Service Considerations Deborah White

Outline Dental Attendance Service use Treatments received Relationship with dental practice

Reason for dental attendance

Regular attendance amongst men and women

Attendance by country and SHA **

Regular attendance and SEC 66% - managerial and professional 62% - intermediate 55% - routine and manual

Trends in regular attendance

Frequency of visiting the dentist At least every 6 months? At least once a year? At least once every two years? Less frequently than every two years? Only when having trouble with teeth and/or dentures?

Half of dentate adults reported attending every 6 months – Variation between countries (highest in Wales) – Variation between Socio-economic classification Majority of dentate adults (77%) attended within two years – Consistency between countries – Variation between Socio-economic classification

Change in frequency of attendance

Service use

Use of NHS dental care % Age

NHS or Private

NHS

Why did people choose NHS?

Why did people choose Private?

What would encourage people to go to NHS Availability – 38% Quality of care – 17% Convenient location – 13% Affordability – 11% Recommendation – 8% Increased treatment range – 7% Nothing – 21%

Reasons for not going in last 2 years No need to go to the dentist / nothing wrong40 I can’t find an NHS dentist / dentist gone private25 I’m afraid of going23 I can’t afford the NHS charges20 Keep forgetting / haven’t got round to it18 I’ve had a bad experience1 I don’t see the point15 I haven’t got time to go9 It’s difficult to get to / from the dentist6 I’m too embarrassed to go5 %

Dental treatment

Dental treatment received

Types of treatment

Treatment differences by SEC

Treatment 1998 & England

Cost of treatment Range of costs reported – 13% paid more than £100 – Varied between age groups: 19% of % of Minority reported pre-payment plan or dental insurance scheme – 12% overall – Varied between age groups: 18% of % of – Varied between countries: 18% in Wales 12% in England 9% in Northern Ireland

Value for money Very good / Good FairPoor / Very poor All65%21%12% England65%22%12% Wales74%16%9% N Ireland65%18%17% %23%18% %16%10%

Relationship with dental practice People had mainly been to the same practice before – 89% Two thirds had been at the practice for at least five years Slightly less in younger age groups and less in London than other SHAs in England

Percentage rating good or very good

Conclusions High proportion of people attending the dentist within the maximum recommended recall interval. Socio-economic differences in reason for attendance and recall interval. Variation by Strategic Health Authority The NHS remains the major provider of dental care in all age groups and in almost all parts of the three countries.

Adult Dental Health Survey 2009 The NHS Information Centre commissioned the survey, with funding provided by the Department of Health in England, the Welsh Assembly Government and the Department for Social Services and Public Safety in Northern Ireland. The Office for National Statistics (ONS) was the lead contractor working in partnership with the National Centre for Social Research, the Northern Ireland Statistic & Research Agency, and a team of academics from the Universities of Birmingham, Cardiff, Dundee, Newcastle and University College London