Abstract
Abstract
Background
To help promote a flexible and sustainable workforce in dentistry, it is necessary to access accurate and timely data about the structure and nature of the evolving dental team. This paper considers the results and learning from a region-wide dental workforce survey conducted in one area of Health Education England and how the team has changed since the last survey a decade earlier.
Methods
A mixed-methods approach comprised two phases. In Phase 1 a customised workforce questionnaire was sent to all dental practices registered with the Care Quality Commission in the North East of England and North Cumbria in March 2016. Findings then informed Phase 2, a regional symposium held in October 2016, where interactive workshops generated qualitative data that elaborated on factors influencing workforce development.
Results
Of 431 primary dental care practices identified, 228 questionnaires were returned - a 53% response rate. The largest professional groups were dental nurses (n = 1269, 53% by headcount; 50% of fte) and dentists (34% by headcount; 42% by fte), though there had been increases in numbers of all staff groups over the decade, which was most marked for dental therapists (from 1 per 39 dentists to 1 per 8 dentists). The dental team predominantly fell into ‘younger’ age groups (< 46 years age), with evidence of a significant increase in the number of dentists reporting part-time working in a practice since the last survey. Around one third of dental practices reported employing dental nurses with additional skills (n = 74, 32.5%) or dental therapists (n = 73, 32%), and nearly half employed a dental hygienist (n = 104, 46%). However, there was considerable variability in whether these staff actually carried out the range of skills within their scope of practice. Factors shaping workforce development were identified as, the national context, loss of expertise, patients’ health needs and expectations, surgery premises and financial constraints.
Conclusions
The composition and work patterns of the primary care dental workforce have changed markedly over the last decade, though utilisation of skill-mix continues to be constrained. Consideration of factors determining career progression of dentists and dental care professionals is needed to optimise a sustainable future workforce.
Publisher
Springer Science and Business Media LLC
Reference35 articles.
1. Quilter-Pinner H. The NHS long-term plan: Lessons from The Lord Darzi Review of Health and Care. 2018. [https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf]. Accessed 12/11/2019.
2. Oral Health Improvement Plan. 2018. [www.gov.scot/publications/oral-health-improvement-plan]. Accessed 12/11/2019.
3. Steele J, Treasure E, O’Sullivan I, Morris J, Murray J. Adult dental health survey 2009: transformations in British oral health 1968–2009. Br Dent J. 2012;213(10):523.
4. Kassebaum N, Smith A, Bernabé E, Fleming T, Reynolds A, Vos T, Murray C, Marcenes W, Collaborators GOH. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380–7.
5. PHE. Oral health survey of five-year-old children 2017. A report on the inequalities found in prevalence and severity of dental decay. 2018. [https://dera.ioe.ac.uk/31603/1/Oral_health_survey_5yr_2017_report.pdf]. Accessed 12/11/2019.
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