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January 11, 2011 2HAMBURG
WelcomeWelcome
• Martin MayhewGroup Clinical Director
• Mark GrahamRecruitment Liaison Manager
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WelcomeWelcome
• Who are ADP• Working with ADP • The nature of dental practice• The new NHS• The UDA• What you need to know• What you need to do
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Who are ADP Dental Co?Who are ADP Dental Co?
• Started in London, 1985• One of the largest groups in UK• Over 1.5 million NHS Patients in 128
practices • Durham to Exmouth• 350+ dentists & 100+ hygienists• Currently working with 50 PCTs
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Mission StatementMission Statement
• We aim to be the leading dental corporate within the UK.
• Projected to increase number of practices from currently 128 to 300 over the next 36 months
• Our objective is to be a business providing high quality dental care to its patients in a pleasant and safe environment.
• Our dental teams are well-motivated, highly trained professionals.
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Working with ADPWorking with ADP
• Experienced in NHS and Private dentistry• Complete support through management and
policies• Help to move and settle into your new
community• Competitive pay, excellent working conditions• Personal development• Experienced Clinical support
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Working with ADP
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Working with ADP
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Working with ADP
• Positions are normally full time• We expect a commitment from you of at least 2
years• General dentistry• 30+ patients a day• Laboratory bills shared 50:50• 6 weeks ‘leave of absence’ (30 days + 8 bank
holidays).• Average dentist earns over £95,000
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UK Dental Practice
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The new NHS
• NHS started in 1948• NHS is much loved by UK Citizens• 1 April 2006 (April Fools Day)• Primary Care Trust (PCT)• PCT commissions care from Providers (e.g. ADP)• Providers contract Performers (Dentists)• You cannot start up a practice in England or Wales
without a contract from the PCT
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UK Dental Practice
• England and Wales – new NHS• Scotland and N Ireland – old NHS• England different from Wales• ADP work in England
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UK Dental Practice
• UK Dental Industry is worth £3.5 billion• £s 50:50 NHS : Private• Private expenditure growing @ 10 – 14% per
year (before financial crisis)• Private, Mixed and salaried NHS practice• 90% of practices are Mixed• 90% Self Employed
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The new NHS
• Definition - Patients are entitled to all the treatment clinically necessary for the maintenance of their health and, that a patient wants and agrees to have.
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The new NHS
Definitions:• Health - an ability to eat, chew, speak and socially
interact – WHO 1982• Clinically necessary – in your professional
opinion and would be supported by current guidelines and best practice
• Patient wants – agrees to have; not wishes for!
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The new NHS
• Mandatory services (you must provide) • Excludes:
• Sedation• Home visits (domiciliary)• Out of Hours• Cosmetic, elective and Implants
• Includes• Lab fees
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The new NHS
• Contract is £ for ‘points’• Points = Units of Dental Activity (UDA)• Average FTE 8,500 UDA• Average £80,750 + 50% private – 37.5 hrs• More for high performance and loyalty payment
after 3 years service• Patients pay charges – money to PCT not you!
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The UDA
• UDAs are for complete courses of treatment (COT)!• Band 1 - 1 UDA for any COT involving prevention,
diagnosis, x-rays referral• Band 2 - 3 UDAs for COT involving restorations,
extractions, RCTs (includes prevention and diagnosis)• Band 3 - 12 UDAs for COT involving laboratory
appliances (inlays, onlays, crowns, bridges, dentures, splints etc)
• 1.2 UDAs for urgent one-off treatment
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What you need to know:
• Patients want NHS treatment especially for children, they have paid their taxes!
• Patients are confused by what is private and NHS
• Dentists are confused• Health is NHS, beauty is private!
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What you need to know:
• Successful practices generally start NHS and through communication and trust, increasing the proportion of private dentistry they ‘sell’ to patients
• The GDC requires you at all times to act in the best interests of patients
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What you need to know:
• British patients are inquisitive and need full explanations of treatment options
• British patients want excellent customer service in a timely manner
• British patients respect you as a professional once you have proved yourself.
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What you need to know:
• There are guidelines that need to be followed: NICE – the National Institute for (health) and Clinical Excellence
• Antibiotic prophylaxis (new NICE)• IR(ME)R 2000 (lead aprons)• FGDP(UK) radiography in general practice (BWg &
OPG frequency)• NICE (3rd molars & frequency of recalls)
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What you need to know:
• You cannot call yourself a specialist unless you are on the appropriate (UK) GDC list
• There is no Specialist list in Implants
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What you need to know:
• No general anaesthetic in general practice• Sedation is conscious and governed by
standards and guidelines• Patients expect local anaesthetic and
temporaries• Orthodontics is generally done by specialists
and free to children on NHS
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What you need to know:
• Greet patient• Comprehensive medical history and previous
dental history + Social history• Patient Expectations - why they are here and
what do they want.
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What you need to know:
• Extra Oral, Intra Oral, oral cancer screen• Teeth, Periodontium (BPE / CPITN mandatory)• Initial Diagnosis and secondary tests including
radiographs• Diagnosis• Treatment options – risks and benefits and costs, so
patient can give an “Informed consent”
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What you need to know:
• Treatment plan must be agreed and signed, including consent to change FP17 DC
• Recall arrangements• 15 minutes – check-ups!!• 80% of disease is in 20% patients• 60% of 5 yr olds have no caries
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What you need to know:
• White fillings in posterior teeth• Sealant restoration – NHS• Restorations in two or more surfaces involving the
occlusal surface (MO’s, DO’s, MOD’s etc) – private• Composites for cosmetic reasons – private • Amalgam is the “Material of choice” on the NHS for
posterior restorations involving the occlusal surface), except children and pregnant mothers
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What you need to know:
• Crowns – NHS• Anterior - PJC / PBC• Posterior GSC (non, semi precious NHS). PBCs for
visible premolars• Private
• All ceramic• Veneers• GSC Yellow / High Gold(?)
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What you need to know:
• Clinical references (ADP & PCT)• Current• Professional competence stressing experience and
variety of skills• Comprehensive• Quick• In English from other experienced clinicians
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What you need:
• Proof of Hepatitis B immunity (serology)• Proof of TB vaccination (scar)• IR(ME)R certification• Training in medical emergencies• Cross Infection Control• Child Protection Awareness
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Additional NHS Benefits
• NHS Pension• You contribute 6-8%, NHS puts in 10%+• Fully transferable throughout EEA
• After 2 years service• Maternity pay• Paternity leave• Long term sickness benefits
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EU DentistGDC Registration
(General Dental Council – you must register to legally practice dentistry in the UK)
LINGUARAMA ( English Language Test)Interviews and
conditional offer
Decide on preferred location depending on current vacancies
Visit UK to view practice – OPTIONAL!
Formal Job OfferAnd contract sent
Contract Agreed including start date.
Apply to PCT for contract Number –
You will need:
Complete Application FormGDC Certificate2 ReferencesPassportHep B CertificateIndemnity InsuranceCRB (Criminal Records Bureau)
What Now?
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What you need to do:
SMILE
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The Availability of Jobs
• Most of our jobs are in:• Northern England• South Western England
• Few jobs in:• South East England including London
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The Availability of Jobs
• Rarely more than 3 months’ notice of vacancies although increasing to 6 months
• Takes more than 12 weeks to register with PCT!• Speed is of the essence
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ADP Leyland
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ADP Appleby
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ADP Newark
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ADP Newark
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ADP Durham Bridge House
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ADP Longhill
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ADP Marfleet
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ADP York
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ADP Woodbridge
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ADP York
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Questions?
