Friday, June 06, 2008

Toothless Wonder


Well. Yet again gaping holes in Gordon Brown’s brain, sorry NHS dental services, emerge.

Patients don’t get regular dental check ups. They get dental abscesses and then need to bother GPs and A+E departments and hospitals. The documented the extra work here.

Totally needless suffering. Totally wasted resources, and misdirection of patients. Yet another success for new Labour and national contracts.

This government is soon to be come a Shakespearean tragedy, Sans teeth, sans eyes, sans taste, sans everything…and sans any professional left able or willing to do anything about it. A nation fit only for the unemployed, the incapacitated, or managers in meetings.

Not as we like it at all.

15 comments:

Am Ang Zhang said...

And your experience makes you sad:
I had rather have a fool to make me merry
than experience to make me sad…..

As You Like It - Act II, Scene 7
William Shakespeare


A quote that opened a chapter in The Cockroach Catcher
The Cockroach Catcher

niku said...
This post has been removed by the author.
niku said...

I think the question we need to ask is why do we need NHS dentistry in the first place. We are the only western European country to provide it.

Sweden took the decision 20 years ago that if they educated the population on good dental hygiene at an early age they would effectively erase the need for disease-based dentistry. They put dentists in all of their primary schools and reduced the adult need for dentists to effectively cosmetic dentistry. As a result, Sweden one of the most socially advanced countries, don't have free dental care.

The government should legislate that a dentist will be placed in primary education, and phase out NHS dentistry.

Anonymous said...

niku

sweden example is more complex than that

we had dentists in my school when i was a lad, they were the crap dentists who couldnt get a job anywhere else, they were fucking butchers who i would happily take outside and shoot if i bumped into them in adult life, and they put the kids through such hell that many of them were put off dentists for life

so the nhs always has ways of fucking these things up

Anonymous said...

People but glasses.

People should buy dentistry.

If they are too stupid to do so, well more fool them.

Anonymous said...

Interesting question here;

WHy havent GP's been able to negotiate the same route and get themselves as good a deal as the dentists? Often I hear GP's saying that they care too much about their patients to do this.

So does that mean that these problems were actually caused by the greed of dental practitioners, who despite their many years of expensive state subsidised training jump ship at the first opportunity to milk the private practice cow?

I think all Dentists should be forced to undertake longer period of training in an NHS approved setting or else pay for their Dentistry degree themselves.

~Josh

niku said...

The Swedish example wasn't complex at all. If you are a dentist then you will spend time working in primary education. It is mandatory.

I agree if you make some unspecific policy statement that allows the dental professionals who are good to duck their responsibility then you will get perverse behaviors.

Most likely that is what we would end up with politically. Government's inability to stop the militant minority on both sides of the isle from derailing meaningful legislation, as well as the minority in public sector unions, insures that our national infrastructure, road, rail, health, central government services, are all close to collapse.

Dr Pink said...

Ah, the infamous 'doing a dentist' clause in the new GMS contract.

The government negotiated the new GP contract in 2004, which some think was designed to allow the bundling up and parcelling up of GP services to allow the NHS GP service to be corporatised (it was, of course, never contractually nationalised in 1948 and so could not in any real sense be 'privatised' again).

In that contract was a clause that prohibited GPs from selling services to their NHS patients at any time. (There are of course exceptions: non-NHS services such as GANFYDs*, exotic travel medications, passport photo signatures, and so on).

This clause was dubbed the 'you can't do a dentist' clause.

It even banned the GP from accepting payment outside the hours of the contract, for example for saturday morning or evening appointments.


* The infamous 'Get A Note From Your Doctor' that everyone from the DWP to schools to private gyms abused for years under the old system.

Dissident Doctor said...

Round my way there is no, zero, square root of bugger all, zilch, nul points whatsoever possibility of finding an NHS dentist. I have a very good private one who charges the going rate. Not cheap in any sense.
How come I am still paying taxes as if I, and the family, did get NHS dentistry?

Anonymous said...

"So does that mean that these problems were actually caused by the greed of dental practitioners, who despite their many years of expensive state subsidised training jump ship at the first opportunity to milk the private practice cow? "

you'll find that they were propping up Hospital service provision during their expensive training. Stupid argument anyway as all degree level professionals are 'trained' by the state to a certain degree yat majority of them piss off into private sector for more pay.

Oldgit said...

Niku
Dental treatment is subsidided by the statein France.

Anonymous said...

http://notdrrant.blogspot.com/

Anonymous said...

Has runt been kidnapped by no one?

niku said...

my comments have validity and you know it. That is why you choose to stop people answering me and delete my posts.

We have crap outcomes when measured against the rest of Europe. You have NEVER answered why that is. Is that because by acknowledging cold hard facts you can no longer blame the establishment for YOUR failures?

Mentor Matt said...

Nationalized dental care will always be riddled with problems, as are most of governmental affairs. In the US, they have an approach with dicounted dental plans that enable some kind of a marketplace in dental care. Of course, even in the USA, this is only a small, less than 10% of the market. Example: DentalService4Less.com