Table of Contents
Executive Summary
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- Market size
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- Figure 1: UK expenditure on dental care, 2014-18 (£ billion)
- Figure 2: UK expenditure on dental care, by segment, 2014-18 (£ billion)
- Market trends
- Increase in clawback levels highlight recruitment troubles
- The number of patients seeking orthodontic treatment continues to rise
- Market factors
- Trade associations unite to ensure Brexit has as smooth an effect as possible on practice costs, recruitment and legislation
- Ageing population likely to drive demand for dental care
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- Figure 3: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
- Consumer
- Half of people have never visited a private dentist
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- Figure 4: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
- Nearly seven-in-10 ‘self-fund’ dental treatment
- Dentists most commonly perform a general examination alongside a scale and polish during one visit
- Location, cost and staff friendliness most important factors
- Fear and cost of treatment are the main causes behind not visiting a dentist
- Opinion of friends, family, and co-workers is important when finding a new dentist
- Industry structure
- Forecast
- Slow but steady growth expected
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- Figure 5: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
- What we think
Key Insights
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- How is the future model of dental practice ownership likely to change?
- How can the industry use digital platforms to its advantage and boost dental patient activity?
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
- Private Dentistry (Wales) Regulations 2017
- Market demand
UK Economy
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- Key points
- Overview
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- Figure 6: Forecast GDP development 2017-22 (% annual growth)
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- Figure 7: UK GDP quarterly development, 2007-17 (% quarterly growth and GDP in £ billion)
- Inflation
- House prices
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- Figure 8: UK house price changes, 2007-18 (12 month % change)
- Interest rates
- Consumer spending
- Manufacturing
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- Figure 9: UK manufacturing, 2014-18 (index, 2015 = 100)
- Business investment
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- Figure 10: UK GFCF, 2007-17 (£ million, chained volume measures, seasonally adjusted)
- Imports
- Exports
Market Factors
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- Key points
- Trade associations unite to ease Brexit’s impact on practice costs, recruitment and legislation
- Ageing population likely to drive demand for dental care
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- Figure 11: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
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- Figure 12: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
- Inflationary pressures are affecting household real incomes which could reduce the number of dental visits
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- Figure 13: GDP per head at current market prices and real household disposable income per head, Q4 2013-Q4 2017 (£)
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- Figure 14: GDP per head at current market prices and real household disposable income per head, Q4 2013-Q4 2017 (£)
- Decline in dentists’ NHS activity recorded alongside a fall in the percentage of people treated...
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- Figure 15: Dentists with NHS activity in England, 2012/13-2016/17 (no. of dentists and % annual change)
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- Figure 16: Number of dentists with NHS activity in England, 2012/13-2016/17 (no. of dentists)
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- Figure 17: Dental patients seen in England under the NHS over the previous 24 months, at 30 June, 2013-17 (000s of patients)
- Figure 18: Dental patients seen in England under the NHS in previous 24 months, at 30 June, 2013-17 (000s of patients)
- ...but this has not been helped by a number of dental practices not accepting new patients
- Student intake target has been reduced from 2017/18, although vacancies for current dental positions remain unfilled
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- Figure 19: Target number of dental students and actual intakes in England, 2011/12-2016/17 (number of students)
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- Figure 20: Target number of dental students and actual intakes in England, 2010/11-2015/16 (number of students)
Market Size
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- Key points
- Growth in dental care expenditure starting to slow
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- Figure 21: Total UK dental care expenditure, 2014-18 (£ billion)
- Figure 22: UK expenditure on dental care, 2014-18 (£ billion)
- NHS treatment costs rise by 5% for the second consecutive year in 2018
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- Figure 23: NHS dental charges in England, 2014-18 (£)
- Figure 24: NHS dental charges in England, 2014-18 (£)
- High number of children still not visiting a dentist could impact future growth...
- ...as well as regional disparities in dental standards
Market Segmentation
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- Key points
- Segment overview
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- Figure 25: Total UK dental care expenditure, by segment, 2014-18 (£ billion)
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- Figure 26: UK expenditure on dental care, by segment, 2014-18 (£ billion)
- Private treatments
- Cosmetic dentistry growth slows
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- Figure 27: UK expenditure on private cosmetic dental care, 2014-18 (£ billion)
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- Figure 28: UK expenditure on private cosmetic dental care, 2014-18 (£ billion)
- NHS dentistry
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- Figure 29: UK expenditure on NHS dental care, by payment segment, 2014-18 (£ million)
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- Figure 30: UK expenditure on NHS dental care, by payment segment, 2014-18 (£ million)
- Courses of NHS treatment rise since 2016 due to growth in band one treatments
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- Figure 31: Number of courses of dental treatment under NHS, in England, 2012/13-2016/17 (000s)
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- Figure 32: Number of courses of dental treatment under NHS, in England, 2012/13-2016/17 (000s)
- Dental insurance and new payment plans offer patients a route to receiving treatment
Market Trends
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- Key points
- General decline in dental earnings
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- Figure 33: UK dental salaries, by job role and region, 2016 (£000)
- Increase in clawback levels highlight recruitment troubles
- Dental practice profits rise in 2017
- The number of patients seeking orthodontic treatment continues to rise
The Consumer – Last Dental Appointment
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- Key points
- Half of people have never visited a private dentist
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- Figure 34: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
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- Figure 35: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
- Likelihood of most recent NHS visit rises with age, but declines with age for most recent private visit
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- Figure 36: Last NHS dental appointment, by time of last appointment and by age and gender, April 2018 (% of respondents)
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- Figure 37: Last NHS dental appointment, males, by time of last appointment and by age, April 2018 (% of respondents)
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- Figure 38: Last NHS dental appointment, females, by time of last appointment and by age, April 2018 (% of respondents)
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- Figure 39: Last private dental appointment, by time of last appointment and by age and gender, April 2018 (% of respondents)
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- Figure 40: Last private dental appointment, males, by time of last appointment and by age, April 2018 (% of respondents)
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- Figure 41: Last private dental appointment, females, by time of last appointment and by age, April 2018 (% of respondents)
The Consumer – Dental Payment
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- Key points
- Nearly seven-in-10 ‘self-fund’ dental treatment
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- Figure 42: Dental payment, April 2018 (% of respondents)
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- Figure 43: Dental payment, April 2018 (% of respondents)
- Over-65s more than twice as likely to self-fund than 16 to 24 year-olds
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- Figure 44: Dental payment, by age and gender, April 2018 (% of respondents)
- Self-funding of NHS treatment has risen over time...
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- Figure 45: Dental payment, by last NHS visit, April 2018 (% of respondents)
- ...whilst it has declined in the private industry
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- Figure 46: Dental payment, by last private visit, April 2018 (% of respondents)
The Consumer – Type of Treatment
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- Key points
- Dentists most commonly perform a general examination alongside a scale and polish during one visit
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- Figure 47: NHS dental treatment, April 2018 (% of respondents)
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- Figure 48: Private dental treatment, April 2018 (% of respondents)
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- Figure 49: Dental treatment, by dentist type, April 2018 (% of respondents)
- Rise in check-ups and scale and polish seen over the last year
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- Figure 50: NHS treatment, by time of last NHS visit, April 2018 (% of respondents)
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- Figure 51: Private treatment, by time of last private visit, April 2018 (% of respondents)
The Consumer – Choice Factors
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- Key points
- Location, cost and staff friendliness most important factors
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- Figure 52: Dentistry choice factors, April 2018 (% of respondents)
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- Figure 53: Dentistry choice factors, April 2018 (% of respondents)
The Consumer – Reasons for Not Visiting a Dentist
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- Key points
- Fear of the dentist and cost of treatment limit visits
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- Figure 54: Dentistry non-visit factors, April 2018 (% of respondents)
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- Figure 55: Dentistry non-visit factors, April 2018 (% of respondents)
The Consumer – Sources Used to Select a New Dentist
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- Key points
- Opinion of friends, family, and co-workers would be used by half to find a new dentist
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- Figure 56: Sources of information, April 2018 (% of respondents)
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- Figure 57: Sources of information, April 2018 (% of respondents)
Industry Structure
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- Key points
- Presence of corporate dentistry remains high despite recent practice closures and the need to develop a unique brand
- Growing number of dental hygienists and therapists highlights their importance to the industry’s operational structure
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- Figure 58: Analysis of GDC-registered dental professionals, April 2018 (number)
- Market consolidation slows, but new means of ownership emerge
- Market share
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- Figure 59: Estimated dental care providers’ market share, 2017 (% of total market)
- Figure 60: Estimated dental care providers’ market share, 2017 (% of total market)
- Recent M&A activity
- Sector structure
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- Figure 61: Analysis of changes in the structure of the dental practice sector, 2013-17 (number of companies and practices)
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- Figure 62: Analysis of the employment structure of the dental practice sector, 2016-17 (total employees and number of companies)
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- Figure 63: Analysis of the financial structure of the dental practice sector, 2016 and 2017 (£000 and number of companies)
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- Figure 64: Analysis of the financial structure of the dental practice sector, 2017 (£000 and number of companies)
Company Profiles
BUPA Dental Services
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- Figure 65: Financial analysis of Bupa Dental Services, 2012-16 (£ million)
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- Figure 66: Financial analysis of Oasis Dental Care, 2012-16 (£ 000)
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- Figure 67: Financial analysis of Oasis Dental Care (Central), 2012-16 (£ 000)
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- Figure 68: Financial analysis of Oasis Dental Care (Southern), 2012-16 (£ 000)
- Company strategy
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Colosseum Dental Services (formerly known as Southern Dental)
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- Figure 69: Financial analysis of Colosseum Dental UK Ltd (formerly Southern Dental), 2013-17 (£ million)
- Company strategy
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DPAS
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- Figure 70: Financial analysis of DPAS, 2012-16 (£ 000)
- Company strategy
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Mydentist (formerly IDH Group)
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- Figure 71: Financial analysis of Turnstone Equityco 1, 2013-17 (£ million)
- Subsidiary companies
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- Figure 72: Financial analysis of Whitecross Dental Care, 2013-17 (£ 000)
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- Figure 73: Financial analysis of Petrie Tucker and Partners, 2013-17 (£ million)
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- Figure 74: Financial analysis of Orthoworld 2000, 2013-17 (£ million)
- Company strategy
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Practice Plan
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- Figure 75: Financial analysis of Practice Plan, 2012-16 (£ million)
- Company strategy
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Rodericks Dental Limited
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- Figure 76: Financial analysis of Rodericks, 2013-17 (£ million)
- Company strategy
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Simplyhealth Professionals (formerly Denplan)
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- Figure 77: Financial analysis of Simplyhealth Professionals (formerly Denplan), 2012-16 (£ million)
- Company strategy
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Western Provident Association
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- Figure 78: Financial analysis of Western Provident Association, 2012-16 (£ 000)
- Company strategy
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- Figure 79: Profiled companies’ turnover, 2012-16 (£ 000)
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Forecast
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- Key points
- Market size
- Ongoing prototype testing of new NHS dental contract has highlighted growing recruitment issue
- Slow but steady growth expected
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- Figure 80: UK expenditure on dental care forecast, 2019-23 (£ billion at 2018 prices)
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- Figure 81: UK dental care expenditure forecast, 2019-23 (£ billion at 2018 prices)
- Lack of clarity over direction of Brexit continues to concern industry
- Market segmentation
- Private dental growth expected to decay as incomes stagnate
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- Figure 82: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
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- Figure 83: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
- Both the youngest and oldest patients are likely to provide the greatest development opportunities going forward
- The introduction of new technology and equipment will help improve patient outcomes and practice profitability...
- ...whilst digital platforms will help provide solutions to several dental care issues
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 Restorative 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 & Dentistry Show 2019
- BDIA Dental Showcase
- Dental Technology Showcase 2019
- Oral Health Conference and Exhibition
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