Beeson Morgan J, Vernazza Christopher R, Sowden Sarah L
Newcastle University Business School, Newcastle University, UK.
School of Dental Sciences, Newcastle University, UK.
Br Dent J. 2025 Aug;239(3):209-213. doi: 10.1038/s41415-025-8503-z. Epub 2025 Aug 8.
Due to the inverse care law, the crisis faced by NHS dentistry in England is felt most keenly by socioeconomically disadvantaged communities and the dental practices providing their care. Many challenges faced by these dental practices are shared by practitioners across the healthcare system. General medical practitioners (GMPs) in socioeconomically disadvantaged communities have set up local 'Deep End' networks which advocate for patients and staff, share learning and best practice, and develop interventions for improving care and reducing practitioner burnout. Beginning in Glasgow, the Deep End movement is now global, spreading beyond GMPs to other areas of the healthcare system. The establishment of Deep End networks for general dental practitioners could serve as a powerful movement for identity, advocacy and action for socioeconomically disadvantaged communities and their dental practice teams. By adapting the GMP definition of the Deep End, the Deep End of dentistry in England is defined as the 10% of contracts treating the greatest proportion of deprived patients based on NHS England's inequalities framework, CORE20PLUS5. Administrative data from the NHS Business Services Authority is used to identify the Deep End. Advice for dental teams looking to set up a local Deep End dental network is given.
由于逆关怀法则,英格兰国民保健制度牙科所面临的危机在社会经济上处于不利地位的社区以及为其提供护理的牙科诊所中感受最为强烈。这些牙科诊所面临的许多挑战是整个医疗系统的从业者所共有的。社会经济上处于不利地位社区的全科医生(GMPs)建立了当地的“深度医疗”网络,该网络为患者和工作人员发声,分享经验和最佳实践,并制定改善护理和减少从业者职业倦怠的干预措施。“深度医疗”运动始于格拉斯哥,如今已走向全球,从全科医生扩展到医疗系统的其他领域。为普通牙科从业者建立“深度医疗”网络可以成为社会经济上处于不利地位的社区及其牙科诊疗团队的身份认同、倡导和行动的有力运动。通过采用全科医生对“深度医疗”的定义,英格兰牙科的“深度医疗”被定义为根据英格兰国民保健制度的不平等框架CORE20PLUS5,治疗贫困患者比例最高的10%的合同。利用国民保健制度商业服务管理局的行政数据来确定“深度医疗”。文中还给出了对希望建立当地“深度医疗”牙科网络的牙科团队的建议。