If only he had worn a suit and tie….

jackboots-2The CQC Borg will decide….

…..in 2014 when the inspectors last came. He had explained his philosophy and modus operandi, talking of medicine as an art form, “being a human being so patients feel they know well me enough to trust, while maintaining boundaries – compassionate detachment, I call it.”

“On that occasion,” he will recollect later, “they seemed concerned with seeing whether I was running a healthy, happy, well-functioning practice. They looked at feedback forms, talked to patients and made intuitive judgment.” They gave him a glowing report.

This time round…read here.

Michele Golden, head of inspections for London at the Care Quality Commission, says:

“We know, from various inspections, that patients will say how happy they are, and it may be that their doctor is a very nice person, but that doesn’t mean they understand if the system is actually unsafe for them.”

It would seem that Nanny may not always know best…but she holds all the cards.

There has never been a serious complaint against him, and he is exceptional in not having been called for a disciplinary hearing in all his 40 years as a GP.

Although he could continue practising as a doctor, his surgery must close with immediate effect.

The Monday Morning Quote #285

“Overnight success usually takes a decade of uphill work.”

Sam Altman

Source here

The Good Practitioner’s Guide to Periodontology – Launched!

screen-shot-2016-09-13-at-15-56-36Philip Greene changed my life in a hotel room in Leicester.

In Autumn 1987 I was having one of my off periods in my on/off affair with dentistry. I had been working as an associate in a nice new-build practice for a couple of years and was negotiating to buy a share. To my surprise the owner gave me the news that he had sold the practice and the new owners would be taking over “later that week”. The new owners sacked the two hygienists and were were soon encouraging me, “to do at least four crowns on every patient”, as I was, ” a nice guy and wouldn’t have any problem convincing them.”  I found another job, gave three months notice and was subsequently locked out, there had been a (totally false) allegation of my telling patients where I would be working next.

Move on, and I started work in the next practice, it had a new-build branch without an autoclave and a main location with no hot water…

Two courses marked that period firstly was Stockport Dental Seminars’ “Introduction to Occlusion” or the “Battle of Bolton” as it was affectionately known where Roy Higson removed many scales from my eyes. The other was Philip Greene and David Cohen’s evening on perio and endo respectively. The approach to perio was totally different from anything I had been taught as an undergraduate or that practised in any of the practices where I had worked.

I bought 6 CPITN (aka BPE) probes, they were the only ones in the practises where I worked, and set about examing people for signs of periodontal disease. I was a convert, the new zealot took the very first BUOLD course in periodontology with the wonderfully outspoken Marsh Midda and Jerry Rees, joined the BSP and eventually married a hygienist!

I still treasure Jan Lindhe’s textbook and also Colgate’s literature on examining and diagnosing.

So I was delighted to see that the BSP have launched The Good Practitioner’s Guide to Periodontology. It is available as a PDF here and online here. Do take the time to take a look and even consider joining a society that has always been relevant but is most definitely on the up.

Bonded v Vacuum formed retainers? Kevin O’Brien’s blog.

screen-shot-2016-09-12-at-10-06-20It was interesting that there were no differences between the retention regimes.  As a result, I think that our patients should decide on their retainer.  We should  outline the various risks and benefits of wearing and maintaining these two different types of retainer and explain that there is no difference in their effectiveness. Most of our patients should then be able to take an informed decision on their retainer.

Full article here.

The Monday Morning Quote #284

“Sometimes you have to jump off cliffs and grow wings on the way down.”

Ray Bradbury,

Ray Bradbury with his hands out, circa 1980. (Photo by Michael Ochs Archive/Getty Images)

Ray Bradbury with his hands out, circa 1980. (Photo by Michael Ochs Archive/Getty Images)a

How to make better decisions: consider two options rather than just one.

From John Naughton’s blog.

It’s not rocket science.

Ohio State University professor Paul Nutt spent a career studying strategic decisions in businesses and nonprofits and government organizations. The number of alternatives that leadership teams consider in 70 percent of all important strategic decisions is exactly one. Yet there’s evidence that if you get a second alternative, your decisions improve dramatically.

One study at a medium-size technology firm investigated a group of leaders who had made a set of decisions ten years prior. They were asked to assess how many of those decisions turned out really well, and the percentage of “hits” was six times higher when the team considered two alternatives rather than just one.


That 70 per cent figure is interesting.

Plan A or B Choice Showing Strategy Change Or Dilemas

The Monday Morning Quote #283

“I can’t understand why people are frightened of new ideas.

I’m frightened of the old ones.”

John Cage – who would have been 104 today and is still considered “avant-garde”.

John Cage