Dental Tribune United Kingdom Edition

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Settable exposure times: •5,10,15,20 sec •Continuous mode (120 sec) •Tack-cure mode WOLF LED CORDLESS CURING LIGHT £ 159Incl VAT Incl VAT 95 p/ea A4 Insert October 2012 UK_DSC UK A4 04/11/2012 7:18 AM Page 1 United Kingdom Edition November 26 - December 3, 2012 dence based on a number of occasions. On my recent CQC practice inspection I was told by my CQC inspector that I should have a sign saying ‘dirty’ to indicate which side of the clearly marked dividing tape that dirty instruments are to be placed. My immediate re- sponse was, no. Even though this is probably a show of per- sonal defiance, I really do not want a sign saying ‘dirty’ any- where in my room. Now some of you may think stop being silly and just play the game, whilst others may agree with my position, but either way, what a complete waste of time and money to make dentists mark the areas of their surgery ‘clean’ and ‘dirty’ and then pay someone else to enforce this. The reality of modern day dentistry is that central government is far more con- cerned with the perception of how clean our instruments look and feel rather than the skill with which we use them. The move towards getting our instruments to be ‘sterile’ rather than ‘clean’ is not only expensive and time consum- ing to achieve, but does not address the fact that the rela- tive risks of using ‘clean’ in- struments is very low. After all restaurants don’t steam steri- lise their knives and forks, yet we are all happy to put them in our mouths. Now I am not trying to compare a night out with dental treatments, but aren’t the relative risks to peo- ple still the same? Outcomes My understanding is that the CQC is monitoring things on an ‘outcomes’ basis. So let’s look at things on an outcomes basis. Since the introduc- tion of the nGDS, CQC and HTMO1-05, dental practices have seen a massive reduction in morale, a hike in practice expenses, a reduction in prof- its and a ridiculous amount of time wasted formulating poli- cies and protocols that neither stand little chance of actually being enforced nor have any solid evidence that they actu- ally improve outcomes. When will central government re- alise that you simply cannot legislate dentists to do the right thing when it is debat- able whether there is anything wrong with what we are cur- rently doing. As I have already men- tioned, in my opinion the ever increasing burden of legisla- tion being forced onto gen- eral dental practices is really designed for small hospitals and not for family practices. Whether or not they are actu- ally enforceable is debatable; if you go into any busy A&E on a Saturday night I bet you will see a number of ‘breaches of cross infection compliance’ ranging from nurses taking bloods without gloves and smoking outside whilst wear- ing hospital tunics. Let’s not forget that they are treating people who are seriously sick and not simply carrying out dentistry in relatively healthy patients. The relative risks to pa- tients are clearly much higher compared to a general dental practice, yet nevertheless I have to spend my lunch breaks debating whether I should have a sign saying ‘dirty’ in my surgery, which until I ab- solutely have to I will not be doing. Furthermore, why am I told that I need a sign show- ing me how to wash my hands every time above my sink? This is one of the first things that we learnt at dental school and simply just adds to the clutter of useless posters that do little to improve standards for patient care. Why not get dental nurses to hold open a textbook every time we pre- pare a cavity or a crown for a tooth? Apologies for the rant. I will try to cheer up in time for my next article. DT About the author Neel Kothari qualified as a den- tist from Bristol University Dental School in 2005, and currently works in Sawston, Cam- bridge as a princi- pal dentist at High Street Dental Prac- tice. He has completed a year-long postgraduate certificate in implantol- ogy and is currently undertaking the Diploma in Implantology at UCL’s Eastman Dental Institute. 9Comment