Is skill mix profitable in the current NHS dental contract in England?

British Dental Journal

Volumn 210, Issue 7, 2011, Pages 303-308

  Brocklehurst, P R ^a   Tickle, M ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTRACT; COST BENEFIT ANALYSIS; DENTAL ASSISTANT; DENTIST; DENTISTRY; ECONOMICS; FINANCIAL MANAGEMENT; GENERAL PRACTICE; HEALTH SERVICE; HUMAN; INCOME; MANAGEMENT; MANPOWER; MOTIVATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; PRIMARY PREVENTION; PROFESSIONAL DELEGATION; RISK ASSESSMENT; TREATMENT OUTCOME; UNITED KINGDOM;

CONTRACTS; COST-BENEFIT ANALYSIS; DELEGATION, PROFESSIONAL; DENTAL ASSISTANTS; DENTAL AUXILIARIES; DENTAL HYGIENISTS; DENTISTS; ENGLAND; FINANCIAL MANAGEMENT; GENERAL PRACTICE, DENTAL; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INCOME; MOTIVATION; PATIENT CARE PLANNING; PATIENT CARE TEAM; PRACTICE MANAGEMENT, DENTAL; PRIMARY PREVENTION; RISK ASSESSMENT; STATE DENTISTRY; TREATMENT OUTCOME;

EID: 79953839345     PISSN: 00070610     EISSN: 17417503     Source Type: Journal    
DOI: 10.1038/sj.bdj.2011.238     Document Type: Article

References (41)

1. Shaw D, Macpherson L, Conway D. Tackling socially determined dental inequalities: ethical aspects of Childsmile, the national child oral health demonstration programme in Scotland. Bioethics 2009; 23: 131-139.
2. Godson J H, Williams S A. Inequalities in health and oral health in the UK. Dent Update 2008; 35: 243-250.
3. Office for National Statistics. Adult dental health survey: oral health in the United Kingdom 1998. London: Office for National Statistics, 1998. http:// www.statistics.gov.uk/pdfdir/dh0999.pdf.
4. Office for National Statistics. Children's dental health in the United Kingdom 2003. London: Office for National Statistics, 2003.
5. NHS National Workforce Projects. Dental workforce resource pack. Manchester: NHS National Work-force Projects, 2005.
6. Gallagher J E, Wilson N H. The future dental work-force? Br Dent J 2009; 206: 195-200.
7. Department of Health. NHS dentistry: options for change. London: The Stationery Office, 2002.
8. National Institute for Health Research. The impact of incentives on the behaviour and performance of primary care professionals. London: The Stationery Office, 2010. http://www.sdo.nihr.ac.uk/files/ project/158-exec-summary.pdf.
9. Milsom K M, Jones C, Kearney-Mitchell P, Tickle M. A comparative needs assessment of the dental health of adults attending dental access centres and general dental practices in Halton & St Helens and Warrington PCTs 2007. Br Dent J 2009; 206: 257-261.
10. Hart J T. The inverse care law. Lancet 1971; 1: 405-412.
11. Department of Health. Implementing the Next Stage Review visions: the quality and productivity challenge. London: Department of Health, 2009. http://www.dh.gov.uk/en/Publicationsandstatistics/ Lettersandcirculars/ Dearcolleagueletters/ DH-104239.
12. Steele J. Review of NHS dental services in England. London: Department of Health, 2009.
13. McGlashan G, Watson D J, Shanks S. Professionals complementary to dentistry: the expanding role of PCDs. Dent Update 2004; 31: 529-532.
14. Drinkwater C. Local commissioning: opportunity or threat? London: British Dental Association, 2009.
15. Laurant M, Reeves D, Hermens R, Braspenning J, Grol R, Sibbald B. Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev 2005; 2: CD001271.
16. Richardson G, Maynard A, Cullum N, Kindig D. Skill mix changes: substitution or service development? Health Policy 1998; 45: 119-132. (Pubitemid 29034607)
17. Imperial Cancer Research Fund OXCHECK Study Group. Effectiveness of health checks conducted by nurses in primary care: final results of the OXCHECK study. BMJ 1995; 310: 1099-1104.
18. Aubert R E, Herman W H, Waters J et al. Nurse case management to improve glycemic control in diabetic patients in a health maintenance organization. A randomized, controlled trial. Ann Intern Med 1998; 129: 605-612. (Pubitemid 28480815)
19. Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002; 324: 819-823. (Pubitemid 34280734)
20. Brown S A, Grimes D E. A meta-analysis of nurse practitioners and nurse midwives in primary care. Nurs Res 1995; 44: 332-339.
21. Wright J, Williams R, Wilkinson J R. Development and importance of health needs assessment. BMJ 1998; 316: 1310-1313. (Pubitemid 28181942)
22. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000; 15: 259-267.
23. Woolgrove J, Boyles J. Operating dental auxiliaries in the United Kingdom-a review. Community Dent Health 1984; 1: 93-99.
24. General Dental Council. Scope of practice consultation. London: General Dental Council, 2008. http://www.gdc-uk.org/NR/rdonlyres/CEADC21D-53B5-4B00- 99EC-AB69F46585D4/75351/ ScopeofPracticeconsultation2008.pdf
25. Williams S A, Bradley S, Godson J H, Csikar J I, Rowbotham J S. Dental therapy in the United Kingdom: part 3. Financial aspects of current working practices. Br Dent J 2009; 207: 477-483.
26. Harris R, Burnside G. The role of dental therapists working in four PDS pilots: type of patients seen, work undertaken and cost-effectiveness within the context of the dental practice. Br Dent J 2004; 197: 491-496. (Pubitemid 39472133)
27. Ward P. The changing skill mix-experiences on the introduction of the dental therapist into general dental practice. Br Dent J 2006; 200: 193-197. (Pubitemid 43477843)
28. Dyer T A, Humphris G, Robinson P G. Public awareness and social acceptability of dental therapists. Br Dent J 2010; 208: E2.
29. Sun N, Burnside G, Harris R. Patient satisfaction with care by dental therapists. Br Dent J 2010; 208: E9.
30. Rowbotham J S, Godson J H, Williams S A, Csikar J I, Bradley S. Dental therapy in the United Kingdom: part 1. Developments in therapists' training and role. Br Dent J 2009; 207: 355-359.
31. McKendrick A J. The economics of caries prevention by dental hygienists. Public Health 1971; 85: 219-227.
32. Godson J H, Williams S A, Csikar J I, Bradley S, Rowbotham J S. Dental therapy in the United Kingdom: part 2. A survey of reported working practices. Br Dent J 2009; 207: 417-423.
33. NHS Primary Care Commissioning. The use of fluoride varnish by dental nurses to control caries. London: Department of Health, 2009.
34. Milsom K M, Blinkhorn A S, Tickle M. The incidence of dental caries in the primary molar teeth of young children receiving National Health Service funded dental care in practices in the North West of England. Br Dent J 2008; 205: E14.
35. Marinho V C C, Higgins J P T, Logan S, Sheiham A. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2002; 2: CD002279.
36. Department of Health, British Association for the Study of Community Dentistry. Delivering better oral health: an evidence-based toolkit for prevention-second edition. London: The Stationery Office, 2009.
37. Birch S. The identification of supplier-inducement in a fixed price system of health care provision. The case of dentistry in the united kingdom. J Health Econ 1988; 7: 129-150.
38. National Audit Office. Maintaining financial stability across the United Kingdom's banking system. London: The Stationery Office, 2009.
39. HM Government. The Coalition: our programme for government. London: Cabinet Office, 2010.
40. NHS Business Service. NHS Dental Services login page. Available at: https://www.eservice.dpb.nhs.uk/ apps/welcome.html. Accessed 18 March 2011.
41. NHS Information Centre. NHS Dental Statistics for England: 2008/09. Available at: http://www. ic.nhs.uk/statistics-and-data-collections/primary- care/dentistry/nhs-dental-statistics-for-england:-2008-09. Accessed 18 March 2011.