The reforms will kick in
April |
A major
shake-up of NHS dentistry is to be announced to improve access and
make the charging system more simple.
The proposals for fees are expected to include a rise in check up
prices, but a lowering in the maximum limit patients can be charged.
The government will also unveil the new dentist contract, which
like the fees is due to come into effect in April, to allow more
time for preventative work.
Dentists said the current system needed to be made more simple.
Ministers hope the long-waited measures - they have already been
put back six months - will help address some of the long-standing
problems with NHS dentistry.
Latest figures show that half the population are not registered
with a surgery.
There is also a shortfall of 1,800 dentists as many have been
attracted into doing private work where they say they can spend more
time with patients.
The average NHS dentists sees about 50 patients a day - twice the
number private dentists do - as they are paid per treatment they
carry out.
However, the new contract is expected to pay them for providing
services for an area - in theory allowing them to spend time with
patients addressing preventative issues.
The fees proposals, which will go out to a three-month
consultation, are also likely to make the system much more simple.
Currently, there are over 400 different charges depending on what
sort of filling a patient has, whether they need a crown or root
canal work.
Limit
Under the new system, there is expected to be only a few price
bands and the limit will be capped at a much lower level than the
current ceiling of £378.
However, the cost of standard treatment such as fillings or check
ups is likely to increase.
Roger Goss, co-director of Patient Concern, welcomed many of the
measures, but said he would be concerned if basic fees went up.
"If it costs more to go to see a dentists I do not think that
will be conducive to good dental health. It is more likely to deter
people going."
The British Dental Association said the current system was not
working for either dentists or patients as there were too many
different prices for treatment.
She said the new system needed to be more simple.
Shadow Health Minister Andrew Murrison said: "In 1999 Mr Blair
promised that everyone should have the chance to see their NHS
dentist within two years, but I suspect this will heap yet more bad
news on hard-pressed patients."
And Liberal Democrat health spokesman Steve Webb agreed it was
likely to be bad for the patient.
"If charges for check ups are set to rocket then there is a real
danger that even those people who can manage to find a dentist will
be put off going for a check up."