Nikki Patel

Recruitment problems, a target-driven contract and underfunding are just some of the issues that need tackling in NHS dentistry

@jzrdan Visa at IPO. Didn’t know a thing about investing so just held it for 15 years, too scared to mess with it. Changed my entire life.

What’s the first stock you ever bought? Mine was Aston Martin not long after its IPO. Thankfully, I didn’t hold it for long… Incredibly, I think I actually made a profit on it! 🤯

@financial_shaw Too risky to buy a home with, but stable enough for the taxman to charge CGT. Make it make sense

You made a few grand on crypto, and you think you can use it towards your house deposit. You can't. Well, not easily. And if you've already moved it into your savings account, you might have just torpedoed your entire mortgage application. Let me explain. 👉

@HenryPryor @TinaDaheley @timleunig @hmtreasury Good discussion but this won’t benefit young people in the long run. Over their lifetimes, they will pay far more. No one will feel like they fully own their home even if mortgage free, like being a leaseholder. The tax needs to be for a fixed term of say 10 years.

Good discussion with @TinaDaheley about Prof @timleunig's proposals to scrap Stamp Duty and replace Council Tax. I do hope that these are not just August distractions and that @hmtreasury takes a close look at what is being suggested.

@dieworkwear @Princewuz

But this framework gets you closer to understanding why certain things don't work. The chances of you looking bad in a suit jacket worn without the matching pants is very high because it'll look like you spilled something on your suit pants and had to change out of them.

I've addressed this many times and have been reluctant to use people's videos, as they're often made by regular people who are just trying to have fun. But this is a famous content creator with 1M followers, so I feel better about showing why this doesn't work. 🧵

@natb990 15 months for 1st and 5 months for 2nd. Both right for me each time. 1st time felt daunting going back (but was fine soon as I got there) 2nd time I couldn’t wait to get out the door! You won’t forget anything, it’s like riding a bike so don’t worry at all about that 😊

#dentaltwitter when did you go back to work after parental leave? Would you do the same again? Now it's 2023 I feel like I need a plan...

@Lydiarosesteph @KateBurkeNHS £97/day, South Bucks, which includes all meals. Nappies/wipes extra. 7:30-6pm. There are some cheaper (and more expensive) options around but all have v long wait lists so need to register before baby is born

I'm interested to know, what day rate do you pay for childcare? Whether private nursery or childminder, how much does it cost you each day? And whereabouts in the UK are you? Mine is £43.50 (8am-6pm and includes meals and snacks), in south Wales valleys.

@drjeff_tooth @WheelerSimon @MCM_HEKSS @MiliDoshi7 I doubt many dentists (esp younger) can afford to work in the CDS anymore. CDS salaries aren’t keeping up with inflation so I assume it’s very hard for many to take that pay cut year upon year. Workforce shortages in NHS salaried posts will get worse in this economic climate

@WheelerSimon @MCM_HEKSS @MiliDoshi7 I think this will be a difficult task! Having provided dental treatment for dementia patients in care homes for many years it is not an easy job I can tell you. Comparing that to general practice which is more comfortable and probably better paid hard to see many transitioning.

Horrifying insight into the high amounts of free sugars in baby and toddler snacks: actiononsugar.org/media/actionon…

Anyone new to writing in dentistry shouldn’t miss this excellent New Writers workshop at the BDA on Tuesday 2 November -contact stephen.hancocks@bda.org @TheBDA

@J_bagpuss Had home visits day 1,5,10. Then nothing until 1 year check which was a postal questionnaire. Posted back but heard nothing. Told to contact them if I need them. But I’ve no idea what they are meant to do so no idea what I’m meant to contact them about 🤷‍♀️ @surreyhealth

@cain_terry @fliceverett Wilkinson’s!

What happened to school outfitters? I remember being taken to Henry Barry in St Anne’s Square, and it was a full-on tailoring session, basically. Pretty sure that no longer happens.

@Lady_PR7 Yes- work now feels like a break!

@NikkiPatel_ Thanks Nikki, hope you’re well. Are you back at work now?

All you superwomen mums out there. I go back to work in 7 weeks after my mat leave. What’s your best piece of advice for juggling a busy job and a busy home life?

@TheWholeT00th Massive. Where is the incentive to upskill/ opportunity for career progression working as a NHS dentist? The NHS contract won’t pay you any more if you spend £1000s upskilling and NHS pay doesn’t keep up with inflation. To retain NHS dentists, something has to change

@TheWholeT00th No, everywhere on social media is dentists complaining about NHS dentistry- the contract, remuneration etc. Students reading that will be put off v easily. Also student debt and high cost of living/ housing means people naturally are looking for options that pay more

@NadiaKuftinoff @SABP_healthtech Congratulations Nadia 🎉🎉you will be awesome as always !

@wendythedentist @digitaldentis @healthyopinion Varies session to session. We don’t have to follow the advice, of course, and can choose to see anyone F2F. I expect this isn’t a regional issue and capacity is to the brim in most 111 EDS services

@digitaldentis @wendythedentist @healthyopinion 111 EDS- we’ve been advised to prescribe if a face swelling seen via images/video, to ensure sufficient F2F time for others. Too many patients and not enough F2F appts- not right. Fallow time saving me otherwise 15 min appts. Couldn’t go back to that now

@wendythedentist @healthyopinion So recently I’m seeing many pts who are tele-triaged and prescb AB only for them to rock up in clinic and say the ABs did nothing. Clinically the tooth had interprox cavity into the pulp. The pt can’t see it . The teletriager definitely can’t see it. Services are open- why presb?

Speaking up for dentistry: we have just completed oral evidence to Review Body on Doctors and Dentists Remuneration. NHS dentists need a fair deal on pay bit.ly/bdacvtw

@TheMotleyFoolUK Visa, 14 years. Nothing can beat long term growth and compounding

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