19 Sep 2019  •  Future of Dentistry, NHS Dental Landscape, Uncategorized  •  7min read

Dentistry Confidence Monitor survey results revealed

More than 400 dentists have shared their feelings about everything from how their role impacts their mental health to how they think contract reform will affect them.

By completing the latest Dentistry Confidence Monitor survey, NHS and private dentists have revealed the reality of practising today.

Below is an overview of some of the key ‘headline’ figures. Or you can download the report for the full results and expert opinion from leaders in dentistry.

84% of NHS dentists say their role negatively affects their mental health

In comparison, 51% of private dentists reported that their role has a negative effect on their mental health.

There is a growing awareness of the issue of poor mental health among dentists. However, statistics like this show that it is still a real challenge for many in the profession.

There can be many reasons behind these statistics. But, some of the survey’s other results may offer some insight.

For example:

  • The majority of all dentists are anxious about the risk of complaints
  • The majority of NHS dentists and almost half of private dentists are anxious about their ability to meet the standards set by the GDC
  • Over 90% of NHS dentists are unhappy about their ability to carry out their work without feeling overly stressed.

89% of NHS dentists are unhappy/very unhappy with the current NHS contract

This will probably not come as much of a surprise to anyone remotely involved with dentistry over the past couple of decades.

Those at the plaque-face have long called for a change to the way they are contracted – not least having their remuneration tied to UDAs.

Ninety-two per cent of NHS and 75% of private dentists responding to the survey said it was important for the current contract to change

And there has been recognition of the need for change by those in charge. Following the Steele Report in 2009, a process began to begin testing a reformed contract.

That process is still ongoing.

So, while it seems the need for change has been acknowledged, progress has been frustratingly slow.

A reformed contract is due to begin being rolled out in 2020 – ostensibly from April, however, there is speculation that it will be pushed back to later in the year, or even as far as 2022/23.

Over 80% of NHS and private dentists aren’t confident in their knowledge of the reformed contract

Despite the fact that the reform process has so far taken several years, without a new contract being rolled out, most within the profession clearly don’t feel they know enough about what it actually means.

Or, perhaps, it is the very fact that it has taken so long that has led to this lack of confidence. The longer it has taken, the more people may have switched off.

Although dentists recognise their lack of knowledge, many are still pessimistic about the impact contract reform will have.

The majority of both NHS and private dentists believe:

  • It will not work well for them and their patients
  • It will work well for the Government
  • Profitability will decrease
  • Workload will increase.

Altogether, this suggests a deep sense of mistrust of those responsible for creating and implementing the reformed contract.

90% of NHS and 94% of private dentists don’t believe the GDC understands the impact of its processes and procedures on dental professionals

There has been a fairly fractious relationship between the profession and its regulator for some time.

Perhaps it’s inevitable that there will always be some friction between a regulator and the people they regulate.

But talk to any dentist about the challenges facing them and they will undoubtedly bring up high costs including the GDC’s annual retention fee, meeting regulatory standards and the threat of facing a Fitness to Practise hearing.

And, for many, an advert placed by the GDC in a national newspaper in 2014, encouraging patients to complain directly to them if they were unhappy about treatment, still leaves a bad taste.

While the GDC does seem to have acknowledged the need for reforming dental regulation, with the publication of recent documents such as Shifting The Balance and Moving Upstream, for dentists it seems it can’t come soon enough.

When asked about their feelings towards the regulator, the majority of both NHS and private dentists feel:

  • Unconfident that a complaint against them would be handled appropriately
  • Unconfident that the GDC is doing a good job in protecting the public
  • Unconfident that the GDC is making sufficient progress with addressing challenges such as those outlined in Shifting The Balance
  • Are likely to support the idea of the GDC being dissolved and a single regulator formed to prevent the duplication of other regulators’ duties.

Download the full report

Overall, the message from this survey is clearly a cry for action. Substantial change needs to happen to address some of the serious issues raised in surveys like these, and we can only hope that those in positions of authority and influence heed the call of dentists. Download the report to see the full set of results.

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