The Rising Cost of Private Dentistry and Patient Complaints in the UK

For many in the UK, accessing dental care is becoming increasingly challenging, leading to a surge in patients turning to private dentistry. However, this shift isn’t without its risks, as evidenced by a growing number of complaints and reports of patients receiving unnecessary or substandard treatment. This article examines the factors driving the increase in private dental care, the associated risks, and what patients can do to protect themselves.

The Crisis in NHS Dentistry

Access to NHS dentistry has been declining for years. In 2023, the Commons Health and Social Care Committee warned of a “crisis of access” to NHS dentistry, citing unequal access across regions, ethnic groups, and socioeconomic groups. A significant contributing factor is the number of NHS dentists returning funds to the government. Over £900 million – approximately £1 out of every £7 paid – was handed back by NHS dentists in England in the last two years, as dentists prioritize private work .

The Shift to Private Dentistry

As access to NHS care dwindles, more people are seeking treatment in the private sector. Research by Healthwatch shows a marked increase: almost a third (32%) of people in England used private dentistry in the last year, compared to 22% in 2023. This trend is creating a growing market, but as well raising concerns about affordability and quality of care.

Rising Complaints and Concerns About Treatment

The increase in private dental care has been accompanied by a significant rise in complaints. The Dental Complaints Service (DCS) reported a 133% increase in complaints about private dentistry in just one year. Cases like Lainie’s, a 55-year-old from Manchester, highlight the potential for negative experiences. After being unable to identify an NHS dentist, Lainie turned to a private practice and ended up spending over £7,000 on treatments she felt were unnecessary, experiencing pain, and ultimately being diagnosed with post-traumatic stress disorder (PTSD) .

Other patients, like Rosie Jackson from Southampton, report feeling pressured into treatments they didn’t need or seek. Dan, from Surrey, experienced a concerning incident during wisdom tooth removal, alleging an inexperienced dentist struggled with the procedure and caused bruising.

The Role of the Competition and Markets Authority

Recognizing the issues within the private dentistry sector, the Competition and Markets Authority (CMA) has launched an £8 billion market review. This review will examine both essential and cosmetic treatments, focusing on the difficulties patients face accessing NHS care and the increasing number opting for private options.

What Patients Can Do

If you are unhappy with dental treatment, experts recommend the following steps:

• Raise concerns directly with the dental practice: This is the first step in resolving the issue.
• Escalate to the regulator: If the practice doesn’t resolve your concerns, contact the General Dental Council.
• Contact the complaints body: The Dental Complaints Service can provide assistance.
• Seek independent advice: Understand your rights and options.

Dentist Sophia Smyth, who works exclusively with NHS patients, advises patients to ask questions about any recommended treatment, especially if it differs from previous advice. “If you move to a new dentist who you feel is pushing you into an expensive procedure that your previous dentist has never mentioned, don’t be afraid to ask questions about the rationale for this treatment.”

Looking Ahead

The current situation in UK dentistry requires attention from both policymakers and patients. The CMA’s market study is a welcome step, and increased awareness of patient rights is crucial. For individuals seeking dental care, thorough research, open communication with dentists, and seeking second opinions can support ensure they receive the appropriate and necessary treatment.