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BMJ 2008;336:1323 (14 June), doi:10.1136/bmj.39605.426192.3A
| The first 150 words of the full text of this article appear below. |
The amount of dental problems general practitioners see seems to have risen over the past 10-15 years, in keeping with the similar decline in NHS dental work.1 We are not qualified to do dental work and have to preface our treatment with advice to this effect. The (empirical) experience of my patients is that they cannot access a dental practitioner at short notice for almost any problem. "Emergency" appointments are often available some weeks in advance, and the out of hours system seems to be difficult to access (local experience), time limited, and telephone based.
My overall impression is of a system that fails to acknowledge that what a patient calls an urgent problem is an urgent problem for the system. This seems to me to amount to systemic denial, and I wonder why it is that the government has allowed this situation to arise. Imagine pain or infection at
Hugh vant Hoff, general practitioner
1 May Lane Surgery, Dursley, Gloucestershire GL11 5AZ
clogs@doctors.org.uk