Cost-Effective Workforce Planning: Optimising the Dental Team Skill-Mix for England

Abstract: As increasing numbers of older people retain their teeth for longer, the result is a dramatic change in both the volume and type of dental treatment required. In response to the ageing population issues, changing dental needs, a shortage of NHS dentists, and the creation of new roles in the dental profession, both the UK Department of Health and British Dental Association have emphasised the importance of dental workforce planning and in particular to estimating the size and skill-mix of the dental team. The dental team includes such professions as dentists, hygienists, therapists and technicians. The purpose of this paper is to present collaborative work between operational researchers and dental public health researchers, and as such is the first academic project to utilise operational research (OR) techniques to address issues surrounding predictions on demand and supply of dental activities in England, with recommendations on the necessary skill-mix of the dental team. A three-stage model has been constructed to predict demand for dental treatment, dental workforce supply and optimisation of the skill-mix of the dental workforce team over the next 20 years. A cost-benefit study is included and Monte Carlo simulation is used for sensitivity analysis. The findings reveal a significant shortage in dental workforce supply, both currently and projected for the short-term future.

@article{harper2011cost,
  title   = {Cost-Effective Workforce Planning: Optimising the Dental Team
             Skill-Mix for {England}},
  author  = {Harper, Paul R. and Kleinman, E. and Gallagher, Jenny E. and
             Knight, Vincent A.},
  journal = {Journal of Enterprise Information Management},
  year    = {2011},
}