Harrogate NHS dental patients offered places at clinic 10 miles away

A dental clinic in Boston Spa has announced it will take on NHS patients affected by the reduction in NHS service by Pannal Dental Clinic (PDC). 

As the Stray Ferret reported in November, PDC was forced to reduce its NHS contract after being hit with a demand for tens of thousands of pounds from the Integrated Care Board (ICB) that gave it its contract. 

Consequently, it is focusing on prioritising children, leaving its adult patients to choose between staying on with a private dental plan or finding a place on an alternative dentist’s NHS list.

Having recently read the Stray Ferret’s story, 210 Dental Clinic on Boston Spa’s High Street – more than 10 miles away – has said it is willing to take on PDC’s patients. 

William Hamer, practice manager at 210 Dental Clinic, said: 

“Harrogate had a lot of problems recently with practices closing their lists, and NHS patients finding it difficult to be seen.

“Fortunately, we recently had a fourth surgery installed. Our dentist can take care of the more complex procedures, such as dentures, crowns and bridge work, but our dental therapists are fully trained to do examinations, x-rays and even fillings.

“If PDC’s patients are looking to be seen on the NHS, we can offer them that.”

But Tom Gordon, the Liberal Democrats’ parliamentary candidate for Harrogate and Knaresborough, said that people in Pannal “should not be forced to wait five months to be offered an NHS place 10 miles away”. He added:

“It is clear that our NHS dental system is completely broken and it is leading to unacceptable situations such as this.

“With NHS appointments scarce at best and in some places not existing at all, people are being forced to spend hundreds, if not thousands of pounds on private dental care with some even resorting to their own at-home DIY dentistry.”

He was referring to a YouGov survey from March 2023 which found that one in 10 (10%) people had attempted their own dental work. The poll also found that one in five people in the UK (22%) are currently not registered with a dentist, and of these, 37% said this was because they couldn’t find an NHS dentist.

The British Dental Association (BDA) has said that NHS dentistry is facing a “genuine crisis” of access. 

But Andrew Jones MP told the Stray Ferret:

“As I understand it, the delay in securing additional NHS places has been due to protracted negotiations with Pannal Dental Clinic who, according to the Integrated Care Board (ICB), are only reducing their NHS contract temporarily.  It took the clinic and the ICB some time to confirm that arrangement.

“In a letter to me the ICB have said: ‘This temporary reduction in activity has been implemented due to changes to their workforce meaning they are currently unable to meet the previous activity requirements’.

“I hope that the workforce issues at Pannal Dental Clinic, which the ICB tell me are the problem the clinic has identified to them, are resolved soon so that they can resume their full contract.

“It would appear that there is still funding released by Pannal to be reallocated and I have asked the ICB to do their utmost to keep that funding as local as is possible.”

Mr Jones supported the introduction of the government’s dental recovery plan, which was launched in February. Under the plan, dentists are to be offered a bonus to take on more NHS patients, which ministers say will create more than 2.5 million new appointments over the next year.

Dentists will also be offered ‘golden hello’ cash incentives to work in under-served areas, potentially allowing around 1 million new patients access to NHS dental treatment.

But Mr Gordon said:

“For years there have been hundreds of millions of pounds of underspend on NHS dentistry and the Liberal Democrats have back the BDA’s calls to reform the contracts to get this money spent on fixing people’s dental problems.

“Yet this Conservative Government has done next to nothing to tackle this crisis.

He added:

“It is high time that the NHS dental system was reformed and plans brought forward to end this mess, so no matter where you live you know you can get the NHS dental care you need in an emergency.”

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Pannal dental practice stops treating adults on NHS

A Harrogate dental clinic will no longer provide a full NHS service next year because it says it cannot afford to. 

Pannal Dental Clinic (PDC) sent letters at the weekend to its patients to let them know of the new arrangements.

The letter, which has been seen by the Stray Ferret, said: 

“As of the 1st January 2024, our team will cease to provide NHS care for adults. Instead, we will be able to provide your dental care on a private basis and to aid this transition we have introduced a patient membership plan.” 

The change came as a shock to some patients, including Pannal resident Petra Turner.

She told the Stray Ferret: 

“A number of Pannal and Burn Bridge residents are now finding that they have to join the PDC dental plan or stay on as a pay-as-you-go (a lot of money) patient in order to stay on their list.” 

She added: 

“We (a family of four) have been with this practice for 22 years. If the three adults in our family were to join the PDC basic plan, we would have to pay £750 a year. This would include two dental check-ups and two hygienist appointments per person. A very nice hourly rate.” 

But Dr Greg Cadman, owner and principal dentist at PDC, said he had no choice but to reduce the NHS contract. 

Under a system introduced in 2006, any dental practice working to an NHS contract must fulfil a target of units of dental activity (UDAs) set by the Integrated Care Board (ICB) that gave it the contract. 

A check-up is worth one UDA, but a filling is worth three. Confusingly, multiple fillings in one visit still count as three UDAs.

Earlier this year, Parliament’s Health and Social Care Committee called the UDA system “not fit for purpose”. 

Pannal Dental Clinic has failed to meet its targets in three of the last four years, and missing them carries a penalty known as a “clawback”, where the ICB can claim back the value of the underachieved units.

As a result, the practice had to pay back a large sum of money. 

Dr Cadman said: 

“We are not terminating our NHS contract – we are reducing it and prioritising children.

“We lost a couple of associates due to them wanting to work privately, and another went on maternity leave. With staffing levels like that, it became impossible to hit the target.

“There’s no clawback if you fulfil 90% of your UDAs, but we hit 89.7% – just 0.3% off the target – so we were hit with a full clawback of tens of thousands of pounds that had to be paid within just three months.”

He said the problem had been exacerbated by the recruitment crisis in the NHS, which had grown more acute since Brexit and the Covid pandemic. He said: 

“There always used to be dentists who would take on NHS work, but now many are finding it too difficult under the current system. We’ve advertised for new NHS dentists in numerous places for six months – without a single applicant. Even dental nurses are hard to find.

“There’s definitely still a place for the NHS – it’s really important, and I don’t want to see it go. But for practices like ours, working within it is very difficult.”

The reduction in PDC’s NHS contract is symptomatic of a national trend. The British Dental Association has said that NHS dentistry is facing a “genuine crisis” of access.

A YouGov survey in March 2023 found that one in five people in the UK (22%) are currently not registered with a dentist, and of these, 37% said this was because they couldn’t find an NHS dentist.

One in 10 (10%) even admitted to attempting their own dental work.

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