option for safe and successful care was to pay far more than the NHS rate." Do they think the Dentists had an " X-ray vision or a crystal ball" and can tell what "the patient" needs before examining him/her !!
Make more of these "documentaries" and get the CDO and some spokesperson from DOH bullshiting the public that "everything is available under NHS Dental contract" and this is only a "minority of Dentists" in this country. Well wake up and smell the coffee. Everyone is doing it under this ridiculous "Nectar Point" system.
There is nothing they (DOH) can do about it. Will they haul all the GDP's in front of the GDC?
Posted by Expat 20/5/11 at 11:22
imagine you ordered a cheap B+Q kitchen and the bloke turns up and fits an expensive moburn one and charges you for it-you'd blow a fuse because your contract was for the cheaper one. I say they deserve everything thats coming to them these pseudo pretendy private dentists-they use the nhs lure to get them in the door then flog them private.i've been waiting for years for this scandal to erupt and the profession fully deserves it. Nobody had to sign that contract-the profession was too weak and divided to stand up for itself....f... them
Posted by gordie 20/5/11 at 13:12
I agree with gordie. We had the spheroids to (in Geordieland, note) refuse to accept an adult contract in 2006. Take the micky if you want, but I have a mortgage and a family. I was 'bricking it' in 2006, and even now I worry that 'the NHS' might open a big UDA factory down the road. Guess what? They did. Want some good news? My Denplan Essentials list is growing faster than the weeds in my back lawn. Some patients have tried the UDA/Nectar Point factory. 'He didn't seem to know much English!' 'They told me I could only see the hygienist if I paid £XX - I used to see D. as part of my Essentials!' 'He said I could only have a white filling privately, and it was more than twice as much as you charge'.
gordie, too right. Bu@@7r 'em. You signed that c7@p. Your problems, amigos.


--This post was last edited on 20/5/11 at 19:23--
Posted by docholliday 20/5/11 at 19:10
to those who don't like the above I say-you signed that contract -you decided a consultation and clean with you was worth £16.50-you decided your root treatments were worth £42.50 or whatever the nhs rate is.....no one forced you! Ther's no point moaniing about a tv programme that is exposing what every one knows is going on! If you don't like the contract then 3 options
1. move somewhere that doesn't have the contract (note -not all parts of the uk have it)
2. do the obvious- go private ( requires strength of character)
3.accept the current contract and stop fiddling it and don't complain when you finally end up in front of the GDC-you will find it difficult explaining why you couldn't offer the treatment on the nhs
Posted by gordie 20/5/11 at 19:16
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Gordie & Doc, why do colleagues complain when they get caught, gaming the sysytem? it's because they don't have the bottle to go it alone! Sob story about thinking NHS is the one true way to nirvana.
Posted by doctorlol 20/5/11 at 20:01
quite right doctorol-many of us saw this coming I think (hope) that something positive will come out of this-govt might wake up ,though I'm not holding my breath
Posted by gordie 20/5/11 at 20:11
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Actually in about a week's time no one will care/remember/or have seen this programme.Dispatches is watched by 0.015% of nhs patients as it clashes with I'm a Celebrity NHS Dentist Get Me Out of Here. and Corrie.
Posted by geomcc 20/5/11 at 20:29
possibly...you hope...I hope not..the system needs sorting
Posted by gordie 20/5/11 at 20:51
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Gordie, dochholiday,
The problem is that the ones who signed this stupid contract thought that they could both have "their cake and eat it" . Quite a few thought: Get in the patients through the door, do a 2 minute exam and a 20 seconds S+P, maybe a buccal gic filling and get your 3 "nectar points". Easy money. If they need more or much more treatment you somehow ge out of it.
Unfortunately it has worked relatively well. Geomacc is right. It will be all forgotten in a week or so. By awarding contracts to the "companies" , "importing" foriegn Dentists (around 1500) prior to March 2006 the DOH under labour managed to scare quite a few Dentists to sign the contract. The BDA was weak and could not / did not want to "lead" the profession.
One major problem in the UK (according to Dental Protection) is all the "back stabbing Dentists" who totally trash other Dentists (many times a local competitor) when they get a chance even when they don't have the whole picture clear. (There should be a balance between our professional and moral obligation to inform a patient about a possible neglect from his / her previous Dentist and deliberately trashing our colleagues for financial gain) You would be surprised how often it happens in the UK. Attend a DPL seminar and you will hear that it has become a very wide spread practice.
The problem with the percieved public perception of our profession's image is to a very great extent our own fault.
I know that It took a lot of courage to do what you did and leave. I decided to emigrate and It turned out to be the best decision I made (after getting my post graduate qualification).
The only way forward is to inform and educate the public. It takes a long time and needs to be done with the help of the representatives of the profession.(Can not see the BDA in its current form being able / competent enough to do it)
The "nectar point" system is so flawed that it has to be reformed. The NHS contract holders are enjoying a temporary rise in the value of the good will of their practices.
It can not continue like this. This system is in fact a "Soviet style" centrally planned form of providing Dental Services with no proper competition. It is not based on free competition and quality of sevices.
NHS Dental services has in fact become a core service already, providing extractions , low quality acrylic Dentures (I wonder if anyone has checked the rise in sales of denture fixative since 2006) gic fillings etc........
I am sure that the same amount of money can be spent on a good "core service" by allocating a fixed amount of money to every practice.
Let the Dentists set up their practices freely where ever they want and compete on a free market. The "invisible hand" will do the rest. The quality of care will improve and the prices for treatments will drop to a reasonable level decided by the market conditions.
look at the cost of the implants in the UK compared to US / Canada / Italy etc...
in Italy 90% of the Dentists have had training to do implants. In the UK it is ca 30% (and rising very slowly) Average price in the UK £2000 - £2500 In Italy ca £1000
The "bad" Dentists will not survive and the GDC will certainly have much less to do. It will be a win win situation for the patients and the profession.
I don't believe that Cameron and company have the guts or vision to do it.
Posted by Expat 20/5/11 at 21:50
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