Dip in household budget confidence.

If you’re the owner of a “family” dental practice then don’t be surprised when people are concerned about what they perceive as discretionary spending and choose the cheapest options.

Prepare for it, acknowledge it and take action to be able to offer alternatives either clinically or financially.

Dip in household budget confidence

21 February 2011

Worries over the economic outlook were heightened with news that household budgets are under the greatest pressure for almost two years.

According to the Markit household finance index, anxieties about job losses and the wider economy have seen confidence in personal finances slip in 34 per cent of households.

This is the lowest level recorded since March 2009.

Tim Moore, a senior economist at Markit, said: “An unhealthy combination of high inflation and job worries has caused households to report that their financial outlook has slumped back to the levels seen during the worst part of the recession in early 2009.”

The gloomy figures were backed up in a separate survey. R3, the finance group, reported that 43 per cent of respondents to its latest poll believe that their personal finances will deteriorate over the next six months.

This represents an increase of 13 per cent on findings for the previous quarter.

Fewer than one in four people questioned think that their financial situation will improve over the coming months.

Steven Law, the president of R3, said: “Since we last carried out the survey, people have seen a rise in the cost of living, from the VAT increase; to the rise of fuel and utility costs. This has happened against a backdrop of pay freezes, pay cuts and, in some cases, redundancies, so it is understandable that many are feeling pessimistic about their financial outlook.”

From Pitt Godden & Taylor’s weekly newsletter

The Monday Morning Quote

First They came… – Pastor Martin Niemoller

“First they came for the communists,
and I didn’t speak out because I wasn’t a communist.

Then they came for the trade unionists,
and I didn’t speak out because I wasn’t a trade unionist.

Then they came for the Jews,
and I didn’t speak out because I wasn’t a Jew.

Then they came for me
and there was no one left to speak out for me.”

The Monday Morning Quote

“What we think, or what we know, or what we believe is, in the end, of little consequence.

The only consequence is what we do.”

John Ruskin

BDA press release: Deferring dental treatment unwise, warns BDA

So it’s not just you that is experiencing problems with “the book”.

17 January 2011

Deferring dental treatment unwise, warns BDA

Concerns about the economic climate are leading patients in England to cancel dental appointments and defer treatments they need, according to research by the British Dental Association (BDA). The unfortunate knock-on effect of these decisions is an increase in the number of patients presenting at surgeries requiring emergency treatment.

A survey carried out by the BDA found that 59 per cent of dentists questioned had seen their patients cancel appointments, while 68 per cent reported decisions to defer treatment. Unsurprisingly, given these trends, more than a third of practitioners said they had seen an increased demand for emergency treatment during the past twelve months.

Dr Susie Sanderson, Chair of the BDA’s Executive Board, said:
It’s understandable that, at a time when there is widespread concern about household finances, some patients’ financial anxieties are leading them to defer dental appointments and treatment. Achieving short-term money savings at the expense of longer-term health problems really isn’t wise though. Neglecting your oral health can increase both the complexity of the problems you face and the cost of the treatment you must eventually have. As well, visiting the dentist at appropriate intervals will ensure that you get the help you need to maintain good oral health.”


For further information, please contact the BDA’s media team on 0207 563 4145/46 or visit www.bda.org

John Hilsdon
Head of Corporate Communications and External Relations
British Dental Association
020 7563 4145
07515 199942

The Monday Morning Quote

‘Those who cannot remember the past are condemned to repeat it.’

George Santayana

The Monday Morning Quote

“If you have always done it that way, it’s probably wrong.”

Charles Kettering,inventor

CQC = Can’t Quite Cope

As Susie Sanderson said: “CQC stands for Can’t Quite Cope.”

Nearly 1,000 care homes are without a registered manager, says regulator
8 October 2010

The Care Quality Commission (CQC) said today (8 October) that nearly 1,000 residential care homes do not have a registered manager in place, despite this being a requirement of the new Health and Social Care Act 2008.

Although it does not present a direct risk to the safety of residents, care homes without a registered manager may be less able to identify potential concerns and address them quickly, said the commission. It has placed conditions on the operators of all the care homes in question requiring them to put managers in place.

Under the provisions of the Act that came into force from last Friday (1 October), many care homes must have a registered manager who is appropriately experienced and qualified. This was also a requirement under the old legislation, the Care Standards Act 2000.

CQC announced today that so far it had newly registered the care providers operating about 20,000 adult social care service locations in England under the Health and Social Care Act. Just over 15,000 of these locations are residential care homes. Most of the others are home-care agencies and nurses agencies. However, around 1,000 care homes (operated by more than 500 different providers) had a condition placed on them that they appoint a registered manager by 1 April 2011.

Not all care homes need to have a registered manager – CQC said that registered individual providers who manage their own services on a day-to-day basis do not need to also register as managers.

Cynthia Bower, CQC’s chief executive, said: “It has been recognised in the care sector for some time that there is a shortage of experienced and qualified managers. While we have been undertaking the enormous task of re-registering thousands of care services, the scale of this has become clearer.

“The lack of a registered manager does not necessarily mean that people are receiving poor care, but we know from experience that care services without leadership can struggle to address any problems that may arise. Good-quality care is led by good management.

“We know that some providers struggle to find suitably qualified people to take on this role. The sector as a whole needs to take a robust approach to seeking solutions to the shortage of registered managers. It cannot be allowed to continue indefinitely.

“We will use our enforcement powers in the best interests of people who use services. If a care provider is genuinely trying to appoint a registered manager and the quality of care is good, it might not be in the service users’ best interests for us to take enforcement action immediately. But if we find that people are being put at risk because there is no registered manager, then we will take action.”

Under the new Act, CQC has registered about 9,400 providers of adult social care (with a total of 20,000 different service locations), and 600 providers of independent healthcare (with 1,500 locations such as hospitals and cosmetic surgery clinics).

A further 600 providers across adult social care and independent healthcare are resubmitting their applications after their original applications were incomplete or it was unclear which registered activities they needed to register for. A further 430 have not yet been asked to apply, because they were registered near the end of the old system under the Care Standards Act 2000 and consequently are the last to transfer to the new one.

A further 1,300 providers have not yet applied for registration. CQC said they included those who had proved difficult to contact, some of whom may no longer be operating; all of them would be followed up to establish whether they needed to register or not.

In addition to the conditions relating to the lack of a registered manager, providers of about 200 adult social care and independent healthcare service locations have had conditions placed on their registration in relation to various other compliance issues.

The names of providers with conditions on their registration will be published in due course, after they have had the opportunity to exercise their legal right to make representations to the commission.

Ms Bower thanked care providers for their co-operation: “This has not been an easy process for providers or for CQC. We were set a very tough challenge by government to get everyone into the new system in a very short space of time. Now we can move onto the crucial and continuing task of monitoring the quality and safety of care across the sector.”

NHS trusts came into registration last April under the new Act, which CQC says is an important step forward in ensuring that people receive joined-up care. It is the first time that healthcare and adult social care services have been regulated under the same legislation and the same essential standards of quality and safety.

CQC has tough enforcement powers to drive improvements where it finds standards are not being met, including issuing a warning notice, carrying out a prosecution, and suspending or even closing a service.


For further information please contact the CQC press office on 0207 448 9401. Out of hours on 07917 232143.

About the Care Quality Commission
The Care Quality Commission (CQC) is the independent regulator of all health and adult social care in England. Our aim is to make sure that better care is provided for everyone, whether it is in hospital, in care homes, in people’s own homes, or anywhere else that care is provided. We also seek to protect the interests of people whose rights are restricted under the Mental Health Act. We promote the rights and interests of people who use services and we have a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

We are introducing a new registration system that brings the NHS, independent healthcare and adult social care under a single set of essential standards of quality and safety for the first time. Registration is a legal licence to operate. We register health and adult social care services if they meet essential standards and we continuously monitor them to make sure they continue to do so as part of a dynamic system of regulation which places the views and experiences of people who use services at its centre.


Tell George Osborne what you think will work.

Chancellor wants ideas for the Budget

The Chancellor, George Osborne has flagged up a new online portal, designed to elicit ideas from the public and from businesses for the forthcoming Budget.

The portal allows anyone to send their ideas direct to the desks of the Treasury officials working on the Budget, which will be delivered on 23 March.

The Government said that the portal is another example of its commitment to policy transparency.

It follows on from the October 2010 Spending Review, when over 100,000 people submitted online suggestions as to how the Government could save money, including the idea of stopping the production of National Insurance cards.

Mr Osborne said: “I want to hear about your brightest and best ideas. Because next month’s Budget will be all about growth. In particular I want to know what businesses, large and small, want from me. So go online and tell me what you think.”

More information can be found at


Thanks to PG&T

I can’t promise that he’ll take any notice however.

The Monday Morning Quote

“All the world is birthday cake, so take a piece, but not too much.”

George Harrison

A very special birthday for a very special person.

The Weekend Read – The Lombardi Rules by Vince Lombardi

Barely 50 pages long, I’m suggesting this book on this weekend to tie in with Super Bowl XLV

Vince Lombardi (1913-1970) was an American football coach, in a professional coaching career that lasted 16 years from his start with the New York Giants as offensive co-ordinator 1n 1954 until his death from colon cancer in 1960. His victories are too numerous to mention but they read like the script from a movie, transforming the Green Bay Packers from their worst ever season in 1958 to a 7:5 record in his first year when he was voted coach of the year. The following year his team lost the NFL final but never lost another final under his control.

His team won the first two Super Bowls in 1967 & 1968 and the trophy that the Green Bay Packers and the Pittsburgh Steelers will play for tonight in Dallas bears his name.

Not known for his weaknesses “The Lombardi Rules” is a must read for anyone who manages others or wants to make themselves the very best they can working within any organisation.

Divided into 26 short “lessons” it makes its points in easily digestible chunks, each piece ending with three highly relevant tips. From the start “Ask yourself tough questions” which lays down the importance of self-knowledge, through “Explain the whys” on effective teaching / coaching or whatever one wished to call the passing on of information to the final “Run to win” this book repays repeated reading.

Lombardi who had three constants in his life, sports, family and religion never lost his sense of right and wrong, he believed that you should only win by the rules and that anything else could lead to anarchy with everyone a loser.

You may support the Packers or the Steelers; like me you may be smarting today following Wales losing to England at rugby and England’s cricketers losing the plot following victory in the Ashes series. It’s quite possible you have no time for sports at all, that doesn’t matter this little book will help you to success.

Available from my Amazon book shop here.

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