Apr. 28th, 2010 12:58 pm
kincaid: (Default)
[personal profile] kincaid
Went to the local hustings last night. It was quite enlightening

God knows what the local Tories were thinking with their candidate, well lets say I felt sorry for him. Seemed sincere but a total shambles. And this is a low majority seat!

Labour and Lib Dems came over well and knowing their policies, Lab was a bit too all rehearsed hand gestures, but he's been in since 97 and Blair is infectious...

All made a great point of how they'd had real jobs before being a politician and wouldn't take outside interests if they got in.

No mudslinging from Lib and Lab, Tory lost the audience in the first 30 seconds by trying to put the boot in. Lib and Tory made more of what they'd do, Lab on what they'd done, reasonably enough.

Some quiet honest answers too, one admitted to not having an answer, another time that the issue (dentistry) was a low priority so tough for now.

Glad I went. It didn't change my mind because of recent history, but if this was 97 again I'd have certainly considered switching my vote.

Date: 2010-04-28 05:37 pm (UTC)
From: [identity profile] jugglebug.livejournal.com
Dentistry a low priority?!? Current government have commissioned 2 separate reviews and a pilot system in only the last 12 months...
Does that sound like a party trying to ignore the issue?
It isn't like they brought in a completely untested new system in 2006 contrary to all the best advice available to them is it.

oh wait...

sarcasm mode off

Date: 2010-04-29 10:56 am (UTC)
From: [identity profile] klonecaid.livejournal.com
Anyone would think you had a vested interest...

The question was about getting more NHS dentistry, the answer was "there's no more munny, come back later"

Date: 2010-04-29 12:27 pm (UTC)
From: [identity profile] jugglebug.livejournal.com
Perhaps a little vested interest :-)
Really though it isn't entirely a question of Money, but also one of Ideology.

Dentistry is expensive to provide. No question. Most of our materials are manufactured abroad so variation in the euro has great effect. American made products are often priced as a straight $1 to £1 ratio exchange rate not withstanding.

However the government (and previous ones)have a long standing policy of trying to provide a private level of dentistry at low levels of funding.
Even to the extent where a dentist was specifically forbidden to offer a private item (such as a crown) and say it was better than the NHS alternative even when It was patently true. Such as those times when the private item wasn't available on the NHS. The dentist could have his NHS contract removed for doing so.
Now pre 2006 the powers that be decided on a shakeup and run a few pilots, they went really well so clearly the new system would be based on those yes?
erm nope.
New system had all the crap parts of the pilot, none of the good ones with a few extra crap ones added on. So now we have the farcical situation where a practice is funded the same to do 1 filling as 20, the same for a plastic denture with 1 tooth on (lab bill about £30 quid) as a cobalt chrome full upper and lower denture (lab bill about £300 quid)
Means that some patients walk in and you will be better off handing them your wallet and telling em to piss off elsewhere. It is a soul destroying system and benefits no one. The high needs pt gets shunted about, the dentist has to work really fast churning out stuff or risk having his budget removed (measured on points, not clinical outcome y'see)

What is needed is a political party with the stones to say to the public, "We cannot afford to subsidise everything that is possible"
Then fund properly a "core service" Which would be pain relief, dentures, root fillings in front teeth treatment due to trauma etc and a proper prevention scheme (because lets face it if people took our advice we wouldn't need to fix so much)

Down side with this approach is that folks would actually have to take responsibility for their own bodies (ie the prevention) or risk having to pay the cost of putting it right. And that ain't a vote winner.

Leeds university did some research into the most effective way to treat decay in a child. Then priced it up at approx £138 per tooth. The NHS will currently fund a childs course of treatment that includes a filling at between £50 and £70 (postcode lottery) including the check up etc. So instead of us all treating kids as leeds describes, we do the best we can and cross our fingers that the baby teeth are lost before the abscess happens.

rant over


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May 2010


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