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Guidelines can harm patients too

BMJ 2012; 344 doi: (Published 18 April 2012) Cite this as: BMJ 2012;344:e2685

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Re: Guidelines can harm patients too

Dear BMJ,

A good dental example of poorly thought through Guidance is the NICE guidelines for Dental examinations (main role SHOULD be prevention rather than intervention of course) being allowed to be delayed for 2 years.

Yet Oral Cancer is on the increase and oral checks are recommended annually for this increasingly common disease which now kills more people annually than cervical and testicular cancers combined in the UK.

Will more people be disfigured, disabled and even die because of NHS bodies blindly imposing such Dental Guidelines to save money short-term and manipulate political access targets?

Almost inevitably as our Professionalism (the best protection any patient has) is eroded further by such centralised policy, I fear.

Yours deeply concerned,

Anthony Kilcoyne
Dental Surgeon & Educator

Competing interests: No competing interests

24 April 2012
Anthony Kilcoyne
Dental Surgeon
Clarke Nicklin House, Brooks Drive, Cheadle. SK8 3TD