Scotland's oral health plan consultation: analysis of responses

Conclusions And Next Step

It is clear to see from the preceding chapters that the level of support for the proposals was varied and in many cases the need for more detailed information was highlighted. However, there were a range of proposals which received clear support. A move towards a more preventive system for NHS dental services received substantial support across the range of stakeholders. Support was also received for the introduction of oral health risk assessments and the simplification of NHS dental charges. Whilst the introduction of enhanced services for the delivery of a variety of services was supported, the need to consider training requirements, equipment and the funding arrangement for this type of service
was highlighted.

There was some support for a range of the proposals related to the arrangements for General Dental Services, including patients being registered with the dental practice and having a responsible dentist, although many considered this to be happening already. There was also support for the listing of DBsC; the introduction of a Director of Dentistry; an enhanced clinical monitoring service; and the introduction of a national database of key quality indicators. Substantial support was received for PLT for dentists and practice staff.

However, a number of those proposals received more mixed support, including the introduction of a national body and formal contracts between NHS Boards and practice owners. Whilst the potential benefits of the requirement for owners to provide a minimum number of hours NHS clinical care were recognised, concerns were raised about the practicalities and the potential impact on patient care.

The proposals around allowances also received mixed support, with concerns that the changes would affect the overall value of funding available for NHS dentistry. Whilst it was recognised that there needs to be transparency around earnings from public money, the proposal to make the provision of earnings and expenses information a requirement also raised concerns about how this information would be used. Concerns were raised about the proposal to devolve funding to HSCPs, recognising that whilst more local control of funding could have benefits, these bodies are relatively new and may not yet have the expertise to manage NHS dental services.

Oral Health Improvement Plan

The consultation exercise marked the first step in addressing the challenges facing NHS dentistry in Scotland. The level of engagement received through the consultation platform, at roadshow events, and at patient focus groups has been impressive, and the time and effort invested in providing thoughtful and considered responses to the proposals has been greatly appreciated. However, it must be remembered that while the views expressed are valuable in giving a flavour of opinion, they are not necessarily representative of the whole profession or the wider population, and the conclusions in this document must be considered in this light.

It is our intention to publish an Oral Health Improvement Plan by the end of the year, which will shape the future of NHS dentistry for the next decade.