Dental Working Patterns Survey 2014/15 and 2015/16 Guidance Notes for England and Wales



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Dental Working Patterns Survey 2014/15 and 2015/16

Guidance Notes for England and Wales
The survey relates to your typical time spent in primary care dentistry in two financial years – 2014/15 and 2015/16.



  1. Contact details incorrect?

If your invitation to participate in the survey came by letter and the postal address is out of date please do not worry. The address has been provided by the NHS Business Services Authority Dental Services based on your NHS dental activity in 2014/15.





  1. What is primary care dentistry?

Primary care dentistry is primary care dental treatment provided outside of hospitals, and includes dentistry performed in dental practices, dental access centres, salaried/community dental services as well as emergency dental services. Primary care dentistry consists of NHS and private work and can occur in more than one practice.


Please note that primary care dentistry includes time spent on relevant non clinical work (which can include administrative and management duties) and can also involve orthodontic work, domiciliary care or dentistry performed on referral.
It does not include secondary care, time spent working for a post-graduate deanery or in dental school.



  1. Number of months you worked as a practising primary care dentist

Please include the number of months you worked as a primary care dentist (as defined above); during these months you may have taken holidays, or performed secondary dental care as well. Please note that any extended period of continuous absence of one month or more (e.g. maternity/sickness leave) should be excluded.


If you were working in a primary care dental practice for 12 months, and also working in a hospital part time for part of the year, you would mark down 12 months in the box provided.
If you worked only 2 days per week as a primary care dentist, but did so for the entire year, you would mark down 12 months in the box provided.



  1. Clinical work

For the purpose of answering this survey, clinical work is defined as all face-to-face contact with patients (including preventative care).





  1. Annual leave

Please only include annual leave as time away from dentistry; this does not include time away from dentistry due to extenuating circumstances (such as sickness, maternity leave, compassionate reasons etc.), nor does it include time away for continuing professional development (CPD).


NHS Working Arrangement
Please see Annex A for detailed descriptions of each dental type (NHS working arrangement).


  1. Completed Question 6/14 – Example A

The dentist is an owner of one dental practice, has a contract with NHS England/Local Health Board (LHB) and performs general dental services within the practice. This dentist would answer Question 6/14 as below:




Arrangement

Please tick

Provider & Performer



Performer Only - Incorporated




Performer only




Other (please state………………..)







  1. Completed Question 6/14 – Example B

The dentist is an owner of one dental practice, has a contract with NHS England/LHB and performs general dental services within the practice. The dentist also performs general dental services in the practice of another dentist (as a performer). This dentist would answer Question 6/14 as shown below. Please note, if the dentist switched arrangements in the year, becoming a Provider & Performer after being a Performer Only (or vice versa), they would answer in the same way.




Arrangement

Please tick

Provider & Performer



Performer Only – Incorporated




Performer only



Other (please state………………..)







  1. Completed Question 6/14 – Example C

The dentist performs general dental services for their own limited company or limited liability partnership. In EITHER case, the company/partnership is not under contract with NHS England/LHB but performs dentistry for another provider, practice owner or company/partnership. This dentist would answer Question 6/14 as below:




Arrangement

Please tick

Provider & Performer




Performer Only - Incorporated



Performer only




Other (please state………………..)






  1. What is a Business Arrangement?


Provider & Performer dentists who hold a contract or contracts with NHS England/Local Health Boards (LHB) can choose to run their businesses under a number of different arrangements. These dentists might hold the contract themselves, or might be an owner/director/partner of a company that holds the contract.
For each contract that you hold (or the contract that a company of which you are an owner/director/partner holds), please indicate the business arrangement in the table provided.
Performer Only – Incorporated dentists perform dentistry for their own body corporate which is responsible for performing dentistry for another provider, practice owner or limited company. Please indicate the business arrangement (Limited Company or Limited Liability Partnership) in the table provided.
Please see Annex A for detailed descriptions of each business arrangement.


  1. Completed Question 7/15 – Example A

The dentist does not personally hold a contract with NHS England/LHB, but is an owner/director/partner of a limited company, which holds two contracts, with NHS England/LHB(s). This dentist would answer Question 7/15 as below:




Business Arrangement

Please tick

Limited Company



Limited Liability Partnership




‘True’ Partnership




Expense Sharing Group




Sole Trader without other dentists working for them




Sole Trader with other dentists working for them




Other (please state…………………………)







  1. Completed Question 7/15 – Example B

The dentist holds a total of three contracts with NHS England/LHB(s). For two of these contracts, the dentist is involved in limited liability partnerships; for the other the dentist is a sole trader but has two other dentists performing some of the dental activity included in that particular contract. This dentist would answer Question 7/15 as shown below. Please note, if the dentist switched business arrangements within the year, they would answer in the same way.




Business Arrangement

Please tick

Limited Company




Limited Liability Partnership



‘True’ Partnership




Expense Sharing Group




Sole Trader without other dentists working for them




Sole Trader with other dentists working for them



Other (please state………………………….)




  1. Completed Question 7/15 – Example C

The dentist is the owner/director/partner of a limited company that holds a contract with NHS England/LHB to provide dental services, but this dentist does not perform any dental services under this particular contract. This dentist also holds another contract with NHS England/LHB and performs some of the dental services under this second contract, has no partners, but also sub-contracts two other dentists to perform dentistry under this particular contract with him/her. This dentist would answer Question 7/15 as below:




Business Arrangement

Please tick

Limited Company



Limited Liability Partnership




‘True’ Partnership




Expense Sharing Group




Sole Trader without other dentists working for them




Sole Trader with other dentists working for them



Other (please state………………………….)






If you have any queries about the questionnaire, or any comments or concerns regarding this survey, please contact the Health & Social Care Information Centre on 0300 303 5678 (9am-5pm Mon-Fri) or at enquiries@hscic.gov.uk
Annex A


Working Arrangement (Dental Type)

Definition

Provider & Performer

Under contract with NHS England/LHB or owner/director/partner of a body corporate (Limited company or Limited Liability Partnership) under contract with NHS England/LHB, and also performing dentistry. Previously called practice owner.


Performer Only - Incorporated


A performer of dentistry who works for their own body corporate (Limited company or Limited Liability Partnership) which is responsible for performing dentistry for another provider, practice owner or other limited company.


Performer Only


Working for a provider, practice owner or body corporate (Limited company or Limited Liability Partnership). Previously called associate, assistant or locum.


Other


e.g. Dental Foundation Trainees, Salaried Primary Dental Care dentist (Community Dental Service dentist).




Business Arrangement

Definition

Limited Company

The contract with the NHS England/ LHB or provider (for Performer Only – Incorporated dentists) is held by a Limited Company, of which the dentist is an owner/director/partner; also known as a body corporate.


Limited Liability Partnership

Providing-Performer or ‘Performer Only – Incorporated’ working in a partnership whose liability is limited by law.


‘True’ Partnership

Profit sharing partnership.


Expense Sharing Group

Dentist who shares expenses with other dentist(s) but retains own profits.


Sole Trader without other dentists working for them

Dentist is self-employed and is the sole performer of dental services under their contract.


Sole Trader with other dentists working for them

Dentist is self-employed, performs dental services, and also employs and/or sub-contracts other dentists to perform dental services within their sole trader business arrangement.


Other

Please state.






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