Table of Contents
Executive Summary
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- Market size
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- Figure 1: UK expenditure on dental care, 2013-17
- Figure 2: UK expenditure on dental care, by segment, 2013-17
- Market trends
- Higher levels of competition have impacted earnings
- Division found in regional private treatment fees
- Rising number seek orthodontic treatment
- Market factors
- Uncertainty surrounding Brexit will affect practice costs, recruitment and legislation
- Spring Budget includes several changes that will impact the industry
- Rising and ageing population underpins demand for dental care
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- Figure 3: UK population estimate and projection, by age group, 2017 and 2022
- Consumer
- People are nearly three times as likely to have seen an NHS dentist in the last 12 months than a private dentist
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- Figure 4: Last dental appointment, by time of last appointment and service type, April 2017
- Most would visit the same dentist at their next appointment
- Website reviews and advice from friends and family influences choice of new dentist
- Good hygiene, suitable appointment lengths and staff friendliness most observed at practices
- Most people ‘self-fund’ dental treatment
- Industry structure
- Forecast
- Stable growth expected although doubts over contract implementation and other uncertainties could dampen development
- The value of the dentistry market is forecast to increase by between 2.7% and 4.9% per annum until 2022
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- Figure 5: UK dental care expenditure forecast, by segment, 2018-22
- What we think
Key Insights
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- With the introduction of the NHS dental contract pushed back, what is the long-term sustainability of NHS dentistry?
- How has the operational model adapted to meet changing demand?
- What does the future hold for the industry?
Introduction
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- Definitions
- Methodology
- Abbreviations
- Market positioning
- The role of the NHS
- Dental practices
- Regulators
- General Dentist Council
- Care Quality Commission
- Regulation of Dental Services Programme Board
- Recent regulation
- Market demand
UK Economy
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- Key points
- Overview
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- Figure 6: UK GDP, 2007-17
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- Figure 7: UK output, by industry, 2008-17
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- Figure 8: Quarters after GDP peak, 1979, 1990 and 2008
- Inflation
- Interest rates
- House prices
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- Figure 9: UK house price changes, 2006-17
- Consumer spending
- Manufacturing
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- Figure 10: UK manufacturing, 2014-17
- Business investment
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- Figure 11: UK GFCF 2006-17
- Imports
- Exports
Market Factors
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- Key points
- Uncertainty surrounding Brexit will affect practice costs, recruitment and legislation
- Rising and ageing population underpins demand for dental care
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- Figure 12: UK population estimate and projection, by age group, 2017 and 2022
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- Figure 13: UK population estimate and projection, by age group, 2017 and 2022
- Inflationary pressures are harming disposable income growth, which could see the number of dental visits fall
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- Figure 14: GDP per head at current market prices and real household disposable income per head, Q1 2012-Q4 2016
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- Figure 15: GDP per head at current market prices and real household disposable income per head, Q1 2012-Q4 2016
- Stagnant growth in dentists’ NHS activity recorded alongside decline in population treated
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- Figure 16: Dentists with NHS Activity in England, 2011/12-2015/16
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- Figure 17: Number of dentists with NHS activity in England, 2011/12-2015/16
- Figure 18: Dental patients seen in England under the NHS over the previous 24 months, at 30 June, 2012-16
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- Figure 19: Dental patients seen in England under the NHS in previous 24 months, at 30 June, 2012-16
- Student intake target reduced to calm oversupply concerns, although future recruitment levels may need to be boosted
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- Figure 20: Target number of dental students and actual intakes in England, 2010/11-2015/16
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- Figure 21: Target number of dental students and actual intakes in England, 2010/11-2015/16
Market Size
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- Key points
- Private services drive market development
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- Figure 22: Total UK dental care expenditure, 2013-17
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- Figure 23: UK expenditure on dental care, 2013-17
- NHS treatment costs rise by 5% in 2017 following similar rise in 2016
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- Figure 24: NHS dental charges in England, 2013-17
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- Figure 25: NHS dental charges in England, 2013-17
- The number of dental schemes is on the rise
- Other underlying factors
Market Segmentation
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- Key points
- Segment overview
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- Figure 26: Total UK dental care expenditure, by segment, 2013-17
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- Figure 27: UK expenditure on dental care, by segment, 2013-17
- Private treatments
- Dentists react to strong cosmetic dentistry growth
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- Figure 28: UK expenditure on private cosmetic dental care, 2013-17
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- Figure 29: UK expenditure on private cosmetic dental care, 2013-17
- NHS Dentistry
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- Figure 30: UK expenditure on NHS dental care, by payment segment, 2013-17
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- Figure 31: UK expenditure on NHS dental care, by payment segment, 2013-17
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- Figure 32: Number of courses of dental treatment under NHS, in England, 2011/12-2015/16
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- Figure 33: Number of courses of dental treatment under NHS, in England, 2011/12-2015/16
- Dental insurance cover and cash plans offer alternative routes to affording treatment
Market Trends
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- Key points
- Higher levels of competition have impacted earnings...
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- Figure 34: UK dental salaries, by job role and region, 2016
- ...with additional non-performance related costs adding to profitability challenge
- Cost is the biggest reason why employees avoid going to the dentist
- Division found in regional private treatment fees
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- Figure 35: Average private practice prices for the five most common dental treatments, at May 2016
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- Figure 36: Average private practice prices for the four most common dental treatments, by five most expensive dental check-up locations, at May 2016
- Figure 37: Average private practice prices for dental implants, by five most expensive dental check-up locations, at May 2016
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- Figure 38: Average hourly rate for hygienists, by region, 2015
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- Figure 39: Average UDA rate, by region, 2015
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- Figure 40: Average UDA rate, by region, 2015
- Figure 41: Average price of at-home tooth whitening, by region, 2015
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- Figure 42: Average price of single tooth implants, by region, 2015
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- Figure 43: Average price of porcelain veneers, by region, 2015
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- Figure 44: Average price of crowns, by region, 2015
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- Figure 45: Average price of composite restorations, by region, 2015
- Figure 46: Average price of dentures, by region, 2015
- Rising number seek orthodontic treatment
- Dental professionals become wary of online patient reviews
The Consumer – Last Dental Appointment
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- Key points
- People are nearly three times as likely to have seen an NHS dentist in the last 12 months than a private dentist
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- Figure 47: Last dental appointment, by time of last appointment and service type, April 2017
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- Figure 48: Last dental appointment, by time of last appointment and service type, April 2017
- Older females represent most recent NHS users
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- Figure 49: Last NHS dental appointment, by time of last appointment and by age and gender, April 2017
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- Figure 50: Last NHS dental appointment, males, by time of last appointment and by age and gender, April 2017,
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- Figure 51: Last NHS dental appointment, females, by time of last appointment and by age and gender, April 2017
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- Figure 52: Last private dental appointment, by time of last appointment and by age and gender, April 2017
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- Figure 53: Last private dental appointment, males, by time of last appointment and by age and gender, April 2017
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- Figure 54: Last private dental appointment, females, by time of last appointment and by age and gender, April 2017
The Consumer – Repeat Visit
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- Key points
- Most would visit the same dentist at their next appointment
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- Figure 55: Repeat dental practice visit, April 2017
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- Figure 56: Repeat dental practice visit, by age and gender, April 2017
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- Figure 57: Repeat dental practice visit, males, April 2017
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- Figure 58: Repeat dental practice visit, females, April 2017
The Consumer – Research Sources
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- Key points
- Website reviews and advice from friends and family influences choice of new dentist
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- Figure 59: Research sources, April 2017
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- Figure 60: Research sources, April 2017
The Consumer – Service Opinion
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- Key points
- Most practices are ‘squeaky clean’
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- Figure 61: Dentistry service opinion, April 2017
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- Figure 62: Dentistry service opinion, April 2017
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- Figure 63: Service opinion, by last NHS visit, April 2017
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- Figure 64: Service opinion, by last private visit, April 2017
The Consumer – Dental Payment
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- Key Points
- Most people ‘self-fund’ dental treatment
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- Figure 65: Dental payment, April 2017
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- Figure 66: Dental payment, April 2017
- Use of insurance to fund treatment declines with age
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- Figure 67: Dental payment, by age and gender, April 2017
- Self-funding of NHS treatment has risen over time
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- Figure 68: Dental payment, by last NHS visit, April 2017
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- Figure 69: Dental payment, by last private visit, April 2017
Industry Structure
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- Key points
- Increasing presence of corporate dentistry
- Growing importance of dental hygienists and therapists is changing operational structure
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- Figure 70: Analysis of GDC-registered dental professionals, May 2017
- Market share
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- Figure 71: Estimated dental care providers’ market share, 2016
- Figure 72: Estimated dental care providers’ market share, 2016
- Industry M&A
- Sector structure
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- Figure 73: Analysis of changes in the structure of the dental practice sector, 2012-16
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- Figure 74: Analysis of the employment structure of the dental practice sector, 2015-16
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- Figure 75: Analysis of the financial structure of the dental practice sector, 2015 and 2016
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- Figure 76: Analysis of the financial structure of the dental practice sector, 2016
Company Profiles
BUPA Dental Services
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- Figure 77: Financial analysis of Bupa Dental Services, 2011-15
- Company strategy
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Mydentist (formerly IDH Group)
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- Figure 78: Financial analysis of Turnstone Equityco 1, 2012-16
- Subsidiary companies
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- Figure 79: Financial analysis of Whitecross Dental Care, 2012-16
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- Figure 80: Financial analysis of Petrie Tucker and Partners, 2012-16
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- Figure 81: Financial analysis of Orthoworld 2000, 2012-16
- Company strategy
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Oasis Dental Care
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- Figure 82: Financial analysis of Oasis Healthcare International (formerly Duke Street Capital Oasis Holdings), 2012-16
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- Figure 83: Financial analysis of Oasis Dental Care, 2012-16
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- Figure 84: Financial analysis of Oasis Dental Care (Central), 2012-16
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- Figure 85: Financial analysis of Oasis Dental Care (Southern), 2012-16
- Company strategy
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Rodericks Dental Limited
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- Figure 86: Financial analysis of Rodericks, 2012-16
- Company strategy
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Southern Dental
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- Figure 87: Financial analysis of Southern Dental, 2011-15
- Company strategy
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Simplyhealth Professionals (formerly Denplan)
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- Figure 88: Financial analysis of Simplyhealth Professionals (formerly Denplan), 2011-15
- Company strategy
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DPAS
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- Figure 89: Financial analysis of DPAS, 2011-15
- Company strategy
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Practice Plan
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- Figure 90: Financial analysis of Practice Plan, 2011-15
- Company strategy
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Simplyhealth Access
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- Figure 91: Financial analysis of Simplyhealth Access, 2011-15
- Company strategy
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Western Provident Association
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- Figure 92: Financial analysis of Western Provident Association, 2011-15
- Company strategy
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- Figure 93: Profiled companies’ turnover, 2011-15
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Forecast
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- Key points
- Market size
- New NHS dental contract still undergoing prototype testing...
- ...while there is a lack of government announcements around its dentistry plans
- Brexit stance concerns industry
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- Figure 94: UK expenditure on dental care forecast, 2018-22
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- Figure 95: UK dental care expenditure forecast, 2018-22
- Market Segmentation
- Private services are the jewel in the dentistry crown
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- Figure 96: UK dental care expenditure forecast, by segment, 2018-22
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- Figure 97: UK dental care expenditure forecast, by segment, 2018-22
- NHS Dentistry
- Private GDS
- Cosmetic dentistry
- NICE introduces new quality standard to promote good oral health
Further Sources and Contacts
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- Trade associations
- Association of Dental Administrators and Managers
- The Association of Dental Anaesthetists
- Association of Dental Groups
- Association of Dental Implantology
- British Academy of Cosmetic Dentistry
- British Association of Dental Nurses
- British Association of Dental Therapists
- British Association of Prosthetists and Orthotists
- British Dental Association
- British Dental Industry Association
- British Endodontic Society
- British Orthodontic Society
- British Society of Dental Hygiene & Therapy
- British Society for Disability and Oral Health
- British Society of Paediatric Dentistry
- British Society for the Study of Prosthodontics
- Trade magazines
- British Dental Journal
- Dental Health
- Dental Insider
- Dental Nursing
- Dental Supplies
- Dentistry
- Primary Dental Journal
- Private Dentistry
- The Business of Dentistry
- The Dentist
- Trade exhibitions
- British Academy of Cosmetic Dentistry Annual Conference
- British Dental Conference & Exhibition 2018
- BDIA Dental Showcase
- Dental Technology Showcase 2018
- Oral Health Conference and Exhibition
- The Dentistry Show 2018
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