Table of Contents
Key Insights
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- Which factors are shaping the direction of dental care provision?
- As prototypes of the new NHS dental contract are being tested, what is the industry opinion on the provisions it is likely to set out?
- What are operators doing to boost dental accessibility?
- What actions is the private dentistry sector taking to gain market share?
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
- Over the last decade, public attitudes towards dentistry have changed.
UK Economy
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- Key points
- Overview
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- Figure 5: UK GDP Quarterly Development, 2005-2015
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- Figure 6: Quarters after GDP Peak, 1979, 1990 and 2008
- Inflation
- Interest rates
- House prices
- Consumer spending
- Manufacturing
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- Figure 7: UK Output, by Industry, 2008-2015, (Index: Q1 2008 = 100)
- Business investment
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- Figure 8: UK GFCF 2005-2015
- Imports
- Exports
Market Factors
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- Key points
- Latest budget includes several measures that will impact dentists and the general industry
- Rising and ageing population underpins demand for dental care
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- Figure 9: UK Population Estimate and Projection, 2015 and 2020, by Age Group
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- Figure 10: UK Population Estimate and Projection, 2015 and 2020, by Age Group
- Slight improvement in disposable income could enhance practice visit numbers and treatment choice
- GDP per head, which acts as a proxy for standard of living, increased by 6.5% between Q1
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- Figure 11: GDP per Head at Current Market Prices and Real Household Disposable Income per Head, Q1 2011 Q4 2015
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- Figure 12: GDP per Head at Current Market Prices and Real Household Disposable Income per Head, Q1 2011 - Q4 2015
- NHS treatment costs rise by 5% in 2016 and will rise by the same level in 2017
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- Figure 13: NHS Dental Charges in England, 2012-2016
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- Figure 14: NHS Dental Charges in England, 2012-2016
- Increase in dentists’ NHS activity fails to increase penetration
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- Figure 15: Dentists with NHS Activity in England, 2010/11-2014/15
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- Figure 16: Dentists with NHS Activity in England, 2010/11-2014/15
- Figure 17: Dental Patients Seen in England under the NHS over the previous 24 months, at 30 June, 2011-2015
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- Figure 18: Dental Patients Seen in England under the NHS in previous 24 months, at 30 June, 2011-2015
- Lower targets set for student uptake as industry risks dental professional oversupply
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- Figure 19: Target Number of Dental Students and Actual Intakes in England, 2009/10-2014/15
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- Figure 20: Target Number of Dental Students and Actual Intakes in England, 2009/10-2014/15
- Dental insurance cover and cash plans offer alternative routes to afford treatment
- Barriers are still affecting the impact of direct access
Market Size
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- Key points
- Private sector spending leading market development amid continuing public expenditure restrictions
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- Figure 21: Total UK Dental Care Expenditure, 2012-2016
- Figure 22: UK Expenditure on Dental Care, 2012-2016
- Other underlying factors
Market Segmentation
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- Key points
- Segment overview
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- Figure 23: Total UK Dental Care Expenditure, by Segment, 2012-2016
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- Figure 24: UK Expenditure on Dental Care, by Segment, 2012-2016
- Private treatments
- Corporate dentistry continues to increase presence
- Change in social norms and attitudes fuelling strong cosmetic dentistry growth
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- Figure 25: UK Expenditure on Private Cosmetic Dental Care, 2012-2016
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- Figure 26: UK Expenditure on Private Cosmetic Dental Care, 2012-2016
- NHS dentistry
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- Figure 27: UK Expenditure on NHS Dental Care, by Payment Segment, 2012-2016
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- Figure 28: UK Expenditure on NHS Dental Care, by Payment Segment, 2012-2016
- Courses of NHS treatment fall for first time since records began
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- Figure 29: Number of Courses of Dental Treatment under NHS, in England, 2010/11-2014/15
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- Figure 30: 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
- Ongoing changes seen in employment structure
- Private practice profits advancing past NHS practice equivalent
- Widening gap becoming apparent in private treatment fees
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- Figure 31: Average Private Practice Prices for the Five Most Common Dental Treatments, At May 2016
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- Figure 32: Average Private Practice Prices for the Five Most Common Dental Treatments, At May 2016, by Five Most Expensive Dental Check-Up Locations
- Figure 33: Average Private Practice Prices for Dental Implants, At May 2016, by Five Most Expensive Dental Check-Up Locations
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- Figure 34: Average Hourly Rate for Hygienists, by Region, 2015
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- Figure 35: Average UDA Rate, by Region, 2015
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- Figure 36: Average UDA Rate, by Region, 2015
- Figure 37: Average Price of At-Home Tooth Whitening, by Region, 2015
- Rising number of claims against dental professionals
The Consumer – Last Dental Appointment
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- Key points
- People are four times as likely to have seen an NHS dentist at their last appointment
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- Figure 38: Last Dental Appointment, by Service Type, April 2016
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- Figure 39: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2016
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- Figure 40: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2016
- With higher age comes more recent NHS use for women
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- Figure 41: Last NHS Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2016
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- Figure 42: Last NHS Dental Appointment, Males, by Time of Last Appointment and by Age, April 2016
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- Figure 43: Last NHS Dental Appointment, Females, by Time of Last Appointment and by Age, April 2016
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- Figure 44: Last Private Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2016
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- Figure 45: Last Private Dental Appointment, Males, by Time of Last Appointment and by Age, April 2016
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- Figure 46: Last Private Dental Appointment, Females, by Time of Last Appointment and by Age, April 2016
The Consumer – Factors Behind Dentist Choice
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- Key points
- ‘Location, location, location’ drives dentist choice
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- Figure 47: Dentist Choice Factors, April 2016, (% of Respondents)
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- Figure 48: Dentist Choice Factors, April 2016
- Convenience increases with age
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- Figure 49: Dentist Choice Factors, by Age and Gender, April 2016
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- Figure 50: Dentist Choice Factors, by Dental User Type, April 2016
- Majority rules on a repeat dentist visit
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- Figure 51: Repeat Dental Practice Visit, by Age and Gender, April 2016
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- Figure 52: Repeat Dental Practice Visit, Males, by Age, April 2016
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- Figure 53: Repeat Dental Practice Visit, Females, by Age, April 2016
Industry Structure
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- Key points
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- Figure 54: Analysis of GDC-registered Dental Professionals, 2014 and 2015, at October
- Market still consolidating, but new entrants seeking to take advantage of growing prospects
- Market share
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- Figure 55: Estimated Dental Care Providers’ Market Share, 2015
- Figure 56: Estimated Dental Care Providers’ Market Share, 2015
- Industry M&A
- Sector structure
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- Figure 57: Analysis of Changes in the Structure of the Dental Practice Sector, 2011-2015
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- Figure 58: Analysis of the Employment Structure of the Dental Practice Sector, 2011-2015
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- Figure 59: Analysis of the Financial Structure of the Dental Practice Sector, 2014 and 2015
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- Figure 60: Analysis of the Financial Structure of the Dental Practice Sector, 2015
Company Profiles
BUPA Dental Services
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- Figure 61: Financial Analysis of Bupa Dental Services, 2010-2014
- Company strategy
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Mydentist (formerly IDH Group)
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- Figure 62: Financial Analysis of Turnstone Equityco 1, 2012-15
- Subsidiary companies
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- Figure 63: Financial Analysis of Whitecross Dental Care, 2011-15
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- Figure 64: Financial Analysis of Petrie Tucker and Partners, 2011-15
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- Figure 65: Financial Analysis of Orthoworld 2000, 2011-15
- Company strategy
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Oasis Dental Care
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- Figure 66: Financial Analysis of Duke Street Capital Oasis Holdings, 2011-15
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- Figure 67: Financial Analysis of Oasis Dental Care, 2011-15
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- Figure 68: Financial Analysis of Oasis Dental Care (Central), 2011-15
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- Figure 69: Financial Analysis of Oasis Dental Care (Southern), 2011-15
- Company strategy
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Rodericks Dental Limited
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- Figure 70: Financial Analysis of Rodericks, 2011-15
- Company strategy
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Southern Dental
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- Figure 71: Financial Analysis of Southern Dental, 2011-15
- Company strategy
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Denplan
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- Figure 72: Financial Analysis of Denplan, 2010-14
- Company strategy
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DPAS
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- Figure 73: Financial Analysis of DPAS, 2010-14
- Company strategy
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Practice Plan
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- Figure 74: Financial Analysis of Practice Plan, 2010-14
- Company strategy
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Simplyhealth Access
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- Figure 75: Financial Analysis of Simplyhealth Access, 2010-14
- Company strategy
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Western Provident Association
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- Figure 76: Financial Analysis of Western Provident Association, 2010-14
- Company strategy
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- Figure 77: Profiled Companies’ Turnover, 2010-2014
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Forecast
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- Key points
- Market size
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- Figure 78: UK Expenditure on Dental Care Forecast, 2017-2021
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- Figure 79: UK Dental Care Expenditure Forecast, 2017-2021
- Market segmentation
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- Figure 80: UK Dental Care Expenditure Forecast, by Segment, 2017-2021
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- Figure 81: UK Dental Care Expenditure Forecast, by Segment, 2017-2021
- NHS dentistry spend to marginally rise
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- Figure 82: UK NHS Dental Care Expenditure Forecast, 2017-2021
- Private GDS to benefit from growing industry consumerism
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- Figure 83: UK Private GDS Dental Care Expenditure Forecast, 2017-2021
- Cosmetic dentistry will experience largest rise in value to 2021
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- Figure 84: UK Private Cosmetic Dental Care Expenditure Forecast, 2017-2021
- NICE guidelines released to improve quality of dentistry provision
- Despite oversupply concerns, UK still offers high-quality development for future career professionals
- Technology and innovation key to future development
Further Sources and Contacts
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- Trade associations
- Trade magazines
- Trade exhibitions
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