Methods: A pilot study was undertaken with 53 members of a research-active group of dentists associated with the SDPBRN. Thereafter, a random sample of 600 GDC-registered dentists with addresses in the UK were selected from the 2014 Register, and sent an introductory email containing a link to the University-hosted survey. A follow-up mailing of a paper questionnaire was made to non-responders.
Results: A response rate of 26% (n=153) was achieved. Respondents were demographically representative of the sample population. Respondents were asked about their views of: the clinical competence of DH&Ts; their ability to work without a dentist’s prescription; the GDC’s decision to allow direct patient access to DH&Ts; and whether NHS List Numbers should be made available to DH&Ts to facilitate direct access by their patients to NHS treatment. In terms of clinical competence of Dental Hygienists (DHs), 32.9% had ‘no concerns’, whereas 77.1% had either ‘serious’ or ‘some concerns’. Regarding Dental Therapists (DTs), 20.9% had ‘no concerns’ and 79% reported ‘serious’ or ‘some concerns’. In respect to diagnosis and treatment planning for periodontal therapy by DHs and DTs, 47.1% and 44.5% of dentists either ‘strongly disagreed’ or ‘tended to disagree’ that they were clinically competent. In relation to DTs undertaking diagnosis and treatment planning for restorative treatment, 72.3% of respondents either ‘strongly disagreed’ or ‘tended to disagree’ they were competent. NHS List numbers were thought to be appropriate by 12.9% of dentists, whereas 57.4% disagreed.
Conclusion: Negative opinions are apparent one year following the advent of Direct Patient Access. The nature of dentists’ concerns should be addressed to permit the successful implementation of direct access.