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SCANDAL of thousands left to suffer without dental care at ...

2006-02-09 7:02

More than a quarter of a million Scots have no local access to emergency dental care at the weekend, a Scotsman investigation has found. In the Highland and Lanarkshire health board areas, people have nowhere to turn if pain strikes on the weekend.



source http://news.scotsman.com/index.cfm?id=102422006


They have been left high and dry after both NHS boards failed to implement an emergency care plan drawn up by the Scottish Executive's health department in 2003.

It put aside £1.5 million for health boards to set up emergency dental services.

Consumer groups said the latest problem to afflict Scotland's crisis-hit dental service would further undermine patients' confidence, especially as more and more practices were closing their lists to new patients or axing the NHS service.

The position in the Highlands is especially dire, with health officials forced to admit last year that up to 10 per cent of the area's population would have to wait four years to see a National Health dentist.

The failure of NHS Lanarkshire and NHS Highland to put in place an emergency dental service for patients not registered with a dentist affects around 280,000 people.

It is estimated a third of all Scots are not registered with a dentist.

Highland and Lanarkshire NHS boards said last night that both planned to introduce an emergency service this year.

In NHS Lanarkshire the new emergency service is likely to be based in Wishaw and operated through the NHS 24 helpline, according to a spokesman.

Alex Fraser, dental service development manager for NHS Highland, said: "Although NHS Highland has out-of-hours emergency services in place for registered patients, it is a matter of priority to develop a service for those patients without dental registration."

But last night a spokeswoman for Britain's leading consumer pressure group said the delay had been "unacceptable and very worrying".

Julia Clarke, of Which?, said: "It is frightening that some people - purely because of where they live - cannot access emergency dental care.

"Dental health care is just as important as any other kind of emergency health care and people should not be denied access to it.

"Health boards in Scotland have had responsibility for dental services for a while now. So while it is still a relatively new thing for them, they should be taking it much more seriously, particularly as more and more people, through no fault of their own, are not registered with a dentist.

"Indeed, many people might find themselves at a dentist for the first time when an emergency strikes simply because they have been unable to find a dentist who would see them for regular check-ups."

Dentistry in Scotland is in crisis after years of under-funding provoked hundreds of dentists to abandon NHS work in favour of private practice.

Thousands of patients have been thrown off dentists' lists and now struggle to find a dentist who will treat them on the NHS.

Shona Robison, the SNP health spokeswoman, said: "It is unacceptable that any health board has not established out-of-hours dental services given there was money set aside for them to do so.

"They have a duty of care to patients and it falls upon health boards to provide it."

Emergency dental treatment is easy to access if you live in or near Scotland's four major cities.

Lothian Health Board has centralised its service at the Chalmers Dental Centre in Edinburgh. There is a dedicated dental advice line which connects patients to a dental nurse. People in West Lothian have a separate emergency advice line to call.

In common with all 14 health boards throughout Scotland, Lothian recommends that people who need urgent dental care who are registered with a dentist should telephone their dental practice.

NHS Grampian operates what is calls the GDENS service for out-of-hours dental treatment, which operates from 6:15pm to 9:15pm, Monday to Friday and from 9:30am to 12:30pm at the weekend.

The Glasgow Emergency Dental Service, based at the Dental Hospital in the city, provides coverage for everybody in the Greater Glasgow health board area during weekday evenings and throughout the weekend.

Meanwhile, in Dundee, a walk-in clinic operates from 9:30am to 11:30am on Saturday and Sunday at the city's Ninewells Hospital.

NHS Ayrshire & Arran offers a community emergency dental service to unregistered patients, which operates every afternoon from Ayr Hospital.

For weekend out-of-hours there is a rota system in place throughout Ayrshire for general dental practitioners.

In the NHS Dumfries and Galloway area, patients can access an emergency dentist on a Sunday morning at Nithbank, while in the Western Isles the health board has a community dental service at the Western Isles Hospital in Stornoway.

A dental advice line for unregistered patients in the Forth Valley area operates Monday to Friday 6pm-11pm and Saturday and Sundays 12 noon-11pm.

NHS Fife has a 24-hour emergency telephone service that can connect callers to a duty dentist who works on a rota to provide an out-of-hours service.

Deputy health minister Lewis Macdonald said: "Responsibility for the overall provision of NHS dental services in an area rests with the NHS board for that area.

"We would expect all NHS boards to provide an in-hours and out-of-hours emergency dental service."

• THE Scottish Executive yesterday announced plans to fund the modernisation of 30 dental practices and establish a series of "treat and teach centres" to improve training for dentists and access for NHS patients throughout Scotland.

The bulk of the £30 million package will be used to allow dentists to improve their premises or move to state-of-the-art surgeries in their area.

But the funding will also be used to establish new dental training centres in Dumfries, Coatbridge and Perth, designed to modernise the teaching of dental professionals by increasing the amount of training conducted in the community.

Dentists launch on-call clinic

A GROUP of dentists grew so tired of waiting for their health board to set up an out-of-hours dental facility that they have organised one themselves.

The Lanarkshire dentists told The Scotsman that as many as one call in four to the ad-hoc service they set up in East Kilbride came from a patient who was not registered with a dentist.

The weekend service is operated as a co-operative by private and NHS dentists in the town.

David MacPherson, of the Whitemoss Practice, whose patient list is 90 per cent NHS, said he had treated many unregistered patients at the weekend.

He said: "It's a personal decision; not every dentist on the rota would do the same thing. But I feel that when I am on call, if somebody phones it is my duty to treat everyone as a patient - regardless of whether or not they are registered with a dentist.

"If I'm already on my way out to see someone who is registered, then it makes no sense to me to say I won't see another person who needs me just because they haven't got their own dentist."

Mr MacPherson, who was voted the best dentist in Britain in 2004, said he was angry that Lanarkshire Health Board had failed to provide weekend dental services for people without their own dentist.

He said the appalling state of people's dental health in Lanarkshire - the area has some of the worst records for dental decay in Scotland - should have made it a priority for the health board.

Mr MacPherson went on: "The situation here in Lanarkshire is far from ideal, but I believe we are in this position because of the Glasgow Dental Hospital, which will not turn away a patient with an address outwith the city who turns up and is obviously in need of treatment.

"But that is an abuse of the service at the Glasgow Dental Hospital and not an excuse for the health board here not to provide the same kind of service locally."

Mr MacPherson said the one in four calls to the out-of-hours dentistry line by people without their own dentist showed how difficult it remained to get on a dentist's list.

A new service offering dental care to people without their own dentist is planned by Lanarkshire Health Board. It is likely to be set up in Wishaw, although no date has been fixed for its opening - and there is as yet no strategy in place for how calls will be handled.

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