A cut above the rest

Shahram Mirtorabi is principal dentist at Hindley Dental Practice, Wigan.

“To deliver a high standard of dentistry, I rely on my tools and materials. This is why
I use the state-of-the-art tissue contouring system, PerFectTCS II, from COLTENE.

“PerFectTCS ll allows me to manage soft tissue with accuracy and efficiency, with less bleeding and a faster healing time. In periodontics, it is invaluable for reducing pocket depth. It is also useful in orthodontics, by removing excess soft tissues in order to attach brackets easily; also, in restorative dentistry, by controlling bleeding in the gingival sulcus prior to impression taking, or fitting the restoration.”

 

To find out more visit www.coltene.com,
email
info.uk@coltene.com or call 01444 235486

Protection against stress related sickness – Richard Lishman

There’s no denying that dentistry is a stressful profession. As more demands are placed on professionals every year, and patient lists continue to grow, it’s little surprise that stress related illnesses are now a major concern.

What’s particularly worrying for dental professionals is that high levels of stress can quickly impact people’s health, and this can jeopardise the practice should you need extended time off. But what can you do to protect yourself and your business should stress get too much?

Everyone is affected

Dentistry is stressful as a career choice right from the beginning. Indeed, even dental students, before they enter the profession full time, are more prone to abnormal levels of stress, anxiety and depression.[i]

Once they enter the profession these rates don’t improve, and a survey found that more than half of all dentists say that stress is affecting their practice as a business and their ability to cope.[ii]

But why is this? Some reasons could be that patient expectations are constantly changing as dentistry evolves, and there is always the stress of trying to ensure that your practice remains a profitable business in a highly competitive market. However, perhaps one of the most pressing concerns for many dental professionals is the fear of litigation.

Claims on the rise

This fear is not unfounded, especially as claims against dentists have risen at an alarming rate in the last two decades. An article published in 2008 suggested that claims had quadrupled since 2000,[iii] whilst a very recent NHS report shows that litigation against clinical professionals is still ongoing at a steady rate.[iv]

In fact, it is now thought that 9 out of 10 dentists fear being sued by their patients[v] – this is likely to be causing problems in how they perform their duties and, more pressingly, their health.

Health concerns caused by stress

It’s become more and more clear in recent years that stress is the ogre behind a number of significant health conditions. Not only do prolonged feelings of stress put people at higher risk of heart conditions, stroke and other potentially fatal systemic conditions,[vi] but stress and depression are also implicitly linked.[vii] It’s therefore unsurprising that dentists have double the average suicide rate, as well as higher reported dependencies on substances such as drugs and alcohol. In fact, stress related cardiovascular disease is cited as the number one killer of people in the dental profession, and psycho-neurotic diseases are a common occurrence, at almost two and a half times the normal rate.[viii]

Protecting your interests

It’s important to relieve stress as much as possible with whatever technique you find works for you. It’s also a good idea to ensure that you have a back-up plan for your business, especially if legal action should arise or stress make you ill.

In these cases, it’s not only a good idea to search for dento-specific legal representation but you should also consider seeking out Critical Illness Insurance. It may seem morbid to think about, but protecting your income and your business with Critical Illness Insurance could be of huge benefit, especially if you undergo prolonged feelings of stress which may lead to negative health complications.

What is Critical Illness Insurance?

Simply put, Critical Illness Insurance is a policy that covers an individual against serious illnesses, diseases and medical conditions for either a set period or life. If a person should contract one of the illnesses covered by the policy, they can claim a lump sum.

This lump sum can replace the lack of earnings that would incur from a period away from work, and could also be instrumental in helping a business stay afloat if you are unable to work and need to redirect your finances towards receiving the best possible treatment.

There are multiple types of Critical Illness Insurance available, and every policy will have different illnesses covered, as well as different conditions attached. It’s not uncommon for Critical Illness Insurance to form part of a Life Insurance policy too, so it’s worth checking this if you already have the latter in place.

It’s also necessary to consider what lump sum of money you think you would need in the worst-case scenario. Would you choose to pay off your mortgage? Or would you rather fund your living costs? It’s these decisions which you need to have in mind before starting to navigate the labyrinth of available policies.

Guidance when you need it

Choosing the right policy for you can be a difficult process. However, with the help of expert Independent Financial Advisers, this process becomes far more straightforward. The award-winning team of Independent Financial Advisers at money4dentists have years of experience helping dentists navigate insurance policies and can help you find a policy that covers all of your needs.

 

 

For more information please call 0845 345 5060, email info@money4dentists.com or visit www.money4dentists.com

 

 

References

[i] Basudan, S., Binanzan, S., Alhassan, A. Depression, Anxiety and Stress in Dental Students. Int J Med Educ. 2017; 8: 179–186.

[ii] Nature.com. More Than Half of Dentists Say Stress is Affecting Their Practice. Link: https://www.nature.com/articles/sj.bdj.2019.18 [Last accessed August 19].

[iii] The Independent. Number of Claims Against Dentists Hass Quadrupled…Link: https://www.independent.co.uk/life-style/health-and-families/health-news/number-of-claims-against-dentists-has-quadrupled-774283.html [Last accessed August 19].

[iv] NHS. Annual Report and Accounts 2018/2019. Link: https://resolution.nhs.uk/corporate-reports/ [Last accessed August 19].

[v] Dentistry.co.uk Nine out of Ten Dentists Fear Being Sued by Their Patients. Link: https://www.dentistry.co.uk/2018/10/17/nine-10-dentists-fear-sued-patients/ [Last accessed August 19].

[vi] British Heart Foundation. Feeling Stressed? Research Shows How Stress Can Lead to Heart Attack and Stress. Link: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/stress-and-heart-disease [Last accessed August 19].

[vii] Mayo Clinic. Can Chronic Stress Cause Depression? Link: https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress/faq-20058233 [Last accessed August 19].

[viii] Oral Health. Stress in Dentistry – It Could Kill You! Link: https://www.oralhealthgroup.com/features/stress-in-dentistry-it-could-kill-you/ [Last accessed August 19].

Are you in or out?

Are you in or out of the conversation with The Exchange?

If you use CS R4+ practice management software or any imaging systems from Carestream Dental, you need to be in!

The Exchange is a dedicated online community where all users can ask questions, share ideas and seek advice both from their peers and from the product experts. It was designed specifically to ensure that everyone is getting the very most from their technologies and it’s a great way of discovering the latest features and benefits available.

This is just one way Carestream Dental strives to deliver the highest standard of customer service. If you use anything from the CS R4+ to the CS 3600 intraoral scanner, you need to be part of the conversation. Join The Exchange for free today at community.carestreamdental.com.

 

For more information please contact Carestream Dental on

0800 169 9692 or visit www.carestreamdental.co.uk

For all the latest news and updates, follow us on Twitter @CarestreamDentl and Facebook

Help beat bowel cancer this December! Julie Deverick BSDHT

Bowel cancer remains one of the most serious types of cancer. In the UK, it is estimated that there are as many as 42,000 new cases diagnosed every year. While the majority of these cases affect those over the age of 50 (94%), bowel cancer can affect people of any age and is a serious threat.[i]

In fact, bowel cancer is the fourth most common type of cancer, and has the second highest mortality rate of all cancers in the UK.[ii]

Dental professionals may already be aware that there has been a potential link between severe periodontal disease and increased incidence of bowel cancer. One study claims that those with poor periodontal health could be up to 24% more at risk of developing malignant bowel tumours compared to those with good periodontal health.[iii]

As such, it’s always a good idea to warn any patients about these risks, especially if they are showing signs of significant plaque build-up or other, more serious, signs of periodontitis. Explaining this connection could very well be the key to effectively encouraging better oral health maintenance.

Of course, there are other ways to support the fight against bowel cancer too. Bowel Cancer UK hosts a wonderful initiative every December called Decembeard. This campaign encourages individuals to shave all facial hair at the end of November and spend the month of December growing out their beard as long as possible to gain donations!

Of course, for those who can’t grow beards the charity also offers a number of other ways to raise funds for the cause. Whether you fancy trekking, skydiving, cycling or swimming, there are plenty of ways to join together with your team, do something active and raise money to beat this type of cancer by supporting the incredible research the charity does.

You can find out more about the different ways to fundraise as well as look at any nearby events that you and your team can join in with HERE: https://www.bowelcanceruk.org.uk/support-us/fundraise/

The battle against cancer continues. By working together with your team and joining in to raise funds, warning patients about the importance of good oral hygiene and going the extra mile to improve awareness, you can make an impact.

 

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

call 01788 575050 or email enquiries@bsdht.org.uk

 

[i] Bowel Cancer UK. Facts and Figures About Bowel Cancer. Link: https://www.bowelcanceruk.org.uk/about-bowel-cancer/bowel-cancer/?gclid=CjwKCAjwyqTqBRAyEiwA8K_4O5UIGqQfCmCfeRobQfl35LlGgctUMtvfKgJVZHgB1JpMSztPmi4ydhoCOUcQAvD_BwE [Last accessed August 19].

[ii] Bowel Cancer UK. Facts and Figures About Bowel Cancer. Link: https://www.bowelcanceruk.org.uk/about-bowel-cancer/bowel-cancer/?gclid=CjwKCAjwyqTqBRAyEiwA8K_4O5UIGqQfCmCfeRobQfl35LlGgctUMtvfKgJVZHgB1JpMSztPmi4ydhoCOUcQAvD_BwE [Last accessed August 19].

[iii] Science Daily. More Evidence of Link Between Severe Gum disease and Cancer Risk. Link: https://www.sciencedaily.com/releases/2018/01/180116111145.htm [Last accessed August 19].

Fight the fear; arm yourself well – Mark Allen, General Manager at COLTENE

At a recent dental conference, when an audience of practitioners was asked
if the fear of litigation was likely to be higher in the future, there was an almost unanimous show of hands. The statistics on this topic point in the same direction; a survey from the end of last year found that 89 per cent of dentists are worried about litigation and 64 per cent are making more referrals due to the fear of being sued.[i]

There are many threads to this topic, including consent and compliance, communication, tools and material selection and the importance of doing the bits of dentistry that are right for you. Rather than feeling intimidated by what might happen, practitioners must strive to not let their work be inhibited by the perceived threat of increased litigation.

The issue of referrals

Knowing when to refer is a key part of being a great dentist. A pragmatic, common sense approach, considering each case in isolation, and deciding whether you have the skills to deliver a stable result has obvious benefits for both you and your patients. Even if an individual has been attending your practice for years, if you can outline the reasons why they should be treated elsewhere, this will deepen your practitioner-patient relationship. By referring them out, you are showing them that you have their long-term dental health as a priority and that they should trust you. Referrals will return for their preventive-maintenance appointments, happy in the knowledge that you looked at the bigger picture and helped them to receive the gold-standard of care. 

Good chairside conversations are fundamental to compliance and informed consent. Impediments to consent include anything from dental anxiety or phobia, to worries about cost and how many appointments it will take to complete treatment. When faced with a dentist’s recommendation, Google-happy and internet savvy patients will often get to work with independent online research and may find information that makes them question a) if treatment is necessary and b) if they should go ahead with that particular practice. If you are not a natural communicator, there are things that you can do to enrich patient discussions. Digital technology really comes into its own here as it enables patients to see what you see, levelling the playing field and deepening their understanding of your diagnosis.

Great dentistry is appropriate dentistry

Even if you haven’t made the move to digital yet, it’s about using every method available to ensure your patient knows that what you are suggesting is appropriate. This means, right for them. So, any recommendation of implant therapy will require the patient to understand that it’s not simply ‘place and go’ and that an ongoing investment of their time and money (to cover the cost of maintenance appointments) will be required to protect the implant’s stability. In a restorative scenario, where there may be several treatment options – a direct overlay versus a ceramic restoration for example – if you are confident that they have fully understood the benefits and limitations of each, then it will be appropriate for you to go ahead as they wish.

During the pre-treatment period, quality note-taking comes under ‘communication’, while also helping you protect yourself against future complaints and, in the worse-case scenario, legal reprisals. Good notes show that you followed protocols, outlined all the options and that the patient knew what they were giving permission for. Good notes will also show that they understood the immediate and future consequences of delaying treatment, or not going ahead at all.

 

If you are able to tell patients that you only use the very best tools and materials, this will support consent and compliance. Careful tool and material selection is how you can upgrade your dentistry and ensure an efficient, comfortable and cost-effective procedure. When facing a recommendation of root canal therapy, patients may be surprised to learn that, due to some of the fantastic tools and materials on the market, this is a treatment that can be delivered speedily, comfortably and with stable results. COLTENE’s HyFlex™ EDM endodontic file system is as comprehensive as it is flexible and high-quality; it was also recently expanded to include the Glidepath file 15/.03, designed for the preparation of severely curved canals. Many practitioners find they can complete even complex cases using just one or two HyFlex™ files; this is a fantastic selling point for consent and patients can be assured of minimal chair time as well as a successful result.

The fear of litigation is very present in modern dentistry. So, fight the fear. Refer when necessary and look for ways to support consent, deepen trust and improve communication. Your weapons include great notes, great tools and all the methods you have available to enrich patient conversations. When you arm yourself well, you will also deliver the best dentistry for every unique patient. 

To find out more visit www.coltene.com, email info.uk@coltene.com or call 01444 235486

 

[i] Nine of out 10 dentists fear being sued by their patients. Dentistry.co.uk. Link: https://www.dentistry.co.uk/2018/10/17/nine-10-dentists-fear-sued-patients/ (accessed July 2019).

Coping with complaints stress

Angela Love, Dento-legal Adviser at the DDU shares some helpful her tips on overcoming the anxiety of complaints stress.

In the latest Dentistry Confidence Monitor survey, eighty-four per cent of NHS dentists and 51 per cent of private dentists said they believed their role had negatively affected their mental health.

What’s worrying is that 72 per cent of all dentists surveyed said that they were unconfident about which organisation to turn to for support if they were feeling overly stressed or worried about their mental health.

The majority of dentists surveyed were also anxious about the risk of complaints. At the Dental Defence Union we understand that facing a complaint or claim for negligence can cause a lot of stress and worry.

Dental professionals often need to cope with the stress of high pressure environments and heavy workloads. This can easily be compounded by the duty to respond to complaints and cooperate with formal inquiries like adverse incident investigations, GDC complaints and Ombudsman’s investigations.

It’s quite normal to feel worried or depressed when faced with a complaint or investigation, however, it’s important that you are aware of this and get the support you need.

Every year, the DDU supports thousands of members responding to complaints and investigations and can provide help throughout what can seem at times to be a prolonged process.

Here are some recommended steps that may help to reduce the impact of a dento-legal investigation on your life, wellbeing and performance.

Act quickly

Contact the DDU or your own defence organisation as soon as you become aware of an investigation or complaint, or an incident that might lead to one. We can tell you what to expect and the process that will follow, and this can remove some of the fear of the unknown. At the DDU can also help you to plan your response with the assistance and support of an adviser who is a fellow dentist and knows what you are going through.

Talk to colleagues

Discussing concerns and complaints with colleagues is an important part of reflecting on performance and reviewing patient feedback.

They can understand the extra pressure an investigation places on you and help you to identify learning points to be shared with a wider group, if appropriate. They can also help you keep things in perspective by giving you positive feedback when things go well.

Colleagues may also be able to tell if stress is starting to affect your performance. Be willing to listen and respond to their concerns.

Get support from family and friends

Patient confidentiality places limits on what you can share, but families and friends are still an invaluable source of support. It’s understandable to protect those close to you from worry, but work stresses can often spill over into your home life, so it’s best to share your concerns.

Make sure you’re registered with a GP

As a profession, we are not always very good at recognising when to seek medical help ourselves. Your own GP can give you objective advice and refer you for further support if needed. Arranging an occupational health assessment could also allow reasonable adjustments to be made at work.

Consider getting extra emotional support

Think about contacting the Local Dental Committee (LDC) who might be able to provide valuable moral support at a time of stress. If your health is being affected, the Dentists’ Health Support Programme can provide general information and advice to dental professionals encountering health problems.

Above all, it’s important to try to maintain a sense of proportion and perspective. Dealing with a dento-legal incident or investigation is rarely career-ending and if you are with the DDU we can support you throughout the process.

NHS Dentistry: 4 million fail to get care they need as access problems go England-wide

New analysis from the British Dental Association (BDA) indicates access problems for NHS dental services are now blighting communities across every English region. 

Analysis of the government’s last GP Survey indicates over 1.4 million adult patients have tried and failed to access care – with a further 2 million estimated to have not tried in the belief they would be unable to secure an appointment. With 130,000 reporting they are on waiting lists, and over 700,000 citing cost as a barrier, this brings a level of unmet need to over 4 million people, or nearly 1 in 10 of the adult population.

Areas facing challenges have not hitherto experienced significant problems, with many of the worst affected areas in parts of London and the South East, including the overwhelming majority of London boroughs, Brighton, and parts of Kent and Surrey.  

The government has acknowledged issues in a few ‘hotspot’ areas with a history of access problems – such as West Yorkshire, Cumbria and Cornwall. Data also indicates lower success rates among patients attempting to secure an appointment for the first time, the young, and ethnic minorities.

The BDA says these figures reflect the perfect storm facing patients, as budget cuts, contract failure and staffing problems bite. NHS dentistry is operating on a budget that has remained largely static since 2010, but with patients contributing a greater share each year through increasing NHS charges.

The current target-driven NHS contract funds care for little over half the population, and has prompted a collapse in morale within the workforce. Recruitment problems have become endemic, with BDA surveys indicating 75% of practices struggling to fill vacancies, and 59% of dentists stating their intentions to reduce or end NHS work. Problems are most severe among practices doing most NHS work. 

The BDA has called on all parties to remove barriers to care, address historic underfunding and deliver meaningful reform of the discredited NHS contract system. It has welcomed Labour proposals to take ‘band 1’ treatments like examinations out of the charging system, but stressed any moves to improve access must be pursued in tandem with measures to support the workforce.

The deteriorating state of access has prompted Parliament’s Health and Social Care Committee to launch an enquiry. Recent closures and recruitment problems have left families in Portsmouth facing ferry rides, with patients in parts of Cornwall round trips of up to 120 miles to access care.

The British Dental Association’s Chair of General Dental Practice Dave Cottam said:

“Underfunding, failed contracts and recruitment problems are creating a perfect storm for patients.

“These access problems are no longer affecting a few ‘hotspots’, but are now the reality for millions across every English region.  

“The public are entitled to access care, but the system is stacked against them. They face practices struggling to fill vacancies, NHS charges designed to discourage attendance, while our contracts cap patient numbers.

“Those losing out are the patients who need us most. The next government owes it to them to ensure this service has a future.”

BDA estimates based on responses to the NHS GP Survey, by IPSOS Mori, and ONS population estimates.

In January to March 2019, 2.3 million adults were asked about their views on NHS dentistry as part of NHS England’s GP Patient Survey. This analysis has modelled weighted results against ONS population data to establish the number of patients facing difficulties accessing NHS dental services.

Stepping into the breach – the BDA Benevolent Fund

Before I got into difficulties, I proudly stated I was the kind of person who was never ill! You probably hear that all the time; however, for me, that was true.

The odd cold and the occasional pulled muscle/joint pain (the joy of getting older!) was about my lot. I was 54 and had never been ill beyond that. How lucky I was.

Our children wanted for nothing and the mantra of “I’ll do it tomorrow” was always in the background.

The situation changed

Then, of course, one day everything altered, for the worst. I fell ill and not with something as relatively simple as a broken bone. I was diagnosed with encephalitis (an uncommon but serious condition in which the brain becomes inflamed), which also triggered epilepsy.

Unfortunately, I was working overseas at the time the encephalitis was developing and had been ill for a few months before anyone noticed there was something wrong with me. I have no memory whatsoever of that time and don’t really remember anything until I had spent two weeks in the hospital over Christmas.

That’s when the reality of my situation hit home. My family was facing mounting bills and had no income or savings. The neurology team had made it clear that I couldn’t go into a clinical work environment for at least six months, and there was the possibility that I would never be able to work again. I did have an insurance policy; however, encephalitis wasn’t listed as a critical illness so that wasn’t going to help. It wasn’t looking good.

My wife was distraught: she has cancer and doesn’t work, and I had always been the provider and carer. Suddenly, we were faced with looking after each other with no income.

We initially relied on the help of friends and family, but that couldn’t go on long term. We felt as if we had nowhere left to turn, and our situation couldn’t have been worse.

A new support system

It was then that a friend suggested the BDA Benevolent Fund might be able to help. When I said that I wasn’t a member of the BDA anymore, they said that it didn’t matter and that, if they could help, they would.

So, with bated breath, I emailed the charity and then spoke to the General Manager, Laura. I can honestly say I was expecting to be told, “Sorry, we can’t help you”. However, when Laura talked through the process and put forward my request to the Committee, I felt as if a huge weight had been lifted. 

The help that the BDA Benevolent Fund provided allowed me the time to sort out our finances and to recover sufficiently to go back to work.

I would wholeheartedly recommend the BDA Benevolent Fund to my fellow professionals and hope that they will continue to support this wonderful organisation. Without their support, I really don’t think we would have survived. I can’t thank them – and all those in the dental profession who help to raise funds – enough.

Help them to continue supporting those in need

If you are able to make a donation, please visit https://uk.virginmoneygiving.com/charity-web/charity/finalCharityHomepage.action?charityId=1014657 or send cheques payable to ‘BDA Benevolent Fund’ to BDA Benevolent Fund, 64 Wimpole Street, London W1G 8YS.

They also appreciate not everyone is able to contribute financially and so they are suggesting other things people can do. General awareness is quite low and so they want to ensure everyone in the profession knows they are there for them in times of crisis. Sign up to their newsletter or follow them on social media so you can keep up to date with their activities and, importantly, have their details in case you or your friends and colleagues need them in the future.

If you, or someone you know, are in need, please contact the BDA Benevolent Fund straight away. If you’re worried about your reputation (although there is obviously no shame in needing help), everything is confidential – simply call 020 7486 4994.

For more information, visit www.bdabenevolentfund.org.uk

Find new areas of interest at DTS 2020

If you’re ready for the next stage in your career, discover fresh ideas and pathways into new areas at the Dental Technology Showcase (DTS) 2020.

There will be two days of education dedicated to all members of the dental lab community, with many leading speakers introducing new concepts and sharing their experience of new materials and technologies. You’ll also be able to pick up practical advice about which training courses might suit you best, enabling you to progress your skills in areas of interest to you.

Find your next step at DTS 2020.

 

DTS 2020 – Friday 15th and Saturday 16th May – NEC in Birmingham, co-located with the British Dental Conference and Dentistry Show.

Visit www.the-dts.co.uk, call 020 7348 5270
or email dts@closerstillmedia.com

Who lives to work forever? Michael Lansdell

As much as you love your job, are you yearning for retirement, when can enjoy the fruits of a long, successful career (while lounging in the Spanish sunshine, perhaps)?
Or, does the thought of endless days with no practice to run and no professional challenges to inspire you fill you with dread?

The UK’s labour force is getting older. As per the latest available figures, the overall employment rate (aged 16 to 64) is 76.1%, which is the joint highest on record.[i] There are also more women aged 50-64 still working than ever before; the proportion of men in the same age bracket has also risen in the last decade, but less drastically. Also, employment for the 65s and over (both men and women) has been on the increase since 2010, with around 8 per cent of women and 14 per cent of men continuing to work.

The good stuff

 It is certainly positive that more women are having the opportunity to return to work after children and have a life outside the home for longer; part-time and flexible working has also helped those trying to juggle a career with family life. Many women relish the time they spend at work and the financial independence it can bring.

For men and women, being able to continue doing the job you love for as long as you want can keep you mentally active and motivated. For dentists and dental practice owners, it’s an exciting time to be in the industry. Developments in technology and techniques has made the impossible possible and patients’ lives can be transformed by the treatment you deliver.

… and the not so good

Not everyone wants to keep working into their 60s, although various factors may not have given you much of a choice. The state pension age (SPA) is rising – a default, or forced, retirement age no longer exists. The SPA for men and women will be 66 by October 2020 and there are more raises planned. Final salary pension schemes are slowly vanishing, and so many have had to have another look at their retirement plans and think again about how they are going to live a comfortable life when they eventually stop working. According to the latest figures, wage growth has also stalled.[ii]

And what about work-related stress? You may feel secure in your skills and experience, but dealing with patients and colleagues plus the growing fear of litigation and the pressure of running a business… surely there are better things to do in your 60s? Stress management in dentistry is hot topic – a report published in early 2019 by the BDJ found high levels of self-reported stress and burnout in UK dentists.[iii]

The solution, as ever, is to plan. Whether you feel you have so much more you want to achieve, or you would like to stop working by a certain age, retirement planning is essential. Speak to a specialist accountant, like the team at Lansdell & Rose, for expert advice.

Don’t let a decision be forced upon you! Give yourself choices ­­­– none of us know what’s around the corner either. A good plan, that is sensible and pragmatic, can help you stay in control of your retirement.

 

For more information please visit www.lansdellrose.co.uk
or call Lansdell & Rose on 020 7376 9333.

 

 

 

[i] Office for National Statistics. Labour market overview, UK: May 2019. Release date: 14 May 2019. Link: https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/employmentandemployeetypes/bulletins/uklabourmarket/may2019(accessed June 2019).

[ii] Trading Economics. United Kingdom Average Weekly Earnings Growth. Link: https://tradingeconomics.com/united-kingdom/wage-growth (accessed June 2019)

[iii] Collin V, Toon M, O’Selmo E, Reynolds L, Whitehead P. A survey of stress, burnout and well-being in UK dentists. British Dental Journal. 2019 Jan; 226(1): 40.