Damning comment from the BDJ

Good, brief paper in the current BDJ by Jim Page, John Weld & Edwina Kidd on “Caries control in health service practice.”

Summary states:It is suggested that it makes sense for dentists providing care for individual patients to take account of caries risk (as assessed by presentation of active, non-cavitated lesions) when deciding how to allocate time and effort of themselves and their staff. However, there is a question as to how realistic it is to ask the dental team to provide a full diagnostic assessment and all the preventive treatment required for a patient for the payment provided by 1 UDA. It is to be hoped that one or more of the Steele pilots will come up with a practical solution for controlling caries in NHS practice.

One sentence towards the end sums up what most of the profession know about NHS dentistry in England & Wales: “It means that the whole UDA system is founded on something that is unattainable and therefore, we consider, unethical.

These are three eminent dentists with between them decades of clinical practice and research. Where does that leave the main promoter of the current system, the Chief Dental Officer Barry Cockcroft whose career seems to have specialised in committee work and dental politics?

The new minister responsible for dentistry is Earl Howe it is known is against the fluoridation of the water supply.

Barry, on the other hand, said that fluoridation: “is the perfect public health measure because people with the greatest need benefit most and most people benefit to some degree”.

The Chief Medical Officer has gone already surely it’s time for Barry to consider his position, he’s got his gong, his pension is safe, unlike the committed NHS practice owners who have seen their businesses effectively stolen by HMG since 2006 under Barry’s watch.

Hugh MacLeod’s Great Ideas – 1) Ignore Everbody

I think that there is very little new under the sun so I try to acknowledge my sources whenever I can.

Hugh MacLeod’s work is wonderfully original and his daily cartoons are consistently excellent; however, if anything, they tend to distract from how good his ideas are.

He has just started a series entitled “Great Ideas” which was the title of his book released last year. Here’s the first chapter.

Do subscribe at his website here and find out what you have been missing.

Great Ideas – Chapter One – IGNORE EVERYBODY

1. Ignore Everybody.

The more original your idea is, the less good advice other people will be able to give you. When I first started with the cartoon-on-back-of-bizcard format, people thought I was nuts. Why wasn’t I trying to do something more easy for markets to digest i.e. cutey-pie greeting cards or whatever?

You don’t know if your idea is any good the moment it’s created. Neither does anyone else. The most you can hope for is a strong gut feeling that it is. And trusting your feelings is not as easy as the optimists say it is. There’s a reason why feelings scare us.

And asking close friends never works quite as well as you hope, either. It’s not that they deliberately want to be unhelpful. It’s just they don’t know your world one millionth as well as you know your world, no matter how hard they try, no matter how hard you try to explain.

Plus a big idea will change you. Your friends may love you, but they don’t want you to change. If you change, then their dynamic with you also changes. They like things the way they are, that’s how they love you- the way you are, not the way you may become.

Ergo, they have no incentive to see you change. And they will be resistant to anything that catalyzes it. That’s human nature. And you would do the same, if the shoe was on the other foot.

With business colleagues it’s even worse. They’re used to dealing with you in a certain way. They’re used to having a certain level of control over the relationship. And they want whatever makes them more prosperous. Sure, they might prefer it if you prosper as well, but that’s not their top priority.

If your idea is so good that it changes your dynamic enough to where you need them less, or God forbid, THE MARKET needs them less, then they’re going to resist your idea every chance they can.

Again, that’s human nature.


Good ideas come with a heavy burden. Which is why so few people have them. So few people can handle it.

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