Re: Ask EU: NHS dentistry


"Fred" <freddowson@xxxxxxxxx> wrote in message
news:1191595255.532434.229310@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Jane Vernon wrote:

Does anyone know how one can find out what the rules are for NHS
dentistry? The sort of thing I mean is, are there treatments which are
always excluded? The reason I'm asking is that we are lucky enough to
have found a dentist to take us on as NHS patients but she has given
Mike the impression that when one of his front teeth falls out, which is
expected reasonably soon, there is nothing she can do about filling the
gap. We are a) not very happy about this [1] and considering that we
may return to a private dentist but also b) not sure this is right and
would like to get our facts straight about any limitations before we
make any fuss about it in any quarter.

OK, I am (actually was until April) a dentist and I did mostly NHS
work
There ARE three levels of charge,Band 1) is for exam only (plus x-rays
and a simple clean)
Band 2) is for ALL fillings, root fillings - basically, anything that
involves numbing but DOESN'T include laboratory work.
Band 3) Everything else.
The dentist is OBLIGED to provide all necessary treatment. The
problems arise over what, exactly, is necessary treatment. Basically,
there are usually two ways of doing most things and, inevitably, one
of them is better than the other and costs more.
Hence, replacing a lost tooth can be by
a) a denture - simple, relatively quick and cheap(ish)
b) Bridge - complex, expensive and not always possible
c) Implant - VERY complex and VERY expensive and not always possible.
One of these is necessary treatment - if you have a gap at the front,
it needs filling with something and the dentist is contractually
obliged to provide something to fill it.
I don't know where the story about asking an outside body came from.
There is no such provision under current NHS regs.
The dentist gets a sum to cover all treatment for all patients. What
is left over at the end of the year is his/her income. Thus there is
no incentive to provide complex (expensive) treatment. Ethically, he
should do the best for the patient. After six months, when he has run
out of money, the bank has forclosed and his house has been
repossessed, he realises that he should be a business man first and a
clinician second. Not a good situation for a professional to be in.
Any questions?


Ok, I'm officially confused. What about veneers? Are you saying they are
covered by band 3?


Alex
" I was sitting around a dirt dial
Just another lost number in a file.
Been in some kinda dark cove
Just searching for a world with some soul."


.

Relevant Pages

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