§ Mr. DonohoeTo ask the Secretary of State for Scotland how much additional expenditure each health board has incurred as a result of dentists de-registering patients following the changes in their pay structure implemented by the Scottish Office in October 1990; and how much of this expenditure has been reimbursed to them by the Scottish Office.
§ Lord James Douglas-HamiltonI refer the hon. Member to the answer I gave him on 26 January 1995,Official Report, columns 346–48, giving expenditure on general dental services over the past five years by each health board. It is not possible to to attribute changes in expenditure to specific causes. All legitimate costs incurred in providing general dental services are met from central funds.
§ Mr. DonohoeTo ask the Secretary of State for Scotland which health boards have emergency dental services; when these dental services were established; how much it has cost to provide these services; and how many patients have received treatment from this 653W emergency dental service in each of the last five financial years.
§ Lord James Douglas-HamiltonSince 1990, general dental practitioners have been responsible for providing emergency dental treatment for their own registered patients. Health boards may also set up emergency dental services to provide treatment out of hours, at weekends and on public holidays where necessary, using general dental practitioners and/or community dental staff. The table shows which Scottish health boards operate formal emergency dental services and when these services were established. It is not possible to identify separately the cost of providing emergency dental services from the overall costs of the general dental service. Information is not held centrally on the number of patients who receive treatment under emergency dental services.
Emergency dental services available When services established Argyll and Clyde — — Ayrshire and Arran yes 1982 Borders yes October 1990 Dumfries and Galloway — — Fife yes 1989 Forth Valley yes 1986 Grampian yes 1982 Greater Glasgow yes 1982 Highland — — Lanarkshire — — Lothian yes 1977 Orkney yes Pre-October 1990 Shetland yes Pre-October 1990 Tayside yes 1982 Western Isles — —
§ Mr. DonohoeTo ask the Secretary of State for Scotland (1) how many patients were de-registered by their dentists in the financial year 1993–94; how many patients have been de-registered by their dentists in the financial year 1994–95 so far; and how many dental practices were involved in these de-registrations in each health board area in Scotland;
(2) how many patients have been de-registered by their dentists; and how many patients in each of these years were still in receipt of dental treatment, in each of the last five years.
§ Lord James Douglas-HamiltonFormal arrangements for patients to be registered with a dentist were introduced in October 1990. Information supplied by health boards about de-registrations since that date is contained in the table. It is not possible to identify individual patients de-registered or to establish whether each subsequently received treatment from another dentist.
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October 1990–March 1991 Health Board Number of patients de-registered 1Number of dentists involved Argyll and Clyde 3 1 Ayrshire and Arran — — Borders 1 1 Dumfries and Galloway — — Fife 1 1 Forth Valley — — Grampian — — Greater Glasgow 7 5 Highland 4 3
October 1990–March 1991 Health Board Number of patients de-registered 1Number of dentists involved Lanarkshire 4 4 Lothian 18 2 Orkney — — Shetland — — Tayside n/a n/a Western Isles — — n/a—not available. Notes:1 Number of dentists involved in de-registration in a particular year.
April 1991–March 1992 Health Board Number of patients de-registered 1Number of dentists involved Argyll and Clyde 25 2 Ayrshire and Arran 14 10 Borders 11 4 Dumfries and Galloway 11 2 Fife — — Forth Valley 42 12 Grampian 9 5 Greater Glasgow 41 36 Highland 19 12 Lanarkshire 70 10 Lothian 101 21 Orkney — — Shetland — — Tayside n/a n/a Western Isles — — n/a—not available. Notes:1 Number of dentists involved in de-registration in a particular year.
April 1992–March 1993 Health Board Number of patients de-registered 1Number of dentists involved Argyll and Clyde 2,241 14 Ayrshire and Arran 1,309 11 Borders 1,432 4 Dumfries and Galloway 4,518 10 Fife 295 32 Forth Valley 201 23 Grampian 257 21 Greater Glasgow 579 45 Highland 210 24 Lanarkshire 252 29 Lothian 483 23 Orkney — — Shetland — — Tayside 2206 229 Western Isles 37 4 Notes:1 Number of dentists involved in de-registration in a particular year. 2 From July 1992. 655W
April 1993–March 1994 Health Board Number of patients de-registered 1Number of dentists involved Argyll and Clyde 42 1 Ayrshire and Arran 400 13 Borders 683 4 Dumfries and Galloway 1,388 10 Fife 417 21 Forth Valley 63 18 Grampian 179 18
April 1993–March 1994 Health Board Number of patients de-registered 1Number of dentists involved Greater Glasgow 339 49 Highland 73 24 Lanarkshire 145 25 Lothian 1,625 17 Orkney — — Shetland — — Tayside 57 11 Western Isles 16 4 Notes1 Number of dentists involved in de-registration in a particular year.
April 1994–December 1994 Health Board Number of patients de-registered 1Number of dentists involved Argyll and Clyde — 16 Ayrshire and Arran 65 17 Borders 41 4 Dumfries and Galloway 724 16 Fife 439 24 Forth Valley 184 — Grampian 140 35 Greater Glasgow 893 87 Highland 67 32 Lanarkshire 47 57 Lothian 650 22 Orkney — — 656W
Interactive Non-interactive Total 29 October-20 November 1992 573 186 759 21 November-18 December 1992 315 395 710 19 December–15 January 1993 383 291 674 16 January–12 February 1993 973 330 1,303 13 February–12 March 1993 621 519 1,140 13 March–9 April 1993 714 500 1,214 10 April–7 May 1993 472 362 834 8 May–4 June 1993 539 436 975 5 June –2 July 1993 579 549 1,128 3 July–30 July 1993 647 589 1,236 31 July–27 August 1993 366 495 861 28 August-24 September 1993 323 478 801 25 September–22 October 1993 420 639 1,059 23 October–19 November 1993 319 446 765 20 November–17 December 1993 285 359 644 18 December–14 January 1994 256 305 561 15 January–11 February 1994 543 413 956 12 February–11 March 1994 524 515 1,039 12 March–8 April 1994 346 444 790 9 April–6 May 1994 653 512 1,165 7 May–3 June 1994 398 426 824 4 June–1 July 1994 566 714 1,280 2 July–29 July 1994 360 844 1,204 30 July–26 August 1994 430 626 1,056 27 August-23 September 1994 734 398 1,132 24 September-21 October 1994 4,031 337 4,3681 22 October-18 November 1994 5,090 1,554 6,6441 19 November–16 December 1994 2,003 428 2,431 17 December–12 January 1995 514 566 1,080 Total 23,977 14,656 38,633 1 Corrected and updated figures.
April 1994–December 1994 Health Board Number of patients de-registered 1Number of dentists involved Shetland — — Tayside 361 48 Western Isles — — Notes:1 For 1994–95 the figures show the running total of dentists involved in de-registration from July 1992 to December 1994.
§ Mr. DonohoeTo ask the Secretary of State for Scotland what assessment the Scottish Office has made of the impact of de-registration of patients on the dental health of the overall population.
§ Lord James Douglas-HamiltonThe number of patients registered with general dental practitioners has decreased by less than 1 per cent. over the last 12 months from 2,650,925 to 2,632,878. Patients can be de-registered by their dentists for a variety of reasons. It is not possible to relate this information directly to the level of dental health in Scotland.