Overview
Skill mix refers to the structured use of a range of registered dental professionals within a practice team so that care is delivered by the most appropriate member of staff, working within their scope of practice and level of competence. This may include dentists, dental hygienists, dental therapists, dental nurses, orthodontic therapists, and dental technicians working collaboratively to provide patient care. When implemented effectively, skill mix enables practices to make better use of the full range of skills available within the dental team.
The principle underpinning skill mix is that tasks should be undertaken by the right person, at the right time, in the right place. By delegating appropriate elements of care to dental care professionals, dentists can focus on treatments that require their specific expertise. Across the UK, skill mix has been promoted as a way to support access to care, improve efficiency, and strengthen prevention focused services. However, adopting a skill mix approach requires careful planning and a clear understanding of its operational implications.
Skill mix can bring a number of potential benefits. It may increase capacity, reduce waiting times and support a stronger emphasis on prevention. It can also contribute to staff development and retention, as team members are enabled to use their full skill set and develop professionally. A motivated and engaged team can enhance patient experience and support a positive practice culture.
At the same time, there are important considerations. All delegation must comply with GDC scope of practice rules. Practices must manage patient expectations, ensure clarity about who is providing care, and recognise that responsibility for care delivered by the wider team may still rest with the practice, particularly where staff are employed. Financial impacts will vary between practices and should be carefully assessed.
This guidance explores the benefits, challenges, and common applications of skill mix, and supports practices in deciding whether and how to introduce or expand skill mix arrangements safely and effectively.
