Build Back Better?

I think my dentist has 2 receptionists, 2 dental hygienists and a dental nurse. So as well as costs for equipment, consumables, business rates, rent, probably an accountant, electricity, business loans to repay, there are six people's wages included. It soon adds up. All these costs have to be paid for out of the 40ish hours they are working per week since they cannot run shifts or let automatic processes run through the night. They also have to clean and sterilise the treatment rooms between patients.

Martin C

This table of UK prices is on the web:

At the moment, many dentists – not all – are also surcharging for COVID PPE, average another £35 on top. Might have been part of Bryan's £70 bill.

Generally private is more expensive than NHS. Main advantage is being seen quicker plus more choice. I don't think it unreasonable for private patients to pay full price for these privileges.

Quite a few garages charge for diagnosis, I suppose dentists value their time in the same way.

Dave

Hi All,

Just had an extraction two weeks ago, cost me £250, I assumed I was NHS, it would appear from the table above that I am not?

Got to go back in Feb for a 3d scan to determine the bone loss , if any, and have been told that an implant will be north of £2k

The joys of getting old I guess.

Cheers, Martin

Also, I believe the training period for new dentists is 6 to 7 years, with low income, and they are required to take refresher courses from time to time.

Dentists also have, I understand, the highest suicide rate of all occupations.

regards

BB

D0n’t forget that many Practices are owned and run by bupa or others. They are loaded with highly paid accountants/CEO’s etc. You are paying for them, too.

My dentist is run by bupa. My teeth have been checked over once in about the last three years (even though they used to say every 6months or you would be crossed off the NHS list). Worse still (my teeth are basically still fairly sound), is our doctor’s practice which is currently rated as unacceptable for all assessment criteria and is under enforcement action after checks by the Quality Care Commission.

It was good until this company seems to have bought out both main practices in town and the surrounding area, leaving few or no alternatives. Most patient care was crowded into one surgery (without adequate parking), receptionists are often unable to do more than ‘stone wall’, phone calls to the surgery are limited to very few hours in the mornings and the longest phone queues are likely over 30 (they likely stop counting at 28, which seems to be longest queues I have encountered). Even a return telephone call, from a doctor can be approaching two weeks!

As I see it, there are a lot of NHS funds going to this organisation for p poor service at the practices.

My last visit to an NHS dentist was in 1962 Allington House , Ipswich , an evening appointment.

I was 16 years old , it was the same establishment I had been taken to from 7 years old but this time I was

working as an apprentice.

Every single filling , up to this time had been done with NO injections of Novacaine and an 'electric' drill.

BUT this event was Dustin Hoffman / Marathon Man on steroids.

An old man with glasses appeared and said " the electric drill is broken " and proceeded to use a treadle drill.

PAIN …………………..

NEVER, EVER used an NHS dentist since.

Dentistry is a business. Surprisingly, dental clinic set-up costs aren't as high as you might think: chair units from a few £K and glues, pastes, disposables are all quite reasonable. It's the building and staff costs that are the bigger burden.
NHS dentists get set fees and you'll likely find that they just don't want to do certain jobs – either referring to a hospital or pulling a tooth rather than doing money-losing work. You'll also find that the main difference between NHS and Private might be the sophistication of equipment and simply more time devoted to a single patient – NHS dentists often run 2 chairs in parallel, hopping between the two while injections take effect or x-rays get processed.

I used to do basic dentistry on my animal patients – root canals and fillings to avoid extractions. It was uncommon enough that when I did do them then I'd take the extra time to make it nice – carefully selecting colour shades of filling pastes and properly polishing them down.

When I retired and moved down here I had a large pinned filling come adrift. I went to a local NHS dentist. The shabby building didn't bother me but I was more concerned with the dead flies in the light defusers. Even a shabby building should be clean. She wanted to extract the tooth and refused to discuss any other restorative ideas I offered. I just walked out, found a private chap and 9 years later still have a functional tooth.

My previous NHS dentist had been a good chap – just up the road from my own clinic and occasionally we lent each other stuff that was back-ordered but the other had in stock. I never had any reason to doubt his work.

Digital radiography is the way to go. OK so a higher initial cost. My own large unit could image anything up to an Irish Wolfhound and when i bought it 20 years ago cost £80K but after that it was a few pennies per pic compared to the nuisance, time and maintenance costs of wet film processing. Instead of 'do we really need to take an x-ray' it became 'if it might help take a pic' and we could charge less than before plus dead easy to send a DICOM file to a new vet if they relocated or for a second opinion.

pgk

My wife and I are both covered for dental work with Denplan, I pay a monthly subscription of £50 which covers us both and includes two inspections and two hygienist visits every twelve months each. Most dental work is carried out for no cost this includes fillings extractions and crowns, I recently broke a tooth and it was repaired with a filling at no cost, current problem is a broken bridge which I am currently considering whether to go for an implant, a denture or part replacement of the bridge which covered 4 teeth by covering just 2, decision day is next Tuesday, an implant is probably out of contention, I don’t fancy someone drilling and tapping my jawbone being a coward where pain is concerned. Previous work carried out on the failed bridge a few years ago, involved drilling through the bridge to carry out a root treatment on one of the supporting teeth, this was not an easy procedure which took three visits and involved about three hours in the chair and cost me nothing, all covered by Denplan. My last crown that was fitted about four years ago was a gold one and the only cost not covered by Denplan was the Dental Technicians fees which I had to pay and as far as I can remember was about £60.

As a cat owner I am well aware of the buying up of veterinary practices by insurance groups, fortunately we have a local vet who is still independent and fighting the insurance companies. I have four cats and two are on regular medication, one has asthma and requires inhalers, if I get these through our vet the cost is £120 each inhaler, if I get a written prescription from our vet he charges £13 and I can then go online and purchase the same inhaler for £60. Our vet has to purchase his items that he dispenses from the suppliers owned by the very insurance companies that are monopolising the industry, they charge him top whack but will sell to customers on the internet at prices which are designed to undermine independent vets, my vet is quite happy to give his customers written prescriptions. As an aside the same inhaler that my cat needs if supplied by the NHS for human patients is costed by the NHS at £60. Unfortunately our society is more and more being governed by profits, not reasonable profits but what I would class unreasonable profits. Dave W

My dentist works for a group, based locally. He is excellent, cannot praise him enough.

He does all the NHS work at 'list' price, but gives the option of certain work privately with an clear estimate. e.g. having ' white ' crowns instead of the standard NHS metal ones. ( The NHS will not pay for the white ones) So it's your choice and no pressure at all. He's also a really nice chap.

Count my blessings some time!