title: Barriers encountered using skill-mix to deliver caries prevention in dental practices.
abstract: This opinion paper provides an analysis of the barriers and successes experienced when developing and implementing a pilot scheme to deliver caries prevention using skill-mix in the National Health Service (NHS) General Dental Services. A training programme was initiated to develop  the skills of extended duties dental nurses to deliver fluoride varnish to patients in selected dental practices in Croydon, London, UK. In the light of the evaluation of this programme, a recommendation is made that similar preventive schemes should be delivered in the future within the NHS  dental contract.
authors.affiliation: NHS South West London, UK. emuahatim@hotmail.com
authors.forename: Eman
authors.initials: E
authors.lastname: Hatim
authors.forename: Nick
authors.initials: N
authors.lastname: Kendall
mesh_terms: D002327:Cariostatic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D032982:Contracts; D032022:Delegation, Professional; D003726:Dental Assistants / Q000193:education; D003731:Dental Caries / Q000517:prevention & control*; D004739:England; D005460:Fluorides, Topical / Q000008:administration & dosage / Q000627:therapeutic use; D005792:General Practice, Dental; D006291:Health Policy; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D008131:London; D009909:Oral Health; D010348:Patient Care Team; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D013218:State Dentistry
chemical_list: D002327:Cariostatic Agents; D005460:Fluorides, Topical