Healthwatch Dentist Report June 2015

The Whole Tooth
Study into General Dentistry
Services in Hampshire
June 2015
Contents
Introduction and Executive Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
What we found . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Context. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Methodology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
5
6
Focus Areas
1. Pricing information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2. NHS charging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3. Treatment plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
4. NHS dentist availability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
5. Comments and complaints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-15
Conclusions and Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-17
Useful links. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Appendices
1. Introduction letter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2.1. Price list. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
2.2. Information leaflet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
3. Treatment plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-23
4. Data tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-26
Healthwatch Hampshire • 2
Introduction and
Executive Summary
Healthwatch is
the independent
consumer
champion for
health and social
care in England.
Healthwatch’s
function is to
engage with local
people to seek views about locally
delivered services, signpost service
users to relevant information and to
influence the design of local health
and social care provision.
Healthwatch Hampshire is part of a
network of local Healthwatches across 152
local authority areas that launched in April
2013 to ensure local voices are heard and
enable them to influence the delivery and
design of local services. Our sole purpose
is to understand the needs, experiences
and concerns of people who use health
and social care and to speak out on their
behalf. Healthwatch has statutory powers,
as stated in the Health and Social Care
Act 2012, to ensure the consumer’s voice
is strengthened and heard by those who
commission, deliver and regulate health
and care services. Local Healthwatch helps
people get the best out of their local
health and social care services, whether
it’s improving them today or helping to
shape them for tomorrow.
Healthwatch Hampshire has heard many
concerns about dental care charges,
patient confusion over treatment costs,
particularly for those who are exempt from
charges, and stories of people struggling
to find an NHS dentist. Combined with
Healthwatch England’s recent review of
primary care and the Which? campaign
(2015) to ‘Clean Up Dental Costs’,
Healthwatch Hampshire undertook an
investigation to find out whether NHS
general dentistry in Hampshire is meeting
regulatory and professional requirements
and to ascertain where in the county there
is limited NHS dental provision. The overall
aim is to develop an insight into people’s
local experiences and champion the
population’s dental care needs.
Healthwatch Hampshire visited all listed
NHS contracted dental practices in
Hampshire (excluding Portsmouth and
Southampton as these fall under other
local Healthwatches) to find out if local
general dentistry practices are meeting
certain regulatory requirements and to
identify:
which local dental practices comply with NHS contractual arrangements and are displaying NHS charges, and using treatment plans
dental practices that are currently registering new NHS patients and identifying where there is limited NHS availability in Hampshire
Healthwatch Hampshire • 3
We found...
94% of NHS contracted dental practices were
displaying the NHS dental charges poster
59% of NHS contracted dental practices display
NHS charging information on their own
website
73% of NHS contracted dental practices are
registering new adult patients
of dental practices in Hampshire are solely
30% private, significantly higher than the
national average
13%
of NHS contracted dental practices don’t
have their own website
96% of NHS contracted dental practices have a
complaints procedure but only 84% have
information on display
42% of NHS contracted dental practices have
information on their website about
complaints
People are having to travel further afield to
find an NHS dentist in some areas
Healthwatch Hampshire • 4
Context
Nationally dentistry provides an essential
service to millions of patients and is
critical to ensuring the oral health of the
population. In 2009-10 the UK dentistry
market was valued at an estimated £5.73
billion a year (excluding cosmetic dentistry
which has significantly grown since these
figures were produced). Spending on NHS
dental treatment was £3.32 billion and
accounted for approximately 58% of the
total market (Laing and Buisson 2011)1.
Dentistry is one of the very few NHS
services for which patients have to pay a
contribution to the cost of their care. The
dental system also differs from other NHS
services because dentists can mix NHS and
private treatment.
“Everyone should be able to
access good quality NHS dental
services”
NHS England
According to NHS England information,
the number of people accessing NHS
dentistry has increased steadily since
2008 to 29.9 million patients in December
20132. NICE (National Institute of Clinical
Excellence) guidelines recommend the
public should visit the dentist at least once
every two years. The dentistry market
has come under scrutiny several times in
recent years. Prompted by a significant
number of complaints, the Office of Fair
Trading conducted a market study into
dentistry in 2012 and made a number of
recommendations, some of which still
haven’t been acted on3. More recently
a survey by the consumer group Which?
found that people could be paying more
than they need for dental treatment
because some dentists aren’t upfront
about prices or clear about the treatments
patients are entitled to on the NHS.
Which? has launched a campaign to ‘Clean
Up Dental Costs’ calling on NHS England
and regulators to ensure dental practices
comply with existing rules and improve
the way treatment options and prices are
communicated to patients. Healthwatch
Hampshire supports the Which? campaign.
This report is the result of our research
into local general dentistry and whether
practices are meeting certain contractual
and regulatory requirements.
Timescale & Resources
During the period 13th – 24th April 2015,
Healthwatch staff and several volunteer
Champions made unannounced visits to
212 dental practices and establishments in
Hampshire, excluding those in the cities
of Southampton and Portsmouth as these
fall under other local Healthwatches. The
dental practices were identified from the
NHS Choices website and other sources.
Healthwatch Hampshire • 5
Methodology
Hampshire Healthwatch representatives introduced themselves and handed over a letter
outlining the role of Healthwatch Hampshire and the purpose of our visit (see Appendix
1). In the majority of cases we spoke with the practice receptionist(s) and in a small
number of cases the Practice Manager or dentist was called. Overall callers were openly
welcomed, with only a small number initially declining to participate.
We also undertook web-based research to support our findngs and give context to the
project.
The Questions
1) Do you have NHS registered patients? If yes...
2) Are NHS dental charges prominently displayed in the practice?
3) Are patients given an NHS Personal Treatment Plan FP19DC prior to treatment
so they can make an informed choice?
4) Is there a complaints procedure available to patients?
5) Is information about the complaints procedure on display in the practice?
6) Are you currently registering NHS patients?
7) Would you be willing to display some Healthwatch leaflets?
Of the 212 dental practices visited we found that:
• 49 operate solely as private practices with no NHS contract
• 29 have an NHS contract for ‘children only’, including a small number who also
registered exempt adults.
• 22 are specialist services such as dental laboratories, orthodontists and
hospital services
• 112 are adult general dentistry practices. Unless otherwise stated, we have
focussed our analysis in this report on these.
Questions:
Yes
Are NHS dental charges prominently displayed in the practice?
105
Are patients given an NHS Personal Treatment Plan FP19DC prior
to treatment?
103*
Is there a complaints procedure available to patients?
108
Is information about the complaints procedure on display in the
practice?
94
Are you currently registering NHS patients?
82
* 7 practices use their own treatment plan
Healthwatch Hampshire • 6
1. Focus area
Pricing information
It is a legal and professional requirement
for contracted NHS dental practices
to display a price list. This must be on
prominent display. NHS England produce
a poster and patient information leaflet
for this purpose (see Appendix 2), which
is supplied to contracted practices and
also available for download from the NHS
Choice website at:
http://www.nhs.uk/NHSEngland/
Healthcosts/Documents/2015/nhs-dentalcharges-poster.pdf
http://www.nhs.uk/NHSEngland/
Healthcosts/Documents/2015/nhs-dentalservices-flyer.pdf
Which? surveyed 1000 people, who had
all seen their dentist in the past 6 months
in England. 51% said no price list for
treatment was displayed. We found:
Of the 112 NHS general practices with
registered adults, 105 or 94% were
displaying the NHS dental charges
poster. As NHS charges recently
increased (from 1st April 2015) all
were displaying the latest price list.
NHS charges poster was mostly in
a prominent position either at the
reception desk and/or in the waiting
area.
Two of the practices that didn’t have
a price list displayed said they were
waiting for materials to be delivered
and so we provided them with a copy
in the interim.
The 21% with children only or children
and exempt adults NHS contracts,
therefore non fee paying, on the whole
don’t display NHS pricing
We feel that the disparity between Which?
findings and our own, is in part becasue we
were specifically looking for a price list.
Patients visiting a dental practice wouldn’t
necessarily be looking for an NHS price list
and we felt that the current posters could
easily be missed or overlooked as they’re
not large or eye catching. We recommend
posters are redesigned to make them more
noticeable.
We also looked to see whether dental
practices have a website and if NHS pricing
information is displayed. We found that 97
dental practices have their own website
and 68% of those contained NHS charging
information or linked to the NHS website.
Healthwatch Hampshire • 7
2. Focus area
NHS Charging
There are three standard charges for all
NHS treatment, known as bands one, two
and three, which are set every year by the
Department of Health. Current rates from
1st April 2015, listed on NHS materials are:
Band 1 course of treatment – £18.80
Band 2 course of treatment – £51.30
Band 3 course of treatment – £222.50
Band 1
This covers an examination, diagnosis (eg
X-rays), advice on how to prevent future
problems, a scale and polish if needed, and
application of fluoride varnish or fissure
sealant. If you require urgent care, even
if your urgent treatment needs more than
one appointment to complete, you will
only need to pay one Band 1 charge.
Band 2
This covers everything listed in Band 1
above, plus any further treatment such as
fillings, root canal work or if your dentist
needs to take out one or more of your
teeth.
Band 3
This covers everything listed in Bands 1
and 2 above, plus crowns, dentures and
bridges.
Each dental procedure has been classified
into a band which determines what
patients pay and also the amount of Units
of Dental Activity (UDAs) a dentist gets.
Since 1st April 2006 NHS dentists in
England and Wales are on paid fixed
contracts for their NHS work which specify
how many UDAs they are allowed/paid for
a year. Dentists have to be within 4% of
their NHS contracted targets. If dentists
don’t achieve their contracted number
of UDAs they are financially penalised. If
dentists do more than their contracted
number of UDAs they don’t get paid any
more4.
This translates into for example 12 UDAs
for doing a crown. Taking a UDA to have
an average value of £25 it means a dentist
is paid £300 for doing one crown (£25 x
12 UDAs). If a dentist does 2, 3 or more
crowns they still only get paid £300 even
though they have a lot more lab work to
pay for. Another example is a root filling
which might take 1-2 hours. A dentist is
allocated 3 UDAs for a root filling so a
dentist is paid £75 (£25 x 3 UDAs), the
same as for one extraction, which creates
a disincentive for dentists. We recommend
how dentists are reimbursed be reviewed
with the Dental Contract in 2015.
Healthwatch Hampshire • 8
3. Focus area
Treatment Plans
Current arrangements under the NHS DGS/
PDS Contracts Regulations 20055 require
dentists to provide patients with a written
treatment plan for Band 2, Band 3 or a mix
of NHS and private treatments. (Treatment
plans aren’t usually given for Band 1 or
urgent dental treatments, but patients
can still request one). Dentists are obliged
to discuss the treatment plan and what
banding the patient requires.
The NHS FP17DC Personal Treatment Plan
sets out the proposed dental treatment
(see Appendix 3).
We found that 103 or 92% of dental
practices are using the NHS Treatment
Plan. A further 7 or 6% are using their
own in-house treatment plan. They stated
that this is because their records are
computerised and it saves consultation
time not having to hand write the FP17DC.
This is accepted practice, however as
the treatment plan constitutes informed
consent any in-house plans must include
the declaration below and be signed by the
patient6:
“I understand the nature of
the proposed NHS (or private)
treatment services, and accept
those services and the associated
fees as detailed”
NHS dental treatment may be either be
wholly funded by the NHS where patients
are exempt, or may be part-funded by
the NHS and part-funded by the patient.
As part of its study Which? used several
undercover mystery shoppers and found
that the weakest area of communication
was in explaining both NHS and private
treatments.
Our own intelligence shows concerns
around dental charges and patient
eligibility for reduced prices.
The Which? survey found that one in five
people (22%) were overcharged for their
treatment.
Everyone is entitled to all the dental
treatment from the NHS they need to
achieve and maintain good oral health.
People attending a dentist who offers both
NHS and private treatment, and requiring
treatment, should not be asked to pay for
it privately. However, they can choose
to have the treatment privately and the
dentist should explain what options are
available using a treatment plan. Dentists
are not allowed to refuse any treatment
available on the NHS but then offer the
same treatment privately.
Also patients should only be asked to pay
one charge for a course of NHS treatment,
even if that means several visits to the
Healthwatch Hampshire • 9
dentist. Patients should not be charged
for individual items within a course of
treatment. For example two fillings and
a crown on the same treatment plan are
covered under the one plan. If more
treatment is needed within two months
or within the same or a lower band,
patients do not have to pay again. Where
it’s necessary to refer patients to another
dentist for a specific treatment this may
incur a second charge.
We are concerned to find a small number
of practices are asking patients to pay
for dental care before having treatment
carried out. This requires further
monitoring and guidance.
an NHS hospital dental service
outpatient (though charges for
dentures or bridges may apply)
Free NHS treatment is also available under
some circumstances if the patinet is
receiving:
Income Support
Income based Job Seekers Allowance
Income related Employment and
Support Allowance
Pension Credit guarantee credit
Universal credit
They are named or entitled to a valid
NHS tax credit exemption certificate
or are entitled to an NHS tax credit
exemption certificate
Named on a valid HC2 certificate
If named on a valid HC3 certificate,
patients may not have to pay for all their
treatment. Checks are made on free and
reduced cost treatment claims.
Exemptions
People are exempt from NHS dental
charges if, when the treatment starts, they
are7:
aged under 18
under 19 and receiving full-time
education
pregnant or have had a baby in the
previous 12 months
staying in an NHS hospital and
treatment is carried out by the hospital
dentist
Patients are not exempt from paying
because they receive: Incapacity Benefit,
contribution-based Employment and
Support Allowance, contribution-based
Jobseeker’s Allowance, Disability Living
Allowance, Council Tax Benefit, Housing
Benefit or Pension Credit savings credit,
when paid on their own.
Medical conditions do not exempt patients
from payment for dental treatment.
Patients are required to confirm their
exemption by signing a form and showing
the dentist written proof of their
entitlement. Checks are made on all claims
for free treatment and penalty charges are
enforced.
Healthwatch Hampshire • 10
4. Focus area
NHS Dentist Availability
Everyone should be able to access good
quality NHS dental services. A number of
online directories and tools are helpful to
those with web access in finding a dentist.
Content is variable so more confusing
for people. A reliable central resource is
needed such as NHS Choices. However,
we found in compiling our own list of NHS
dental practices that large amounts of data
are missing and/or not available on the
NHS Choices website. Under the existing
system each surgery manages their own
details on the website. Currently there
is no contractual obligation or regulation
requiring surgeries to keep their NHS
Choices details up-to-date. We recommend
NHS Choices website content needs better
management and updating to make it more
accurate and useful for those seeking a
NHS dentist. Healthwatch England is calling
on NHS England and the Department of
Health to address this.
The Hampshire Dental Helpline can also
help people to find a dentist. The helpline
is open from 9am to 5pm, Monday to Friday
and can be contacted on 0845 050 8345
or 023 8082 8151 or via the user friendly
website:
We found that the weakest area of
communication was in explaining both NHS
and private treatments.
Healthwatch Hampshire heard stories of
patients struggling to find an NHS Dentist.
Our study found that currently 82 or 73%
of NHS contracted dentists in Hampshire
are registering new adult patients
Dental patients are not bound to a
catchment area as they are for a GP so
there is no need to register in the same
way. People can and may have to travel
further to access an NHS dentist because
of limited local dental services.
We have examined the number of dental
practices across the 11 Hampshire districts
and found more NHS provision in areas
with higher deprivation and more private
practices in areas perceived to be more
affluent. For instance Petersfield has
only one adult NHS dentist and 4 private
practices, compared to Gosport which has
8 NHS dentists and only 1 private dentist.
Winchester district has the highest number
of private practices with 11, and 8 NHS
dentists.
www.hampshiredentalhelpline.nhs.uk
Healthwatch Hampshire • 11
Hampshire District
NHS Adult Contract
NHS Adult
Basingstoke & Deane
Hart
Rushmoor
Test Valley
Winchester
East Hampshire
New Forest
Eastleigh
Fareham
Gosport
Havant
Totals
13
9
8
4
8
6
16
12
12
8
16
112
The New Forest has least current NHS
availability compared to the number of
NHS Dentists in the area. Test Valley has
the least number of NHS Dentists of any of
the districts.
We also found that Hampshire has
significantly more private dental practices
than the national average. Nationally fewer
than 10% of dentists carry out private
dental treatment only, compared to 30% in
Hampshire1. We also found a large number
of dental practices that have children only
contracts which are frequently limited
to the children of their private patients.
Worryingly several practices with NHS
contracts also said that they’re moving to
a children only NHS contract in the near
future. This is a trend to monitor.
During our visits, the following dental
practices raised specific issues with us:
Shine Dental Clinic, Four Marks is
currently a private practice. They
would like to have an NHS contract
Registering
New Adults
9
8
6
3
8
5
9
8
9
6
11
82
NHS
Children
Only
Private
Practice
2
3
0
2
1
3
5
2
7
2
2
29
5
3
3
7
11
6
1
3
5
1
4
49
but have been refused several times
because of limited funding. The
nearest NHS provision is in Alton.
Grayshott Dental Practice on the North
Hants/Surrey border reported they’d
been severely affected by local NHS
dentist closure in Surrey. With no
additional provision, they’ve become
oversubscribed and aren’t able to take
any new local patients.
In a recent Healthwatch England report
into Primary Care, six other local
Healthwatches (York, Lincolnshire, Bolton,
Kirklees, Leicester and Wiltshire) have
alerted Healthwatch England to issues
they were struggling to address with local
commissioners around access to NHS
dentists. Healthwatch heard from people
struggling to register with an NHS dentist,
with as few as 1 in 5 surgeries in some
areas registering new patients.
Healthwatch Hampshire • 12
Healthwatch Leicester found that just 18
of 58 dentist surgeries were registering,
leaving large areas without any provision
for new patients. There were also
widespread reports of patients finding
themselves being ‘deregistered’ without
warning if they hadn’t been for a check-up.
Typically practices in Hampshire are small
or medium sized private businesses that
are owned either by an individual or a
partnership of dentists, or are owned by
a corporate dental group (an incorporated
company operating 3 or more dental
practices). One should remember that
dentists are profit seeking businesses.
Integrated Dental Holdings (IDH group)
and Oasis are the two largest corporate
dental groups in the UK. IDH group has 600
practices nationwide and 17 in Hampshire
making them the largest incorporated
company operating in the area, accounting
for 15% of the NHS adult dentistry market
in Hampshire.
Healthwatch Hampshire also came across
The Tooth Bus initiative, commissioned by
NHS England. This service provides a free
dental check-up for adults and children
who haven’t seen an NHS dentist for 2
years. Operates across Hampshire (mainly
in Southampton and Portsmouth) and
Dorset. The Tooth Bus can visit schools,
colleges and businesses by arrangement.
For more information go to:
http://www.toothbus.co.uk/
Healthwatch Hampshire • 13
5. Focus area
Comments and Complaints
Patients who receive poor treatment from
an NHS dentist, suspect they’ve been
mischarged or have been pushed into
paying for private treatment, can make
a complaint. NHS dentists are required
by regulations to provide guarantees on
work they carry out against failure for
12 months. In general, the first point
of contact for those who experience a
problem is with the dental practice.
The GDC regulates dental professionals
in the UK and defines the business of
dentistry and who can perform it. All
practitioners including dental technicians
and hygienists must be registered with the
GDC. It publishes ‘Standards for Dental
Professionals’8 with which members must
comply. One of the GDC’s nine principles
is that practices should have a clear and
effective complaints procedure.
The NHS has no control over dentists
providing private dental treatment, but
the GDC can provide help and advice to
all dental patients. Where a complaint
relates to treatment comprising both NHS
and private, the complaint must be split
and may need to be handled by several
different bodies creating a complex burden
on patients and dentists.
The GDC will investigate concerns about:
very poor treatment
not having professional indemnity
insurance
cross-infection issues such as using dirty
equipment
being under the influence of drink or
drugs
fraud or theft
Healthwatch Hampshire • 14
Our study found that 96% of NHS dental
practices (108) in Hampshire have
a complaints procedure. 47 Dental
practices have their complaints procedure
on their website.
Some also have a way for patients to make
comments and give patient feedback other
than the NHS Friends and Family test.
A small number of dental practices such
as Hedge End Dental Surgery and Copse
Lane Dental Surgery, use their own
patient leaflets, encouraging patient’s
comments and feedback. Some others are
gathering patient feedback through patient
questionnaires, including SCA Trafalgar
(Totton) and Oakdene Dental Surgery.
If a complaint can’t be resolved by the
dental practice, complaints for the NHS are
handled by NHS England. These should be
made:
By post to:
NHS England
PO Box 16738
Redditch
B97 9PT
By email to: [email protected]
By telephone: 0300 311 22 33 (Monday
to Friday 8am to 6pm, excluding English
Bank Holidays)
Some of the websites used to search for
dentists also provide patient reviews of
dental practices, though too few reviews
are yet available to provide a balanced
view. As with web based directories for
finding a dentist, there isn’t a widespread
or consistent means for gathering patient
feedback on satisfaction and quality
of treatment. We recommend greater
patient engagement and reliable means of
gathering comments and feedback.
Healthwatch Hampshire • 15
Conclusions and
Recommendations
Patients typically make a number of
choices in the dentistry market, including:
Which dental practice they attend
Which dental treatments to have
Whether to have NHS or private dental
treatment, and
How to pay for their dental treatment
To make those choices patients need
access to dentists, information on which
practices are registering patients and
clear information on their entitlements
and charging. A patient’s ability to make
informed choices regarding their dental
treatment is restricted by low awareness
and understanding of their rights. To
achieve a more transparent and better
functioning dentistry service in Hampshire
we recommend:
Dental Practices:
All primary care dentists to provide
the NHS leaflet or one of their own
design with charging information and
complaints procedure (see Appendix 2)
Ensure dental practice information on
NHS Choices website is completed and
kept up-to-date by practices either
through contractual obligation or
regulation. This should be the primary
list above any other commercial
websites
Ensure NHS charging information and
complaints procedures are listed on
practice websites
Better patient engagement to measure
patient satisfaction and quality of
treatment
Commissioners and NHS England:
Redesign NHS price lists/banding
information posters to make them
more eye catching so they are not
overlooked by visiting patients
Ensure dental practice information on
NHS Choices website is completed and
kept up-to-date by practices either
through contractual obligation or
regulation.
More consistent NHS coverage across
Hampshire by reviewing NHS contracts
and areas without NHS provision.
As part of contract reviews during
2015, better incentives should be given
for dentists in banding/remuneration
for more complex and lengthy
procedures such as root canal fillings
as oppossed to extractions, for which
Dentists receive the same fee.
Regular commissioner visits to support
practices and monitor performance
Healthwatch Hampshire • 16
Issues arising for further monitoring and
investigation:
Emerging trend for payment upfront.
Guidance needed for dentists and
information for patients.
Significant and rising number of
dentists with NHS children only
contracts. Dentists should not offer
NHS treatment to children on condition
that a parent or guardian becomes a
private patient.
Useful Links
Which? Campaign to ‘Clean Up Dental Costs’
www.which.co.uk/campaigns/dental-treatment-costs/
NHS Choices search by location to find dentist services
www.nhs.uk/NHSEngland/AboutNHSservices/dentists/Pages/find-an-NHS-dentist.aspx
The Dental Helpline
The Helpline works in partnership with other health partners across Hampshire and the
Isle of Wight to improve residents’ access to dental services.
www.hampshiredentalhelpline.nhs.uk/
General Dental Council
www.gdc-uk.org/Pages/default.aspx
Hampshire & Isle of Wight Local Dental Committee
www.hants-iow-ldc.info/
NHS Dental Commissioning
Quarterly information on units of dental activity commissioned by NHS area teams
www.england.nhs.uk/statistics/category/statistics/dental-commissioning/
The Local Area Team responsible for the commissioning NHS dental services is:
NHS England South (formerly Wessex Area Team)
PPSA, Coitbury House, Friarsgate, Winchester, Hampshire, SO23 8EE
Telephone: 01962 876651
Healthwatch Hampshire • 17
References
1. http://webarchive.nationalarchives.gov.uk/20140402142426/http:/www.oft.gov.uk/
shared_oft/market-studies/Dentistry/OFT1414.pdfOFT Dentistry An OFT Market Study
May 2012 [Accessed April 2015]
2. http://www.england.nhs.uk/wp-content/uploads/2014/02/dental-info-pack.pdf
Improving Dental Care and Oral Health - A Call To Action Evidence Resource Pack
NHS February 2014 [Accessed May 2015]
3. Which? (2015) Magazine ‘Feature & Investigations – Are we paying too much for our
dental care?”, February 2015 p.29
4. http://www.dentistforum.co.uk/nhs-dentistry/what-is-a-uda/ [Accessed April 2015]
5. http://www.legislation.gov.uk/uksi/2005/3361/contents/made The National Health
Service (General Dental Services Contracts) Regulations 2005 [Accessed May 2015]
6. http://contactcentreservices.nhsbsa.nhs.uk/selfnhsukokb/AskUs_Dental/template.
do?name=FP17DC+and+FP17DCO+-+treatment+plan+form+information&id=16205
[Accessed May 2015]
7. NHS.uk/chq/pages/1786.aspx [Accessed May 2015]
8. ‘Standards for Dental Professionals’, General Dental Council, www.gdc-uk.org/
Newsandpublications/Publications/Publications/StandardsforDentalProfessionals[1].
pdf [May 2015]
Acknowledgements
We are grateful to all who contributed to this study and for the willingness of
dental practice staff to answer our questions. Special thanks to the volunteer
Champions that took part in the visits: Colin Godfrey, John Perry, Martin
Smethers and Sally Stoodley. Thanks also to David Levey for his online research
into dental practice websites.
Contact
Report compiled by Libby Thomas, Volunteers Officer, Healthwatch Hampshire
Healthwatch Hampshire
Westgate Chambers, Staple Gardens, Winchester, SO23 8SR
Tel: 01962 440262
E-mail: [email protected]
Web: www.healthwatchhampshire.co.uk
Healthwatch Hampshire • 18
Appendix 1
Introduction Letter
Healthwatch Hampshire • 19
Appendix 2.1
Price List
Healthwatch Hampshire • 20
Appendix 2.2
Information Leaflet
Healthwatch Hampshire • 21
Appendix 3
Treatment Plan
Healthwatch Hampshire • 22
Appendix 3
Treatment Plan
Healthwatch Hampshire • 23
Appendix 4.1
Data Table - NHS Dentists (Adults)
Charges
clearly
displayed?
Is information
about the
Do they have
complaints
Provide a NHS a complaints
Currently
procedure
registering
treatment
procedure on
display?
plan?
available?
NHS patients?
1
1
1
0
1
1
0
0
1
1
1
1
1
1
1
1
1
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
0
1
1
1
1
1
1
1
1
CONTRACT NAME
ACH Practice Aldershot (Rodericks Ltd)
Acorn Dental Health
Aldershot Dental Centre
Aldershot Dental Practice (Rodericks Ltd)
Alton Dental
Appollonia Dental Practice
Beggarwood Dental Surgery
Bela Shah Dental Surgery
Birchfield Dental Practice
Burridge Dental Practice
Chalet Hill Dental & Implants
Chequers Dental Partnership
Chesil Dental Practice
Chineham Dental Practice
Claremont Dental Surgery
Clareville Dental Surgery (M & A Dentment Ltd)
Copse Lane Dental Practice
DISTRICT
Rushmoor
Eastleigh
Rushmoor
Rushmoor
East Hants
New Forest
Basingstoke & Deane
Eastleigh
New Forest
Fareham
East Hants
Basingstoke & Deane
Winchester
Basingstoke & Deane
Basingstoke & Deane
Rushmoor
Eastleigh
Cowplain Dental Practice
Dalkeith House Dental Practice
Damira Dental Studio Havant (Aspire Havant Dental Practice)
Damira Dental Studios (formerly Aspire Dental Care)
Damira Dental Studios Lee on Solent (formerly Aspire Dental Care)
Denmead Dental
Dental Care Centre
Dental Care Hook
Dental Concepts
Dentistry @ LB Healthcare
East End Lodge Dental Practice
Elvetham Dental Care
Emsworth Dental Surgery
Fareham Road Dental Surgery
Fernhill Dental Centre (Pritchard & Associates)
Fleet Dental Centre Ltd
Forest Gate Dental Practice
Havant
New Forest
Havant
Basingstoke & Deane
Gosport
Havant
New Forest
Hart
Basingstoke & Deane
Winchester
Havant
Hart
Havant
Gosport
Rushmoor
Hart
New Forest
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
0
0
0
1
0
0
0
1
0
1
1
1
1
1
1
0
0
1
1
1
1
1
1
0
1
0
1
0
0
0
1
1
Genix Healthcare Dental Clinic (Eastleigh)
Eastleigh
1
1
1
0
1
Genix Healthcare Ltd (Havant)
Gosport Dental Clinic
Gosport Smile Clinic
Grayshott Dental Practice
Heath Dental Suite
Heath Dental Suite (Solent NHS)
Hedge End Dental Surgery
Highlands Dental Practice
Homemill Dental Surgery
IDH Bedhampton
IDH Alresford
IDH Andover
IDH Basingstoke Dental Practice
IDH Bordon
IDH Boyatt Wood Dental Practice
IDH Gillies
IDH Gosport Dental Care
IDH Havant Dental Centre
IDH High Street Dental Centre
IDH Lenten Street Dental Centre
Havant
Gosport
Gosport
East Hants
Hart
Havant
Eastleigh
Fareham
New Forest
Havant
Winchester
Test Valley
Basingstoke & Deane
East Hants
Eastleigh
Basingstoke & Deane
Gosport
Havant
East Hants
East Hants
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
1
0
1
1
1
1
1
1
0
1
1
1
1
http://www.cowplaindentalpractice.com/location.php
No website
http://www.aspiredentalcare.co.uk/havant.html
http://www.aspiredentalcare.co.uk/basingstoke.html
http://www.aspiredentalcare.co.uk/LeeonSolent.html
http://www.denmeaddental.co.uk/
No website
http://dentalcare.ltd.uk/hook/
http://www.dental-concepts.com/
http://www.lbhealthcare.co.uk/
http://www.eastendlodge.co.uk/
http://www.elvethamdentalcare.com/
http://www.emsworthdentalsurgery.co.uk/
http://farehamroadsurgery.co.uk/
http://www.fernhilldental.co.uk/
http://www.fleetdental.co.uk/
No website
http://genixhealthcare.com/find-your-nearest/eastleighhampshire/
http://genixhealthcare.com/find-your-nearest/havanthampshire/
http://www.gosportmedicalcentre.co.uk/
No website
http://www.grayshottdental.co.uk/
http://www.fleetmedicalcentre.co.uk/
http://www.solent.nhs.uk/
http://hedgeenddental.com/
http://www.highlandsdentalpractice.co.uk/
http://www.homemilldental.co.uk/
http://idhdentisthavantbedhampton.co.uk/
http://idhdentistalresfordweststreet.co.uk/?plain=1
http://idhdentistandoverwesternroad.co.uk/
http://idhdentistbasingstokepopley.co.uk
http://idhdentistbordonhighstreet.co.uk/
http://idhdentisteastleighboyattwood.co.uk/
http://idhdentistbasingstokebrightonhill.co.uk/
http://idhdentistgosportsouthstreet.co.uk/?plain=1
http://idhdentisthavantpurbrookway.co.uk/?plain=1
http://idhdentistpetersfieldhighstreet.co.uk/?plain=1
http://idhdentistaltonlentenstreet.co.uk/
IDH New Milton Dental Centre
IDH Oakfield Dental Practice
IDH Riverside Dental Practice
IDH Romsey
IDH Tadley
IDH Whitecross Dental Care
Iosis Clinic Limited
King Street Dental Practice
Kings Road Dental Surgery
Lee-On-The-Solent Dental Practice
Lockswood Dental Practice
Magnolia House Dental
Manor Dental Surgery
Marlfield House Dental Practice
Merrygate Dental Practice
Milford Dental Practice
Mr AM Souhani - Palmerston Dental Practice
New Forest
Rushmoor
Eastleigh
Test Valley
Basingstoke & Deane
Fareham
Winchester
Hart
Fareham
Fareham
Fareham
Havant
Fareham
Winchester
New Forest
New Forest
Fareham
1
1
1
1
1
1
1
1
1
0
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
0
1
1
1
0
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
0
1
1
1
0
0
1
http://idhdentistnewmiltonmountavenue.co.uk/?plain=1
http://idhdentistfarnboroughsalisburyroad.co.uk/
http://idhdentisteastleighscotterroad.co.uk/?plain=1
http://idhdentistromseythehundred.co.uk/?plain=1
http://idhdentisttadleyfranklinavenue.co.uk/
http://idhdentistfarehamweststreet.co.uk/?plain=1
http://winchester.iosisclinic.co.uk/
No website
http://www.kingsroaddentist.co.uk/
No website
http://www.lockswooddentalpractice.co.uk/
No website
http://manordentalsurgery.co.uk/
http://marlfieldhouse.co.uk/
http://www.merrygatedental.co.uk/
http://www.milforddentalpractice.com/
No website
My Dentist
New Forest
1
1
1
1
Oakdene Dental Practice (Group Dental)
New Forest
1
0
1
1
Oasis Dental Care (Andover)
Oasis Dental Care (Fleet)
Test Valley
Hart
1
1
1
1
1
1
1
1
1 http://idhdentistfordingbridgebartonroad.co.uk/?plain=1
http://www.groupdental.co.uk/oakdene/oakdene-dental1 practice.asp
http://www.oasisdentalcare.co.uk/practices/oasis-dental1 care-andover/
1 http://www.oasisdentalcare.co.uk/
Oasis Dental Care (Waterlooville)
Olivers Battery Dental Surgery
Havant
Winchester
1
1
1
1
1
1
0
1
Park Lane Dental Care
Parkway Dental Care
Practice in the Park
Quality & Caring Dentistry
Queensmead Dental Practice (Rodericks Ltd)
Rails Lane Dental Practice
Ringwood Dental
Havant
Havant
Havant
Eastleigh
Rushmoor
Havant
New Forest
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
SCA Trafalgar Dental Practice (Holbury)
New Forest
1
1
1
1
SCA Trafalgar Dental Practice (Totton)
SCA Trafalgar Rowner Practice (Gosport)
Sharland House Dental Clinic (Damira Dental Studios)
Smile Makers
Smiles of New Forest
Southwood Dental Centre (Pritchard & Associates)
New Forest
Gosport
Fareham
Eastleigh
New Forest
Rushmoor
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
St Cross Dental Practice
St Francis Dental Surgery
St James Dental Practice
Stanford Dental Practice
Startfield Road Dental Practice
Stoke Road Dental Practice
Stubbington Green Dental Practice
Surgery House Dental Practice
Tadley Dental Care
The Elm Grove Dental Practice
Winchester
Eastleigh
Winchester
Basingstoke & Deane
Basingstoke & Deane
Gosport
Fareham
Hart
Basingstoke & Deane
Havant
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
The Link Dental Surgery
The Mews Surgery (Group Dental)
The Smiles Studio (Mahesh Nagpal)
The Verne Dental Surgery
Trafalgar (Brune)
Vital Family Dental Care
Warash Dental Practice
Wellum House Dental Practice
West Street Dental Clinic
Winchester Road Dental Practice
Hart
New Forest
Eastleigh
Hart
Gosport
Eastleigh
Fareham
Test Valley
Fareham
Basingstoke & Deane
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
1
1
1
1
105
103
108
94
TOTALS
1
1
1
1
0
1
1
1
1
1
1
1
1
1
0
1
1
All dentists are within the area served by Hampshire County Council
Web Address
http://www.achdental.co.uk/
http://www.acorndentalhealth.co.uk/
http://www.aldershotdental.co.uk/
http://www.aldershot-dental.co.uk/
http://www.altondental.co.uk/
No website
http://www.beggarwooddental.com/
No website
http://www.birchfieldpractice.co.uk/
http://www.burridgedental.co.uk/
http://www.chalethilldental.co.uk/
No website
http://www.stjamesdental.co.uk/
http://www.chinehamdental.co.uk/
http://www.claremontdental.co.uk/
http://www.dentist-farnborough.co.uk/
No website
http://wwwhttp://www.oasisdentalcare.co.uk/practices/oas
1 is-dental-care-waterlooville/.oasisdentalcare.co.uk/
1 http://www.oliversbatterydentalsurgery.com/
http://whttp://www.southerndental.co.uk/locate-apractice/hampshire/cowplain1 waterlooville/ww.southerndental.co.uk/
1 http://www.parkwaydentalcare.co.uk/
1 http://www.practiceinthepark.com/
0 http://www.qcdentistry.co.uk/
1 http://www.queensmeaddental.co.uk/
0 http://www.railslanedental.co.uk/
1 http://www.ringwooddental.co.uk/
http://www.scagrhttp://www.scagroup.co.uk/dentistry/traf
0 algar-practices/trafalgar-holburyoup.co.uk/
http://www.scagroup.co.uk/dentistry/trafalgar1 practices/trafalgar-totton
1 http://www.scagroup.co.uk/dentistry
1 http://www.aspiredentalcare.co.uk/
1 http://www.smilemakers.co.uk/
1 http://www.smilesofnewforest.co.uk/
1 http://www.southwooddental.co.uk/
http://dentaldesign.co.uk/client_area/stcrossdentalpractice/public_html/i
1 ndex.html
0 http://stfrancisdental.co.uk/
1 http://www.stjamesdental.co.uk/
0 No website
1 http://www.stratfielddental.co.uk/
0 http://www.stokeroaddentalpractice.co.uk/
0 http://www.zen14789.zen.co.uk/stub/
1 http://www.surgeryhouse.co.uk/
1 http://www.tadleydentalcare.co.uk/
0 http://www.haylingdentist.co.uk/
http://www.cdentalstudio.co.uk/about-hampshire-surreydentist/yateley-opening-hours-surrey-hampshire1 dentistry.html
0 http://www.groupdental.co.uk/themews/the-mews-dental1 http://www.maheshnagpal.co.uk/
1 http://www.thevernedentalsurgery.co.uk/
1 http://www.brunemedicalcentre.co.uk/
1 No website
0 http://www.warsashdental.co.uk/about-us/dentists/
0 No website
1 http://www.weststreetdental.co.uk/
1 http://www.winchester-road-dental-practice.co.uk/
NHS Charges
on website?
1
1
0
1
Complaints
Procedure on
website?
1
0
0
1
1
0
0
1
0
0
0
0
Healthwatch Hampshire • 24
82
1
1
1
1
0
0
0
0
1
1
0
0
1
0
1
0
0
0
0
1
1
1
1
1
0
1
0
1
1
1
0
0
1
1
1
0
0
0
0
1
0
1
1
1
1
0
0
1
1
0
0
0
0
1
0
1
1
0
1
1
1
0
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
0
1
1
0
1
1
0
0
1
1
1
0
1
1
1
0
1
1
1
0
1
0
1
0
0
0
0
1
0
0
0
0
0
1
1
1
1
1
0
0
0
0
0
1
1
1
0
1
0
1
0
0
0
1
1
1
1
0
1
0
0
0
1
1
0
0
0
0
1
1
0
0
0
1
0
1
1
1
0
1
0
1
0
0
66
47
Appendix 4.2
Data Table - NHS Dentists (Children)
CONTRACT NAME
Aberdeen House Dental Practice
Avenue Dental Care
Beauchamp House Dental Surgery
Beech Dental Practice
Bursledon Dental Clinic
Castle Street Dental Practice
Cowplain Dental Centre
Crofton Dental Care
Exelby Dental Practice
Fareham Dental Care
Forestside Dental Practice
Guinea Court Dental Surgery
Hook Dental
Merrystead Dental Surgery
Mr DW Robinson ( Eghan Dental Care)
Mr R Herron
Oakwood Dental Surgery
Omnia Dental
Quaintways Cottage Dental Surgery
Ranvilles Dental Practice
Solent House Dental Surgery
Stephen Rhonda Day
The Beeches Dental Practice
The Heatherstone Practice
The Lodge Dental Partnership
The Oak Lodge Dental Surgery Partnership
Titchfield Village Dental Surgery
Whiteley Dental Practice
Whites Dental Care
DISTRICT
East Hants
Gosport
Test Valley
New Forest
Eastleigh
Fareham
Havant
Fareham
Fareham
Fareham
New Forest
Basingstoke & Deane
Hart
New Forest
Hart
East Hants
Eastleigh
Basingstoke & Deane
Hart
Fareham
New Forest
Gosport
Havant
Test Valley
East Hants
New Forest
Fareham
Fareham
Winchester
Web Address
http://www.winningsmile.co.uk/
http://www.avenuedentalcare.co.uk/
http://www.dental100.com/
http://www.beechdental.co.uk/
http://www.bursledondentalclinic.co.uk/
http://www.castledentalpractice.co.uk/
http://www.cowplaindentalcentre.co.uk/
http://www.croftondentalcare.co.uk/
No website
http://www.farehamdentalcare.co.uk/
http://forestsidedp.co.uk/
http://www.guineacourtdental.co.uk/
http://www.hookdental.com/
http://www.blackfieldsmiles.co.uk/
No website
No website
http://www.oakwooddp.co.uk/
http://www.omniadental.co.uk/
http://www.quaintwayscottagedental.co.uk/
No website
http://www.solent-dental.co.uk/
No website
http://www.beechesdentalpractice.co.uk/
http://www.heatherstonedentalpractice.co.uk/
No website
http://www.oaklodgedentalpractice.com
http://www.whatclinic.com/dentists/uk/hampshire/fareh
http://www.whiteleydentalpractice.co.uk/
http://www.whitesdentalcare.co.uk/
All dentists are within the area served by Hampshire County Council
Healthwatch Hampshire • 25
Healthwatch Hampshire
Westgate Chambers,
Staple Gardens, Winchester,
Hampshire, SO23 8SR
Tel 01962 440 262
[email protected]
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