The Conservative Party

Not everyone who's posh is a ****.
I'm not suggesting that's the case. I've explained it a little in a subsequent post. If it's a debating society (which I believe it is), then it's impossible to say one way or another if he believes what he's saying.

I only said he 'probably' already is a Tory - i.e. If I had to put money on it, I'd argue it's more likely he's a Tory than he believes what he's saying.

ps. There are even some Tories who aren't cunts.
 
I'm not suggesting that's the case. I've explained it a little in a subsequent post. If it's a debating society (which I believe it is), then it's impossible to say one way or another if he believes what he's saying.

I only said he 'probably' already is a Tory - i.e. If I had to put money on it, I'd argue it's more likely he's a Tory than he believes what he's saying.

ps. There are even some Tories who aren't cunts.
A rare breed but one is in my social circle.
 
Off at a tangent on forced privatisation. We already know the shambles being made of the NHS and the loss of lives to enforce a dogma. My own example of recent, in September I had a visit to my NHS dentist, it was for a simple filling, he raised his concern when he discovered decay. He told me it would feel uncomfortable but would settle over the weekend, it didn't, it was very painful and uncomfortable. I was due to go away on the Wednesday but managed to see one of his colleagues on Monday. He completely bottled it, wouldn't do any work on it and definitely not extract it due to me going abroad, citing the chance of infection. I used antibiotics to see me over the fortnight which thankfully worked. On return my dentist referred me to another surgery, in turn passed me onto NMGH. That was three plus months ago. I've just called back to the surgery and enquired about the next step, seeing as I feel like someone has just slugged me with a bat. Apparently the hospital waiting list runs at two years and I'm also informed emergency services have been removed. Thus being forced to go private.
This sounds more a result of a dentist who doesn't know what he's doing.

Either way NHS dentists do not exist and never have. Most dentists are effectively private consultants who work at a practice which is signed up to an NHS contract. Usually these practices will offer mixed private/NHS work. Whether private or NHS though you will still see the exact same dentist and they will do the exact same work on your teeth.

Reform is urgently needed but unfortunately people need to understand that they can't get something for nothing. There is no such thing as privatisation in dentistry, dentistry has always been private just like GP's always have been. Private work always pays far more than the NHS and the NHS cannot fill that gap so we either have to pay more or the system needs reforming.

We currently pay a fixed banded charge for treatment which is great for us but it isn't great for the NHS because the NHS must pay the remainder and the amount depends upon the treatment. Dentists aren't interested in offering NHS appointments because for what the NHS does pay it pays the absolute minimum and often that can result in treatment offered at a financial loss. This is why there's no appointments nor appetite to improve the contracts. The dentists want more money and the NHS wants to pay less money.

In France there is no banded charge. Instead the French health system pays a big percentage towards the actual treatment cost. You then have to cover the rest either through insurance or your own money. With this system the dentists get the actual treatment cost as opposed to what the health system is willing to pay them. As a result they'll offer more appointments because their earnings are exactly the same.

Patients would have to pay a little more in this system but appointments would be more widely available and it would still cost far less than private treatment.
 
This sounds more a result of a dentist who doesn't know what he's doing.

Either way NHS dentists do not exist and never have. Most dentists are effectively private consultants who work at a practice which is signed up to an NHS contract. Usually these practices will offer mixed private/NHS work. Whether private or NHS though you will still see the exact same dentist and they will do the exact same work on your teeth.

Reform is urgently needed but unfortunately people need to understand that they can't get something for nothing. There is no such thing as privatisation in dentistry, dentistry has always been private just like GP's always have been. Private work always pays far more than the NHS and the NHS cannot fill that gap so we either have to pay more or the system needs reforming.

We currently pay a fixed banded charge for treatment which is great for us but it isn't great for the NHS because the NHS must pay the remainder and the amount depends upon the treatment. Dentists aren't interested in offering NHS appointments because for what the NHS does pay it pays the absolute minimum and often that can result in treatment offered at a financial loss. This is why there's no appointments nor appetite to improve the contracts. The dentists want more money and the NHS wants to pay less money.

In France there is no banded charge. Instead the French health system pays a big percentage towards the actual treatment cost. You then have to cover the rest either through insurance or your own money. With this system the dentists get the actual treatment cost as opposed to what the health system is willing to pay them. As a result they'll offer more appointments because their earnings are exactly the same.

Patients would have to pay a little more in this system but appointments would be more widely available and it would still cost far less than private treatment.

As far as I'm aware, there is a quota limit at which point dentists are not allowed to take on more and get paid through the NHS. A practice gets X amount a year, and can't get it added to once it's used; the upshot is the NHS places fill up as the population increases and dentists decrease.

They've been on about getting this revised for a while, yet can't get govt to agree.

I think in general many would be happy to take on more NHS patients, but they have to be paid to do so.

There is also a shortage of dentists, and some geographical factors apply too.
 
As far as I'm aware, there is a quota limit at which point dentists are not allowed to take on more and get paid through the NHS. A practice gets X amount a year, and can't get it added to once it's used; the upshot is the NHS places fill up as the population increases and dentists decrease.

They've been on about getting this revised for a while, yet can't get govt to agree.

I think in general many would be happy to take on more NHS patients, but they have to be paid to do so.

There is also a shortage of dentists, and some geographical factors apply too.

“NHS” dentists (they’ve never really been part of the NHS) used to get paid per procedure. NHS teeth is what my dentist calls them, basically teeth filled to fuck for no dental reasons when we were kids. It sorted of worked but wasn’t great in that sense.

The current system was introduced in 2006 and was condemned as unfit for purpose in 2008 with deteriorating dental health in the general population ever since. However under this system everyone has the right to be allocated an NHS dentist and you should contact England.contactus@nhs.net for help.
 

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