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يوم الأربعاء, يوليو-تمّوز [2ند], 2008
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ب [ربكّا] [سميث] | [إينستد وف] يحسن منفذة إلى [نهس] طبّ الأسنان قد جعل الإصلاحات هو مريضة, التقرير بالمنزل من عموم صحة لجنة مختارة يؤسّس.

قد سقط الرقم الطبيب الأسنان يعمل في ال [هلث سرفيس], الرقم من [نهس] معالجة يوفى قد سقط وفي كثير مناطق مريضات بعد يختبرون صعوبات قاسية في يجد طبيب الأسنان أن يعاملهم.

بقلق, قد سقط معالجة معقّدة يوفى على ال [نهس] بنصف بينما على حدّ سواء توصيلات إلى مستشفى وسنة إستخراجات قد زادوا.

هذا يقترح يزيل طبيب الأسنان ببساطة أسن [رثر ثن] يأخذ على معالجة معقّدة لأنّ هم قد أصبحوا [أونكنوميك] أن يزوّد.

قال التقرير أنّ في الاثنان سنون يتبع التقديم من العقد جديدة في أبريل - نيسان 2006, 900,000 قليل من الناس رأوا [نهس] طبيب الأسنان من في المتأخّرة اثنان سنون من النظامة سابقة. حتّى هذا استطاع كنت تقدير بخس, قال هو.

وزير قدّموا الإصلاحات إلى العقد أسنانيّة على الرغم من اهتمام واسع انتشار هم لم يحسنوا منفذة إلى عناية. كان العقد هكذا غيرشعبيّ أنّ أكثر من واحدة في عشرة طبيب الأسنان رفض أن يقع هو وأكثر من ثالثة وقع هو في مجادلة.

مهما, الموجود عندئذ صحة ألحّ وزير [إين شرج وف] طبّ الأسنان [روس] [وينترتون]: "سيحسن الإصلاحات منفذة, سيشجّع أكثر طبّ الأسنان وقائيّة وسيزوّد دخل ثابتة لطبيب الأسنان."

أمل الحكومة العقود جديدة أعطوا كثير مريضات الفرصة أن يسجّل مع [نهس] طبيب الأسنان, شجّعت أكثر عمل وقائيّة وقلّدت ال "مثقب وملأت" ثقافة.

صمدت هم كان أيضا أن يسهّل الدفعات نظامة, [س ثت] [إينستد وف] يكون بمقابل لكلّ معالجة, طبيب الأسنان كان أعطيت راتب مسطّحة سنويّة [إين رتثرن فور] يوفي يوافق مبلغة العمل يعرف كوحدات من نشاط أسنانيّة ([أودس]).

مهما, أسّس اللجنة مختارة أنّ نتيجة التغيرات, طبيب الأسنان [نو لونجر] تلقّى أيّ دافع ماليّة أن يعطي معالجة مناسبة.

كان الحجم من عمل معقّدة مثل تيجان, جسور وطقم أسنان قد سقط ب 57 نسبة مئويّة, هو قال.

قال [مبس] هو كان "خارق للعادة" أنّ القسم الصحة لم يوف دراسات دليليّة على النظامة قبل يقدّم هو عبر إنكلترا.

قال [كفين] [برّون], رئيس مجلس إدارة من الصحة لجنة: “It is disappointing that so far the new dental contract has failed to improve the patient’s experience of dental services.

“While we readily accept that in some areas of the country provision of NHS dentistry is good, overall provision is patchy.

“Fewer patients are visiting an NHS dentist than before the contracts were introduced in April 2006, we heard little evidence that preventive care has increased, and patients seem less likely to receive complex treatments they might require within the NHS.

“The Department did not test through a pilot the new remuneration system and we were astonished that in such a crucial area of reform the Department chose not to undertake rigorous testing prior to its introduction.”

As a result of the changes, dental work is now split into three bands, with band 1 being a simple course of treatment such as a check-up or X-ray, costing the patient £16.20.

Band 2 treatment costs £44.60 and covers everything in band 1 plus fillings, root canal work or extraction. Band 3 costs £198 and also covers crowns, dentures or bridges.

However, the MPs heard expert evidence suggesting the contracts provided dentists with a “financial incentive to persuade a patient to have a decayed tooth extracted rather than undergo the more complex procedure of restoring it”.

Dentists now had no financial incentive to treat complex cases and patients were being pushed unnecessarily into the hospital system, the MPs heard.

Another impact has been that patients now pay the same amount - and dentists receive the same amount - for one filling as for three. As a result, people are delaying seeing the dentist until they need multiple fillings so they get their money’s worth.

The report said unrealistic targets were set for dentists and were applied too rigidly, encouraging them to simply race through as many patients as they could.

There were reports that dentists were forced to close for the last three months of the financial year as they had completed all their allocated treatments while others were forced to pay back money for failing to reach their target.

Susie Sanderson, Chair of the British Dental Association’s Executive Board, said: “This is a damning report which highlights the failure of a farcical contract that has alienated the profession and caused uncertainty to patients.

“For the past two years, dentists and patients have told the Department of Health that it got it wrong. Now MPs have agreed with the BDA.

“The committee has said unrealistic targets have been set for many dentists and urged an improvement in local commissioning.

“The Department must listen to this condemnatory report and act swiftly, looking seriously at these recommendations, for the sake of patients and the profession.”

Shadow Health Minister, Mike Penning added: “The Government has consistently refused to acknowledge the shambolic current state of NHS dentistry. This report gives a scathing assessment of the true scale of the problems.

“Labour must take responsibility for the failure of their dental contract. It has vastly reduced the number of people able to gain access to an NHS dentist. The situation is simply unacceptable, as the Select Committee has now made clear.”

As a result of the changes, private dentistry appears to have expanded. While there are no reliable figures, estimates suggest it could now make up half of all dentistry provided in England.

Liberal Democrat health spokeswoman Sandra Gidley, a member of the select committee, said: “This is another example of the Government meddling and rushing through changes without thinking about the consequences.

“The facts speak for themselves. The number of patients seen by NHS dentists between December 2005 and December 2007 has fallen by a million.

“The scandal for patients is that many are receiving less sophisticated treatment and are paying more for the privilege.

“The Government has plunged us headlong into a dark age of dentistry.”

A spokesman for the Department of Health said: “The focus and funding is already starting to show results - patients are starting to see the benefits with new NHS practices opening all over the country, and we are working with the NHS to ensure that, as the committee recommends, the quality of dental commissioning by PCTs improves.

“It takes time for the extra services now being commissioned to feed through into the access figures that currently do not provide an up to date picture. More and more patients are benefiting from increases in services and we are confident that this will start to show through in the figures later this year.”

See More:Health News UK News 

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This entry was posted on Wednesday, July 2nd, 2008 at 6:08 am and is filed under Breaking News . You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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