I first arrived in the UK in 2007, and have worked in the same general dental practice for the past 14 years. Initially I worked as an NHS associate, but now I primarily treat adult patients privately.
The decision to transition to private practice was not made lightly, it stemmed from a growing frustration with the limitations of the NHS system. With targets for Units of Dental Activity (UDAs), I felt restricted to 15-minute check-ups, and I was not able to spend enough time with patients for the quality of work I want to be able to provide.
Helping colleagues and changing the shape of dentistry
While moving from NHS to private I mentored colleagues, who had questions about making the same move. One associate had not been in the UK long and was unsure how to navigate the system. I wanted to give him the best support I could, but I also recognised that I needed to deepen my own understanding.
As dentists we see patients, go home, and carry on with our routines; yet there is so much happening in the wider profession that we do not always feel part of. I used to read about access issues and workforce pressures in the news, but I also wanted to be more involved in shaping the future of dentistry.
That opportunity came when I received an email about a webinar introducing the BDA committees. Initially, I was reluctant because I thought it would be political. However, I decided to watch the webinar to see the structure of the committee, and I am glad I did.
Hearing Northern Ireland Dental Practice Committee Chair Ciara Gallagher speak about her journey inspired me. Her story was not just about clinical skills; it was about connection, advocacy and making a meaningful contribution to the profession.
Business sustainability in private practice
On watching the webinar, I decided to join the General Dental Practice Committee (GDPC), and in June I attended my first GDPC Private Practice Sub-Committee meeting. During that meeting, we discussed a range of issues, including the cost of living, recruitment challenges and the financial pressures faced by independent practices.
While my own practice in Hampshire is relatively stable, colleagues in other regions are facing rising rents and seasonal fluctuations in patient numbers, particularly between June and September. These challenges have a direct impact on the sustainability of private practice.
Balancing business sustainability with high standards of patient care is a challenge, but it is entirely achievable. It requires efficiency, clear values and a commitment to continuous improvement. A sustainable business model allows practices to invest in technology, staff training and patient experience. At the same time, clear communication and evidence-based treatment help build trust. Good business and good care are not opposites; they support one another.
"Good business and good care are not opposites; they support one another."
In my view, structured mentorship and accessible support for associates are vital; especially for new dentists who may feel isolated, and those who are considering a move into private practice. When I made the transition myself, I sent my contracts to the BDA for review. I did not feel comfortable asking my own practice, and the BDA provided clear, independent advice. They also supported me in recovering retention money from a previous employer.
Learn more about the GDPC and the GDPC Private Practice Sub-Committee.
Strengthening private dentistry through advocacy and policy
Looking more broadly, I believe the BDA has a vital role to play in helping private practices navigate the current economic and regulatory climate. It can advocate for private dentistry within the wider healthcare system, offer practical guidance on compliance and business planning, and provide resources that are especially valuable for smaller practices. In short, the BDA can be a strong ally in ensuring that private dentistry is recognised and supported.
I believe several policy changes are critical to supporting the future of private dentistry in the UK. First and foremost, we need clearer national recognition of the role private practice plays. Policy should support fair regulation that does not overburden practices and should foster an environment where associates can thrive alongside practice owners. Workforce planning, support for skills development and a continued commitment to patient choice must remain priorities. The BDA has a significant role to play in pushing these priorities forwards.
As a member of the GDPC Private Practice Sub-Committee, I am committed to representing associates and early-career dentists. I make it a priority to listen actively, stay in touch with colleagues across different regions and bring their concerns to the table. Issues such as fair contracts, career development and mental wellbeing are central to our discussions. For me, representation is not just about having a seat at the table, it is about making sure the conversations represent the lived experiences of younger colleagues.
Joining the committee has given me a great sense of connection with other dentists, deepened my understanding of the profession and allowed me to advocate for meaningful change.