Essex Local Dental Committee

Essex Local Dental Committee

Minutes of meeting held 2.6.08. at Chelmsford Golf Club, Chelmsford, Essex.

Hon. Secretary : Tony Clough, Roxwell House, Roxwell, Essex, CM1 4NL

Tel :01245 248553,  e-mail : clogdent@btinternet.com

Assist. Secretary : Clinton Foreman,

Tel : 07718 900909,  e-mail : clintforeman@lismail.co.uk

Treasurer : Mark Preston, 90a High St, Canvey Island, Essex SS8 7SQ

Tel : 01268 683739,  e-mail : mark@essexldc.org.uk

Apologies : Piers Lambert, Spencer Nute

Minutes of previous meeting : Approved.

Matters arising : Nil.

Treasurer : MP reported that we have made a contribution to the Dental Guild, and that W Essex dentists are still not contributing fully (see website, or contact MP if you are experiencing difficulties accessing website).

Chairman : Nil.

Special Presentations : AC introduced Ian Stidson and Julie Jones, dental leads for SE and Mid Essex PCT respectively, who gave comprehensive presentations on Primary Care Strategy and Commissioning Intentions 2008-2011. These reports are available on the LDC website. It was felt useful to engage with the PCT leads in this way and lively, constructive debate followed, with some full and frank exchanges of views, before the chairman, displaying his customary diplomacy, brought matters to a close and thanked the presenters and their support staff on behalf of the LDC. It was agreed to organise presentations by the other PCTs in due course.

Secretatial : CF reported that SE Essex was offering extra UDAs in three different areas, and concern was again expressed that these should not be commissioned at too low a value, as this would result in poor quality treatment (noted by the PCT leads before their departure). Mark Shackell advised that the acquisition of comprehensive details of demographics was requiring PCTs to revisit access standards (in consultation with the public and the providers). Additional UDAs were on offer in other PCTs, and the ethics/intricacies of tendering were discussed, along with the clinical "need" to see a dentist as opposed to "demand" by the "worried well". CF has contacted an accountant who has written to the Inland Revenue about the corporation tax request (no reply as yet), and a letter from Tony Jacobs was exhibited inviting participation on the GDPUK news page (www.gdpuk.com) by sending contributions to GDPUK. CF also informed members of the next meeting of the E. Region LDC, and invited attendance by any interested parties, as AC and CF would be unable to attend; there were no takers.

End of Year Contract Monitoring/Superannuation : AC has done the PCT rounds and all have allowed 4% tolerance apart from W Essex which has allowed 10% over- and 4% under-production of UDAs. Most practices are on target, but some are as much as 10% over, with some child-only up to 25% under. PCTs are now issuing "breach of contract" notices, and Neil Gaubert was upset that there was no help for those unfortunate GDPs whose livelihoods were in danger. CF suggested an LDC "taskforce" to advise in these cases. Chris Roome outlined his situation where he has completed his UDAs and transmitted electronically, but the BSA disputes the total (despite a PCT audit supporting CR). He is now required to complete in paper form (estimated at 9 days work) or the executive board will claw-back £64,000 on a technical breach because the BSA is the arbiter. CR is considering exposing this to the media, but is aware that this could be ‘spun’ unfavourably. He will report developments at the next meeting. AC reminded members that providers have to apportion superannuation to performers by 31.7.08. for 2007/8, and there will be no reminders sent this year.

Dental Education : The Royal London is interested in extending its outreach teaching at Southend by utilising VT practices when the VDPs are away at their central training. The E. Region Dean is keen for a pilot scheme for 10 practices in the autumn. BH expressed concern about patient reaction/consent/indemnity and the quality of care that could reasonably be expected, given the standard of some VDPs.

Oral Surgery : A letter has been sent by SW Essex PCT stating that basic o/s should be carried out in the surgery, and hospitals are refusing patients without radiographs/minimum data (ref. criteria for referral Brit. Assoc. of Oral Surgeons).

LDC Conf. : AC, CF, MP, CR and Nick Barker to attend, but members showed no interest in formulating a motion due to the perceived emasculation of conference.

LDC Constitution : AC to organise and report at the next meeting, together with advising on date of the next elections (PCTs have requested MS to be co-opted).

AOB : The members approved new honoraria to the Sec. (£13,267.80), Assist. Sec. (£9828) and Treasurer (£2457), which was much appreciated by the recipients.

Next meeting : 8th September at 7pm.

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