I wonder if some people think there are gaps in the dental day . There are not , emergency slots get booked out every day .
We worked seeing patients 8.30 to 6.30 with 30 minutes for lunch . We had staggered nurse working times so if we ran late at least the nurse could get some lunch .
Any spaces from cancellations tend to get filled up from waiting list , private and NHS. Literally every minute of the day has a patient booked into it or cleaning down or setting up for the next patient .
In general the people I know who work NHS get 15 minutes booked out for NHS toothaches even in emergency centres. Private tend to get 30 minutes booked out . You cannot guarantee you can get people sorted in that time , particularly in the NHS .
So when something takes longer than you could predict, for the reasons given above, there is no slack in the system , no spaces to be able to catch up , even privately.
Running late can be a habitual thing in NHS practice because of time pressures , but it can also happen in private practice , although less often. It is a major source of stress to dental teams . Yes patients should be told and given choices as to whether they want to wait but running late has huge consequences for the dental team as well.
This is from an article about stress in dentistry ...
It is well known that dentistry is a stressful profession, but just what causes the stress, and to what extent does it affect the rest of the team? To this end, in late 2011 I invited dental professionals to take part in a study to determine some of the major causes of stress within the dental team; the survey also asked what effects stress had on the lives of the respondents, and what measures, if any, they took to help manage or reduce their stress. The results of the survey were illuminating…
Of the 347 respondents, 178 were principal or associate dentists and the remaining 169 were DCPs and other members of the dental team.
Of the dentists who took part, over a third (36%) stated that they were stressed about their work during most working days, nearly a fifth (19%) felt stressed every day, over a quarter (28%) felt stressed between one and three times a week, 14% less than once a week and 2% reported never feeling stressed. The majority (58%) felt that there was no particular time of day which was more stressful.
Nearly half of dentists (48%) listed running late as being their main cause of stress, followed by patient complaints (32%), compliance (30%), money (29%) and work-life balance (26%). Other significant causes of stress included conflicts between team members (21%), dealing with phobic or anxious patients (20%) and gappy appointment books (20%). As a comparison, results for the team as a whole demonstrated that running late was still the major cause of stress (52%), with conflicts between team members showing next at 32%, followed by work-life balance at 28%.