Some Aspects of Orthodontic Specialist Practice in the United Kingdom

1982 ◽  
Vol 9 (4) ◽  
pp. 207-211 ◽  
Author(s):  
H. G. Lewis
Keyword(s):  
National Health Service ◽  
Birth Rate ◽  
Postgraduate Training ◽  
Treatment Standards ◽  
The United Kingdom ◽  
Dental Practitioners ◽  
Fixed Appliances ◽  
Specialist Practice ◽  
Historical Model ◽  
Official Recognition

A questionnaire sent to orthodontic specialist practitioners provided information about the nature of specialist practice, the training of specialist practitioners and the patterns of treatment within orthodontic practices. Specialists are now undergoing more extensive postgraduate training and the use of fixed appliances is increasing. General dental practitioners are referring larger numbers of patients to orthodontic specialist practitioners. Several factors will soon be operating to encourage a raising of treatment standards in British orthodontics, namely a falling birth rate, an increased interest in dentistry by the general public and the availability of an increased number of well-trained orthodontic specialist practitioners. Some form of official recognition for the specialist practitioner role is now desirable whilst the historical model for delivery of orthodontic care defined at the inception of the National Health Service is in urgent need of revision.

A Comparison of the Frequency of General Practitioner Orthodontic Treatments in Scotland 1966 and 1975. Should the Present System be Reviewed?

1980 ◽  
Vol 7 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Sydney Haynes
Keyword(s):  
Orthodontic Treatment ◽  
Postgraduate Training ◽  
Dental Service ◽  
Present System ◽  
Positive Role ◽  
The United Kingdom ◽  
Comprehensive Service ◽  
Dental Practitioners ◽  
Satisfactory Method

In both 1966 and 1975, a relatively high proportion of general dental practitioners in Scotland failed to provide orthodontic treatment in the General Dental Service (35 and 38 per cent respectively), and the majority of those practitioners providing an orthodontic service commenced treatment for no more than ten patients in each of these years, i.e. 56 per cent (1966) and 61 per cent (1975). These findings indicate that an urgent review of the present system is required if the quantity and quality of orthodontic treatment provided by the British National Health Service is to be improved. The present system has remained virtually unchanged since 1947, and it can now be seen to be both inefficient and uneconomic. The anomaly of specialist orthodontists acting as ‘general dental practitioners’ in practices ‘limited to orthodontics’ in the General Dental Service is also discussed. It is suggested that those dental specialties requiring prolonged postgraduate training should receive formal specialist recognition and status in the United Kingdom, and that the most satisfactory method of providing a more comprehensive service is by the recognition of orthodontics as a true specialty and by the simultaneous expansion of the hospital service to play a more positive role in the provision of treatment.

The Evidence Base for the Benefits of Functional Septorhinoplasty and its Future Post COVID-19

2021 ◽  
Author(s):  
Samit N. Unadkat ◽  
Alfonso Luca Pendolino ◽  
Deborah Auer ◽  
Sadie Khwaja ◽  
Premjit S. Randhawa ◽  
...  
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Congenital Malformations ◽  
Well Being ◽  
Evidence Base ◽  
Health Conditions ◽  
Clinical Value ◽  
The United Kingdom ◽  
Additional Funding ◽  
Aesthetic Rhinoplasty

AbstractEver since the introduction of the concept of Procedures of Limited Clinical Value (PoLCV), procedures such as functional septorhinoplasty have been subject to additional funding restrictions within the British National Health Service. Recent publications have suggested that 10% of Clinical Commissioning Groups in the United Kingdom no longer fund septorhinoplasty surgery irrespective of the indications, including congenital malformations or post-trauma, and despite the strong evidence available in the literature in treating a range of health conditions. Thus, inequity exists across the country. At present functional septorhinoplasty surgery is frequently but incorrectly grouped together with aesthetic rhinoplasty, both of which are deemed to be cosmetic interventions. Moreover, as we exit the peak of the current coronavirus disease 2019 (COVID-19) pandemic, procedures deemed to be of lower clinical priority will potentially be at risk throughout Europe. The purpose of this review is twofold; the first is to put forward the evidence to commissioners in favor of functional septorhinoplasty surgery on patient well-being and mental health; the second is to demonstrate why functional septorhinoplasty surgery is a distinct procedure from aesthetic rhinoplasty and why it ought not to be classified as a procedure of limited clinical value.

Acceptance of hepatitis B vaccine by general dental practitioners in the United Kingdom

BDJ ◽  
1986 ◽  
Vol 161 (10) ◽  
pp. 371-373 ◽  
Author(s):  
R W Matthews ◽  
C Scully ◽  
T B Dowell
Keyword(s):  
United Kingdom ◽  
Hepatitis B ◽  
Hepatitis B Vaccine ◽  
The United Kingdom ◽  
Dental Practitioners

Patient and carer participation in old age psychiatry in England. Part II: models of participation

2011 ◽  
Vol 24 (2) ◽  
pp. 185-196 ◽  
Author(s):  
Susan Mary Benbow
Keyword(s):  
United Kingdom ◽  
Organizational Learning ◽  
National Health Service ◽  
Health Service ◽  
Old Age ◽  
National Health ◽  
Balance Of Power ◽  
Learning And Development ◽  
The United Kingdom ◽  
Old Age Psychiatry

ABSTRACTBackground: There are a number of models of patient and carer participation. Their usefulness and applicability to old age psychiatry is considered.Methods: Models of participation are reviewed and related to examples of participation initiatives drawn from the author's work in the context of the National Health Service in the United Kingdom.Results: Models of participation which emphasize collaboration and partnership are found to be useful. Simple interventions such as copying letters to patients and/or carers can lead to change in the balance of power between staff and patients/carers. Initiatives which draw on the experiences of patients and carers can facilitate organizational learning and development. Involving patients and carers in education offers a way to influence services and the staff working in them.Conclusion: Participation is better understood as a spectrum rather than a hierarchy. Old age psychiatry services would benefit from developing greater patient and carer participation at all levels.

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