Is there to be NHS Dental reform?

The current NHS contract has been around for 16 years. We were promised an update in 2013 but it never came. We have seen pilot and prototype contracts tried out and fail.


What now for NHS dentistry in England?


The healthcare team at Nexa Law are seeing a departure from what was, pre-pandemic, a guaranteed income from the NHS contract to private practice.


The current UDA system is no longer fit for purpose and practitioners are tired of being beholden to producing numbers of treatments rather than high quality dentistry.


The goodwill in an NHS contract is no longer seen as valuable as it was to many dentists and some are quite happy to hand the contract back.


Whilst some dentists still remain committed to the NHS, recruiting associates who want a career in it is becoming increasingly difficult.


The same applies to dental nurses. Recruiting experienced nurses into the NHS is no longer as easy as it once was. Consequently, costs are rising and the profit margins within the NHS are restrictive.


These together are driving dentists out of the NHS and into the private sector where the pressures of UDAs are an irrelevance enabling high quality preventative dentistry to take the place of conveyor belt NHS work.


The cost-of-living crisis is a political hot potato affecting all areas of business. If a practice surrenders its NHS contract that might enable the Area Team to redistribute funding and increase accessibility to NHS dentists, many of whom are unable to take on new patients currently.


Some element of dentistry will need to remain in the NHS. There is talk of a hybrid system as a half-way house between the system we currently have and one which is 100% private.


Many practitioners believe dentistry to be the “poor relation” of the NHS. Changes are coming but as yet the uncertainty is not allowing them to plan for the future.


Thank you for reading, I hope you enjoyed it. 


If you found value in it, please like and share. 


To book a consultation to discuss your needs, click here.


For further information on how we can help you and the dental lawyer services we offer.


Thanks once again, 


Jonathan

Principal vs. Associate-Led Dental Practices: A Financial Analysis

20 September 2024
Understanding the Leadership Structure The leadership structure of a dental practice can significantly impact its financial performance. There are two primary models: Principal-led and Associate-led. Principal-led: In this model, the principal dentist owns and operates the practice, assuming full financial and management responsibility. Associate-led: Here, the dentist is a self-employed contractor to the practice, the principal dentist having the responsibility to provide patients and where necessary, to offer assistance and advice. Financial Implications Income Distribution: Principal-led: The principal dentist retains all profits after expenses, potentially leading to higher income but also greater financial risk. Associate-led : Associates receive a percentage of the fees that they generate as income, providing more financial stability but limiting earning potential. Overhead Costs: Principal-led: The principal dentist is responsible for all overhead costs, which can be substantial. Associate-led: The Associate is responsible for a share of the lab expenses that they generate Debt and Risk: Principal-led: The principal dentist is personally liable for any debts or financial obligations incurred by the practice. Associate-led: The associate is not responsible for the practice’s debts and liabilities. Succession Planning: Principal-led: Succession planning can be more complex, as the principal dentist must find a suitable successor or sell the practice. Associate-led: Succession planning can be easier, as associates may have an option to purchase the practice or continue working under new ownership. Financial Considerations When evaluating the financial implications of a Principal vs. Associate-led practice, consider the following factors: Personal financial goals: Are you seeking higher income potential or a more stable income stream? Risk tolerance: How comfortable are you with assuming personal financial risk? Long-term goals: What are your plans for the future of your dental career? Local market trends: Are there any trends that favour one model over the other in your opinion and experience? Conclusion The choice between a Principal-led or Associate-led dental practice sale and purchase depends on your individual circumstances and financial goals. By carefully considering the financial implications of each model, you can make an informed decision that aligns with your professional aspirations and long-term success. Feel free to contact us for more help and advice.

Purchase Completed in York

19 August 2024
Congratulations to Joanne Nurse on the acquisition of a share in Adventurers Day Nursery in York. Joanne now becomes co-owner of the nursery with Helen Nurse. Many thanks to everyone involved in the transaction, especially Amardeep Nangla for his work done on the property side and all those at Barclays Bank who helped facilitate this transaction. All at Jacobs Legal wish Helen and Joanne all the best for the future and much success in the years to come.
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