Specialist subjects?

I tried, I really did, I blocked my ears, turned my phone and other distractions off, reduced the sceptic factor setting as low as it would go and concentrated. The I came to some of the language used and the “mummy knows best” tone. 

  • HEE (NHS Leadership Academy) to develop and pilot a self-help, team building pack, specifically designed to help dental teams assess their current level of efficient and effective working practices and support the design of development plans for further strengthening team performance.
  • HEE (NHS Leadership Academy) to develop system leadership from within primary care, identifying and supporting high-calibre individuals to maximise their potential.
  • The causes of oral diseases are well understood, they are almost entirely preventable and many people now experience good oral health.
  • To reduce health inequalities, it will be important to take an approach of “proportionate universalism”,

By page 8 was floundering, tutting, shaking my head and then it dawned on me, these are the same people or rather people with the same backgrounds in academia, the armed forces and educationalists whose predecessors got us into this position, whose thinking is decades behind where it ought to be. They live their lives through reports, committees, papers and meetings and rarely, if ever, immerse themselves in the existence that the 80-90% of their profession actually live.

Thirty years ago their predecessors were similarly out of date, I was castigated and warned off for allowing my “team members”, a dental hygienist and two dental nurses, to visit a couple of primary schools that had never had any formal (or informal) dental health education. Apparently that was the role of the “community” dentists who rarely, if ever, visited and then to “do” things.

During National Smile Week I held a regular open house and (thanks to the BDHF) attracted a lot of media interest, the result a public put down in the letters page of the city newspaper from the LDC chairman.

The fact that I employed a full time hygienist in a one dentist practice provoked suspicion and comments from FPC/PCTs and the RDO. (ask your favourite ageing dentist to explain the acronyms)

Yes, everyone knows things must change but why does change have to be so far behind the curve? 

Please do take the time and read the report, HERE, it could be that as I have decided that life is too short for this stuff I am missing something, but after 40 years with a BDS I really don’t have the time to invest. 

  • It is clear that the DCP cadre is an essential element in the delivery of care and prevention. 

 

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