Blackhills Clinic

A Message from Lord Pickles and Lord Blunkett, followed by Blackhills Clinic's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from Blackhills Clinic is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles

www.blackhillsclinic.com

BEST PRACTICE SPONSOR 2020
THE PARLIAMENTARY REVIEW
Highlighting best practice
52 | CKSUPERDENT
in this affluent part of London, in
our practice we have already had a
few European patients mentioning
potential relocation to another country
post-Brexit. In general, people tend
to put extensive treatments down the
list of priorities in times of political
uncertainty, especially those living and
working in London, while others prefer
to confirm with their dental insurance
policies first.
At our practice we see patients from
all age groups and from different
backgrounds , although most are
British and affluent, from the worlds
of finance, law, sports, showbusiness
or politics. Others come from Europe,
or even as far as the USA, Kuwait
andCanada.
Recruiting the right members of
staff for any business is a challenge.
From our experience, finding new
assistants in London who met most
of the necessary criteria has been a
difficulttask.
The regulatory costs of dentistry have
always been significant, with the
enormous indemnity fees in particular
increasing annually nowadays due
to the high number of litigation
cases in dentistry. It has created a
rather overcautious climate when
providing treatment, with many new
practitioners focusing on referrals and
minimal provision of care.
Future plans
As regards my dental practice, I
would like to see further progress
and the addition of new specialist
colleagues to cksuperdent. This would
allow us to carry on the provision
of high-standard dentistry without
unnecessary challenges. I hope that
political stability will return and that
dental practices in general will not be
affected by any changes in the future,
or any costly new regulations and
taxes post-Brexit.
Educating patients on health issues,
prevention and new treatment
options should be a priority for all
practitioners, an important task
that dentists should encourage
and promote. I would like to see
the profession focus even more
on prevention in dentistry, in
conservative orthodontics, in TMJ-
related conditions and non-surgical
approaches to relievesymptoms.
One thing that I am hoping will
change in Marylebone and nearby
Mayfair in the future is the further
improvement in the quality of the air
that we breathe. It seems to me that
air pollution is still significant in central
London despite all the good measures
to date; perhaps one day the air will be
as pleasant as that of a floral garden in
the spring. One can only dream.
Dr Christina A. Kyrkou
Our local and
international
patients have
remained loyal
over the years,
despite the
new, smaller
premises, the
travelling
distance and
changes in
their own
circumstances
53BLACKHILLS CLINIC |
DENTISTRY
Clinic Director Paul Stone (right)
and new Co-director, Graeme
Lilywhite (left)
Blackhills Specialist
Dental Clinic
Modern dentistry is a combination of science and art
and, in today’s world, the need to deliver the highest-
quality treatment has never mattered more. Blackhills
Specialist Dental Clinic, an award-winning, all-specialist referral
clinic, employs an expert team of clinicians to meet the needs of
modern-day dentistry that many general dentists cannot, lacking
either the skills or the equipment required. Clinic Director Paul
Stone tells
The Parliamentary Review
, that, having treated over
11,000 patients in nearly 12 years, the clinic has developed
its first-rate reputation, leading to hundreds of referrals being
received every year from across Scotland.
A dental specialist undergoes additional years of training and examinations to be able
to provide complex aspects of dental treatment, as determined and regulated by the
General Dental Council. At Blackhills Clinic we have seven specialists representing
six different adult dental specialties. This means that the experience and expertise we
can bring to treat our patients is considerable, with the specialists in multi-disciplinary
teams working to our strengths. While this provides a challenge to our appointment
scheduling, it means the patient becomes the absolute focus of attention for
everyone involved in their care. It also ensures that the different perspectives and
skills of each specialist result in the best possible treatment outcomes.
Complex by definition, competent by design
The clinic was started nearly 12 years ago with two part-time specialists, one nurse
and a manager. There are now seven specialists, eight nurses, one LDU technician,
FACTS ABOUT
BLACKHILLS CLINIC
»Clinic Director: Paul Stone
»Founded in 2007
»Located in Perthshire
»Services: Specialist dental clinic
»No. of employees: 19
Blackhills Clinic
THE PARLIAMENTARY REVIEW
Highlighting best practice
THE PARLIAMENTARY REVIEW
Highlighting best practice
54 | BLACKHILLS CLINIC
three clerical staff and our manager,
all working in a purpose-built clinic,
equipped to the highest standards,
including a state-of-the-art CT scanner.
Over the years, we have developed our
team philosophy, based on a totally
patient-centred approach: listening
and understanding the needs and
expectations from the outset.
By definition, almost every patient
referred is complex, having a dental
problem their own dentist cannot
manage. This includes missing and
failing teeth requiring dental implants,
complicated root and gum treatments,
advanced crowns, bridges and
cosmetic rehabilitation, together with
oral surgery and dental radiology.
Many patients come with a number
of problems, requiring a combination
of specialists working closely together,
supported by an outstanding nursing
and clerical team, with an award-
winning clinic manager, Trudie Imrie,
at the helm.
Changing expectations
Since we opened, we have noticed a
shift in patients’ expectations, often
fuelled by sensational makeover shows
and by social media. It is important for
us to recognise and manage unrealistic
expectations, to avoid disappointment
with what are often very challenging
and complex dental problems. This
requires truthfulness and transparency
in both our assessment of the current
situation and the anticipated final
outcome. Taking time to explain all of
this and how we might not meet the
expectations of the patient isessential.
Another challenge is coping with
the multitude of new technologies
bombarding the dental market every
year. All promise great things, but
often fall short of supporting clinical
evidence. At Blackhills Clinic we only
practise evidence-based dentistry,
unless involved in fully regulated clinical
trials or research, and this means that
our results are predictable and stable.
Marketing challenges
With two customer groups – the
referring dentists and the patients
themselves – communication and
advertising can present some issues.
Careful design of our website and
social media feeds, together with
adverts in both the professional
dental journals and selected monthly
magazines likely to appeal to our
patients, all work to ensure optimal
promotion of the clinic.
Computer-designed,
laser printed titanium
mesh
Specialist Clinicians Adela
and Marilou discussing a
complex case
A totally
patient-
centred
approach:
listening and
understanding
BEST PRACTICE SPONSOR 2020
THE PARLIAMENTARY REVIEW
Highlighting best practice
54 | BLACKHILLS CLINIC
three clerical staff and our manager,
all working in a purpose-built clinic,
equipped to the highest standards,
including a state-of-the-art CT scanner.
Over the years, we have developed our
team philosophy, based on a totally
patient-centred approach: listening
and understanding the needs and
expectations from the outset.
By definition, almost every patient
referred is complex, having a dental
problem their own dentist cannot
manage. This includes missing and
failing teeth requiring dental implants,
complicated root and gum treatments,
advanced crowns, bridges and
cosmetic rehabilitation, together with
oral surgery and dental radiology.
Many patients come with a number
of problems, requiring a combination
of specialists working closely together,
supported by an outstanding nursing
and clerical team, with an award-
winning clinic manager, Trudie Imrie,
at the helm.
Changing expectations
Since we opened, we have noticed a
shift in patients’ expectations, often
fuelled by sensational makeover shows
and by social media. It is important for
us to recognise and manage unrealistic
expectations, to avoid disappointment
with what are often very challenging
and complex dental problems. This
requires truthfulness and transparency
in both our assessment of the current
situation and the anticipated final
outcome. Taking time to explain all of
this and how we might not meet the
expectations of the patient isessential.
Another challenge is coping with
the multitude of new technologies
bombarding the dental market every
year. All promise great things, but
often fall short of supporting clinical
evidence. At Blackhills Clinic we only
practise evidence-based dentistry,
unless involved in fully regulated clinical
trials or research, and this means that
our results are predictable and stable.
Marketing challenges
With two customer groups – the
referring dentists and the patients
themselves – communication and
advertising can present some issues.
Careful design of our website and
social media feeds, together with
adverts in both the professional
dental journals and selected monthly
magazines likely to appeal to our
patients, all work to ensure optimal
promotion of the clinic.
Computer-designed,
laser printed titanium
mesh
Specialist Clinicians Adela
and Marilou discussing a
complex case
A totally
patient-
centred
approach:
listening and
understanding
55BLACKHILLS CLINIC |
DENTISTRY
Dentistry is competitive nowadays.
With claims from other dental
colleagues about their undoubted
abilities, it’s sometimes a challenge to
know where to position ourselves in
this marketplace. As we rely on many
of these dentists to refer to us when
they reach their own skill limit, we
never engage in a negative approach.
Instead we focus on our strengths: the
significant benefits of seeing a team of
specialists who will work together for
the patient’s benefit.
We are also impacted by two main
regulatory considerations which
affect the clinic: the dental regulator
– General Dental Council – and
the recently introduced Healthcare
Improvement Scotland, part of
the Scottish NHS. Both have strict
requirements governing the way
that dentistry is practised. The HIS
regulation is long overdue, with
previously little control of independent
clinical practice, but Blackhills Clinic
had always been working to these
standards anyway.
Clinical developments
Over the years, specialists at the clinic
have been responsible for a number
of notable innovations and pioneering
developments in clinical dentistry, such
as completely new implant and bone
graft materials. Most recently, this has
included progressing the application
of cells and growth factors processed
from a small blood sample into a
polymerised graft material that can
replace missing bone. Previously, this
would have required obtaining bone
from elsewhere in the body.
We are also working with a German
company in the use of a computer-
designed, customised, laser-printed
titanium mesh. This supports and
protects bone graft materials as
they heal, shaping them to the
exact contours required to address
thedeficiency.
We feel that our holistic approach
to the provision of specialist dental
care not only gives our patients the
chance to receive the highest standard
of treatment delivered by the most
appropriate clinician, but also that we
provide a range of options tailored
to their individual requirements. It is
hoped that the considerable success of
our particular Blackhills business model
will serve as an indicator to others
of how effective the combination of
the right people working together in
the right environment with the right
attitude to patient care can be.
We focus on
our strengths:
the significant
benefits of
seeing a team
of specialists
who will work
together for
the patient’s
benefit
Business of the Year,
Perthshire Chamber of
Commerce

www.blackhillsclinic.com

This article was sponsored by Blackhills Clinic. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Elizabeth Truss.

Rt Hon Elizabeth Truss's Foreword For The Parliamentary Review

By Rt Hon Elizabeth Truss

Even by the standards of the day –this has been one of the most exciting and unpredictable years in British politics.

The leadership election we’ve just seen marks a huge moment in our country’s history. This government is taking a decisive new direction, embracing the opportunities of Brexit and preparing our country to flourish outside the EU.

As international trade secretary, I’ll be driving forward work on the free trade agreements that are going to be a priority for the government. Free trade isn’t just an abstract concept bandied around by technocrats. It is crucial for a strong economy and for the ability of families to make ends meet. Free trade benefits people in every part of our country, as British firms export to new markets and people doing the weekly shop have access to a wider choice of goods at lower prices.

The essence of free trade is in the title: freedom. It’s about giving people the power to exchange their goods without heavy government taxation or interference. Commerce and free exchange are the engine room of prosperity and social mobility. I’m determined to tackle the forces who want to hold that back.

One of my priorities is agreeing an exciting new free trade deal with the US, building on the great relationship between our two countries and the Prime Minister and US President. But I’ll also be talking to other partners including New Zealand, Australia and fast-growing Asian markets.

And with the EU too, we want a friendly and constructive relationship, as constitutional equals, and as friends and partners in facing the challenges that lie ahead – a relationship based on a deep free trade agreement. Our country produces some of the world’s most successful exports, and the opportunity to bring these to the rest of the world should make us all excited about the future. It is this excitement, optimism and ambition which I believe will come to define this government.

For too long now, we have been told Britain isn’t big or important enough to survive outside the EU – that we have to accept a deal that reflects our reduced circumstances. I say that’s rubbish. With the right policies in place, we can be the most competitive, free-thinking, prosperous nation on Earth exporting to the world and leading in new developments like AI. To do that, we’ll give the brilliant next generation of entrepreneurs the tools they need to succeed. Since 2015, there has been a staggering 85 per cent rise in the number of businesses set up by 18 to 24 year olds – twice the level set up by the same age group in France and Germany. We’ll help them flourish by championing enterprise, cutting taxes and making regulation flexible and responsive to their needs.

As we do that, we’ll level up and unite all parts of the UK with great transport links, fibre broadband in every home and proper school funding, so everyone shares in our country’s success.

2019 has been the year of brewing economic and political revolution. 2020 will be the year when a revitalised Conservative government turbo charges the economy, boosts prospects for people across the country, and catapults Britain back to the forefront of the world stage.



Rt Hon Elizabeth Truss
Secretary of State for International Development