Seven day working

23 July 2015
Volume 31 · Issue 6

The British Dental Association (BDA) remains unconvinced that a seven day service for dentistry is financially or logistically viable, given the constraints faced across the NHS in terms of money and staff resources.

The Secretary of State for Health, Jeremy Hunt, announced a six week negotiating period, which has been dubbed an unrealistic timeframe for such a drastic service re-design and a potential threat to patient care.

In his speech at the King’s Fund Hunt added: "Be in no doubt: if we can’t negotiate, we are ready to impose a new contract." The BDA has welcomed the DDRB report recommendation of the need for “employers and their consultant workforces to work together and agree the detail of any contractual change”.

Peter Dyer, Chair of the BDA’s Central Committee for Hospital Dental Services, stated:

“A slogan cannot be turned into a policy simply by repetition.

“In hospitals, we do not believe that credible evidence has been established about the pay implications of implementing seven day working, and how this will impact on consultants, and other dentists. Furthermore, no indication has been given as to how the rest of the NHS and wider social care provision will be reorganised to provide appropriate care and support for patients. For consultants to be asked to work and, for instance, to find themselves without access to specialised dental radiography, cannot be considered to be in the benefits of either consultants or patients.

“There remains a lack of clear thinking about what is desired or required of an extended NHS dental service, with no plan for implementation on what would be an unprecedented service delivery change.” 

The Chair of the BDA, Mick Armstrong, added:

“We have already seen in the GDS the effects of short sighted efforts to improve access by requiring practitioners to open surgeries on days and at times of no historical patient demand. Without due consideration being given to fully coordinating all dental services the imposition of seven day working for dental consultants will serve no functioning purpose.”