So what is next?

An update from The SDA

SDA UPDATE 7th October 2020

 

As most of you will be aware, our previous vehicle for calculating remuneration, the SDR has apparently finally been consigned to the history books. In its place, the CDO wishes to launch a new scheme next year, to be publicised by a series of roadshows.

 

It has been stated that the CDO is open to discussing these proposals with all stakeholders, but also that his preference is to talk only with the BDA / SDPC. We are aware that the SDPC have created a working group in anticipation of this process.

 

It is our sincere hope that discussions on the future funding of our profession will be wide ranging and seek to create a genuinely new system, inspired by some of the best dental care provision models from around the world, and tailored to the needs of the Scottish population. It is our great fear that a politically driven model, which does not meet the needs of our profession nor our patients, will be imposed without meaningful negotiation.

 

It is very frustrating that the discussions between the CDO and SDPC / BDA happen behind closed doors and there is often an embargo on disseminating information to the profession in a timely manner. It is also worrying that, as has been stated previously, the CDO does not negotiate so much as present his position. We would note here that although the BDA recently took a strong stance on the safety of the expired and revalidated 3M 1863 masks, it lacked resolve when its advice was not heeded, and its credibility is surely diminished as a result.

 

We have been without a means to provide meaningful treatment on the NHS for six months already, with no idea as to how much longer we may remain in a similar situation. Our patient’s oral health is suffering terribly and many are desperate for treatment but are holding out for “things to get back to normal”.  The lack of guidance we have in this regard makes it incredibly difficult to advise patients, who may be considering making sacrifices during this period of financial instability, to pay privately to have their dental treatment completed.

 

In view of the above, we do not feel that we should simply stand by and await the outcome of the negotiations on the genesis of the future system of remuneration for NHS dental care. While we are keen to be involved in the negotiations in any way possible, our efforts are tempered by the need to be realistic and the desire to be idealistic.

 

We have been working on various models for the remuneration of dental care with a view to submitting our own detailed proposals. We are also working on a proposed model for what we would consider to be the gold standard in the provision of dental care, and shall publish more on this soon. We have shared on our website a document which works through the various potential funding models, along with a letter we recently sent to Joe Fitzpatrick.

 

This funding model document will also be shared with all interested parties who may be have a role in the negotiations mentioned. As said, we have to be realistic, so doing what we can to help anyone fighting on our side has to be worthwhile.

 

From an idealistic standpoint, we would very much like the SDA to play as much of a role here as possible since we are passionate about the need to get this right and to get back to treating patients properly.

 

We will best achieve this, we think, by remaining positive and engaged. It is the aim of the SDA to support all dental professionals and in turn we would hope to be supported by all dental professionals.

 

We hope to launch the SDA as a professional body very shortly. The association is in the final stages of incorporation and once this is completed, we aim to develop a large membership and hold elections for office with a view to becoming a professional body which can really claim to be representative of the profession in this country.

 

We would welcome any feedback on the material on the website and shall shortly be running a poll with a view to gauging the level of support for each of our proposed models. We would also like to hear from anyone who wishes to get involved with this project.

More Posts from The Scottish Dental Association

The SDA Summit

The SDA Summit We are delighted to announce our first SDA event on Tuesday 16th of March from 12.00 – 2.30 on webinarjam. This webinar aims to inform and stimulate discussion around the promised changes to the post-pandemic SDR. If you are a dental professional and you have questions or ideas then please get in touch and book the event here. The Chief Dental Officer (CDO) has stated that he wishes to engage widely with the profession. This is a new dynamic and presents a unique opportunity for the majority of the dental profession to have a role in this

Read More »

“Scottish Dental Students Forced to repeat a year” BBC News

Scottish dental students forced to repeat a year – BBC News A massive blow to the profession as VTs repeat a year, no new graduates, EU dentists heading home and the difficulty taking on dentists out with Scotland. It doesn’t matter how long qualified you are if you have never had a Scottish NHS list number you will be offered COVID support along the same lines as the recently qualified vocational trainees. As we all know the only way NHS dentistry has survived this long is through volume of work and COVID has put a complete halt on this. We

Read More »

Consultation on SDR Reform

As you will be aware the SDR and general dental services are to be fundamentally changed. This will directly effect each one of us and our patients‘ future care. Tom Ferris (CDO Scotland) has said that there will be consultation with the profession and the SDA will ensure that we present all of your views coherently. The survey is being conducted via Scottish Dental Network. See link below. Initial SDA Consultation on SDR Reform – Scottish Dental Network

Read More »

NHS Lothian COVID-19 Update No 22 – 27th October 2020

Angus Walls, Director Edinburgh Dental Institute 4th Floor Lauriston Building Lauriston Place Edinburgh EH3 9HA Content of this update PCA and SDR 148 Patient Communication National SoP IPC guidance PPE stock and usage SARS CoV2 vaccination program   Dear Colleagues, I am sending you the most recent PCA from CDO in association with this letter, I must apologise, this should have come to you yesterday. As I am sure you are aware there was an announcement in Parliament recently that a full range of dental care would be available through NHS dental practices from the 1st November. This PCA underpins

Read More »

Agenda for Change

The eagerly anticipated “Agenda for Change” (within the NHS) highlights once more just how far Scottish NHS dentists have fallen. The Doctors and Dentists Review Body (DDRB) amply demonstrates how they feel about dentistry and the professionals showing no improved recognition over the last two decades and no peer acknowledgement. https://www.nhsemployers.org/pay-pensions-and-reward/agenda-for-change We can never aspire to this but who works for nothing and how far are we prepared to be left behind? The question must be asked in relation to the act of NHS dental Items of Service (IOS) treatment because they impact hugely on everything that we and our

Read More »

SDR Recommendations

6 October 2020 Scottish Dental Association Working Group on new SDR proposals   Preamble The Scottish Dental Association (SDA) recognises, along with almost the entire profession and the current CDO, that the pre COVID SDR is not fit for purpose for the likely future situation we face. It should be noted anecdotal evidence suggests most practitioners have felt the previous SDR was not fit for purpose for several years. To propose potential new solutions the SDA has formed a working group to briefly formulate potential new SDR options. The SDA welcomes feedback from all sectors within Scottish dentistry on this

Read More »

General Dental Services Budget Letter to Joe FitzPatrick MSP

Mr Joe FitzPatrick MSP Minister for Health St Andrew’s House Edinburgh October 4th 2020 Dear Mr Joe FitzPatrick MSP, General Dental Services (GDS) Budget On behalf of the Scottish Dental Association (SDA) and following your letter (ref: 202000055870) to Mr Graham Smith in relation to the Public Dental Service budget, we would be grateful for the following information to assist us in consideration of a realistic proposal for the new Statement of Dental Remuneration (SDR): Please detail the predicted positive or negative impact of ‘COVID support’ for General Dental Practitioners (GDPs) on GDS payments in this financial year. A breakdown

Read More »