Motivations for NHS dentistry in England

IF 2.3 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

British Dental Journal Pub Date : 2025-09-12 DOI:10.1038/s41415-025-8714-3

Ella Buckland, Tom King, Ryan Barnett

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Abstract

Introduction While general dental practitioners (GDPs) are increasingly reported to have reduced NHS commitment and increase private income, a substantial number still remain working for the NHS. Aims Given the landscape of NHS dentistry in 2024-25, this study sought to better understand and establish why many dentists continue to work for the NHS General Dental Services in England and seeks to identify the motivations that led them to work for the NHS initially and continue to work for them. Materials and methods In-depth, online, semi-structured, qualitative interviews were conducted with a diverse sample of 15 GDPs in England between September and October 2024. Results The two key themes surrounding motivations for working within NHS dentistry focused on patients and conditions of work. Within these themes, multiple push and pull factors emerged, with financial pressures found to weigh heavily on GDPs, causing a conflict between doing ‘the right thing' for the patient and the cost of doing so to the dentist. Conclusion NHS commitment was found to be governed by patients versus personal finances. While there is a desire to stay working within NHS dentistry, providing care to patients, the financial viability of doing so has become difficult, surpassing motivations for wanting to stay.

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英国国民保健服务牙科的动机

虽然普通牙科医生（gdp）越来越多地报道减少了NHS的承诺，增加了私人收入，但仍有相当数量的人继续为NHS工作。鉴于2024-25年NHS牙科的前景，本研究试图更好地理解和确定为什么许多牙医继续为英格兰的NHS普通牙科服务工作，并试图确定导致他们最初为NHS工作并继续为他们工作的动机。材料和方法在2024年9月至10月期间，对英国15个gdp的不同样本进行了深度，在线，半结构化，定性访谈。结果围绕NHS牙科工作动机的两个关键主题集中在患者和工作条件上。在这些主题中，出现了多种推动和拉动因素，经济压力被发现严重影响gdp，导致为患者做“正确的事情”与牙医这样做的成本之间的冲突。结论NHS承诺是由患者和个人财务状况决定的。虽然人们希望继续在NHS牙科部门工作，为患者提供护理，但这样做的经济可行性已经变得困难，超过了想要留下来的动机。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Dental Journal 医学-牙科与口腔外科

CiteScore

3.10

自引率

15.40%

发文量

1096

审稿时长

4-8 weeks

期刊介绍： The role of the BDJ is to inform its readers of ideas, opinions, developments and key issues in dentistry - clinical, practical and scientific - stimulating interest, debate and discussion amongst dentists of all disciplines. All papers published in the BDJ are subject to rigorous peer review.