Sorry for interrupting, this website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Learn more
Accept & Close

Dentistry - UK - June 2018

“With rising fixed costs in the industry, the last decade has seen a period of sustained consolidation through acquisition. Strategic investors and private equity see the market’s underlying growth drivers as an opportunity - offering scope to acquire, consolidate, improve efficiencies, and sell practices at greater multiples.”
– Lewis Cone, B2B Analyst

This Report looks at the following areas:

  • What are the key determinants driving the industry?
  • How could the market be affected by Brexit?
  • 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?

What you get

What's included

Why buy from us?

Succeed

Our reports will provide you with market data, consumer research and competitive intelligence to succeed in your market.

Instant Access

Buy now and you'll have instant access to the information you need to make the right decisions.

Opportunities

Find out what's next in the markets that matter to you: where opportunities lie and what challenges you will face.

Trusted

A business Superbrand, Mintel is a source you can trust. We have been defining and refining the Market Intelligence mix since 1972.

Table of contents

  1. Executive Summary

      • Market size
        • Figure 1: UK expenditure on dental care, 2014-18 (£ billion)
        • Figure 2: UK expenditure on dental care, by segment, 2014-18 (£ billion)
      • Market trends
        • Increase in clawback levels highlight recruitment troubles
          • The number of patients seeking orthodontic treatment continues to rise
            • Market factors
              • Trade associations unite to ensure Brexit has as smooth an effect as possible on practice costs, recruitment and legislation
                • Ageing population likely to drive demand for dental care
                  • Figure 3: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
                • Consumer
                  • Half of people have never visited a private dentist
                    • Figure 4: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
                  • Nearly seven-in-10 ‘self-fund’ dental treatment
                    • Dentists most commonly perform a general examination alongside a scale and polish during one visit
                      • Location, cost and staff friendliness most important factors
                        • Fear and cost of treatment are the main causes behind not visiting a dentist
                          • Opinion of friends, family, and co-workers is important when finding a new dentist
                            • Industry structure
                              • Forecast
                                • Slow but steady growth expected
                                  • Figure 5: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
                                • What we think
                                • Key Insights

                                    • How is the future model of dental practice ownership likely to change?
                                      • How can the industry use digital platforms to its advantage and boost dental patient activity?
                                      • Introduction

                                          • Definitions
                                            • Methodology
                                              • Abbreviations
                                                • Market positioning
                                                  • The role of the NHS
                                                    • Dental practices
                                                      • Regulators
                                                        • General Dentist Council
                                                          • Care Quality Commission
                                                            • Regulation of Dental Services Programme Board
                                                              • Recent regulation
                                                                • Private Dentistry (Wales) Regulations 2017
                                                                  • Market demand
                                                                  • UK Economy

                                                                    • Key points
                                                                      • Overview
                                                                        • Figure 6: Forecast GDP development 2017-22 (% annual growth)
                                                                        • Figure 7: UK GDP quarterly development, 2007-17 (% quarterly growth and GDP in £ billion)
                                                                      • Inflation
                                                                        • House prices
                                                                          • Figure 8: UK house price changes, 2007-18 (12 month % change)
                                                                        • Interest rates
                                                                          • Consumer spending
                                                                            • Manufacturing
                                                                              • Figure 9: UK manufacturing, 2014-18 (index, 2015 = 100)
                                                                            • Business investment
                                                                              • Figure 10: UK GFCF, 2007-17 (£ million, chained volume measures, seasonally adjusted)
                                                                            • Imports
                                                                              • Exports
                                                                              • Market Factors

                                                                                • Key points
                                                                                  • Trade associations unite to ease Brexit’s impact on practice costs, recruitment and legislation
                                                                                    • Ageing population likely to drive demand for dental care
                                                                                      • Figure 11: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
                                                                                      • Figure 12: UK population estimate and projection, 2018 and 2023, by age group (millions of people)
                                                                                    • Inflationary pressures are affecting household real incomes which could reduce the number of dental visits
                                                                                        • Figure 13: GDP per head at current market prices and real household disposable income per head, Q4 2013-Q4 2017 (£)
                                                                                        • Figure 14: GDP per head at current market prices and real household disposable income per head, Q4 2013-Q4 2017 (£)
                                                                                      • Decline in dentists’ NHS activity recorded alongside a fall in the percentage of people treated...
                                                                                        • Figure 15: Dentists with NHS activity in England, 2012/13-2016/17 (no. of dentists and % annual change)
                                                                                        • Figure 16: Number of dentists with NHS activity in England, 2012/13-2016/17 (no. of dentists)
                                                                                        • Figure 17: Dental patients seen in England under the NHS over the previous 24 months, at 30 June, 2013-17 (000s of patients)
                                                                                        • Figure 18: Dental patients seen in England under the NHS in previous 24 months, at 30 June, 2013-17 (000s of patients)
                                                                                      • ...but this has not been helped by a number of dental practices not accepting new patients
                                                                                        • Student intake target has been reduced from 2017/18, although vacancies for current dental positions remain unfilled
                                                                                          • Figure 19: Target number of dental students and actual intakes in England, 2011/12-2016/17 (number of students)
                                                                                          • Figure 20: Target number of dental students and actual intakes in England, 2010/11-2015/16 (number of students)
                                                                                      • Market Size

                                                                                        • Key points
                                                                                          • Growth in dental care expenditure starting to slow
                                                                                              • Figure 21: Total UK dental care expenditure, 2014-18 (£ billion)
                                                                                              • Figure 22: UK expenditure on dental care, 2014-18 (£ billion)
                                                                                            • NHS treatment costs rise by 5% for the second consecutive year in 2018
                                                                                                • Figure 23: NHS dental charges in England, 2014-18 (£)
                                                                                                • Figure 24: NHS dental charges in England, 2014-18 (£)
                                                                                              • High number of children still not visiting a dentist could impact future growth...
                                                                                                • ...as well as regional disparities in dental standards
                                                                                                • Market Segmentation

                                                                                                  • Key points
                                                                                                    • Segment overview
                                                                                                      • Figure 25: Total UK dental care expenditure, by segment, 2014-18 (£ billion)
                                                                                                      • Figure 26: UK expenditure on dental care, by segment, 2014-18 (£ billion)
                                                                                                    • Private treatments
                                                                                                      • Cosmetic dentistry growth slows
                                                                                                          • Figure 27: UK expenditure on private cosmetic dental care, 2014-18 (£ billion)
                                                                                                          • Figure 28: UK expenditure on private cosmetic dental care, 2014-18 (£ billion)
                                                                                                        • NHS dentistry
                                                                                                          • Figure 29: UK expenditure on NHS dental care, by payment segment, 2014-18 (£ million)
                                                                                                          • Figure 30: UK expenditure on NHS dental care, by payment segment, 2014-18 (£ million)
                                                                                                        • Courses of NHS treatment rise since 2016 due to growth in band one treatments
                                                                                                          • Figure 31: Number of courses of dental treatment under NHS, in England, 2012/13-2016/17 (000s)
                                                                                                          • Figure 32: Number of courses of dental treatment under NHS, in England, 2012/13-2016/17 (000s)
                                                                                                        • Dental insurance and new payment plans offer patients a route to receiving treatment
                                                                                                        • Market Trends

                                                                                                          • Key points
                                                                                                            • General decline in dental earnings
                                                                                                              • Figure 33: UK dental salaries, by job role and region, 2016 (£000)
                                                                                                            • Increase in clawback levels highlight recruitment troubles
                                                                                                              • Dental practice profits rise in 2017
                                                                                                                • The number of patients seeking orthodontic treatment continues to rise
                                                                                                                • The Consumer – Last Dental Appointment

                                                                                                                  • Key points
                                                                                                                    • Half of people have never visited a private dentist
                                                                                                                        • Figure 34: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
                                                                                                                        • Figure 35: Last dental appointment, by time of last appointment and service type, April 2018 (% of respondents)
                                                                                                                      • Likelihood of most recent NHS visit rises with age, but declines with age for most recent private visit
                                                                                                                        • Figure 36: Last NHS dental appointment, by time of last appointment and by age and gender, April 2018 (% of respondents)
                                                                                                                        • Figure 37: Last NHS dental appointment, males, by time of last appointment and by age, April 2018 (% of respondents)
                                                                                                                        • Figure 38: Last NHS dental appointment, females, by time of last appointment and by age, April 2018 (% of respondents)
                                                                                                                        • Figure 39: Last private dental appointment, by time of last appointment and by age and gender, April 2018 (% of respondents)
                                                                                                                        • Figure 40: Last private dental appointment, males, by time of last appointment and by age, April 2018 (% of respondents)
                                                                                                                        • Figure 41: Last private dental appointment, females, by time of last appointment and by age, April 2018 (% of respondents)
                                                                                                                    • The Consumer – Dental Payment

                                                                                                                      • Key points
                                                                                                                        • Nearly seven-in-10 ‘self-fund’ dental treatment
                                                                                                                            • Figure 42: Dental payment, April 2018 (% of respondents)
                                                                                                                            • Figure 43: Dental payment, April 2018 (% of respondents)
                                                                                                                          • Over-65s more than twice as likely to self-fund than 16 to 24 year-olds
                                                                                                                            • Figure 44: Dental payment, by age and gender, April 2018 (% of respondents)
                                                                                                                          • Self-funding of NHS treatment has risen over time...
                                                                                                                            • Figure 45: Dental payment, by last NHS visit, April 2018 (% of respondents)
                                                                                                                          • ...whilst it has declined in the private industry
                                                                                                                            • Figure 46: Dental payment, by last private visit, April 2018 (% of respondents)
                                                                                                                        • The Consumer – Type of Treatment

                                                                                                                          • Key points
                                                                                                                            • Dentists most commonly perform a general examination alongside a scale and polish during one visit
                                                                                                                                • Figure 47: NHS dental treatment, April 2018 (% of respondents)
                                                                                                                                • Figure 48: Private dental treatment, April 2018 (% of respondents)
                                                                                                                                • Figure 49: Dental treatment, by dentist type, April 2018 (% of respondents)
                                                                                                                              • Rise in check-ups and scale and polish seen over the last year
                                                                                                                                • Figure 50: NHS treatment, by time of last NHS visit, April 2018 (% of respondents)
                                                                                                                                • Figure 51: Private treatment, by time of last private visit, April 2018 (% of respondents)
                                                                                                                            • The Consumer – Choice Factors

                                                                                                                              • Key points
                                                                                                                                • Location, cost and staff friendliness most important factors
                                                                                                                                    • Figure 52: Dentistry choice factors, April 2018 (% of respondents)
                                                                                                                                    • Figure 53: Dentistry choice factors, April 2018 (% of respondents)
                                                                                                                                • The Consumer – Reasons for Not Visiting a Dentist

                                                                                                                                  • Key points
                                                                                                                                    • Fear of the dentist and cost of treatment limit visits
                                                                                                                                        • Figure 54: Dentistry non-visit factors, April 2018 (% of respondents)
                                                                                                                                        • Figure 55: Dentistry non-visit factors, April 2018 (% of respondents)
                                                                                                                                    • The Consumer – Sources Used to Select a New Dentist

                                                                                                                                      • Key points
                                                                                                                                        • Opinion of friends, family, and co-workers would be used by half to find a new dentist
                                                                                                                                            • Figure 56: Sources of information, April 2018 (% of respondents)
                                                                                                                                            • Figure 57: Sources of information, April 2018 (% of respondents)
                                                                                                                                        • Industry Structure

                                                                                                                                          • Key points
                                                                                                                                            • Presence of corporate dentistry remains high despite recent practice closures and the need to develop a unique brand
                                                                                                                                              • Growing number of dental hygienists and therapists highlights their importance to the industry’s operational structure
                                                                                                                                                  • Figure 58: Analysis of GDC-registered dental professionals, April 2018 (number)
                                                                                                                                                • Market consolidation slows, but new means of ownership emerge
                                                                                                                                                  • Market share
                                                                                                                                                      • Figure 59: Estimated dental care providers’ market share, 2017 (% of total market)
                                                                                                                                                      • Figure 60: Estimated dental care providers’ market share, 2017 (% of total market)
                                                                                                                                                    • Recent M&A activity
                                                                                                                                                      • Sector structure
                                                                                                                                                        • Figure 61: Analysis of changes in the structure of the dental practice sector, 2013-17 (number of companies and practices)
                                                                                                                                                        • Figure 62: Analysis of the employment structure of the dental practice sector, 2016-17 (total employees and number of companies)
                                                                                                                                                        • Figure 63: Analysis of the financial structure of the dental practice sector, 2016 and 2017 (£000 and number of companies)
                                                                                                                                                        • Figure 64: Analysis of the financial structure of the dental practice sector, 2017 (£000 and number of companies)
                                                                                                                                                    • Company Profiles

                                                                                                                                                      • BUPA Dental Services

                                                                                                                                                            • Figure 65: Financial analysis of Bupa Dental Services, 2012-16 (£ million)
                                                                                                                                                            • Figure 66: Financial analysis of Oasis Dental Care, 2012-16 (£ 000)
                                                                                                                                                            • Figure 67: Financial analysis of Oasis Dental Care (Central), 2012-16 (£ 000)
                                                                                                                                                            • Figure 68: Financial analysis of Oasis Dental Care (Southern), 2012-16 (£ 000)
                                                                                                                                                          • Company strategy
                                                                                                                                                          • Colosseum Dental Services (formerly known as Southern Dental)

                                                                                                                                                                • Figure 69: Financial analysis of Colosseum Dental UK Ltd (formerly Southern Dental), 2013-17 (£ million)
                                                                                                                                                              • Company strategy
                                                                                                                                                              • DPAS

                                                                                                                                                                    • Figure 70: Financial analysis of DPAS, 2012-16 (£ 000)
                                                                                                                                                                  • Company strategy
                                                                                                                                                                  • Mydentist (formerly IDH Group)

                                                                                                                                                                        • Figure 71: Financial analysis of Turnstone Equityco 1, 2013-17 (£ million)
                                                                                                                                                                      • Subsidiary companies
                                                                                                                                                                        • Figure 72: Financial analysis of Whitecross Dental Care, 2013-17 (£ 000)
                                                                                                                                                                        • Figure 73: Financial analysis of Petrie Tucker and Partners, 2013-17 (£ million)
                                                                                                                                                                        • Figure 74: Financial analysis of Orthoworld 2000, 2013-17 (£ million)
                                                                                                                                                                      • Company strategy
                                                                                                                                                                      • Practice Plan

                                                                                                                                                                            • Figure 75: Financial analysis of Practice Plan, 2012-16 (£ million)
                                                                                                                                                                          • Company strategy
                                                                                                                                                                          • Rodericks Dental Limited

                                                                                                                                                                              • Figure 76: Financial analysis of Rodericks, 2013-17 (£ million)
                                                                                                                                                                            • Company strategy
                                                                                                                                                                            • Simplyhealth Professionals (formerly Denplan)

                                                                                                                                                                                  • Figure 77: Financial analysis of Simplyhealth Professionals (formerly Denplan), 2012-16 (£ million)
                                                                                                                                                                                • Company strategy
                                                                                                                                                                                • Western Provident Association

                                                                                                                                                                                      • Figure 78: Financial analysis of Western Provident Association, 2012-16 (£ 000)
                                                                                                                                                                                    • Company strategy
                                                                                                                                                                                      • Figure 79: Profiled companies’ turnover, 2012-16 (£ 000)
                                                                                                                                                                                  • Forecast

                                                                                                                                                                                    • Key points
                                                                                                                                                                                      • Market size
                                                                                                                                                                                        • Ongoing prototype testing of new NHS dental contract has highlighted growing recruitment issue
                                                                                                                                                                                          • Slow but steady growth expected
                                                                                                                                                                                              • Figure 80: UK expenditure on dental care forecast, 2019-23 (£ billion at 2018 prices)
                                                                                                                                                                                              • Figure 81: UK dental care expenditure forecast, 2019-23 (£ billion at 2018 prices)
                                                                                                                                                                                            • Lack of clarity over direction of Brexit continues to concern industry
                                                                                                                                                                                              • Market segmentation
                                                                                                                                                                                                • Private dental growth expected to decay as incomes stagnate
                                                                                                                                                                                                  • Figure 82: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
                                                                                                                                                                                                  • Figure 83: UK dental care expenditure forecast, by segment, 2019-23 (£ billion at 2018 prices)
                                                                                                                                                                                                • Both the youngest and oldest patients are likely to provide the greatest development opportunities going forward
                                                                                                                                                                                                  • The introduction of new technology and equipment will help improve patient outcomes and practice profitability...
                                                                                                                                                                                                    • ...whilst digital platforms will help provide solutions to several dental care issues
                                                                                                                                                                                                    • Further Sources and Contacts

                                                                                                                                                                                                      • Trade associations
                                                                                                                                                                                                        • Association of Dental Administrators and Managers
                                                                                                                                                                                                          • The Association of Dental Anaesthetists
                                                                                                                                                                                                            • Association of Dental Groups
                                                                                                                                                                                                              • Association of Dental Implantology
                                                                                                                                                                                                                • British Academy of Cosmetic Dentistry
                                                                                                                                                                                                                  • British Association of Dental Nurses
                                                                                                                                                                                                                    • British Association of Dental Therapists
                                                                                                                                                                                                                      • British Association of Prosthetists and Orthotists
                                                                                                                                                                                                                        • British Dental Association
                                                                                                                                                                                                                          • British Dental Industry Association
                                                                                                                                                                                                                            • British Endodontic Society
                                                                                                                                                                                                                              • British Orthodontic Society
                                                                                                                                                                                                                                • British Society of Dental Hygiene & Therapy
                                                                                                                                                                                                                                  • British Society for Disability and Oral Health
                                                                                                                                                                                                                                    • British Society of Paediatric Dentistry
                                                                                                                                                                                                                                      • British Society for Restorative Dentistry
                                                                                                                                                                                                                                        • British Society for the Study of Prosthodontics
                                                                                                                                                                                                                                          • Trade magazines
                                                                                                                                                                                                                                            • British Dental Journal
                                                                                                                                                                                                                                              • Dental Health
                                                                                                                                                                                                                                                • Dental Insider
                                                                                                                                                                                                                                                  • Dental Nursing
                                                                                                                                                                                                                                                    • Dental Supplies
                                                                                                                                                                                                                                                      • Dentistry
                                                                                                                                                                                                                                                        • Primary Dental Journal
                                                                                                                                                                                                                                                          • Private Dentistry
                                                                                                                                                                                                                                                            • The Business of Dentistry
                                                                                                                                                                                                                                                              • The Dentist
                                                                                                                                                                                                                                                                • Trade exhibitions
                                                                                                                                                                                                                                                                  • British Academy of Cosmetic Dentistry Annual Conference
                                                                                                                                                                                                                                                                    • British Dental Conference & Dentistry Show 2019
                                                                                                                                                                                                                                                                      • BDIA Dental Showcase
                                                                                                                                                                                                                                                                        • Dental Technology Showcase 2019
                                                                                                                                                                                                                                                                          • Oral Health Conference and Exhibition

                                                                                                                                                                                                                                                                          Dentistry - UK - June 2018

                                                                                                                                                                                                                                                                          £1,495.00 (Excl.Tax)