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Bonfire of the verities
1UCL, Epidemiology and Public Health, 1-19 Torrington Place, London, WC1E 6BT.
British Dental Journal
|May 27, 2017
Summary
Focusing solely on underperforming individuals in UK dental care governance overlooks systemic issues. Sustainable improvements require acknowledging system flaws and adopting a non-punitive approach to clinical negligence.
Area of Science:
- Healthcare Governance
- Dental Public Health
- Medical Performance Management
Background:
- Current UK dental care governance primarily identifies underperforming individuals.
- This approach neglects broader systemic factors influencing care quality.
- Existing literature suggests positive performance influence requires a systemic perspective.
Purpose of the Study:
- To advocate for a shift in UK dental care governance.
- To highlight the need to consider system-wide issues alongside individual performance.
- To propose improvements in clinical negligence processes.
Main Methods:
- Analysis of current governance strategies in UK dental care.
- Review of literature on performance improvement in healthcare.
- Examination of clinical negligence frameworks.
Main Results:
- The current focus on individual performance is insufficient for sustainable improvement.
- Systemic shortcomings significantly impact the quality of dental care.
- An adversarial clinical negligence system hinders positive outcomes.
Conclusions:
- UK dental care governance must acknowledge and address system-wide deficiencies.
- Individual performance issues should be viewed within the context of the delivery system.
- Transitioning to an open, non-punitive clinical negligence process is essential for better outcomes.
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