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Dentistry - UK - June 2016

“Private practices are becoming more attractive, with those buyers finding themselves priced out of the NHS market due to the lower profits available now considering good quality general dental practices. However, NHS and mixed practices are likely to continue to be in high demand due to the protected income stream and monopoly trading position associated with them.”
– Lewis Cone, B2B Analyst

This report will explore the following key questions regarding the dentistry market in the UK:

  • What are the key determinants driving the industry?
  • How was the market affected by the recessionary period? Has it managed to recover?
  • How has the provision of dental treatment and other services changed over recent times? Has it favoured private dental provision?
  • How do patients currently rate dental services? Is there room for improvement?
  • What does the future hold for dentistry in the UK?

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Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK Expenditure on Dental Care, 2012-2016
        • Figure 2: UK Expenditure on Dental Care, by Segment, 2012-2016
      • Market trends
        • Ongoing changes seen in employment structure
          • Private practice profits advancing past NHS practice equivalent
            • Widening gap becoming apparent in private treatment fees
              • Figure 3: Average Private Practice Prices for the Five Most Common Dental Treatments, At May 2016, by Five Most Expensive Dental Check-Up Locations
            • Market factors
              • Latest budget includes several measures that will impact dentists and the general industry
                • Rising and ageing population underpins demand for dental care
                  • NHS treatment costs rise by 5% in 2016 and will rise by the same level in 2017
                    • Consumer
                      • People are four times as likely to have seen an NHS dentist than a private dentist at their last appointment
                        • Likelihood of women visiting NHS dentist rises with age
                          • Majority rules on a repeat dentist visit
                            • Industry structure
                              • Forecast
                                • The value of the dentistry market is forecast to increase by between 3.5% and 4.2% per year until 2021
                                  • Figure 4: UK Dental Care Expenditure Forecast, by Segment, 2017-2021
                                • Cosmetic dentistry will experience largest rise in value to 2021
                                  • What we think
                                  • Key Insights

                                      • Which factors are shaping the direction of dental care provision?
                                        • As prototypes of the new NHS dental contract are being tested, what is the industry opinion on the provisions it is likely to set out?
                                          • What are operators doing to boost dental accessibility?
                                            • What actions is the private dentistry sector taking to gain market share?
                                            • Introduction

                                                • Definitions
                                                  • Methodology
                                                    • Abbreviations
                                                    • Market Positioning

                                                        • The role of the NHS
                                                          • Dental practices
                                                            • The regulator
                                                              • Market demand
                                                                • Over the last decade, public attitudes towards dentistry have changed.
                                                                • UK Economy

                                                                  • Key points
                                                                    • Overview
                                                                      • Figure 5: UK GDP Quarterly Development, 2005-2015
                                                                      • Figure 6: Quarters after GDP Peak, 1979, 1990 and 2008
                                                                    • Inflation
                                                                      • Interest rates
                                                                        • House prices
                                                                          • Consumer spending
                                                                            • Manufacturing
                                                                              • Figure 7: UK Output, by Industry, 2008-2015, (Index: Q1 2008 = 100)
                                                                            • Business investment
                                                                              • Figure 8: UK GFCF 2005-2015
                                                                            • Imports
                                                                              • Exports
                                                                              • Market Factors

                                                                                • Key points
                                                                                  • Latest budget includes several measures that will impact dentists and the general industry
                                                                                    • Rising and ageing population underpins demand for dental care
                                                                                        • Figure 9: UK Population Estimate and Projection, 2015 and 2020, by Age Group
                                                                                        • Figure 10: UK Population Estimate and Projection, 2015 and 2020, by Age Group
                                                                                      • Slight improvement in disposable income could enhance practice visit numbers and treatment choice
                                                                                        • GDP per head, which acts as a proxy for standard of living, increased by 6.5% between Q1
                                                                                          • Figure 11: GDP per Head at Current Market Prices and Real Household Disposable Income per Head, Q1 2011 Q4 2015
                                                                                          • Figure 12: GDP per Head at Current Market Prices and Real Household Disposable Income per Head, Q1 2011 - Q4 2015
                                                                                        • NHS treatment costs rise by 5% in 2016 and will rise by the same level in 2017
                                                                                            • Figure 13: NHS Dental Charges in England, 2012-2016
                                                                                            • Figure 14: NHS Dental Charges in England, 2012-2016
                                                                                          • Increase in dentists’ NHS activity fails to increase penetration
                                                                                            • Figure 15: Dentists with NHS Activity in England, 2010/11-2014/15
                                                                                            • Figure 16: Dentists with NHS Activity in England, 2010/11-2014/15
                                                                                            • Figure 17: Dental Patients Seen in England under the NHS over the previous 24 months, at 30 June, 2011-2015
                                                                                            • Figure 18: Dental Patients Seen in England under the NHS in previous 24 months, at 30 June, 2011-2015
                                                                                          • Lower targets set for student uptake as industry risks dental professional oversupply
                                                                                              • Figure 19: Target Number of Dental Students and Actual Intakes in England, 2009/10-2014/15
                                                                                              • Figure 20: Target Number of Dental Students and Actual Intakes in England, 2009/10-2014/15
                                                                                            • Dental insurance cover and cash plans offer alternative routes to afford treatment
                                                                                              • Barriers are still affecting the impact of direct access
                                                                                              • Market Size

                                                                                                • Key points
                                                                                                  • Private sector spending leading market development amid continuing public expenditure restrictions
                                                                                                      • Figure 21: Total UK Dental Care Expenditure, 2012-2016
                                                                                                      • Figure 22: UK Expenditure on Dental Care, 2012-2016
                                                                                                    • Other underlying factors
                                                                                                    • Market Segmentation

                                                                                                      • Key points
                                                                                                        • Segment overview
                                                                                                          • Figure 23: Total UK Dental Care Expenditure, by Segment, 2012-2016
                                                                                                          • Figure 24: UK Expenditure on Dental Care, by Segment, 2012-2016
                                                                                                        • Private treatments
                                                                                                          • Corporate dentistry continues to increase presence
                                                                                                            • Change in social norms and attitudes fuelling strong cosmetic dentistry growth
                                                                                                                • Figure 25: UK Expenditure on Private Cosmetic Dental Care, 2012-2016
                                                                                                                • Figure 26: UK Expenditure on Private Cosmetic Dental Care, 2012-2016
                                                                                                              • NHS dentistry
                                                                                                                • Figure 27: UK Expenditure on NHS Dental Care, by Payment Segment, 2012-2016
                                                                                                                • Figure 28: UK Expenditure on NHS Dental Care, by Payment Segment, 2012-2016
                                                                                                              • Courses of NHS treatment fall for first time since records began
                                                                                                                • Figure 29: Number of Courses of Dental Treatment under NHS, in England, 2010/11-2014/15
                                                                                                                • Figure 30: Number of Courses of Dental Treatment under NHS, in England, 2010/11-2014/15
                                                                                                            • Market Trends

                                                                                                              • Key points
                                                                                                                • Move to prototype stage as NHS dental contract reform continues to stall
                                                                                                                  • Ongoing changes seen in employment structure
                                                                                                                    • Private practice profits advancing past NHS practice equivalent
                                                                                                                      • Widening gap becoming apparent in private treatment fees
                                                                                                                        • Figure 31: Average Private Practice Prices for the Five Most Common Dental Treatments, At May 2016
                                                                                                                        • Figure 32: Average Private Practice Prices for the Five Most Common Dental Treatments, At May 2016, by Five Most Expensive Dental Check-Up Locations
                                                                                                                        • Figure 33: Average Private Practice Prices for Dental Implants, At May 2016, by Five Most Expensive Dental Check-Up Locations
                                                                                                                        • Figure 34: Average Hourly Rate for Hygienists, by Region, 2015
                                                                                                                        • Figure 35: Average UDA Rate, by Region, 2015
                                                                                                                        • Figure 36: Average UDA Rate, by Region, 2015
                                                                                                                        • Figure 37: Average Price of At-Home Tooth Whitening, by Region, 2015
                                                                                                                      • Rising number of claims against dental professionals
                                                                                                                      • The Consumer – Last Dental Appointment

                                                                                                                        • Key points
                                                                                                                          • People are four times as likely to have seen an NHS dentist at their last appointment
                                                                                                                              • Figure 38: Last Dental Appointment, by Service Type, April 2016
                                                                                                                              • Figure 39: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2016
                                                                                                                              • Figure 40: Last Dental Appointment, by Time of Last Appointment and Service Type, April 2016
                                                                                                                            • With higher age comes more recent NHS use for women
                                                                                                                              • Figure 41: Last NHS Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2016
                                                                                                                              • Figure 42: Last NHS Dental Appointment, Males, by Time of Last Appointment and by Age, April 2016
                                                                                                                              • Figure 43: Last NHS Dental Appointment, Females, by Time of Last Appointment and by Age, April 2016
                                                                                                                              • Figure 44: Last Private Dental Appointment, by Time of Last Appointment and by Age and Gender, April 2016
                                                                                                                              • Figure 45: Last Private Dental Appointment, Males, by Time of Last Appointment and by Age, April 2016
                                                                                                                              • Figure 46: Last Private Dental Appointment, Females, by Time of Last Appointment and by Age, April 2016
                                                                                                                          • The Consumer – Factors Behind Dentist Choice

                                                                                                                            • Key points
                                                                                                                              • ‘Location, location, location’ drives dentist choice
                                                                                                                                  • Figure 47: Dentist Choice Factors, April 2016, (% of Respondents)
                                                                                                                                  • Figure 48: Dentist Choice Factors, April 2016
                                                                                                                                • Convenience increases with age
                                                                                                                                  • Figure 49: Dentist Choice Factors, by Age and Gender, April 2016
                                                                                                                                  • Figure 50: Dentist Choice Factors, by Dental User Type, April 2016
                                                                                                                                • Majority rules on a repeat dentist visit
                                                                                                                                    • Figure 51: Repeat Dental Practice Visit, by Age and Gender, April 2016
                                                                                                                                    • Figure 52: Repeat Dental Practice Visit, Males, by Age, April 2016
                                                                                                                                    • Figure 53: Repeat Dental Practice Visit, Females, by Age, April 2016
                                                                                                                                • Industry Structure

                                                                                                                                  • Key points
                                                                                                                                      • Figure 54: Analysis of GDC-registered Dental Professionals, 2014 and 2015, at October
                                                                                                                                    • Market still consolidating, but new entrants seeking to take advantage of growing prospects
                                                                                                                                      • Market share
                                                                                                                                          • Figure 55: Estimated Dental Care Providers’ Market Share, 2015
                                                                                                                                          • Figure 56: Estimated Dental Care Providers’ Market Share, 2015
                                                                                                                                        • Industry M&A
                                                                                                                                          • Sector structure
                                                                                                                                            • Figure 57: Analysis of Changes in the Structure of the Dental Practice Sector, 2011-2015
                                                                                                                                            • Figure 58: Analysis of the Employment Structure of the Dental Practice Sector, 2011-2015
                                                                                                                                            • Figure 59: Analysis of the Financial Structure of the Dental Practice Sector, 2014 and 2015
                                                                                                                                            • Figure 60: Analysis of the Financial Structure of the Dental Practice Sector, 2015
                                                                                                                                        • Company Profiles

                                                                                                                                          • BUPA Dental Services

                                                                                                                                                • Figure 61: Financial Analysis of Bupa Dental Services, 2010-2014
                                                                                                                                              • Company strategy
                                                                                                                                              • Mydentist (formerly IDH Group)

                                                                                                                                                    • Figure 62: Financial Analysis of Turnstone Equityco 1, 2012-15
                                                                                                                                                  • Subsidiary companies
                                                                                                                                                    • Figure 63: Financial Analysis of Whitecross Dental Care, 2011-15
                                                                                                                                                    • Figure 64: Financial Analysis of Petrie Tucker and Partners, 2011-15
                                                                                                                                                    • Figure 65: Financial Analysis of Orthoworld 2000, 2011-15
                                                                                                                                                  • Company strategy
                                                                                                                                                  • Oasis Dental Care

                                                                                                                                                        • Figure 66: Financial Analysis of Duke Street Capital Oasis Holdings, 2011-15
                                                                                                                                                        • Figure 67: Financial Analysis of Oasis Dental Care, 2011-15
                                                                                                                                                        • Figure 68: Financial Analysis of Oasis Dental Care (Central), 2011-15
                                                                                                                                                        • Figure 69: Financial Analysis of Oasis Dental Care (Southern), 2011-15
                                                                                                                                                      • Company strategy
                                                                                                                                                      • Rodericks Dental Limited

                                                                                                                                                          • Figure 70: Financial Analysis of Rodericks, 2011-15
                                                                                                                                                        • Company strategy
                                                                                                                                                        • Southern Dental

                                                                                                                                                              • Figure 71: Financial Analysis of Southern Dental, 2011-15
                                                                                                                                                            • Company strategy
                                                                                                                                                            • Denplan

                                                                                                                                                                  • Figure 72: Financial Analysis of Denplan, 2010-14
                                                                                                                                                                • Company strategy
                                                                                                                                                                • DPAS

                                                                                                                                                                      • Figure 73: Financial Analysis of DPAS, 2010-14
                                                                                                                                                                    • Company strategy
                                                                                                                                                                    • Practice Plan

                                                                                                                                                                          • Figure 74: Financial Analysis of Practice Plan, 2010-14
                                                                                                                                                                        • Company strategy
                                                                                                                                                                        • Simplyhealth Access

                                                                                                                                                                              • Figure 75: Financial Analysis of Simplyhealth Access, 2010-14
                                                                                                                                                                            • Company strategy
                                                                                                                                                                            • Western Provident Association

                                                                                                                                                                                  • Figure 76: Financial Analysis of Western Provident Association, 2010-14
                                                                                                                                                                                • Company strategy
                                                                                                                                                                                  • Figure 77: Profiled Companies’ Turnover, 2010-2014
                                                                                                                                                                              • Forecast

                                                                                                                                                                                • Key points
                                                                                                                                                                                  • Market size
                                                                                                                                                                                      • Figure 78: UK Expenditure on Dental Care Forecast, 2017-2021
                                                                                                                                                                                      • Figure 79: UK Dental Care Expenditure Forecast, 2017-2021
                                                                                                                                                                                    • Market segmentation
                                                                                                                                                                                      • Figure 80: UK Dental Care Expenditure Forecast, by Segment, 2017-2021
                                                                                                                                                                                      • Figure 81: UK Dental Care Expenditure Forecast, by Segment, 2017-2021
                                                                                                                                                                                    • NHS dentistry spend to marginally rise
                                                                                                                                                                                        • Figure 82: UK NHS Dental Care Expenditure Forecast, 2017-2021
                                                                                                                                                                                      • Private GDS to benefit from growing industry consumerism
                                                                                                                                                                                          • Figure 83: UK Private GDS Dental Care Expenditure Forecast, 2017-2021
                                                                                                                                                                                        • Cosmetic dentistry will experience largest rise in value to 2021
                                                                                                                                                                                            • Figure 84: UK Private Cosmetic Dental Care Expenditure Forecast, 2017-2021
                                                                                                                                                                                          • NICE guidelines released to improve quality of dentistry provision
                                                                                                                                                                                            • Despite oversupply concerns, UK still offers high-quality development for future career professionals
                                                                                                                                                                                              • Technology and innovation key to future development
                                                                                                                                                                                              • Further Sources and Contacts

                                                                                                                                                                                                • Trade associations
                                                                                                                                                                                                  • Trade magazines
                                                                                                                                                                                                    • Trade exhibitions

                                                                                                                                                                                                    Companies Covered

                                                                                                                                                                                                    To learn more about the companies covered in this report please contact us.

                                                                                                                                                                                                    Dentistry - UK - June 2016

                                                                                                                                                                                                    £1,495.00 (Excl.Tax)