I have long been an admirer and follower of the work done by Dan Sullivan at The Strategic Coach® Company in Toronto and Chicago. Dan works with highly successful entrepreneurs globally, offering a coaching programme that focuses them on what to do best and what to do next. I have referenced his work in my [...]
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- Chris said thank you Dave, appreciate the support! about Building a new dental corporate
Chris,
Interesting prediction in number 2. A little presumptive I believe. I am a hygienist but I’ve never been self employed. If you are purely talking about the NHS I think this may be true (to some extent) but not for the reasons you have stated. Whether we like it or not, the Government insists on forcing greater regulation on healthcare professionals, at the same time it attempts to increase access.
The two are incompatible. Whteher you have said the above purely to promote debate is food for thought. I made a prediction in 2005 that the opposite was true, that in fact, like in other areas of healthcare, us that support those at the pinnacle (in our case dentists) of the profession probably have a good time ahead.
As it appears that in the future a Conservative Government would remove the need for a prescription for hygienists (discussed in Parliment recently, see hansards) to see patients, then all that would happen is a split from mainstream practice, possibly working on referral basis from practice to practice.
You have taken a purely financial view on this which is somewhat premature of you. In these days of increasing litigation, with periodontal disease a the forefront here, dentists will seek the security that employing(?) a dental hygienist brings, or at least renting out a surgery to a DH to allow access to a seperate healthcare professional brings.
Indeed, it may be that patients may choose to seek advice from their DH rather than their dentist in the future, and whilst DH’s may not act outside their competency, it may be that the patient does not go to the dentist despite the advice given.
You suggest that therapists could fill this gap? Possibly, but with so few on the register it will take many years before Principals will be able to get one full time! It maybe that in future, the Schools open up more “modular” type training for DH’s to convert to therapy rather than the fudged 2 or 3 day a week things that have been attempted before.
It maybe that in the future Dental Hygiene becomes a self -regulating Profession (I refer you to Ca. USA where Senator Arnie has done such a thing). My own view is that like Doctors who are solely registered with the GMC, the dentist will be registered with the GDC and DCPs with “DCPC” as the current system is probably not viable in the long term.
I personally think your prediction is somewhat pompus and will not hold!
don’t think the goodwill will ever be dead chris. demand for dental practices either by the corporates or business minded dentists will always ensure goodwill rises. even more so with the conservatives pledging they will remove the barriers to buying and selling.
agree with the death of the 50% associate-i think principals now have to look at cutting costs and with the influx of dentists from eu, associate wages will be driven down.
Sadly i agree with every word. I love my dentistry and have a really good team around me. I hate the titanic amounts of crap I am expected to comply with, little of which is evidence based. I have had to re-negotiate my assocs percentage downwards about 8 years ago from 50 to 45%. That was a very bloody time.
Spot on Chris. I think you have knocked the nail on the head in many of these predictions
Only uncertainty Prediction No 2 –
I think the hygienist will remain in many private practices – mainly the ones that focus on periodontal patients. They will be employed on that basis.
As for the therapists – they will be employed to do the standard SP and basic restorations but dentists and periodontists will employ hygienists.
One point you haven’t mentioned and your view on that would be welcome – the overall RSC and Govt are going to make specialty training much more accessible and easier. The market may flood with many specialists, where does this fall into the equation ?
Good post Dhru – to put things in context, I originally penned those predictions over 2 years ago – a lifetime in modern business and dentistry.
The role of the therapist is evolving as you suggest and many of my clients are now looking at therapists running the bulk of a maintenance book – effectively replacing the traditional jobbing GDP associate.
As to the expansion of speciality training – its part of a general movement in the direction of destroying the cartel of professionalism and making services cheaper – for the Govt, not the consumer.
Perhaps in 10 years time there will be a range of complimentary “professionals” who can do more things for less money – aided no doubt by corporates and retailers who are focused on profit margins and the desire to remain “compliant” at the same time.
In the mass market – profit margins always trend towards a decline.
Reason, more then ever, to become a “specialist” in customer service and not in a technical skill.
Oh its the financial services sector all over again! Still I m prepared for it now.
Retailers will fail in dentistry…u heard it here first. Walking through the supermarket with gauze in my mouth…no chance
Long live NHS dentistry:)
Ive just started working as an associate (2 years ago) and after reading this article i am feeling very depressed and scared…….if NHS dentistry is dying what should newly qualified dentists look to do with their career, i feel like i need some advice and a plan !
thanks for your comments Rachel. This post was not meant to scare or depress anyone, but rather inspire dentists to take action. …there is a very bright future ahead for dentists who take charge of their careers! Happy to assist you with advice and planning – coachbarrow@me.com
Chris