Income protection – because you never know

By Richard T Lishman

Every year, millions of working days are lost across the UK due to sickness and injury averaging out at about 16 days per person – and dentists are no exception.[i] If anything, dentists are at greater risk of becoming ill or suffering from an injury than many other professionals, as dentistry is such a physically and mentally demanding occupation.

That is why you need income protection – a policy designed to pay you an income if you are unable to work due to sickness, injury or an accident. That way, if the worst were to happen, you can rest assured that your livelihood is protected regardless of how long you are off work.

Now, there are more than 50 income protection plans available at any given time, so be sure to examine all of the options available to you. Here’s what you’ll need to consider:

  1. Level of incapacity: All insurance companies base claims on how ill you have to be prior to any benefit being paid, but whether or not you receive a payout will all depend on which incapacity level you choose. Selecting ‘own occupation’ policy will provide you with the most comprehensive cover, as it ensures that your claim will be assessed on your ability to perform your duties as a dentist. ’Any occupation’ cover on the other hand will only pay out for as long as you’re unable to work, so if you were declared fit to work payments would be stopped – regardless of whether you could return to practice or not.
  2. How long can you afford to wait before making a claim? With income protection policies there is what is known as the ‘deferred period’, which means you can either choose to be paid from the first full day you are off sick or defer your claim to a later date. Generally, a shorter deferred period will increase the cost of your cover.
  3. Guaranteed or reviewable premiums: If you were to go for guaranteed rates, the amount that you would pay for your cover would remain the same for the duration of the plan, irrespective of how many claims you make. Alternatively you could select a reviewable premium, which is where your monthly payment would be reviewed after a set period of time and can be increased based on their overall claims experience.
  4. Exclusions: When choosing income protection cover be sure to check the policy for any potential limitations or exclusions. These may vary depending on the insurer that you opt for, but typical exclusions where you won’t receive a payout can include pre-existing medical conditions and illness or injury that is self-inflicted.

To find out more about income protection or for expert help and guidance with finding a suitable policy, contact the Independent Financial Advisers at money4dentists today.

For more information please call 0845 345 5060 or 0754DENTIST.

Email info@money4dentists.com or visit www.money4dentists.com

About the author
Richard T Lishman is Managing Director of money4dentists, a firm of specialist Independent Financial Advisers who help dentists across the UK manage their money and achieve their financial and lifestyle goals

[i] Health and safety executive: Working days lost. Accessed online 2 May 2017 at http://www.hse.gov.uk/statistics/dayslost.htm

A tighter tax squeeze on higher incomes – don’t get caught out!

 

The government’s tough stance on the tax affairs of the very wealthy has been the focus of a specially designated team since 2009. These taxpayers, or High Net Worth Individuals (HNWIs), are people whose investible assets exceed £10m.

The Public Accounts Committee (PAC) has been critical of how HMRC handles HNWIs, however, and in a report issued in January claimed that not enough is being done to deal with tax evasion and avoidance within this group. Between 2009 and 2016, there were 72 completed investigations for tax fraud, but just one successful prosecution in a criminal case.[i] This is significant because HNWIs have the potential to make a healthy contribution to government finances.

The HNWI population in the UK currently stands at 552,800. In 2014/5, this growing club paid over £535,000 a head in income and capital gains tax (CGT).[ii] At the last count, London had the most HNWIs for a city worldwide, with New York and Tokyo in second and third place.

If this all sounds a million miles away from anything that dental practice owners should concern themselves with, don’t be fooled because there have been clear indications that HMRC wants to get more money out of a wider group of taxpayers. It is now starting to look closer at those who are just inside the upper tax bracket, which will include many dental professionals and entrepreneurs. Indeed, the number of Brits paying income tax at the higher or additional rate hit record levels in 2016.[iii]

In 2011, two years after the HNWIs team was established, the Affluent Unit was set up to look at individuals with incomes over £150,000 and/or a net worth between £1m and £20m. The Unit has almost doubled in size since it began, increasing its numbers of employees by 20 per cent. The Affluent Unit’s prime targets commonly include those who have property portfolios/bank accounts that are based offshore. You will also come under the scrutiny of the Unit if you habitually file self-assessment returns late and use (or have used) tax avoidance schemes.

An affluent individual is likely to have more complex tax affairs, so it is common sense that HMRC will want to take a closer look to ensure that everything is above board. The fact is that even if you are a higher or additional rate taxpayer, there are perfectly legitimate ways to reduce your tax bill while staying fully compliant with the rules. The services of a specialist accountant are essential to help with tax planning and regular tax check-ups so you can be confident that you are doing everything by the book. Lansdell & Rose has an expert team with extensive experience in advising dental practice owners on money matters. Saving tax while remaining legally compliant is not only possible, but will help you get the most out of your business.

If HMRC is being criticised for not having taken a tough enough stance on its wealthiest clients, then you don’t want to be caught out as it starts to ramp up the scrutiny on those who are slightly lower on the income scale. As it expands its operations to monitor the affluent more closely, we can predict a tighter inspection of everyone’s tax affairs in a few years’ time, as the government seeks to squeeze more tax out of more of the population. Don’t give yourself the headache of non-compliance; work with the experts now and you will stay in control.

 

To find out more, call Lansdell & Rose on 020 7376 9333,

Or visit www.lansdellrose.co.uk

[i] https://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/news-parliament-2015/high-net-worth-individuals-hmrc-report-published-16-17/

[ii] www.worldwealthreport.com

[iii] Higher-rate taxpayers hit record levels. Financial Times, 20 May 2016.

We are what we eat

 

By Rachel Pointer

In early 2016, data from UK households who took part in a survey that documented food and drink habits between 1974-2000 was published.[i] We now eat less white bread, offal and fewer varieties of fish, but more pasta, pizza and chips. The purchase of ready meals went up fivefold between 1974 and 2000, with consumption of canned vegetables dropping by over a third in the same period.

There have also been huge shifts in how we eat. Whereas a hearty breakfast, lunch and dinner at defined times was the norm not too long ago, nowadays the rules are looser. We don’t always stop to eat. Snacking or eating between meals used to be frowned on; biscuits or cake were often only bought out for guests or for a treat.

A snack is generally defined a bar or packet of something that is cheap, requires no preparation and can be consumed anywhere. Brits love to snack and savoury snacks are the most popular choice; we eat more crisps than any other country in Europe.[ii] But snacks are no longer something small to keep us going until mealtime. Crisps and chocolate bars are available in super-sized packets and the calorie content of many popular snacks is higher than we think. So-called ‘healthy’ snacks, such as cereal bars, are often full of sugar. We must not forget calorific and high-fat beverages, either. Energy or sports drinks are massively popular and we have a thriving coffee shop culture that did not exist in the 1970s.

If size matters, should certain snacks be upgraded to ‘meal’ status instead? Although some health professionals advocate grazing on five or six mini meals as alternative to three big ones for a range of health benefits “in relation to appetite control, bodyweight management and improved blood glucose control in diabetics and pre-diabetics”[iii], this only works if people know what an appropriate portion size is.[iv]

Dental professionals must address the needs and changing habits of the modern patient and help them think about what they are eating. If snacks or mini meals are the reality of how they eat, help them make healthier choices. Cheese or unsalted nuts are better than crisps and chocolate for teeth (although not so good for waistlines). Get them to think about portion size and remind them that it is OK to stop when they are full! Alongside nutrition advice, teaching them how to brush using the correct technique and the best tools will keep their mouth clean and remove debris left over from regular meals and snacks. The comprehensive range from Tandex, including interdental brushes, is suitable for all ages and dental needs and supported by adjunctive products, including a mouthwash containing fluoride and chlorhexidine.

Going out to eat frequently, snacking more, bigger portions – the way we eat has changed drastically in the last 40 years. Reiterating nutritional advice alongside good brushing technique will help us fight the snack attack and encourage patients to think about their teeth as well as their waistlines.

For more information on Tandex’s range of products,
visit www.tandex.dk or visit the facebook page:

www.facebook.com/pages/Tandex-UK/234855250044190?fref=ts

 

 

Author Rachel Pointer qualified from Guys Hospital as a dental hygienist and began work in general dental practice in Hertfordshire.  After working as staff hygienist for Professor Naylor she was appointed tutor dental hygienist at Guys Hospital before working in Australia.  Rachel has experience in hospital, specialist periodontal practice and in the private sector as well as setting up a PDU within a cerebral palsy home in Essex.  Working for 10 years for the British Dental Hygienists Association as their information officer plus membership and careers co-ordinator she presently works at Addenbrookes Hospital and in general dental practice and a few year ago branched out to teach in a Montessori school setting.

 

 

The real cost of insufficient protection during sports

The cost of a good quality mouth guard is nothing compared to the cost of loosing a tooth. Every sporting situation where a player’s face might come into contact with a hard object – whether that be another person, their fist, a bat, racket or stick, ball or the concrete / tarmac ground – presents a risk to the teeth and gums.

While mouth guards are mandatory in competitive contact sports, many people don’t appreciate the full importance of the devices and so will often choose not to wear them. The dental team has the ideal opportunity to help educate patients and their parents on the dangers of sports and the benefits of effective protection for the teeth and gums.

One of the major barriers to mouth guards – especially for parents buying devices for their children ad young adults perhaps living on their own for the first time – is cost. Many will select the cheapest option in order to comply with the rules of their sport, but give little consideration to what they are actually purchasing.

When talking to these patients, it’s important to demonstrate the full potential cost of not wearing a mouth guard. For example, if a player has a tooth knocked out during a game, they will require dental treatment to replace it. This might involve simply reinserting the avulsed tooth – or more extensive treatment could be required such as dental implant therapy and or further restoration, the cost of which would be significantly higher than purchasing an effective mouth guard in the first place! Further still, there would be the cost of on-going maintenance of any treatment delivered, in some cases, lasting a lifetime.

If such treatment is not financially viable for the patient or their parents, the subsequent emotional or psychological considerations for someone left without a tooth could be considerable. One study found that 47% of those surveyed needed more than a year to accept their tooth loss, with 6.3% still coming to terms with it after this time.[i] The research also suggested feelings of sadness and depression were fairly common among this group of respondents. Such emotions could have a knock-on effect on the person’s social life, especially if the missing tooth is in the anterior region – low self-esteem could cause them to shy away from public interactions, having an impact on their everyday lives.

Further still, it’s important that patients realise the importance of a high quality device. A cheaply-made, poorly-fitting mouth guard might do little better than no mouth guard at all in protecting the teeth and gums during sports. Solutions such as the Saber Protect custom-made mouth guards from CosTech Dental Laboratory offer outstanding protection for patients – regardless of their age, the type of sport they play and the competition level they play at.

When it comes to safety in sports, quality protective equipment is essential. In many sports, this includes a well-fitting, quality mouth guard, which will promote comfort and facilitate communication while also protecting the teeth and gums. Help your patients appreciate the cost of not wearing the right mouth guard to keep them safe on the sportsfield.

 

Saber Protect custom-made mouth guards are fabricated by CosTech Dental Laboratory. For more information, please visit

www.custom-mouth-guards.com.

[i] Okoje VN, Dosumu OO, Alonge TO, Onyeaso C. Tooth loss: are patients prepared? Niger J Clin Pract. 2012 Apr-Jun;15(2):172-5. doi: 10.4103/1119-3077.97305.

 

Asthma found to increase the likelihood of gum disease by a fifth

Asthma sufferers have been found to be at a much higher risk of developing gum disease, according to the findings of an innovative new piece of research. The study, which looked at a selection of 21 papers published between 1979 and 20171, analysed the relationship between asthma and oral health in more than 120,000 people, with the most recent results from 2017 confirming that people with asthma were almost one fifth (18.8%) more likely to suffer from periodontitis. 

In response, leading charity, the Oral Health Foundation is encouraging asthma sufferers to ensure they pay close attention to their oral health in order reduce their risk of developing gum disease.

Speaking on this important new research, Dr Nigel Carter OBE, CEO of the Oral Health Foundation said: “We have known for some time that there are close links between oral health and systemic disease, such as heart disease and diabetes. This new study is hugely significant as it could help many millions of asthma sufferers from having to deal with further significant health problems.

“The good news is that avoiding gum disease can be as simple as brushing your teeth twice a day with a fluoride toothpaste, using interdental brushes daily and regular visits to the dentist. While gum disease can be treated very effectively, the best approach is certainly prevention and making sure we do not fall foul of it at all.

“When not caught and treated early enough gum disease can lead to tooth loss and further oral health complications.

“We are encouraging anybody who suffers from asthma to be especially alert to the early signs of gum disease; which include red inflamed gums, bleeding when brushing your teeth and persistent bad breath, and ensure that you visit your dentist as soon as possible to get checked out and avoid any further problems.

“We welcome more research on this topic, as a greater understanding could be a game-changer in stopping asthma suffers also developing gum disease.”

The findings, published in the journal of ‘Journal of Periodontology’, illustrate a close link between the two diseases and suggest that there is huge potential for millions more people to develop gum disease in the UK, gum disease is already one of the biggest non-communicable diseases (NCD) globally.

According to Asthma UK, 5.4 million people in the UK are currently receiving treatment for asthma. The UK has some of the highest rates of asthma across Europe.

Woman pleads guilty to illegal tooth whitening in Doncaster

A woman from Doncaster has pleaded guilty to practising dentistry illegally following a prosecution by the General Dental Council (GDC). Shelley Ann Starr, from Armthrope, Doncaster, was fined £110 and ordered to pay a £30 victim surcharge and a contribution of £880 towards costs, at Doncaster Magistrates’ Court.

Ms Starr practised dentistry illegally by providing tooth whitening to members of the public on 6 July 2017 at 18 Sailisbury Road, Doncaster, DN4 0HA. The Dentists Act 1984 outlines that to practise dentistry legally – which includes tooth whitening – an individual must be registered with the GDC.

The GDC’s role is to regulate the dental team in order to protect patients and help to maintain public confidence in dental services. One of the ways patients are protected and public confidence is maintained, is by prosecuting people who carry out dentistry illegally.

Shaun Round, Interim Head of Illegal Practice at the GDC, said: “It is imperative that dental professionals are registered to practise. Registration ensures that only those fully trained and qualified can practise dentistry legally. It also places a legal requirement on dental professionals to keep their skills and knowledge up to date through the completion of continued professional development (CPD) – this makes sure that patients receive the best possible treatment by a professional that is trained, competent and indemnified.

“Registration with the GDC is also required to purchase valid indemnity insurance, which is imperative as it allows patients to seek compensation if they are harmed as a consequence. By performing dentistry illegally, patients are placed at serious risk of harm.”

BOS launches ‘Hold that Smile’ retention campaign

A new approach to retention underpins a campaign launched by the British Orthodontic Society at its annual conference in Manchester.  Backed up by video and animation, the intention is to generate a viral #HoldthatSmile campaign to build awareness that retainers are for life.The first phase aimed at the profession is now public via the BOS website reflecting the important role of teams in general dental practice who prepare and refer patients for their orthodontic treatment.

 Simon Littlewood, the BOS authority on retention, says: “I think we need to focus much more on retention than we have ever done. In the past we used to fit retainers for between just one and two years and the orthodontist would review the retainers. Now, because we are asking patients to wear retainers long term, we need to work collaboratively with our GDP colleagues.”

 Simon said the classic research on relapse was done on the west coast of the US which followed up patients who only wore retainers for one or two years. They found that 10 years later, 70% of those needed retreatment.

The BOS is asking dentists to check patients are looking after retainers long-term as part of ongoing dental care. Simon added: “I think there are some misconceptions with retention. In the past, we used to think that once patients reached a certain age, their teeth would eventually be stable. Now we know that’s not true, there is potential for teeth to keep moving throughout life – it’s almost like a normal ageing phenomenon.”

He continued: “Whether there is a problem with a removable retainer or a bonded retainer, it’s important that something is done about it as soon as possible because, without that retainer, teeth will relapse.”

 “Dentists can prepare their patients before they are sent to the orthodontist by informing them about the orthodontic treatment but also about the need for retention too. There is almost no point in proceeding with orthodontic treatment unless the patient is willing and able to commit to retention long-term.”

“It’s vital that the whole dental team has a role to play in stressing the importance of retention to our patients. That includes orthodontic therapists, hygienists and nurses, to make sure our patients are motivated to commit to wearing retainers for life.”

 Simon concluded: “One of the commonest questions I get is “how long do I wear retainers for?” and my answer is ‘for as long as you want straight teeth.’

The patient-facing aspect of the campaign will be launched later this year. https://www.bos.org.uk/Orthodontic-Retention

BDA blasts ‘Second Rate’ effort to tackle decay among children

Unfunded action on pledge to improve oral health of deprived kids rings hollow says BDA

shDental Association has accused the government of letting down children in England following today’s (Wednesday 20 Sept) launch in Manchester of Starting Well– an unfunded programme to tackle child tooth decay which will operate within just 13 local authorities. Dedicated national efforts have existed in both Wales and Scotland for over a decade.

The scheme – delivery on a 2017 manifesto pledge to improve outcomes for deprived children – has targeted areas with high decay rates, and pre-existing oral health programmes. The BDA has expressed concern this initiative looks like a cynical bid to take credit for the good work of local authorities, without any additional investment from central government.

Dentist leaders say millions of children who need support will miss out as a consequence.The BDA understands that in Ealing children in just three council wards will benefit. The government has resisted calling these 13 schemes ‘pilots’, and stated they have no current plans to develop a national programme.

Tooth decay is the leading cause of hospital admissions among children across the UK. An estimated 160 procedures to extract teeth are performed each day under general anaesthetic in hospitals across England, costing the NHS over £35 million a year.

The BDA has long advocated the Scottish programme Childsmile as a possible model for England, a national effort with both universal and targeted components that has already reduced the bill for dental treatment costs by £5 million a year.

Answering a Parliamentary Question from the Shadow Secretary of State Jon Ashworth MP, Minister Steve Brine MP confirmed last week that the “funding for this scheme would be provided within existing dental spend” and that it was “not currently possible to determine the number of children who will benefit from the programme”.

The BDA’s Chair of General Dental Practice Henrik Overgaard-Nielsen said:

“Tooth decay is the number one reason for hospital admissions across Britain. Sadly while devolved governments have set up dedicated national programmes, England is being offered a second rate option.

“Council leaders have been making progress in the fight against decay without resources or direction. These areas require new investment, not a new logo, and holding a few launch events while failing to offer a single penny of new money does not constitute a national effort.

“Targeting a handful of wards in just thirteen local authorities means millions of children will miss out on this important work. We need to find better ways to encourage those most in need of treatment to attend, and proposals as they stand look unlikely to deliver.

“We welcome any progress to get more children attending, but we need to see rapid expansion towards a national programme on the back of the learnings from Scotland and local pilots.”

Putting the ‘wow’ factor back into dentistry

Nobel Biocare announces outstanding programme for London Symposium 2017

 

Building on the huge success that was the Nobel Biocare Symposium in New York last year, the leading implant product supplier is delighted to introduce an exceptional programme for the London Symposium this November. Following the company’s winning formula of world-class speakers, dynamic and interactive lecture formats, and innovative product exhibitions, the event really does have that ‘wow’ factor!

To be held on 10th and 11th November, the main stage of the Symposium will feature internationally renowned speakers, including those from here in the UK and across the globe. They will share their extensive experience in an array of topics from how to improve the patient journey with innovative protocols, to the benefits of digital dentistry and treatment concepts for the compromised edentulous patient. Delegates can expect to develop their knowledge and skills while also renewing their enthusiasm for excellent implant dentistry.

Among the not-to-be-missed speakers will be:

  • Tomas Albrektsson, Sweden
  • Markus Blazt, USA
  • Ruben Davoo, Spain
  • Andrew Dawood, UK
  • Richard Elliot, UK
  • Wail Girgis, UK
  • Stefan Holst, Switzerland
  • Robin Horton, UK
  • Jennifer Huntley, UK
  • Pascal Kunz, Switzerland
  • Ian Lane, UK
  • Ashley Latter, UK
  • Kevin Lockhead, UK
  • Scott MacLean, USA
  • Paulo Malo, Portugal
  • Guy McLellan, UK
  • Jose Navarro, UK and Spain
  • Paul O’Reilly, Ireland
  • Isabella Rocchietta, UK
  • Riz Syed, UK
  • Susan Tanner, UK

Creating a programme packed full of education, fun and networking opportunities, delegates will have a choice of lectures, smaller break-out sessions, hands-on workshops and business forums designed to facilitate discussion and collaboration. There will also be the chance to discover some of the very latest innovations available from Nobel Biocare, to find out how they work and see how they could benefit patient care.

The inclusive programme will ensure something for everyone, including dentists, dental nurses, dental hygienists, practice managers and dental technicians. Plus, the social event on Friday evening is a must for those wishing to catch up with old friends and new. So why not bring your whole team – after all, the team that learns together, succeeds together.

For more information, please visit nobelbiocare.com/london

Making a real difference to young lives

The First Smiles campaign by the British Society of Dental Hygiene and Therapy (BSDHT) provides the perfect opportunity for professionals across the country to reach out to young people in their communities. 28 dental hygienists and dental therapists got involved this year, visiting local schools and nurseries to spread the word on why good oral health is so important. Among the activities arranged were demonstrations on how to brush, role-playing a visit to the dentist, quizzes and games designed to highlight ‘good’ and ‘bad’ foods in terms of the amount of hidden sugars.

Sadly, there are still young people in the UK that don’t have their own toothbrush or have never visited the dentist. The First Smiles campaign is designed to help change this, encouraging dental professionals to help educate children and their parents / guardians, providing the support and guidance they need to instil good habits from the very beginning.

We’ve had some fantastic feedback from dental hygienists and therapists who took part, and here’s what some had to say:

 

Anita Hirani, Queensbury Dental Surgery

It all went really well and we really enjoyed our visit to the nursery. We tried to make it as enjoyable and interactive as possible with role-play. The children were able to come up one-by-one to have a go at brushing the teeth on the model and they absolutely loved it. (Figure 1) They were also pleased to get a toothbrush to take home!

 

Joanne Martin

One session I did was to a lovely group of 2- and 3-year-old children, teaching them how to brush their teeth and gums. I took along Dan the Dinosaur, masks, mirrors, gloves and mouth mirrors – the children loved helping to clean Dan’s dirty teeth! I also wanted them to see what visiting the dentist is like, so everyone had a chance to try on gloves and masks, and hold a mouth mirror to look at their teeth and those of their friends.

The feedback I had from parents was lovely and some of the children that hadn’t been to the dentist before were asking their parents to take them – in fact the children were really enthusiastic and very motivated. Hopefully by doing these sessions with our younger generation, the messages we are always promoting and encouraging are getting out there. This is a fantastic opportunity for our dental profession to get out there and keep our kids smiling. Thank you to Colgate, Dental Directory and CHANGE4LIFE for all the toothbrushes, toothpastes and information leaflets!

 

Lynn Chalinder

We carry out clinics / teaching sessions weekly in an area of severe deprivation and lack of education and care. As you can imagine, the samples went down a storm! For some of the children involved, this was their first and only toothbrush and they had individual attention in how to use them. All in all it went really well.

 

Kate Paddock

The First Smiles day was super and we all had a great time. The kids dressed up in gloves and masks, we talked about looking after our teeth, visiting the dentist and sugars in food. I will definitely do it again. I think it is such a good idea and really important. As a society, I think the more we can educate parents and teachers too, the better – after all, it’s not the 5-year-olds who pack their lunchboxes!

Thank you to all who got involved in this year’s First Smiles campaign and we hope even more will take part next year!

 

For more information about the BSDHT, please visit www.bsdht.org.uk