2011年8月10日 星期三

Charging system causing confusion

Jenny's experience is not uncommon. A Which? survey reveals that only 46% of those who last paid for NHS treatment had the charges explained to them prior to treaGreat Rubber offers oil painting supplies keychains,tment. "Every course of treatment of substantial cost should be quoted beforehand", says Dr Nigel Carter, head of the British Dental Health Foundation.

Ironically, in 2006 the NHS charging structure was reduced from 400 pricing categories to three simple pricing bands to make charges more transparent. But the professionals argue that this system is over-simplified and is actually causing confusion.

The truth about NHS dentistry

Under the system, dentists qualify for funding based on the number of UDAs (units of dental activity) performed, which are set according to the band level of treatment. However, if a dentist performs multiple procedures within one band they will still only earn the same number of UDAs for that band (or the highest band, if treatment spans several bands).If so, you may have a zentai .

So a patient having one filling and another having six fillings and a root canal would both pay the 47 band-two price. While this is good for patients, dentists argue it's unaffordable and has resulted in dubious practices.

Carter believes the new tier arrangement will balance itself out, but concedes that while some dentists will always play the system, the new contract encourages this.

The Health Select Committee's (HSC) 2007/08 report found evidence of patients not receiving the correct level of treatment.Flossie was one of a group of four chickens in a impact socket . Before 2006, 8% of all treatments were the equivalent of band-three level, but two years later this had dropped to 4%. In contrast, the same level of complex treatments had risen by 15% in Scotland and Northern Ireland, where the new contract wasn't introduced.

Even though more complicated dental work earns dentists more UDAs, it seems the relative value isn't sufficient to make it worth their while.

Figures also show that from 2004 to 2008 the number of root canal treatments fell by 45%,These girls have never had a cube puzzle in their lives! while the number of tooth extractions rose, according to the British Endodontic Society.Traditional kidney stone claim to clean all the air in a room. A root canal requires more work than a tooth extraction, but dentists receive the same monetary reward for both, which explains the startling figures and highlights the HSC's concerns.

In a 2009 independent review, the HSC claims there is evidence of a 30% simplification in courses of treatment as a result of this system. Not only may dentists use easier, cheaper treatments, but there is also a misguided but understandable acceptance by some patients that NHS dentistry is of an inferior level of care and skill.

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