Table of Contents
Key Insights
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- What does the industry expect from the next NHS dental contract set for 2017/2018? What effect will it have on dental provision?
- How is the uncertainty surrounding the future of the NHS affecting the industry?
- How have dentists reacted to the emergence of the cosmetic sector?
- Is private provision expected to increase?
- Is the industry set for further consolidation?
- How can the industry further develop?
Introduction
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- Definitions
- Methodology
- Abbreviations
Market Positioning
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- The role of the NHS
- Dental practices
- The regulator
- Market demand
UK Economy
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- Key points
- Overview
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- Figure 5: UK GDP, 2004-15 Q1
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- Figure 6: Quarters after GDP Peak, 1979, 1990 and 2008
- Inflation
- Interest rates
- House prices
- Consumer spending
- Manufacturing
- Business investment
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- Figure 7: UK GFCF 2003-15
- Imports
- Exports
Market Factors
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- Key points
- Rising and ageing population underpins demand for dental care
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- Figure 8: UK Population Estimate and Projection, 2014 and 2019, by Age Group
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- Figure 9: UK Population Estimate and Projection, 2014 and 2019, by Age Group
- Early Signs of Improving Disposable Income
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- Figure 10: Real Household Disposable Income, 2002-13
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- Figure 11: UK Households’ Real Disposable Income, 2002-13
- NHS Treatment costs rise again
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- Figure 12: NHS Dental Charges in England, 2011-2015, (£)
- Figure 13: NHS Dental Charges in England, 2011-15
- Increase in dentists’ NHS activity fails to increase penetration
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- Figure 14: Dentists with NHS Activity in England, 2009/10-2013/14, (No. of Dentists and % Annual Change)
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- Figure 15: Number of Dentists with NHS Activity in England, 2009/10-2013/14
- Figure 16: Dental Patients Seen in England under the NHS over the previous 24 months, at 30 June, 2011-14
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- Figure 17: Number of Dental Patients seen in England under the NHS in previous 24 months, 2011-14
- Risk of over-supply in dental industry
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- Figure 18: Target Number of Dental Students and Actual Intakes in England, 2009/10-2013/14, (Number of Students)
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- Figure 19: Target Number of Dental Students and Actual Intakes in England, 2009/10-2013/14
- Cosmetic dental demand continues to rise
- Dental insurance offers alternative route to treatment
- BDIA releases dental industry manifesto to provide guidance for the government
Market Size
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- Key points
- Public sector spending control continues to restrict market
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- Figure 20: Total UK Dental Care Expenditure, 2011-2015, (£ Billion)
- Figure 21: UK Expenditure on Dental Care, 2011-15
- Other underlying factors
Market Segmentation
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- Key points
- Segment overview
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- Figure 22: Total UK Dental Care Expenditure, by Segment, 2011-15
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- Figure 23: UK Expenditure on Dental Care, by Segment, 2011-15
- Private treatments
- Corporate dentistry continues to increase market share
- Cosmetic dentistry market still expanding
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- Figure 24: UK Expenditure on Private Cosmetic Dental Care, 2011-15
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- Figure 25: UK Expenditure on Private Cosmetic Dental Care, 2011-15
- NHS Dentistry
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- Figure 26: UK Expenditure on NHS Dental Care, by Payment Segment, 2011-15
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- Figure 27: UK Expenditure on NHS Dental Care, by Payment Segment, 2011-15
- Courses of treatment on the rise
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- Figure 28: Number of Courses of Dental Treatment under NHS, in England, 2010/11-2014/15
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- Figure 29: Number of Courses of Dental Treatment under NHS, in England, 2010/11-2014/15
Market Trends
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- Key points
- Move to prototype stage as NHS dental contract reform continues to stall
- Direct access barriers still require further break down
- Workforce transition
- NHS Activity
- Practice profits
- Technology/Innovation developments
The Consumer – Last Dental Appointment
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- Key points
- Over half of NHS dental patients have had an appointment in the last year
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- Figure 30: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2015, (% of Respondents)
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- Figure 31: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2015
- The young are most likely to have recently been to a private appointment
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- Figure 32: Last NHS Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2015, (% of Respondents)
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- Figure 33: Last NHS Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2015
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- Figure 34: Last Private Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2015, (% of Respondents)
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- Figure 35: Last Private Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2015
The Consumer – Reasons behind NHS Dental Visit
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- Key points
- Familiarity and proximity key to NHS visits
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- Figure 36: NHS Dental Appointment Choice Factors, April 2015, (% of Respondents)
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- Figure 37: NHS Dental Appointment Choice Factors, April 2015
- Cost pressures may be affecting demand for NHS dental services
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- Figure 38: NHS Dental Appointment Choice Factors, by Time of Last Visit, April 2015
The Consumer – Reasons Behind Private Dental Visit
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- Key points
- High quality of service leads the private way
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- Figure 39: Private Dental Appointment Choice Factors, April 2015
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- Figure 40: Private Dental Appointment Choice Factors, April 2015
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- Figure 41: Private Dental Appointment Choice Factors, by Time of Last Visit, April 2015
The Consumer – Dental Service Satisfaction and Opinion
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- Key points
- Appointment length and treatment explanation satisfy patients
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- Figure 42: Dental Service Satisfaction, April 2015
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- Figure 43: Dental Service Satisfaction, April 2015
- Familiarity and on-demand use key to consumer thinking
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- Figure 44: Dental Service Opinion, April 2015, (% of Respondents)
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- Figure 45: Dental Service Opinion, April 2015
Industry Structure
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- Key points
- Boost to dental hygienist and therapist numbers following direct access verdict
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- Figure 46: Analysis of GDC-registered Dental Professionals, 2014 and 2015
- Consolidation continues, but at a slower pace
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- Figure 47: Analysis of Changes in the Structure of the Dental Practice Sector, 2010-14
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- Figure 48: Analysis of the Employment Structure of the Dental Practice Sector, 2010-14
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- Figure 49: Analysis of the Financial Structure of the Dental Practice Sector, 2013 and 2014
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- Figure 50: Analysis of the Financial Structure of the Dental Practice Sector, 2010-14
Company Profiles
BUPA Dental Services
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- Figure 51: Financial analysis of BUPA Dental Services, 2009-13
- Company outlook
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Denplan
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- Figure 52: Financial analysis of Denplan, 2009-13
- Company outlook
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DPAS
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- Figure 53: Financial analysis of DPAS, 2009-13
- Company outlook
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IDH Group
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- Figure 54: Financial analysis of Turnstone Equityco 1, 2012-14
- Subsidiary companies
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- Figure 55: Financial analysis of Whitecross Dental Care, 2010-14
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- Figure 56: Financial analysis of Petrie Tucker and Partners, 2009-13
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- Figure 57: Financial analysis of Orthoworld 2000, 2010-14
- Company outlook
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Oasis Dental Care
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- Figure 58: Financial analysis of Duke Street Capital Oasis Holdings, 2010-14
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- Figure 59: Financial analysis of Oasis Dental Care, 2010-14
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- Figure 60: Financial analysis of Oasis Dental Care (Central), 2010-14
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- Figure 61: Financial analysis of Oasis Dental Care (Southern), 2010-14
- Company outlook
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Practice Plan
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- Figure 62: Financial analysis of Practice Plan, 2010-14
- Company outlook
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Rodericks
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- Figure 63: Financial analysis of Rodericks, 2010-14
- Company outlook
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Simplyhealth Access
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- Figure 64: Financial analysis of Simplyhealth Access, 2009-13
- Company outlook
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Southern Dental
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- Figure 65: Financial analysis of Southern Dental, 2010-14
- Company outlook
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Western Provident Association
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- Figure 66: Financial analysis of Western Provident Association, 2009-13
- Company outlook
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- Figure 67: Profiled Companies’ Turnover, 2010-13
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Forecast
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- Key points
- Market Size
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- Figure 68: Forecast UK Expenditure on Dental Care, 2016-20
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- Figure 69: Forecast UK Expenditure on Dental Care, 2016-20
- Market segmentation
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- Figure 70: Forecast UK Expenditure on Dental Care, by Segment, 2016-20
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- Figure 71: Forecast UK Expenditure on Dental Care, by Segment, 2016-20
- NHS spending to stall until 2019
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- Figure 72: Forecast UK Expenditure on NHS Dental Care, 2016-20
- Private GDS care competition to intensify
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- Figure 73: Forecast UK Expenditure on Private GDS Dental Care, 2016-20
- Cosmetic sector surge continues
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- Figure 74: Forecast UK Expenditure on Private Cosmetic Dental Care, 2016-20
Further Sources and Contacts
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- Trade associations
- Association of Dental Administrators and Management
- The Association of Dental Anaesthetists
- Association of Dental Groups
- Association of Dental Implantology
- 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 Dental Research
- British Society for Disability and Oral Health
- British Society of Paediatric Dentistry
- British Society for Restorative Dentistry
- British Society for the Study of Prosthetic Dentistry
- Trade magazines
- British Dental Journal
- Dental Health
- Dental Nursing
- Dental Practice
- Dentistry – Finlayson Media Communications
- Fusion – Dental Fusion Organisation
- The Business of Dentistry
- The Dentist
- Trade exhibitions
- British Dental Conference & Exhibition 2016
- BDIA Dental Showcase
- International Orthodontic Congress 2015
- The Dentistry Show 2016
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