The role of dental therapists working in four personal dental service pilots: type of patients seen, work undertaken and cost-effectiveness within the context of the dental practice.
OBJECTIVE
To describe the type of patients seen and work undertaken by dental therapists employed in four personal dental service practices and to report on their cost-effectiveness within the context of the dental practice.


METHODS
All members of the dental team used a standard day sheet to record all patient contacts and procedures undertaken in that session. Dental therapists recorded data for 30 consecutive sessions and dentists recorded information for 20 sessions. Items were recorded in sufficient detail to allow later matching with the GDS statement of remuneration and a calculation of the average gross fees and patient charges per session.


RESULTS
The role of the dental therapist varied between the practices studied. In two practices the therapist saw a high proportion of child patients, and in one of these this was combined with providing care for a high number of adult patients who were exempt from patient charges. In the two practices where the dental team did not include a dental hygienist, the dental therapist had a relatively high workload providing dental hygiene care for adult patients. It appears that the gross fees and patient charges generated by the dental therapist in all four PDS practices fail to cover the cost of the salary of the dental therapist, dental nurse and associated overheads borne by the practice.
Harris
R
R
Primary Dental Care, Liverpool University School of Dentistry, Pembroke Place 5th Floor, Liverpool L3 5PS, UK. R.V.Harris@liverpool.ac.uk
Burnside
G
G
D000328:Adult; D002648:Child; D003362:Cost-Benefit Analysis; D032022:Delegation, Professional; D003727:Dental Auxiliaries / Q000191:economics / Q000706:statistics & numerical data; D019140:Dental Care for Children; D004739:England; D005792:General Practice, Dental; D006801:Humans; D007587:Job Description; D011215:Practice Management, Dental / Q000191:economics; D024382:Professional Role; D012456:Salaries and Fringe Benefits; D000078329:Workforce