Table of Contents
Introduction
-
- Issues in the market
- Definitions
- Abbreviations
- Methodology
- Market positioning
- The role of the NHS
- Dental practices
- The regulator
Executive Summary
-
- The market
- Modest growth expected across 2014 despite NHS spending controls
-
- Figure 1: UK expenditure on dental care, 2010-14
- Private dental treatments powering the market
-
- Figure 2: UK expenditure on dental care, by segment 2010-14
- Market to top £8 billion in 2015
-
- Figure 3: Forecast UK expenditure on dental care, 2015-19
- Market factors
- Relationship with the dentist remains a key factor for patients
-
- Figure 4: Attitudes towards dental treatment, July 2014
- Over half had NHS appointment in last year while just one in five had private treatment
-
- Figure 5: Most recent NHS and private dental appointments, July 2014
- Falling real disposable income restricts demand
-
- Figure 6: UK households’ real disposable income, 2002-13
- Companies
- Oasis growing by acquisition in 2014
- BUPA moves into high street dental sector with Instore purchase
- What we think
UK Economy
-
- Overview
- Inflation
- Interest rates
- House prices
- Consumer spending
Market Factors
-
- Rising and ageing population underpins demand for dental care
-
- Figure 7: UK population estimate and projection, by age group, 2012 and 2017
- Disposable incomes struggling
-
- Figure 8: UK households’ real disposable income, 2002-13
- Treatment costs climb slightly in 2014
-
- Figure 9: NHS dental charges in England, 2010-14
- Increase in dentists’ NHS activity fails to increase penetration
-
- Figure 10: Number of dentists with NHS activity in England, 2009-13
- Figure 11: Number of dental patients seen in England under the NHS in previous 24 months, 2009-13
- Risk of over-supply highlighted for dental industry
-
- Figure 12: Target number of dental students and actual intakes in England, 2007-12
- Cosmetic dental demand continues to rise
Market Size
-
- Key points
- Public sector spending control continues to restrict market
-
- Figure 13: UK expenditure on dental care, 2010-14
- Rising population and health plan access among factors underpinning development
Market Segmentation
-
- Key points
- Segment overview
-
- Figure 14: UK expenditure on dental care, by segment, 2010-14
- Private treatments
- Demand growth limited by further fall in real incomes
- Corporate dentistry continues to increase market share
- Cosmetic demand stunted by increase in competition
-
- Figure 15: UK expenditure on private cosmetic dental care, 2010-14
- NHS dentistry
- Cost burden shifting from government to patients
-
- Figure 16: UK expenditure on NHS dental care, by payment segment, 2010-14
- Courses of treatment are rising
-
- Figure 17: Number of courses of dental treatment under NHS, in England, 2010-14
Market Trends
-
- Key points
- Contract pilots still in play as reform process rumbles on
- Need for speed influencing the way practices attract patients
- Direct access barriers need breaking down further
Appointment Habits
-
- Key points
- Survey background
- More than half have attended NHS appointment in past 12 months
-
- Figure 18: Most recent NHS and private dental appointments, July 2014
- Private dental services achieving higher penetration among Millenials
-
- Figure 19: Most recent private dental appointment, by age, July 2014
- Those with healthy finances more likely to use NHS dental services
-
- Figure 20: Most recent NHS dental appointment, by financial situation, July 2014
- Only half of parents are regularly taking children to the dentist
Experience of NHS Dentistry
-
- Key points
- Broad satisfaction with NHS treatment but some patients made to wait
-
- Figure 21: Features of NHS appointments, July 2014
- Parents feeling the pinch more likely to have delayed treatment
-
- Figure 22: Features of NHS appointments – I had delayed the appointment due to the cost, by demographic, July 2014
Attitudes Towards Dental Treatment
-
- Key points
- Familiarity remains the key factor for patients
-
- Figure 23: Attitudes towards dental treatment, July 2014
- Affordability of treatment is cause for concern
- One in four more likely to book if they could do it online
- Knowing their dentist is important for the younger generation
-
- Figure 24: Attitudes towards dental treatment – I would prefer to see a dentist who has treated me before, by age, July 2014
- Cost concerns most apparent among the under-55s
-
- Figure 25: Attitudes towards dental treatment – The cost of dental treatment would affect my decision about whether to have it, by age, July 2014
Industry Structure
-
- Key points
- Boost to dental hygienist and therapist numbers following direct access verdict
-
- Figure 26: Analysis of GDC-Registered dental professionals, 2012 and 2013
- Consolidation continues apace
- Dental practice outlets down marginally in 2013
-
- Figure 27: Analysis of changes in the structure of the dental practice sector, 2009-13
- Table highlights
- Medium-sized practices increasing as a share of the sector…
-
- Figure 28: Analysis of the employment structure of the dental practice sector, 2009-13
- Table highlights
- …and growth in dental businesses with revenues of more than £500,000
-
- Figure 29: Analysis of the financial structure of the dental practice sector, 2009-13
- Table highlights
BUPA Dental Services
-
- Recent company activity
-
- Figure 30: Financial analysis of BUPA Dental Services, 2009-13
- Table highlights
IDH Group
-
- Recent company activity
-
- Figure 31: Financial analysis of Turnstone Equityco 1, 2012-13
- Table highlights
- Subsidiary companies
-
- Figure 32: Financial analysis of Whitecross Dental Care, 2009-13
- Table highlights
-
- Figure 33: Financial analysis of Petrie Tucker and Partners, 2009-13
- Table highlights
-
- Figure 34: Financial analysis of Orthoworld 2000, 2009-13
- Table highlights
Oasis Dental Care
-
- Recent company activity
-
- Figure 35: Financial analysis of Duke Street Capital Oasis Holdings, 2009-13
- Table highlights
-
- Figure 36: Financial analysis of Oasis Dental Care, 2009-13 (£ 000)
- Table highlights
-
- Figure 37: Financial analysis of Oasis Dental Care (Central), 2009-13
- Table highlights
-
- Figure 38: Financial analysis of Oasis Dental Care (Southern), 2009-13
- Table highlights
Rodericks
-
-
- Figure 39: Financial analysis of Rodericks, 2009-13
- Table highlights
-
Southern Dental
-
- Recent company activity
-
- Figure 40: Financial analysis of Southern Dental, 2009-13
- Table highlights
Denplan
-
- Recent company activity
-
- Figure 41: Financial analysis of Denplan, 2008-12
- Table highlights
Dpas
-
- Recent company activity
-
- Figure 42: Financial analysis of DPAS, 2008-12
- Table highlights
Practice Plan
-
- Recent company activity
-
- Figure 43: Financial analysis of Practice Plan, 2009-13
- Table highlights
Simplyhealth Access
-
- Recent company activity
-
- Figure 44: Financial analysis of Simplyhealth Access, 2008-12
- Table highlights
Western Provident Association
-
-
- Figure 45: Financial analysis of Western Provident Association, 2009-13
- Table highlights
-
Forecast
-
- Key points
- Market size
-
- Figure 46: Forecast UK expenditure on dental care, 2015-19
- Market segmentation
-
- Figure 47: Forecast UK expenditure on dental care, by segment, 2015-19
- NHS spending to stall until 2018
-
- Figure 48: Forecast UK expenditure on NHS dental care, 2015-19
- Private GDS care competition to intensify…
-
- Figure 49: Forecast UK expenditure on private GDS dental care, 2015-19
- …while cosmetic sector steams ahead
-
- Figure 50: Forecast UK expenditure on private cosmetic dental care, 2015-19
Further Sources and Contacts
-
- Trade bodies
- Trade press
Appendix – Appointment Habits
-
-
- Figure 51: NHS dentist usage, by demographics, July 2014
- Figure 52: Private dentist usage, by demographics, July 2014
-
Appendix – Experience of NHS Dentistry
-
-
- Figure 53: Experience with NHS dental appointment – I was able to get an appointment at a location within 5 miles of my home, by demographics, July 2014
- Figure 54: Experience with NHS dental appointment – I was able to get an appointment within two weeks, by demographics, July 2014
-
- Figure 55: Experience with NHS dental appointment – I only had to contact one dental practice to get an appointment, by demographics, July 2014
- Figure 56: Experience with NHS dental appointment – It was made clear to me that I was charged the price for an NHS patient, by demographics, July 2014
-
- Figure 57: Experience with NHS dental appointment – I was pleased with the quality of treatment I received, by demographics, July 2014
- Figure 58: Experience with NHS dental appointment – I was happy with the cleanliness of the practice I visited, by demographics, July 2014
-
- Figure 59: Experience with NHS dental appointment – The dentist and dental staff were friendly, by demographics, July 2014
- Figure 60: Experience with NHS dental appointment – I had delayed the appointment due to the cost, by demographics, July 2014
-
Appendix – Attitudes Towards Dental Treatment
-
-
- Figure 61: Agreement with the statement ‘I am concerned about being able to afford dental treatment’, by demographics, July 2014
- Figure 62: Agreement with the statement ‘The cost of dental treatment would affect my decision about whether to have it’, by demographics, July 2014
-
- Figure 63: Agreement with the statement ‘It’s worth considering travelling abroad to receive cheaper dental treatment’, by demographics, July 2014
- Figure 64: Agreement with the statement ‘It’s worth paying more for quality dental treatment’, by demographics, July 2014
-
- Figure 65: Agreement with the statement ‘I would be less likely to make a dental appointment if I had to travel more than 5 miles to attend it’, by demographics, July 2014
- Figure 66: Agreement with the statement ‘It is important to get an appointment quickly’, by demographics, July 2014
-
- Figure 67: Agreement with the statement ‘I would be more likely to make a dental appointment if I could book it online’, by demographics, July 2014
- Figure 68: Agreement with the statement ‘I wouldn't return to a dentist if I was kept waiting more than 15 minutes before an appointment’, by demographics, July 2014
-
- Figure 69: Agreement with the statement ‘I would prefer to see a dentist who has treated me before’, by demographics, July 2014
- Figure 70: Agreement with the statement ‘It is important to see a dentist that knows your full dental history’, by demographics, July 2014
-
Back to top