Table of Contents
Executive Summary
-
- Market Size
- Steep decline in 2020 dental care expenditure as COVID-closure halts all services in Q2
-
- Figure 1: Total UK dental care expenditure, 2016-2020, (£ billion)
- High infection-risk nature of the industry will dampen growth over the foreseeable future
-
- Figure 2: Forecast UK expenditure on dental care, by provider, 2021-2025, (£ billion at 2020 prices)
- Impact of COVID-19 on Dentistry
-
- Figure 3: Expected impact of COVID-19 on dentistry, short-, medium-, and long-term, [10 July 2020]
- The consumer
- 95% of people have seen an NHS dentist whilst 54% have never visited a private dentist
-
- Figure 4: Last dental appointment, by time of last appointment and service type, May 2020, (% of respondents)
- People are most satisfied with the cleanliness and good hygiene of practices
-
- Figure 5: Dental services opinion, by highest six ‘agreement’ statements, May 2020, (% of respondents)
- Seeing the same dentist and regular check-ups remain high priority
-
- Figure 6: Dental industry issues, May 2020, (% of respondents)
- What we think
The Impact of COVID-19 on Dentistry
-
- The market
- Fewer patient appointments and rising PPE costs will dampen growth over the foreseeable future
- High infection-risk nature of the industry will alter the industry operation model
- Government measures
- NHS dentistry
- Private dentistry
- The consumer
- Dental professionals will need to remove patient ‘fear factor’ post-lockdown
- Companies and brands
- Dental groups join up to produce back-to-work guidelines
- Mydentist becomes first main provider to increase dental charges to cover PPE costs
- Water Pik and Tooth Fairy partner up to help connect patients with dentists
- The future
- COVID-19: Market context
Issues and Insights
-
- Despite slowly reopening, severe doubts remain on the viability of many practices
- The facts
- The implications
- Low NHS dentist wellbeing adds to recruitment problems
- The facts
- The implications
The Market – What You Need to Know
-
- Steep decline in 2020 dental care expenditure as COVID-closure halts all services in Q2
- The high infection-risk nature of the industry will dampen growth over the foreseeable future
Market Size
-
- Steep decline in 2020 dental care expenditure as COVID-closure halts all services in Q2
-
- Figure 7: Total UK dental care expenditure, 2016-20, (£ billion)
- NHS treatment costs frozen until October 2020 due to pandemic
-
- Figure 8: NHS dental charges in England, per band, 2016-20*, (£)
- Market Segmentation
- Segment Overview
-
- Figure 9: Total UK dental care expenditure, by provider, 2016-20, (£ billion)
- Private Treatments
- Cosmetic dentistry expected to be hit hardest by COVID-19 closure in 2020 but strong demand remains
-
- Figure 10: UK expenditure on private cosmetic dental care, 2016-20, (£ billion)
- NHS Dentistry
-
- Figure 11: UK expenditure on NHS dental care, by payment segment, 2016-20, (£ million)
- Courses of NHS band 1 and urgent treatments rise in 2019
-
- Figure 12: Number of courses of dental treatment under the NHS in England, 2014/15-2018/19, (000s)
Market Forecast
-
- Short-, medium- and long-term impact on the industry
-
- Figure 13: Expected impact of COVID-19 on dentistry, short-, medium-, and long-term, 10 July 2020
- The high infection-risk nature of the industry will dampen growth over the foreseeable future in a post-COVID environment
-
- Figure 14: Forecast UK expenditure on dental care, 2021-2025, (£ billion at 2020 prices)
- All market sectors will be hit by the impact of the pandemic, but private dentistry is likely to drive growth as it has greater flexibility with dental fees
-
- Figure 15: Forecast UK dental care expenditure, by segment, 2021-2025, (£ billion at 2020 prices)
- GDC launches strategy for the next three years
- Advancements in technology will help drive innovation and cost-efficiency in a time where both are very much needed
The Impact of the Economy
-
- Annual GDP growth falls to decade low in 2019 and is expected to significantly decline in 2020 due to large economic shutdown
-
- Figure 16: Annual GDP growth rate, 2015-2020*, (%)
- Bank rate set at a record low of 0.1%
-
- Figure 17: Bank rate, 2008-2020, by date of adjustment, (%)
- Household real incomes strained as the effects of the pandemic begin to hit
-
- Figure 18: GDP per head at current market prices and real household disposable income per head, Q1 2016 – Q1 2020, (£)
Market Trends
-
- Dental earnings fall once more but 2019/20 sees first real-term uplift in basic pay increase in 14 years
-
- Figure 19: Average taxable income for all self-employed primary care dentists, England and Wales, 2013/14-2017/18, (£)
-
- Figure 20: Associate Rates per UDA, by Region, (£)
- Dental practice profits rise in 2019 after falling in 2018
- Practices remained in demand with buyers up to Q1 2020, but a shift towards NHS has occurred in light of the pandemic
- Orthodontic treatments remain popular but patients are warned about ‘DIY’ sets
Market Drivers
-
- With Brexit confirmed in January 2020, the impact on recruitment and costs has begun
- Ageing population will maintain strong dental treatment demand
-
- Figure 21: UK population estimate and projection, 2020 and 2025, by age group, (millions of people)
- NHS dentist activity rises whilst the number of patients stagnates
-
- Figure 22: Dentists with NHS activity in England, 2014/15-2018/19, (No. of dentists and % annual change)
-
- Figure 23: Dental patients seen in England under the NHS over the previous 24 months, at 30 June, 2015-19, (000s of patients)
- Student intake levels above target, but vacancies remain for current dental positions
-
- Figure 24: Target number of dental students and actual intakes in England, 2013/14-2019/20, (Number of students)
Companies and Brands – What You Need to Know
-
- Colosseum Dental UK rolls out advanced tech to all of its practices
- Mydentist launches ‘affordable’ private dental service
Industry Structure
-
- Investor demand remains higher than supply for practices with stable average price growth
- UK ranks second in Europe for best oral health
- Market Share
-
- Figure 25: Number of UK dental practices, 2018, by corporate operator and ownership, (Number)
- Recent M&A activity
- Sector structure
-
- Figure 26: Analysis of changes in the structure of the dental practice sector, 2015-2019, (Number of companies and practices)
-
- Figure 27: Analysis of the employment structure of the dental practice sector, 2018 and 2019, (Total employees and number of companies)
-
- Figure 28: Analysis of the financial structure of the dental practice sector, 2018 and 2019, (£000 and number of companies)
Competitive Strategies
-
- Colosseum Dental UK rolls out advanced tech to all of its practices
- Mydentist launches ‘affordable’ private dental service
Company Profiles
-
- Bupa Dental Care
- Recent company activity
- Financial information
-
- Figure 29: Financial analysis of Bupa Dental Care, 2014-2018, (£ million)
- Colosseum Dental Services
- Recent company activity
- Financial information
-
- Figure 30: Financial analysis of Colosseum Dental Services, 2014-2018, (£ million)
- DPAS
- Financial information
-
- Figure 31: Financial analysis of DPAS, 2014-2018, (£000)
- Mydentist (formerly IDH Group)
- Recent company activity
- Financial information
-
- Figure 32: Financial analysis of Turnstone Equityco 1, 2014-2018, (£ million)
- Subsidiary Companies
-
- Figure 33: Financial analysis of Whitecross Dental Care, 2015-2019, (£ 000)
-
- Figure 34: Financial analysis of Petrie Tucker and Partners, 2015-2019, (£ million)
- Figure 35: Financial analysis of Orthworld 2000, 2015-2019, (£ million and % change)
- Practice Plan
-
- Figure 36: Financial analysis of Practice Plan, 2014-2018, (£ million)
- Rodericks Dental Limited
- Recent company news
- Financial information
-
- Figure 37: Financial analysis of Rodericks, 2015-2019, (£ million)
- Denplan (part of Simplyhealth)
- Recent company activity
- Financial information
-
- Figure 38: Financial analysis of Simplyhealth Professionals, 2014-2018, (£ million)
The Consumer – What You Need to Know
-
- 95% of people have seen an NHS dentist whilst 54% have never visited a private dentist
- People are most satisfied with the cleanliness and good hygiene of practices
- Seeing the same dentist and regular check-ups remain high priority
Last Dental Appointment
-
- 95% of people have seen an NHS dentist compared to 54% who have visited a private dentist
-
- Figure 39: Last dental appointment, by time of last appointment and service type, May 2020, (% of respondents)
- Likelihood of most recent NHS visit rises alongside age
-
- Figure 40: Last NHS dental appointment, by time of last appointment and by age and gender, May 2020, (% of respondents)
- Figure 41: Last private dental appointment, by time of last appointment and by age and gender, May 2020, (% of Respondents)
Dental Treatment
-
- General examination/check-ups account for two thirds of all treatments
-
- Figure 42: Dental treatment, May 2020, (% of respondents)
- More check-ups and x-rays conducted over the last year
-
- Figure 43: Dental treatment, by time of Last NHS visit, May 2020, (% of respondents)
- Figure 44: Dental treatment, by time of last private visit, May 2020, (% of respondents)
Service Opinion
-
- People are most satisfied with the cleanliness and hygiene of practices
-
- Figure 45: Dental service opinion, May 2020, (% of respondents)
Dentistry Issues
-
- Seeing the same dentist and regular check-ups remain high priority
-
- Figure 46: Dentistry issues, May 2020, (% of respondents)
Dental Choice Factors
-
- Location and cost influence choice
-
- Figure 47: Dental choice factors, May 2020, (% of respondents)
Appendix – Data Sources, Abbreviations and Supporting Information
-
- Abbreviations
- Methodology
Further Sources and Contacts
-
- Trade associations
- Trade magazines
- Trade events
Back to top