With long-standing concerns about funding, workforce shortages, and unsustainable contracts, NHS dentistry in the UK stands at a crossroads. Despite promises of reform, little has been communicated clearly or definitively at the governmental level, even with a general election on the horizon. This lack of transparency has left many dental professionals uncertain about the future — prompting some to take matters into their own hands by moving away from NHS dentistry entirely.
The Rise of Private Dentistry
Over the past few years, private dentistry has grown significantly across the UK. Contributing factors include lengthy NHS waiting lists, reduced patient access, and a shrinking workforce willing to deliver NHS care under the current system. As a result, more patients are choosing private dental care, attracted by shorter waiting times, more comprehensive treatment options, and flexible payment models like monthly dental plans.
At Patient Plan Direct, we’ve seen this trend firsthand. In fact, over the past two years, we’ve experienced the most substantial growth in plan patient numbers in our 15-year history. The shift isn’t just patient-led — it’s being driven by dentists, too. Many are either supplementing their NHS work with private dental plans or fully transitioning to independent practice models.
Why Some Dentists Are Leaving the NHS
While every dentist has their own motivations, several common concerns explain the shift:
- Workload and Burnout: NHS dentists often face high patient volumes and long hours, contributing to burnout and mental fatigue.
- Funding Constraints: Inadequate funding can limit the quality of care provided, leading many professionals to seek environments with better resources.
- Compensation Issues: Pay disparities within NHS structures can leave clinicians feeling undervalued or financially strained.
For those facing these issues, converting to a private model can offer relief and renewed professional satisfaction.
Advantages of Private Dentistry
Private practice offers increased autonomy and the ability to tailor care more closely to patient needs. Many of our clients who have made the transition report benefits such as:
- Higher Earning Potential: Greater revenue streams and healthier practice finances.
- Investment in Innovation: Freedom to invest in advanced equipment and treatment options.
- More Time per Patient: Enhanced appointment time improves relationships and builds patient loyalty.
- Work-Life Balance: Greater control over working hours and overall well-being.
Is a Transition Right for You?
Switching from NHS to private practice is a significant decision, and not one to be taken lightly. At Patient Plan Direct, we begin each conversation with a thorough assessment to ensure any recommendation is grounded in your specific circumstances. Some key factors to consider include:
1. Patient Loyalty
Are your patients likely to follow you through the transition? In areas with dense competition, loyalty plays a vital role in retaining your base during the switch.
2. Reputation and Experience
Clinicians with a long-standing presence in the community often find it easier to gain patient trust in a new model.
3. Financial Readiness
We conduct a full financial review to determine whether a conversion is viable. While 99% of practices we assess are suited for conversion, we are upfront and honest if the numbers don’t support it.
4. Team Engagement
Your entire practice team must be on board for the change to succeed. We offer comprehensive in-practice training to ensure everyone understands the benefits and can confidently communicate them to patients.
5. Timing and Readiness
If your practice is in the middle of renovations or you’re managing personal or operational challenges, it may not be the right time. Likewise, if you’re unsure or hesitant, we won’t pressure you. We’re here when you’re ready.
What About Patient Resistance?
Some patients may be hesitant about moving away from NHS services. However, many understand the reality of limited NHS availability and appreciate the improved access and quality that private plans offer. Clear communication, transparency, and a strong relationship with your patients will be essential throughout the transition process.
So, Is This the End of NHS Dentistry?
While it’s too early to declare the end of NHS dentistry outright, the signs are troubling. Growing dissatisfaction among dental professionals, increasing patient frustration, and ongoing government inaction all point to a system in distress. Whether reform can reverse the trend remains to be seen — but for many dentists, the future may lie in forging a new path outside the NHS framework.
How We Can Help
At Patient Plan Direct, we specialise in helping practices explore and execute NHS-to-private conversions. With over 15 years of experience, our process includes:
- Tailored financial viability assessments
- Team training and onboarding support
- Promotional tools to help communicate with patients
- Ongoing post-conversion growth strategies
We’ve partnered with practices of all sizes across the UK and have a proven track record of success. Our client retention rate speaks for itself — we’re here for the long term.
Ready to Learn More?
If you’re considering moving away from the NHS and toward a more sustainable and rewarding model, we’re here to help you explore the possibilities. Get in touch to discuss how we can support your next chapter.