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Dentists sent on holiday by hard-up NHS By Jenny Hope - Medical Correspondent - Daily Mail, March 29, 2007 Dentists are being forced to take holidays because some health trusts have run out of cash for treatments. Critics say the revelation is proof that a Government shake-up of the payments system has failed. It is already £120 million over budget. Around 5,000 Health Service practices - one in four - are treating too many patients too quickly and are being told by primary care trusts to delay treatments until more money is available. NHS Dentist, a practice in West London that treats only state patients, has sent nine of its 11 dentists on holiday because of the cash crisis. Lead dentist Henrik Overgaard Nielson said the practice was a victim of the new contract which came in last April. He said: "The Government used what was happening a few years ago to work out the budget, but since then we have expanded and now we are being penalised. It is very depressing, we have built up the practice over eight years. From Monday we are booked for three weeks solid because it is the start of the new financial year so we're allowed to see patients again." Nine out of ten dentists claim the payments system is on the point of collapse, according to a survey by the British Dental Association. Around 85% said they believe patients have no better access to NHS treatment and 93% say the system does not encourage a more preventative approach to care. In the first six months of the new contract, calls to NHS Direct about dental problems rose 43%, it emerged yesterday. The Citizens Advice Bureau survey also found that some parts of the country are 'dentistry deserts' in terms of Health Service care. Government figures show that the number of adults seen by an NHS dentist fell 69,000 last year, with 11,000 fewer children now receiving state care. In an attempt to promote a more preventative approach, the new contract ended the practice of charging for each procedure. Many dentists were outraged and 2,000 are thought to have responded by quitting the Health Service. Susie Sanderson, chairman of the dental association's executive board, said the contract - which applies in England and Wales - needed radical revision. "Dentists who have been committed all their working life to NHS dentistry, go private because they feel they'll be compromising their patients' care if they don't." The association said the reforms were 'a hasty and ill-judged process' which created a 'horrible target driven system'. Tory spokesman Andrew Lansley said: "Once again, the Government's abject failure to estimate the cost of a new contract has punched a black hole in NHS finances of tens of millions." Health Minister Rosie Winterton defended the system, saying it was not acceptable that practices that got through their lists quickly could demand more cash. "It really isn't fair on the thousands of other dentists who have planned their work properly so that they can carry out their work throughout the year," she added. If you have suggestions for additional subjects, or material to include in the pages linked to the subjects listed, please contact the webmaster.
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