Patient banding charges leaked
 

Dental News
Article detail

See the following article detail about

Patient banding charges leaked

0845 527 9810

Article details for

Patient banding charges leaked

 

Patient banding charges leaked

It is well over a year since the patients’ Czar, Harry Cayton, submitted his report on a new patients’ charges regime to ministers. It is possible that, if and when Rosie Winterton speaks to the LDC Conference (this is uncertain at the time of writing), she will make an announcement, but don’t hold your breath. Rumours abound from knowledgeable sources that the Cayton report may well be dumped in the aftermath of the general election.
In the meantime details of the proposals have been leaked to Dentistry and we must question why ministers have taken so long to decide on them. We understand that the previous secretary of state, John Reid, was happy with them, but felt that they could be ‘misinterpreted’ by hostile elements in the media in the run up to an election. We now have a new health secretary, Patricia Hewitt, who is, she says, ready to listen.
There is, however, some urgency about making a decision. The present charges system relates to output and under PDS this has declined steeply bringing about a shortfall in charge income. Under PDS, however, the emphasis is not on output of item of service but in numbers of patients seen. What is needed to maintain charge income is a system that recognises numbers of courses of treatment and their complexity.
That is what Harry Cayton’s group gave them. They rejected the present scheme based on item of service and also two other possibilities. Patients will not be able to pay an annual charge as they can with prescription charges. This could have been useful for those with, say, chronic periodontal disease where frequent visits are indicated. They also appear to have rejected a suggestion where there would be no charge for laboratory items, but the patient would pay a sum equivalent to the laboratory bill, allowing choice of both laboratories and type of appliance.
They opted instead for a system of payment by courses of treatment, but banded according to their complexity. In band 1 were treatments described as ‘no dental intervention’, such as examination, radiographs and simple scaling. Around half of all courses of treatment would currently fall into that category. If intervention was needed then the patient would move into either band 2 or 3. Band 2 would contain all interventive treatments, except those requiring laboratory work, which would be put in band 3. They also proposed a band 4 (at the same rate as band 1) for ‘occasional treatments’.
As now, dentists would collect patient charges due with the amount that should have been collected being deducted from the dentists’ monthly contract payment. The amount paid depends not on how many treatments are given, but the band in which the most complex treatment lies. Charges are not cumulative; if a patient has treatments in both bands 1 and 2 then they pay only the band 2 charge.
Harry Cayton’s group did not recommend a specific level of charge for each band, but given the requirement to raise £500m a year, gave a number of different options that would achieve this level. However charges in band 1 would lie between £10-£18, those in band 2 £30-£35 and band 3 £120-£140. One consequence would be that the maximum charge would come down dramatically to around £130, but the charge for exam, scale and single filling might rise to £35.
John Reid said, in January, that it would go out for public consultation this summer. The decision is now his successor’s. There will be winners and losers in any system and opponents of the Government will emphasise the losers and describe the new regime as a stealth tax. But that is the nature of politics. One alternative of course would be to withdraw NHS dentistry from those who pay charges, which would make them redundant. Is that what was meant in the Labour party manifesto as a ‘fundamental review of the scope and resourcing of NHS dentistry’?

 Posted on : Wed 15th - Jun - 2005

 

Call Dental Support UK

Premium IT Support

  • All Servers & workstations covered..
  • Saturday Cover INCLUDED.
  • Telephone support.
  • Remote support.
  • 4 hour on-site Server response.
  • System monitoring.
  • Network monitoring and security.
  • Anti-Virus & Application updates.
  • Unlimited Remote Server Data backup.
  • Loan equipment on hardware failure.
  • Reduced rates for PC parts supply & installations.

No matter how big
your practice you
pay the same
price!!


ONLY

Click here for more info
Dental News Archives 2018

September - 2018
August - 2018
July - 2018
June - 2018
May - 2018
April - 2018
March - 2018
February - 2018
January - 2018

Dental News Archives 2017

December - 2017
November - 2017
October - 2017
September - 2017
August - 2017
July - 2017
June - 2017
May - 2017
April - 2017
March - 2017
February - 2017
January - 2017

Dental News Archives 2016

December - 2016
November - 2016
October - 2016
September - 2016
August - 2016
July - 2016
June - 2016
May - 2016
April - 2016
March - 2016
February - 2016
January - 2016

Dental News Archives 2015

December - 2015
November - 2015
October - 2015
September - 2015
August - 2015
July - 2015
June - 2015
May - 2015
April - 2015
March - 2015
February - 2015
January - 2015

Dental News Archives 2014

December - 2014
November - 2014
October - 2014
September - 2014
August - 2014
July - 2014
June - 2014
May - 2014
April - 2014
March - 2014
February - 2014
January - 2014

Dental News Archives 2013

December - 2013
November - 2013
October - 2013
September - 2013
August - 2013
July - 2013
June - 2013
May - 2013
April - 2013
March - 2013
February - 2013
January - 2013

Dental News Archives 2012

December - 2012
November - 2012
October - 2012
September - 2012
August - 2012
July - 2012
June - 2012
May - 2012
April - 2012
March - 2012
February - 2012
January - 2012

Dental News Archives 2011

January - 2011
February - 2011
March - 2011
April - 2011
May - 2011
June - 2011
July - 2011
August - 2011
September - 2011
October - 2011
November - 2011
December - 2011

Dental News Archives 2010

December - 2010
November - 2010
October - 2010
September - 2010
August - 2010
July - 2010
June - 2010
May - 2010
April - 2010
March - 2010
February - 2010
January - 2010

Dental News Archives 2009

December - 2009
November - 2009
October - 2009
September - 2009
August - 2009
July - 2009
June - 2009
May - 2009
April - 2009
March - 2009
February - 2009
January - 2009

Dental News Archives 2008

December - 2008
November - 2008
October - 2008
September - 2008
August - 2008
July - 2008
June - 2008
May - 2008
April - 2008
March - 2008
February - 2008
January - 2008

Dental News Archives 2007

December - 2007
November - 2007
October - 2007
September - 2007
August - 2007
July - 2007
June - 2007
May - 2007
April - 2007
March - 2007
February - 2007
January - 2007

Dental News Archives 2006

December - 2006
November - 2006
October - 2006
September - 2006
August - 2006
July - 2006
June - 2006
May - 2006
April - 2006
March - 2006
February - 2006
January - 2006

Dental News Archives 2005

December - 2005
November - 2005
October - 2005
September - 2005
August - 2005
July - 2005
June - 2005
May - 2005

hide toolbar
Would you like weekly updates on our latest offers? If so enter your email :
Quick Remote Dental Support