The College of General Dentistry and British Association of Dental Nurses (BADN) are warning of a potential catastrophe for dental patients if the planned implementation of mandatory COVID-19 vaccinations for all patient-facing staff in England is not deferred.
Regulations came into effect earlier this month that will make it unlawful from 1 April 2022 for a CQC-regulated employer to deploy staff who are not fully vaccinated to work face-to-face with patients. The rules, which will apply to NHS and private providers alike, will effectively force dental practices to dismiss staff who have not received their first dose of an approved coronavirus vaccine by 3 February, and second dose by 31 March, unless they are clinically exempt, under 18, taking part in a COVID vaccine trial or can be redeployed into a non-patient-facing role.
Both the College and BADN are unequivocal in their encouragement of dental professionals to take up the offer of coronavirus vaccination. However, interim results from the BADN COVID Vaccination Survey, based on the responses of over 1,000 practising dental nurses to date, show that 26% have not yet received two vaccination doses, and 24% will not have been double-vaccinated by the deadline.
Responses to date are similar for both members and non-members of the association. If the findings are representative of the dental nursing profession as a whole – which makes up half the dental workforce – this would suggest an impending reduction in available dental staff in England of up to 12,000, or 12%, plus any dentists, dental therapists, dental hygienists, clinical dental technicians or orthodontic therapists who may not be double-vaccinated.
The survey also found that 32% of respondents so far said they do not intend to take up the offer of a ‘booster’ dose, suggesting that staffing problems will only increase if the definition of ‘fully vaccinated’ is later amended to require three doses.
Dr Abhi Pal, President of the College of General Dentistry, and Jacqui Elsden, President of the British Association of Dental Nurses and an Associate Member of the College, said:
“Dental nurses are a vital part of the team without whom dental care cannot be delivered, and the BADN’s data will only strengthen existing concerns in practices across the country.
“Tens of millions of dental appointments have been missed during the pandemic, but while welcome additional funding has just been announced by NHS England to help tackle the backlog during February and March, losing up to a quarter of dental nurses from 1 April would lead to a precipitous reduction in care provision, quickly reversing any progress made and leaving millions of dental patients once again unable to get the treatment they need. We urge the government to defer implementation of the vaccination requirement for dental employers in order to avert a calamitous own goal.”
Tonight at 7pm, a week ahead of the deadline to take up the first vaccination dose, the College is hosting Vaccination: your questions answered.
Free for all dental professionals to watch live, speakers include Professor Jason Leitch, (Senior Clinical Advisor to the Scottish Government, CGDent Ambassador and regular explainer of all matters COVID in the broadcast media), and Sarah Buxton (HR and Employment Solicitor and legal advisor to the Association of Dental Administrators and Managers and the British Society of Dental Hygiene and Therapy). Register here
CGDent members and ProDental subscribers have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members/non-subscribers who wish to claim CPD.
In conjunction with the Central Sterilising Club, this webinar examines how we can promote sustainability in dentistry and healthcare, addressing issues such as disposable single use items and the efficacy of decontamination and reuse on site. The current disposal of items across healthcare is not sustainable and we need to change our practices to ensure that reuse and reduce are the principles to reduce waste. Yet, there are other considerations including infection control, the ongoing risk to patients as well procurement and transport to and from our places of work.
This webinar sets out to investigate the effect of healthcare on climate change and how nurses can adopt more sustainable nursing practices. We examine how improving sustainability through reusable PPE can reduce the pressure and costs on the NHS and improve the planet, and consider how embedding sustainability within a dental practice can support and advocate change in dentistry.
Speakers:
John Prendergast, Senior Decontamination Engineer at NHS Wales Shared Services Partnership/Specialist Estates Services
Ian Mills FCGDent, former Dean FGDP(UK) and a Trustee of CGDent
Abhi Pal FCGDent, President of CGDent
Rose Gallagher MBE, Professional Lead Infection Prevention and Control at Royal College of Nursing
Alexis Percival, Environmental and Sustainability Manager, Yorkshire Ambulance Service NHS Trust
Brett Duane, Associate Professor in Dental Public Health, Trinity College, Dublin
Dr Jimmy Walker, Independent Microbiological and Decontamination Consultant
Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/.
London-based Dental Hygienist, Frances Robinson AssocFCGDent, has volunteered overseas for several years, providing oral health care in communities where it is much needed. Here she shares some of her experiences and offers advice for anyone interested in getting involved.
It might not be everyone’s idea of “time off”, but I’ve never spoken to anyone who regretted the volunteering they’ve done, whether giving a talk on good oral hygiene in a school assembly or an extended trip abroad with an overseas charity.
As highly trained dental professionals, there are so many ways we can give back to both our local communities and the wider global community. We have a huge skill set that prepares us for volunteering, even without using our clinical skills. Communication, professionalism, working in a fast paced, ever-changing environment, are all key skills needed for working in outreach settings, with dental charities and in overseas communities. Furthermore, dental professionals are registered health professionals with moral standards to uphold and appropriate safeguarding certifications – all conducive to humanitarian work.
Clinical skills are a recognisable asset for any volunteer within the health sector. Dental professionals can offer their skills as part of an emergency relief campaign: in humanitarian crisis; in conflict zones; after natural disasters; or in refugee settings. Overseas volunteers are often needed to increase the capacity of local health facilities, as well as training and up-skilling local health workers.
I have volunteered with dental charities in the UK and abroad for several years and have gained much as a dental professional. I was newly graduated when I first volunteered which really threw me in at the deep end, but my experiences helped me become a more prepared, flexible and innovative clinician, as well as being a more culturally-aware team member.
I first volunteered for Dentaid in 2016 when Itravelled with the charity to Nepal, and then later to Cambodia in 2017. Dentaid has worked in more than 70 countries providing safe dental treatment in poor and remote communities. They support dentists around the world by providing equipment, running oral health programmes and sending teams of volunteer dental professionals to help reach more patients and support local charities.
Conducting fluoride applications in Cambodia with Dentaid
I had only been qualified a year when I took part in Dentaid’s inaugural trip to Nepal. In some areas we were able to help communities with much needed extractions for patients who were in pain and simple restorations and fluoride applications for those we could. We used very simple equipment, often with no reliable electricity, sometimes working outside.
An outreach clinic in a school in Cambodia
On one of our clinical days, we travelled by bus for three hours, then in a 4×4 for two hours and finally walked for one hour to set up a clinic in a remote school in the foothills of the Himalayas. I was shocked having travelled so far to see the children consuming excessive amounts of sugary drinks and sweets. The subsequent decay rates were astronomical. We set up preventative dental clinics in the rural schools on classroom chairs and tables. I came across a similar situation when I took the opportunity to travel with Dentaid to Cambodia. These transformative experiences became a catalyst for me to go on to study a Masters in Dental Public Health.
Extensive dental caries in an 11-year-old patientExtensive subgingival deposits and associated gingivitis
At the start of the pandemic, I began volunteering in fundraising and logistics for dental charity Dental Mavericks, who work in Lebanon, Morocco and Greece. In September 2021, I travelled to Greece as the first Dental Maverick to support a new partner charity to help support the dental clinic with dental volunteers in the Kara Tepe 2 refugee camp in Lesvos. I worked clinically, seeing my own patients and assisting other dental professionals. I also helped the charity’s founder and the clinical coordinators devise more effective data collection methods, restructuring their research to better attract funders, new clinicians and other support.
Treating a patient in a clinic in the Kara Tepe 2 refugee camp, Lesvos, with Dental Mavericks
Dental Mavericks focuses on promoting oral hygiene education and practice, making dental care accessible to vulnerable populations, including refugees. Their priority is to address the root causes of dental disease and take people out of dental pain. They provide emergency appointments, routine and preventative dentistry. They are hoping to help the Greek charity they support to expand the preventative aspect in the future. I am currently leading on a collaboration between Dental Mavericks and the British Association of Dental Nurses to support humanitarian workforce training.
Working abroad is an amazing way to see areas of the world that you wouldn’t otherwise visit. Interaction with patients that may have travelled many hours to see you is humbling in a way that is indescribable. But there are also many other ways that dental professionals can volunteer their time and skills. If you’re considering volunteering, it’s advisable to carefully consider how much time you are willing to give and what type of work you want to do, before committing to any voluntary opportunities.
Children and young people
Connecting with a local school to give assemblies and classes on toothbrushing and dietary advice may be a suitable option and can tie in with a preventative dentistry programme. Toothbrushing programmes in early years settings are recommended by NICE (1) and PHE (2); the effectiveness of these programmes for reducing tooth decay in early years settings and schools has been well established. There is scope for dental professionals to support their local settings with the set up and provision of these schemes. Designed to Smile in Wales and Child Smile in Scotland have been implemented with much success.
Care homes
A critical but often overlooked area of volunteering is supporting older people. Care home residents suffer a disproportionate amount of dental decay. Evidence shows significant differences between ‘institutionalised’ and community dwelling older people, with those in care having fewer teeth and significantly higher levels of dental decay (3), which has ramifications for an individual’s systemic health. Dental practices could consider collaborating with their local care home by helping to provide triaging advice for carers and oral hygiene advice for staff.
Outreach clinics
There are many ways a dental professional can volunteer with an organised charity too. As well as providing dental care in remote communities abroad, the dental charity Dentaid runs clinics out of its mobile units all over England. They focus on vulnerable communities, for example the homeless, refugees living in the UK, residents in socially deprived areas and those unable to access care.
Another avenue for dental professionals seeking opportunities to volunteer is to reach out to non-dental-specific charities like homeless charities or charities for specific health conditions, and offer to help up-skill carers or other volunteers in dental health and hygiene.
Working overseas
There are many organised groups that offer voluntary opportunities overseas. It’s important to conduct thorough research into an organisation before committing to them. They should provide help that is culturally relevant, includes the local community, is empowering for its beneficiaries and looks to build a sustainable local workforce, where possible.
As well as Dentaid and Dental Mavericks that I have already referred to, other organisations that provide dental support overseas include Mercy Ships and Médecins Sans Frontières.
Mercy ships is a faith-based international development organisation that deploys hospital ships to some of the poorest countries in the world, delivering vital, free healthcare to people in desperate need. They accept all members of the dental team and can focus on more complex treatments due to their on-board facilities.
Médecins Sans Frontières (MSF) provides medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. This well-known organisation welcomes clinicians from most healthcare areas but has larger focus on medical care and sanitation.
If I could give any advice to dental professionals wanting to volunteer, it would be to do a little bit of research before you decide on what you want to do and where you want to go. Then throw yourself in!
“At the end of the day it’s not about what you have or even what you’ve accomplished…It’s about who you’ve lifted up, who you’ve made better. It’s about what you’ve given back.” Denzel Washington
NICE public health guidance 55 (2014). Oral health: approaches for local authorities and their partners to improve the oral health of their communities.
Steele, J. G., Sheiham, A., Marcenes, W., Fay, N. & Walls, A. W. Clinical and behavioural risk indicators for root caries in older people. Gerodontology 18, 95–101 (2001).
Frances Robinson chairs the Dental Hygiene & Dental Therapy Group on the College’s Career Pathways programme.
CGDent members and ProDental subscribers have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members/non-subscribers who wish to claim CPD.
With the possibility of mandatory vaccination of health and care workers in both clinical and non-clinical roles in England, this webinar delivers a deeper understanding of the impact of vaccination, helping to retain a protected and thriving workforce and promote patient safety.
As much as we are able, we aim to allay and address the fears of those who are concerned about getting vaccinated, and set out to provide the information needed for an informed choice.
Speakers:
Prof Jason Leitch, Senior Clinical Advisor to the Scottish Government, member of the Health and Social Care Management Board and CGDent Ambassador
Sarah Buxton, HR and Employment Solicitor, legal advisor for ADAM (Associate of Dental Administrators and Managers), the BDSHT (British Dental Society of Hygienists and Therapists)
Diane Rochford, BSDHT President (2020-2022)
Tashfeen Kholasi MCGDent, Vice President CGDent
Heidi Cresswell, Finance Officer, Society of British Dental Nurses
Dr Stefan Serban, Honorary Clinical Lecturer and Specialist Registrar in Dental Public Health
Prof Stephen Reicher FBA FRSE, Professor of Psychology at University of St. Andrews, School of Psychology and Neuroscience
Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/.
This informative, CPD webinar, open to all dental professionals, explored the many uses of dental clinical photography and sets out how the dental team can work together in a clinical setting, to produce effective dental photographs.
The presentation included an introduction to the equipment required, and how to maintain it. We discussed the importance of an efficient workflow between operator and assistant to ensure positive outcomes and explored how to critically appraise clinical photos effectively, closing with a Q&A session.
The College of General Dentistry is offering discounted membership fees to dental care professionals, all of whom are now eligible for Associate Membership.
Dental Hygienists, Dental Therapists, Dental Technicians and Clinical Dental Technicians pay only one-third fees for their first year’s membership, meaning those joining as Associate Members pay just £33.
In a pioneering move for a UK dental college, all registered dental professionals are able to apply for Full Membership (MCGDent) if they hold a relevant Postgraduate Certificate or an equivalent qualification, and Dental Hygienists, Dental Therapists, Dental Technicians and Clinical Dental Technicians doing so pay only £94 in their first year.
Those holding a relevant Postgraduate Diploma, Master’s degree or an equivalent qualification are eligible for Associate Fellowship (AssocFCGDent), a new ‘stepping stone’ to Fellowship, and dental team members joining at this grade will pay £117 initially.
The first year’s fee for dental care professionals joining as Fellows (FCGDent) – initially only those awarded an Honorary Fellowship by the College, or previously by the Faculty of General Dental Practice, a UK Royal College or equivalent – is £144.
Dental Nurses and Orthodontic Therapists receive the same two-thirds discounts, at all membership grades, on an ongoing basis.
Dental practice managers, and other non-clinical members of the dental team, can join the College as Affiliate Members for £50 per annum.
Dr Debbie Reed AssocFCGDent has received the inaugural Janet Goodwin Award, which was conferred last night by Abhi Pal, President of the College of General Dentistry (CGDent), at a reception marking the 80th anniversary of the British Association of Dental Nurses (BADN).
The new award was instituted to recognise achievement by dental care professionals (DCPs) in areas such as leadership, standards of professionalism and patient care, commitment to life-long learning, service to the profession and advocacy for the whole-team approach to general dental care.
A dental nurse, Associate Fellow of CGDent, and accomplished and passionate tutor, Dr Reed is Head of the Department for Digital and Lifelong Learning and the Centre for Professional Practice at the University of Kent, where she developed and runs the Masters in Advanced and Specialist Healthcare (Applied Dental Professional Practice pathway). She received the award in recognition of her extraordinary commitment to her own education, as well as that of others throughout the whole dental team. She completed an educational doctorate in 2019, and has written and contributed to articles on topics such as mentoring, evidence-based practice in dental nursing, and the professional image of dental nurses. The award also recognises her ‘can do’ attitude, her inspiration of others to want to achieve their very best, and her advocacy for DCPs to have the same career opportunities and experiences as dentists. Last year she was awarded the BADN Outstanding Contribution to Dental Nursing Professional Practice Award in recognition for her work with dental nurses.
The award to Dr Reed was announced in April 2021 by the Faculty of General Dental Practice UK (FGDP), which elected not to host a conferral ceremony at the time due to concern over potential coronavirus transmission.
The award honours the legacy of the late Janet Goodwin FFGDP(UK)(Hon.), who throughout her almost 50 years as a dental nurse was a staunch advocate for the advancement and recognition of DCPs.
In a wide-ranging career, Janet worked in general dental practice, community practice, secondary care and healthcare management. She was the first dental nurse to be a member of the General Dental Council, and held a number of other notable posts including Chair of the GDC Standards Review Group and President of the Oral Health Foundation, and was both an Examiner and Chair of the National Examining Board for Dental Nurses. She served the FGDP for many years as a representative for the interests of the wider dental team, and became an Affiliate Member of the Faculty when it opened its membership to DCPs in 2005. An elected member and Chair of the Faculty’s DCP Committee, she sat on the Board for over ten years as an Observer, contributed to many standing committees, provided input during the development of standards and guidance, and was awarded Honorary Fellowship in 2019. She passed away in September 2020 after a long battle with breast cancer.
Professor Avijit Banerjee and Dr Shamir Mehta have been appointed to key positions leading the College of General Dentistry’s career pathways programme.
Professor Avijit Banerjee (l), Chair of the CGDent Career Pathways Programme Board, and Dr Shamir Mehta (r), Chair of the CGDent Career Pathways Reference Group
Professor Banerjee is Professor of Cariology & Operative Dentistry and Clinical Lead in Restorative Dentistry at King’s College London, and has been appointed Chair of the Career Pathways Programme Board, which also includes the College’s Vice President, Roshni Karia, and CEO Simon Thornton-Wood.
Dr Mehta is a partner in two dental practices in Harrow, Senior Clinical Teacher at King’s College London and Senior Clinical Advisor to the General Dental Council, and has been appointed Chair of the Career Pathways Reference Group, which provides advice and guidance and also includes Andrew Dickinson, Sharon Hill, Andrea Johnson, Kirstie Moons, Fiona Sandom and Bill Sharpling.
The career pathways programme, which is supported by Colgate, is building structures to provide purpose and direction for careers across the oral health team, to enhance professional standing, and to help retain and nurture a motivated workforce in dentistry.
Career pathways with clear progressive steps are being mapped for each dental team role, underpinned by a professional framework which describes the breadth of capabilities of practitioners at each stage of their career.
These are being developed, together with the programme board and reference group, by four working groups reflecting the key roles in general dentistry:
Dentist Group
Phil Dawson (Chair)
Sefa Ahiaku
Bilal Arshad
Ian Dunn
James Hamilton
Nyree Whitley
Dental Hygiene and Dental Therapy Group
Emma Pacey (Chair)
Leon Bassi
Liam Ferguson
Shaun Howe
Sarah Murray
Kath Reynolds
Frances Robinson
Miranda Steeples
Kirstie Thwaites
Dental Nursing and Orthodontic Therapy Group
Debbie Reed (Chair)
Ken Binnah
Jane Dalgarno
Amanda Knight
Sharon Morrow
Marie Parker
Tracey Rodgers
Tracey Taylor
Tracey Young
Dental Technology and Clinical Dental Technology Group
Michael Brindle (Co-Chair)
Darren Ware (Co-Chair)
Stephan Avetoom
Mark Gilbert
Mark Maley
Steven Martin
James Neilson
Caroline Persaud
Stephen Wears
Further announcements are expected in the first half of 2022, and more information about the programme is available at: https://cgdent.uk/career-pathways/.
Dental healthcare professionals who have been redeployed during the pandemic discuss their experiences in this webinar hosted by the College and ProDental CPD. Reviewing real life stories, the panel talk about what it was like, who did what and what was learnt? They also consider whether the experience has helped others realise that dental professionals ARE healthcare professionals.
This event is part of the ‘PDJ Live’ webinar series that explores topics covered in the Primary Dental Journal, the College’s highly-regarded, quarterly journal for the entire general dental team.
Aims:
To consider the various redeployment options that were undertaken by dental professionals during COVID-19.
Objectives:
Review real life stories as to what happened
to consider the implications for dental teams going forward – What did we learn?
CGDent members and ProDental subscribers have free access to the recording and can claim CPD for free. A £20 fee applies for non-members/non-subscribers.
Membership of the College of General Dentistry is open to all registered dental professionals. Find out more here.Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/.
The College of General Dentistry, in partnership with Colgate Palmolive UK, announces an important programme to build career pathways for all those working in a professional capacity in primary care and general dentistry, which will be rolled out in the coming months following the opening of the College to membership on 1 July 2021.
The Career Pathways initiative brings together all roles in the dental team to create life-long career structures: to enhance professional standing, and to engage the confidence of patients in the skills and care they receive.
At a time when there has never been a greater need to retain and nurture a motivated workforce in dentistry, this programme aims to provide purpose and direction for careers across the whole team. It is an initiative developed for the dental professions, by the dental professions, but has attracted much wider attention at a time of special concern about oral healthcare across the UK and access to services.
The College will be structuring its membership to reflect important career stages for each and every member of the dental team. Membership is open to all registered dental professionals, and Faculties of the College will support each team member with their own career development and aspirations.
The Career Pathways programme is led by Janet Clarke MBE FCGDent, Chair of Trustees, and Abhi Pal FCGDent, its new President, together with Roshni Karia MCGDent, Vice President, and Simon Thornton-Wood PhD, Lead Executive for the College.
An authoritative group of dental professionals have been brought together for the programme, in working groups led by Debbie Reed (Dental Nursing and Orthodontic Therapy), Emma Pacey (Dental Hygiene & Dental Therapy), Michael Brindle & Darren Ware (Dental Technology & Clinical Dental Technology), and Philip Dawson (Dental Practitioners).
The College of General Dentistry is now open, welcoming all members of the dental team. Our driving passion is to enhance the careers of dental professionals in the patient interest: there is an acute need for direction and support in primary care and general dentistry careers today. Together with Colgate, we are excited to be bringing forward new and accessible ways to develop skills and enhance the team, over the coming months.
Dr Emanuele Cotroneo, Scientific Affairs Project Manager for Colgate in Northern Europe, said:
Colgate is most proud of this exclusive partnership with the newly launched College of General Dentistry, which enables the development of the College Career Pathways. This important partnership further supports Colgate’s continuing mission in becoming a valuable partner in dental education and professional development. The Career Pathways will provide a structured guide for dental professionals to pursue their clinical interests as well as enhancing their skills.
Dr Heather Mitchell, Dentist and HEE Clinical Fellow engaged in the programme, said:
The College’s commitment to prioritise a patient-centred approach to oral health care, as well as provide a much-needed structure for skills and career development, will serve to improve professionalism in dentistry. In turn, this will hopefully strengthen patient trust in their oral healthcare, benefitting the oral health of the nation. From my involvement in the programme, I can really appreciate what a great opportunity this has been to work on such an innovative project so early on in my career, I feel proud of what we have managed to achieve and am looking forward to sharing it more widely.
Andrea Johnson, Dental Technician and a member of the Career Pathways Programme Reference Group, said:
I am very excited t o work with the College and with like-minded professionals from across dentistry to help define the dental college of the future that we all want and most definitely need. I urge all members of the team in oral healthcare, in the strongest possible way, to join the College and be proud to be part of something amazing.
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