title: A dental workforce review for a Midlands Strategic Health Authority.
abstract: OBJECTIVE
  To explore opportunities for workforce development in NHS general dental services (GDS) in Shropshire and Staffordshire.
  
  
  METHODS
  Secondary data sources were supplemented with a primary survey of GDS practices to build up a profile of the existing GDS workforce and its current capacity. Attitudes and perceptions on current workforce issues and potential solutions were gathered using a second survey and explored further through other qualitative techniques including interviews and a focus group discussion.
  
  
  RESULTS
  The results confirm that there is a shortage of dentists in the area, fuelled by multiple factors including the move from NHS to private work, the decision to retire early and a growing disillusionment with NHS policies and remuneration. Modelling of alternate approaches to future dental clinical needs highlighted the opportunity for meeting the consequent workforce demands through increased involvement of hygienists and therapists.
  
  
  CONCLUSIONS
  This study has provided local evidence to inform dental service development in Shropshire and Staffordshire. It has provided a starting point for exploring new ways of working and will contribute towards a more effective implementation of new and evolving service strategies.
authors.affiliation: Centre for Health Planning and Management, Keele University, Staffordshire, ST5 5BG. hma28@hpm.keele.ac.uk
authors.forename: P
authors.initials: P
authors.lastname: Hornby
authors.forename: E
authors.initials: E
authors.lastname: Stokes
authors.forename: W
authors.initials: W
authors.lastname: Russell
authors.forename: D
authors.initials: D
authors.lastname: Cochrane
authors.forename: J
authors.initials: J
authors.lastname: Morris
mesh_terms: D001291:Attitude of Health Personnel; D002391:Catchment Area, Health / Q000706:statistics & numerical data*; D003726:Dental Assistants / Q000706:statistics & numerical data; D003756:Dental Hygienists / Q000706:statistics & numerical data; D003815:Dentists / Q000706:statistics & numerical data* / Q000600:supply & distribution; D004739:England; D017144:Focus Groups; D005792:General Practice, Dental / Q000706:statistics & numerical data; D006291:Health Policy; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D008962:Models, Theoretical; D010560:Personnel Selection / Q000706:statistics & numerical data; D011331:Private Practice / Q000706:statistics & numerical data; D012051:Reimbursement Mechanisms; D012179:Retirement / Q000706:statistics & numerical data; D013218:State Dentistry / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*