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interviews > NHS > Flashcards

NHS Flashcards

1
Q
  1. What do you know about the traffic light system and what are your opinions on it?
A

framework to categorize severity of health conditions and guide treatment decisions

-green: condition is stable & manageable. patients can usually manage symptoms at home

-amber: moderate level of concern. patients may seek medical advice but is not an emergency

  • Red: urgent issue requires immediate medical attention. patients seek immediate help
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2
Q

What are your thoughts on the recent sugar tax?

A
  • tax on sugary drinks in 2018, companies pay more money for more sugar

good as encourages companies to reduce sugar

good as encourages people to drink less sugary drinks

46% average reduction in sugar in soft drinks between 2015 and 2020

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3
Q
  1. What are some alternatives of the sugar tax?
A
  • public education campaigns: educate about risks of high sugar consumption, promote healthier choices
  • subsidise healthy foods- fruits, veg more affordable
  • marketing: talk about article on adding labels to sugary foods, like tobacco labels

-encourage physical activity: in schools, parents, help tackle childhood obesity

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4
Q

Should fluoridation of water occur?

A

yes- reduce tooth decay, cavities, especially in areas where dental access limited or poorer so cant afford dentist

Fluoride strengthens tooth enamel, makes more resistant to tooth decay

no- fluorosis- stains on teeth, people worried about excessive fluoride consumption

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5
Q
  1. How should money be invested into dentistry for the NHS?
A
  • improving access: expand dental services in areas which lack it so more can access dental care

-preventative care: invest is preventative programs, public education campaigns, going into schools- spreads awareness of oral health so can reduce treatment costs

  • upgrade facilites: invest in modern technology & equipment

-workforce development: allocate funds to train more dentists

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6
Q
  1. Should dental treatment be free on the NHS?
A

yes: offers access to all, affordable
who is eligible examples:
- under 18,
- under 19 in full-time education
- pregnant/ had baby in the past year
- staying in NHS hospital and your treatment is carried out by the hospital dentist

no: strains NHS resources and funding, cant buy new equipment, long waits- impacts quality of care, dentists not always paid greatly

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7
Q
  1. What changes have there been in dentistry over the past 100 years?
A
  • advancements in technology- digital images, x-rays, laser dentistry

-materials & techniques- composite resins and ceramics for fillings and crowns

preventative care- more emphasis on oral health

fluoridation- addition of fluoride to water supply

access to care- establishment of NHS, changes in policies

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8
Q
  1. What are the differences between private and NHS Dentistry?
A

private:
- longer appointment
- shorter wait
- expensive
- more tech and materials

NHS:
- subsidised cost
- long wait
- short appointments
- less funding

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9
Q
  1. What are some of the reasons patients choose private treatment for their teeth over NHS?
A

greater quality of care- access to more advanced materials due to funding

shorter waiting time

longer appointments- treatment done in less appointments,

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10
Q
  1. Should dental treatment be free for patients on the NHS?
A

yes- NHS is there to help all access healthcare, should be open to those who cant afford

no- NHS still needs money to afford treatments

could be free for some:
- pregnant
- children
- elderly
- immigrants/refugees

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11
Q
  1. Give differences between the NHS systems in different countries in the UK
A

England, scotland, Wales

costs: example, band 3 dental treatment in England is £319.10, in wales is £260

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12
Q
  1. What is an NHS trust and how do they work?
A

trust is organisation in NHS that provides healthcare services - manage hospitals, clinics

different types- acute trusts (provide hospital services), mental health trusts, community health trusts

each trust managed by board of directors

Acute trusts ensure hospitals provide high-quality healthcare and that they spend money efficiently.

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13
Q
  1. Could you talk me through what would qualify as a Band 3 treatment?
A

dentures, bridges, night guards, crowns

fixed replacement for a missing tooth or teeth (bridge)
type of cap that completely covers your real tooth (crown)
false teeth (dentures) restoring damaged teeth with inlays, pinlays and onlays.

£319.10

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14
Q
  1. What are your thoughts on the current NHS Dental Contract and the system of Units of Dental Activity?
A

nov 2023 changes better than oct 2022 plan- changes to band 2

may be disproportionate to amount of work done

Paid on number of completed UDAs – may lead to rushed appointments and less comprehensive care for patients

Access to care- some say UDA system can limit access especially patients who need more complex treatments. If a dentist has a limited number of UDAs, they may prioritise simpler cases to meet their targets

Inequity- practices in wealthier areas have more resources to meet UDA targets compared to deprived areas,

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15
Q
  1. How do price bands work for treatment under the NHS?
A

band 1: £26.80 examination, assessment and advice, x-rays

band 2: £73.50 fillings, extractions, root canals, denture additions

band 3: £319.10 dentures, bridges, night guards, crowns

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16
Q
  1. When would a dental appointment be free patients are not exempt?
A
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17
Q
  1. Who qualifies for free dental treatment?
A
  • under 18,
  • under 19 in full-time education
  • pregnant
  • had a baby in last 12 months
  • being treated in an NHS hospital and your treatment is carried out by the hospital dentist
  • receiving low income benefits, or under 20 and a dependant of someone receiving low income benefits
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18
Q

What is the CQC?

A

Care quality commission
- make sure health and social care services provide people with safe, high-quality care.

  • regulates all health and social care services in England.
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19
Q

What are AGPs?

A

Aerosol generating procedures
- medical procedures that results in release of aerosols from respiratory tract, release of small airborne particles

  • high risk of Aerosol generation
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20
Q

What is NICE?

A

National institute for health and care excellence- provides national guidance and advice to improve health and social care.

  • evaluate new health technologies for NHS
  • produce usable guidance to help health practitioners
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21
Q

What is the GDC?

A

General dental council
- register dental professionals, set standards for dentists, ensure quality of dental education

9 GDC principles
- patient interests 1st
-communicate effectively with patients
- obtain valid consent

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22
Q
  1. What do you know about how the NHS charges for appointments?
A

Different bands for different courses of treatment
Band 1- £26.80 examination, diagnosis
Band 2- £73.50 fillings, root canals, extractions
Band 3- £319.10 crowns, bridges, dentures

23
Q
  1. What are the NHS values, and why are they important?
A
  • respect & dignity, work together for patients, compassion, improving lives, everyone counts commitment to quality of care
  • important to put patients well- being first, to treat people equally, work morally and fairly
24
Q

What is it like to be a dentist?

A

fulfilling- restore smiles, improve self confidence

stressful- complex cases, breaking bad news

fun- artistic, meet patients, work in team

tiring- many appointments, not many breaks

25
Q

How do you deal with overpopulation?

A
  • increase number of dentists in rural or undeserved areas

-implement community outreach programs to spread importance of oral health- teach in schools

  • utilize technology to improve speed and efficiency (x-ray in dark room at ortho practice vs x-ray machine in other practice)
26
Q
  1. What are the main challenges facing the future of dentistry in the UK?
A

-funding and resources- NHS often criticised for its lack of funding

  • access to care- rural and undeserved areas, patients struggle to find dentists
  • workforce shortages- growing concern about the shortage of dentists–> longer wait times, increased workload
  • technological advancements- keeping up with and affording new tools can be difficult
  • improving public awareness can be difficult- may misinterpret as lack of freedom to do and eat what they want
27
Q
  1. What are the greatest challenges facing healthcare as a whole, and dentistry in particular?
A

healthcare as a whole:
- funding: struggle with limited budgets, disparities in quality of care
- Aging population: as poulations age there is more demand for resources
- workforce shortages: longer wait times and reduced access

Dentist specific:
- access: many patients care afford or access dentists
- public awareness: increasing public awareness is a challenge
- inequalities: rural vs urban areas, care differs

28
Q
  1. How has COVID changed the way that dental practices operate?
A
  • enhanced infection control measures: increased PPE use, regular sanitization (talk about work experience cleaning) , air filtration systems
  • focus on emergency care: during lockdown dental practices shifted to focus mainly on emergencies, delaying routine procedures

-patient screening protocols: before appointments practices may conduct screenings to identify COVID-19 symptoms

29
Q
  1. How does oral health differ here compared to other areas in the UK?
A
  • funding: Scotland and wales have different approaches to funding
  • access: access to NHS dental services vary by region- some areas have more dental practices and better availability- rural may face shortages
  • preventative care: some regions may prioritise preventative measures more than others
30
Q

How do you approach understanding the priorities and values of the NHS in providing dental care?

A
31
Q

How do you approach understanding the impact of healthcare policy on dental care provision?

A
32
Q

What do you think about patient’s access to care within the NHS system?

A
33
Q

How do you approach understanding the unique oral health needs and challenges of the local community?

A
34
Q

How would you tailor your dental care approach to meet the needs of a patient from a different cultural background?

A
35
Q

How would you approach collaborating with local organisations and community groups to promote oral health and provide dental care to underserved populations?

A
36
Q

How would you approach incorporating the values and priorities of the local community into a dental practice you work for?

A
37
Q

Can do dentists collaborate with local healthcare providers to ensure comprehensive patient care?

A
38
Q

What are some benefits of NHS dental services, and what are some drawbacks?

A
39
Q

How can access to dental care be improved for those in underserved communities in the UK?

A
40
Q

How do dentists promote public health and prevent diseases?

A
41
Q

What are the steps to becoming an NHS dentist in the UK?

A
42
Q

How do dentists stay informed of policy changes and regulations in the dental field?

A
43
Q

What are some of the most common dental conditions treated under the NHS?

A
44
Q

How do general and specialised dentistry differ within the NHS system?

A
45
Q

How do dentists prioritise treatment plans within the limitations of the NHS system?

A
46
Q

What ethical considerations should dentists take into account while working within the NHS system?

A
47
Q

What challenges does dentistry within the NHS face today?

A
48
Q

What is the role of dental nurses and hygienists in the NHS system?

A
49
Q

How is patient confidentiality and data protection ensured in NHS dental practices?

A
50
Q

What is the current state of NHS dental funding and resources?

A
51
Q

Why is patient education important in the NHS dental system?

A
52
Q

What can be done to encourage people to seek regular dental checkups and treatment within the NHS?

A
53
Q

How do you see the future of NHS dentistry evolving?

A
54
Q

What impact do you think emerging technologies and innovations will have on NHS dentistry?

A

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