Table 1 Specific and general factors perceived to influence the maximisation or minimisation of contribution to dentistry in general, private practice and NHS-related dentistry
Factors minimising contribution | |
General factors that were seen to have a minimising effect on contribution to dentistry: | • Perceived ability to mitigate current/potential family and work life balance that that are available • Job security and work-related benefits that that are available • Perceived potential to specialise and for training that are available • European Time Working Directive |
Specific factors that where were seen to have a minimising effect on contribution to private practice: | • Private system seen as inequitable • Lack of challenge and opportunity (patients are, on the whole, well) • Whether there will be time for private practice when established in an NHS career |
Specific factors that where were seen to have a minimising effect on contribution to the National Health Service: | • Units of Dental Activity as disincentive for NHS work. • Perception that NHS limits ability to practice. • Hospital-base seen as less autonomy and poorer quality of working life (although willing to work in NHS general practice). |
Factors maximising contribution | |
General factors that were seen to have a maximising effect on contribution to dentistry: | • Perceived ability to mitigate current/potential family and work life balance that are available • Job security and work-related benefits that are available • Perceived potential to specialise and for training available • Clear career trajectories (Particularly in hospital setting) |
Specific factors that where were seen to have a maximising effect on contribution to private practice: | • System seen to offer a more profitable financial package and greater potential earnings • More time and resource to meet patient need • More autonomy of practice and more instances to apply and develop greater technical skill. • Ability to be an independent practitioner. |
Specific factors that where were seen to have a maximising effect on contribution to the National Health Service: | • Greater amount and clarity of career trajectories as well as opportunities to train and specialise (Particularly those specialising or seeking a hospital-base) • Job security and work-related benefits in NHS • Support of principle of the NHS & 'Making a difference' • Ability to be an independent practitioner (in general practice) and determine own workload |