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Coronavirus: your FAQs

We answer your frequently asked questions on COVID-19 and your dental practice.

Page last updated: 17:00 3 April 2020

Dental practices are getting in touch with us to ask what to do if their staff or patients have or are suspected of having COVID-19, commonly referred to as the coronavirus. Read our live updates page for the latest information. Here are the answers to your FAQs, which we update as often as possible.


 

Coronavirus and the dental profession


1. What is the BDA doing to reduce my concerns? 

 

This is an unprecedented situation. We are lobbying the Government to ensure that your needs are represented at this difficult time. We are working to get you answers as fast as possible and keep you up-to-date with this ever-changing situation.


Please be assured that we are doing everything in our power on the issues that matter to you. Our priority is the safety of you, your team and your patients and the financial sustainability of your practice. 


2. What are you doing for private practices? 

Private practices are particularly badly affected by the pandemic. We're campaigning on behalf of private practices all over the country to try to ensure financial sustainability for your practice. You can find out more about our efforts here.


 


Coronavirus and the dental team

3. What is the guidance on COVID-19?

Despite the UK-wide shutdown, all practices should seek to maintain a basic service, that is providing telephone advice, triaging and writing prescriptions for analgesia and medication where appropriate. NHS 111 is overloaded and we have a duty to reduce pressure on the system wherever possible.

 

England 

All dentists in England should review the advice recently published by NHS England. This includes:

 

  1. All routine, non-urgent dental care including orthodontics should be stopped and deferred until advised otherwise
  2. All practices should establish (independently or by collaboration with others) a remote, urgent care service, providing telephone triage for their patients with urgent needs during usual working hours, and whenever possible treating with advice, analgesia and antimicrobial means, where appropriate.

It also contains important information about NHS financial support for practices. We are now pulling together comments on a number of key issues that require further clarity. If you have any questions about the NHS England letter, please use our form.

 

Primary Care Support England (PCSE) are also working with NHS England to support dentists. PCSE are prioritising the fulfilment and delivery of supplies and ensuring that performers are on the list and able to provide services to the NHS. Should this situation change, PCSE will update you on its website.

 

Wales

The Welsh government has moved to a red alert. This means:

 

  • Further restrictions on GDS routine care with the new measures for patient telephone-triage and remote prescribing
  • Practices may remain open for very limited and carefully risk-assessed patient consultation, but all dental care that can be delayed must be put on hold
  • Patients needing urgent care involving AGPs must be referred to properly equipped local Urgent Dental Care Centers. Health Boards are working with practices to co-ordinate referrals.

Dr Bridgman, CDO Wales, has provide further red alert guidance detailing protocols for general dental practice and for urgent care centres. The guidance gives helpful detailed definitions and examples of urgent care and emergency care; as well as detailed guidance on remote prescribing and teleconference patient consultation.

 

We are pressing for answers to the concerns of dentists in Wales. Business continuity funding remains a high priority and we have raised concerns about ensuring associates and DCPs are not disadvantaged by dint of being self-employed. We will keep you updated.

 

The CDO has written with further details about business continuity. This lays out provision for payments of ACV for April May and June with certain expectations attached. We've argued that practices would struggle to pay 100% of staff wages with the ACV payment at 80%.

 

The CDO also recognises that mixed contract practices will need further financial support for their private practice element. We're pushing for clarification on this and will update you as soon as possible.

 

Dentists in Wales may also review the guidance previously sent out to Welsh GDPs and CDS dentists. This provides a level of clarification on clinical and financial issues. A bi-lingual public information poster has also been provided for Welsh practices.

 

Northern Ireland

We are pushing daily for answers to questions of financial sustainability and the pandemic in Northern Ireland.

 

All GDPs in Northern Ireland have just received a letter from Michael Donaldson at the Health and Social Care Board outlining the next steps dental practices must take in the latest COVID-19 response. The HSCB guidance includes telephone triage, withdrawing from aerosol generating procedures and importantly, refers to future steps that will be taken, including setting up five central emergency centres to be operated by GDPs and nurses.

 

Dentists in Northern Ireland should also review the latest guidance and business continuity plans published on 18 March. We are pushing for clarity on a number of issues relating to this and will update you here.

 

More information is being made available by the Business Services Organisation.

 
Scotland

letter from CDO, Tom Ferris, has outlined Scotland's next phase of COVID-19 preparedness which is now in effect. This includes: 

 

  • All routine dentistry to cease
  • Pregnant or immunosuppressed team members not to provide or assist in the direct care of patients
  • Aerosol Generating Procedures (AGPs) to cease
  • Practices to triage, advise and reassure patients via new 'buddy arrangements' whereby patients can contact a dental professional (by phone) during normal work hours
  • FFP3 will be available at designated urgent care centres where patients are being assessed and treated.

The letter also seeks to reassure us that the CDO is working to source additional NHS funding to address concerns on practice sustainability.

 

The Scottish Government previously issued guidance along with an accompanying memorandum that outline the financial support being put in place to mitigate the disruption of service caused by the COVID-19 outbreak in Scotland. We are working to clarify a number of key issues raised by the guidance and will keep you updated.


Dentists in Scotland should review the guidance on COVID-19 provided by Health Protection Scotland. Guidance is also available for COVID-19 in social or community care and residential settings in Scotland. We will update you once new guidance is issued. 


4. Where can I get further details about the furloughed workers scheme?

We are getting many calls from members about the furloughed workers announced by the government.  Mixed practices in England are particularly concerned, because the terms of NHS help seem dependent on practices not taking other forms of state aid to avoid duplicating financial help. Others have questions relating to whether furloughed workers can be rotated. We are pushing for answers from government to all of your questions. What we know so far is covered in the Paying staff during closure section of our Financial Impact page. We will provide further advice as soon as we have further information.


5. Who should self-isolate and what should they do?

The government has said that everyone should stay at home unless necessary, for example for travelling to and from work. The government's guidance for staying at home is here. The dentists and their teams will be providing emergency care should follow guidance on whether it's safe for them to do so.


We believe members of the dental team over 70 years of age should stay at home. We also believe that members of the dental team under the age of 70, with an underlying health condition (such as asthma, diabetes, heart disease) should also stay away from work.


Advice has been published for pregnant women who are working in the NHS and other work settings. Women who are less than 28 weeks pregnant should practise social distancing but can continue working in a patient-facing role, provided the necessary precautions are taken. Women who are more than 28 weeks pregnant, or have underlying health conditions, should avoid direct patient contact. It has also recommended that pregnant women, regardless of gestation, should be offered the choice of whether to work in patient-facing roles during the pandemic.


Staff should also stay at home if they, or a member of their family, have coronavirus symptoms (the latter group should self-isolate for 14 days following the family member's diagnosis). Others will also have been advised to self-isolate. Staff staying at home for these reasons should be treated as if they are on sick leave.


The UK government has said that statutory sick pay (SSP) should be payable from the first day of the sickness period. Employers with fewer than 250 employees will be eligible to reclaim two weeks' SSP for each employee who has been affected by COVID-19. This has not yet been formalised in emergency legislation, but it may include a clause allowing it to be backdated. Ensure you keep records of any absence due to COVID-19 to be able to claim this back from the government.


6. What if one of my staff or associate dentists is pregnant?

New advice has been published for pregnant women who are working in the NHS and other work settings. Women who are less than 28 weeks pregnant should practise social distancing but can continue working in a patient-facing role, provided the necessary precautions are taken. Women who are more than 28 weeks pregnant, or have underlying health conditions, should avoid direct patient contact. It has also recommended that pregnant women, regardless of gestation, should be offered the choice of whether to work in patient-facing roles during the pandemic.

 

7. What if a staff member has coronavirus?

If a member of staff has coronavirus, they should follow government advice and standard sickness procedures should be followed.


Staff should contact the practice and update them on when they will be able to return. They will either be entitled to sick pay or, depending on the terms of their contract of employment, statutory sick pay.


Check your contracts of employment and the practice's policy on sick pay. They will need to self-isolate for seven days after which symptoms should have abated, if they are not getting better they should seek medical advice and keep the practice updated.


At present, we do not know whether staff with coronavirus can also be furloughed workers receiving 80% of their pay. We cannot yet confirm whether staff sickness absence may impact on financial help from the NHS. We think it would be unfair if it did and are pushing for answers.

 

8. What if a staff member needs to care for a dependent?

Generally, if a dependent has been asked to self-isolate, the staff member will have also been given the same instruction and will follow the sick advice above.


If, however the reasoning for dependent care is due to school closures and being unable to find alternative care options, then it can be treated as time off for dependents. This might be paid or unpaid, or could be agreed as holiday, depending on the choice in our model employment contract.


At present, we do not know whether staff at home caring for a dependent can also be furloughed workers receiving 80% of their pay. We cannot yet confirm whether such staff absence may impact on financial help from the NHS. We think it would be unfair if it did and are pushing for answers.



 

Coronavirus and practice management

9. What if the practice can’t meet its UDA obligations because of the disruption?

Practices in England and Wales are understandably concerned about meeting UDA obligations. NHS England has written to practices on 25 March 2020.


The letter says 2019-2020 reconciliation will be based on figures from April 2019 to February 2020. Figures for March 2019 will be used instead of March 2020. For practices that have underperformed, there will be clawback then in the normal way.


For 2020-2021, NHS England will revise contracts so that:


  • NHS contract payments to practices are maintained
  • Contract delivery is assumed to be maintained
  • All practice staff are required to be available in other NHS areas
  • Practices must pay staff at same level
  • Practices benefiting from continued NHS funding will not be eligible to seek any wider government assistance to small businesses which could be duplicative. We do not yet how that will work for private and mixed practices.

We ask members to be patient and to wait for further details of the government's and NHS England's schemes. We will provide further advice and assistance as soon as we have further information.


Wales

The Welsh Government has provided guidance on practice continuity for all dental practices and details are currently under discussion for the ACV from April onwards.


We have been assured that the last two weeks in March are covered by a 4% waiver of practice UDA target. This means if you have completed the requisite UDAs up to mid-March you will not be subject to clawback.


The intention of the Welsh Government instruction is that the change/flexibility offered is for up to 4% being available if needed. So up to 4% (of UDA activity) can be credited where this flexibility is needed toward meeting the 100% target.


The same flexibility is applied whether the practice has performed at 85% or 95% of contracted activity - they get 4% added. If the 4% does not bring the practice to 95% then recovery of the underachieved amount is an option for the Health Board to consider.


The Welsh Government will continue to make contract payments to practices for April to June 2020. It is likely that, in return practices and practice staff will need to be available to carry out other duties for the NHS. We have asked for further details and the Welsh Government will be providing answers in its next communication. 


10. How do I communicate what's happening to my patients?

We advise you to contact patients by email, text message and through the practice's voicemail to explain the need for appointment cancellations. You should explain that you are following government guidance and acting in the name of public safety. Our advice for patients may help explain why routine dental care is not possible at present. 


Your practice should seek to maintain a basic service throughout the shutdown, that is providing telephone advice, triaging and writing prescriptions for analgesia and medication where appropriate. This will help reduce the pressure on systems such as NHS 111 at this crucial time. You should advise your patients to get in touch with you in the first instance if they feel they need urgent dental care, rather than attending A&E.


Local authorities are setting up treatment centres where urgent dental care can take place safely during the pandemic. Once the emergency dental care system has been set up in your area, you should refer patients in need of immediate treatment there. 


11. Why isn't anyone eligible for business interruption claims on their insurance? 

Business interruption insurance covers a business for loss of income during periods when they cannot carry out business as usual due to an unexpected event. It aims to replace certain losses sustained by the business during the period of the disruption.


The Association of British Insurers has warned that only a small number of companies in the UK will have cover which allows them to claim on their insurance for the impact of the Coronavirus pandemic. 

We understand that insurance companies will not cover additional risks, which were not factored into the pricing of the policy. We acknowledge that these are unprecedented circumstances. However, we are very concerned that many of our members will not be covered for closures due to COVID-19.


We will continue to lobby government on behalf of dentists, who have been financially impacted by this crisis.


12. What should staff do once my practice has to close?

NHS staff may be redeployed to other areas in return for the NHS continuing to make payments to NHS practices. See your nation's most recent guidance (question 2) for the most up-to-date information on this.

If the NHS does make payments to practices, that payment will likely be on condition that practice retain staff. It is not yet known how this will work for mixed NHS and private practices.


Aside from the NHS scheme to support practices in return for services in other areas, practice owners have the following options:


  1. Agree with employees that they are furloughed workers, as part of government scheme to keep staff employed on 80% pay
  2. Lay off employees on guarantee pay
  3. Agree with workers that they work reduced hours for proportionately-reduced pay
  4. Consider making staff redundant.

For more information on these options see our Financial Impact page.


Associates should check their associate agreement carefully to see what terms may be applicable in case of practice closure and discuss with practice owners what measures both parties can take to mitigate any losses.


13. Should I cancel my indemnity policy to save money?

Many dentists are facing financial pressure and some have asked whether they should cancel their indemnity. We recommend that you think carefully before cancelling. If you retain your policy, you will not face a delay in returning to work when the situation changes. Keeping your policy active means that you will have cover for any GDC investigations, for example that relate to your personal or professional conduct. We recommend you speak to your indemnity provider before making a decision.

 

14. Dentists can't access business rate exemptions, what are you doing about this?

New measures were introduced in the 2020 Budget to give business rate exemptions to retail businesses. Dental practices were not included in this. We believe that in the context of the business disruption caused by the COVID-19 outbreak, it is essential that this exemption be widened to include dental practices. We've made representations to the Government to that effect and we will update you on any progress made.


15. What support can mixed practices receive?  

At present it is unclear how mixed practices will avail of the support structures put in place for NHS practices across the UK. In England, is not clear whether mixed practices can avail of both government support for private work and NHS support measures. In Northern Ireland, by contrast, the Department of Health has raised this as a possibility. In Wales, the CDO has acknowledged the need for financial assistance for the private portion of mixed practices' incomes. We are pushing for answers on your behalf and will update you once more information is available.


We are pushing for clarity on these and related questions. We will update you once we know more.

 

16. Can I avail of multiple forms of government assistance?

We are lobbying all four governments for a clear answer on this. At present, we know:

 

Northern Ireland: a full list of the business support measures that have been put in place in response to COVID-19, and the Department of Health have stated that they expect dental practices in NI will be eligible for support from both UK-wide and NI Executive sources.

 

England: it is unclear. It may be that mixed practices in England cannot avail of government and NHS support measures. We are seeking clarity on this crucial issue and will update you once we have it.

 

Wales: the CDO has acknowledged the need for financial assistance for the private portion of mixed practices' incomes. The Welsh Government has now introduced two grants to support businesses in Wales through the Coronavirus pandemic. Grant Number 2 is relevant to eligible dental practices should their rateable value be  £12,000 or less.

 


 

Coronavirus and your patients

​17. What should I do to protect my patients?

We recommend you review latest guidance available for your area, see the answer to question 3 above.

 

We advise you try to deal with emergency patients over the phone if possible. Until dental centres can be opened with the appropriate PPE, procedures and equipment to provide a full range of dental treatment in a safe environment, you may need to prescribe pain medication or antibiotics where appropriate.

 

Please refer to the following guidance:


18. What do I need to know about providing urgent care?

Urgent dental care centres are being set up across the UK, usually with separate processes for known COVID-19 positive patients. A number of areas are setting up separate 'cold' urgent dental care settings for patients who are not symptomatic. The current official advice based on guidance from Public Health England is that fluid-resistant surgical masks and other routine personal protective equipment (PPE) offer adequate protection for non-aerosol generating procedures in these circumstances.
 
We are not confident of the safety of this advice, given developing knowledge about Coronavirus and the increasing level of infection in the UK population. We strongly advise that any professional should carry out a full risk assessment, including telephone triage, before agreeing to see any patient face-to-face for urgent care in these circumstances.
 
To help you carry out a full risk assessment when considering seeing patients face-to-face for urgent care, we have developed some risk assessment guidance to help members do this (login required). We urge you to read this guidance to support you in providing urgent care.
 
Dentists and dental teams should not feel pressured into working in any environment in which they feel uncomfortable or unsafe. Members should contact us for support and advice if they are concerned.




Coronavirus and dental education

19. How will dental education continue?

The best answer we have to this right now comes from a joint statement on dental education from the GDC, Dental Schools Council, COPDEND, the dental faculties and the Joint Committee on Postgraduate Training in Dentistry, published late on Monday 23 March 2020.


We are still evaluating the information however, in summary the proposals are:


  • BDS face-to-face final exams will not take place. However, dental schools and universities are establishing online systems to enable final exams to be sat for undergraduate students in their final year of study. There is the possibility of various sittings, to enable those ill or self-isolating on the date of the final exam to complete their exam on an alternative date. Some individuals might be provided with a development plan by the dental school to take into their career. Those who are not ready to sit final exams will be informed by their school. The DSC have pulled together FAQs for final year dental and DCP students
  • The organisations expect that foundation and vocational training places for graduating BDS students will be announced as planned on 12 June and that they will start on time (August in Scotland, September elsewhere). GDC registration should be able to be completed without delay, facilitated by the regulator. The organisations are currently seeking assurance from national health services that NHS performer numbers will be available in time for foundation and vocational training.  Starting on training programmes will be preceded by a mandatory clinical skills session. Graduating students will also be issued with a summary clinical portfolio.
  • For those currently undertaking foundation or vocational training in the UK, the organisations expect that foundation dentists will be able to complete their training with minimal, if any, disruption to timescales. We are unsure about how this will work in the absence of clear guidance.
  • With regard to specialty programmes, the dental faculties of the Royal Colleges have paused all examinations. However, there are ongoing discussions to explore the option of delivering these examinations in a different way.
  • In terms of DCP training, the GDC is in touch with education providers and awarding bodies about plans and considerations for running final assessments, potentially online, with the aim of minimum disruption for students.
 
We will consider the statement and any follow-up information in depth and request further clarification on the detail. If and when appropriate guidance is published, we will provide relevant links and information.


20. Dental students: What if I have lost my part-time job?  

Many dental students have part-time jobs to help finance their education or lifestyle. Due to the outbreak, many of these businesses have now been required to close on Government advice. This has the potential to adversely affect dental students’ incomes. The Government however has put in place a number of measures to support workers during this period.


It depends on the business you work for and your own individual circumstances, but it is generally best to first discuss the situation with your employer, if you have not done already. If there is a workplace trade union, it is also useful to discuss the arrangements with them.


 

  • If you work for an essential business that remains open (such as food retailers), you are likely to be able to continue working. Many have put in place special arrangements, such as additional Personal Protective Equipment (PPE) and enforcing social distancing, to help keep employees and customers safe, but if you do have concerns about the arrangements in place please raise with your employer or, where present, the workplace trade union representative.
  • For some roles, it will be possible to continue to work from home. If this is possible or you think it may be, discuss with your employers the arrangements that can be put in place, any changes to your normal duties and how you can work safely and securely with regards to your personal health and safety, data protection and other issues.
  • If it is not possible for you to continue working due to coronavirus, the Government has put in place a Coronavirus Job Retention Scheme that allows businesses to furlough staff; where employees are retained in employment with the Government funding 80 per cent of typical monthly wages. This scheme applies equally to those in part-time work and on zero-hour contracts. If you think your employer may wish to retain you on the payroll, you should discuss it with them and, where present, the workplace trade union representative.
If you are self-isolating or taking sick leave as a result of COVID-19, you are entitled to Statutory Sick Pay of £94.25 per week from your employer, if your earnings are above £118 per week. You can obtain a sick or ‘isolation’ note from NHS111 online.

If you are a dental student and are worried that you cannot meet your current personal household expenditure, remember you can apply to the BDA Benevolent Fund for financial assistance.

 




Coronavirus and employed dentists

21. Who should I talk to about redeployment?

Employed dentists are already being asked to undertake duties to help support their medical colleagues in the COVID-19 response. This will likely increase in the coming weeks.

 

  • Community/Public Service Dentists

Community dentists should firstly be allocated by their local NHS to undertake appropriate primary care treatments. After this demand has been met then CDS dentists are welcome to volunteer for wider NHS redeployment.

 

  • Hospital Dentists

Hospital dentists wishing to undertake other duties should make this known to their lead consultant/clinical director. Lead consultants/clinical directors should then liaise with their hospital medical director to determine the deployment of these dentists. We have communicated this position to the Association of Dental Hospitals and have asked the BMA to cascade this through their LNC network.

 

  • Academic Dentists

Clinical Academic dentists wishing to undertake other duties should make this known to their Undergraduate Dean. Undergraduate Dental Deans should then liaise with Undergraduate Medical Deans and in turn hospital medical directors to determine the deployment of these dentists in the hospitals connected to the dental school. We have communicated to Dental Schools Council that this is our default position and have asked the BMA to pass this on through their LNC network.

 

22. How should I prepare for redeployment?

If you are asked to undertake other duties during the outbreak, this may include working in another dental discipline that you haven’t undertaken for a while or something completely outside of dentistry. You should take the following steps to make sure you are safe while undertaking other duties:

 

  • Step 1 

Agree, with your NHS clinical director/line manager and their equivalent in the area to which you are to be redeployed, a task list or role specification. This task list will state clearly the tasks that you will be expected to do. Ensure the task list is clearly defined and ill-defined statements such as ‘any other duties’ are not included.

 

  • Step 2 

If you are happy, in principle, with the task list provided, discuss whatever training is required for you to safely perform the duties. Get a firm commitment to the date of this training and opportunity to shadow a colleague based in the new area.

 

  • Step 3 

Check with your indemnity provider that they will cover you for the new duties.

 

  • Step 4 

Undergo the training and make notes of what you were taught. Recording on mobile phones may be particularly useful.

 

  • Step 5 

Report for your new duties. Establish who will be providing operational supervision.

 

  • Step 6 

Complete our Redeployed Duties & Training Log on a daily basis.

 

  • Step 7 

Talk to other colleagues, not necessarily dentists, in the area in which you are working. Discuss any concerns you may have with your operational supervisor. Contact us if you feel under any pressure to act beyond your task list.

 

  • Step 8 

Consider contacting BDA Health Assured if you find your mental health and general wellbeing is being challenged.

 

23. Will my indemnity cover me?

If you undertake wider duties to support the NHS, these will be covered by extended NHS indemnity. If you also hold a policy with another provider, you will need to confirm with them if your cover will extend to these additional duties. You may need to undergo training to be covered for any additional duties undertaken.

 

24. Are appraisals being suspended?

Very few dentists will be working their normal contracts and work patterns over the coming weeks and months. To that end, we have asked for appraisals and mandatory training for CDS dentists to be suspended for the next six months. Further guidance from the Welsh government regarding annual appraisals on the Dental Appraisal System. We have received confirmation that for CDS dentists in Wales these will be suspended until 1 October 2020.

 

For hospital dentists in England and Scotland, appraisals have already been postponed. We are seeking clarity on appraisals for hospital dentists in Wales and Northern Ireland.

 

25. Where can I go for support?

During this time, you may have to make clinical decisions that prioritise scarce resources. For guidance on the ethics of this, please see the FAQ we produced along with the BMA. This won’t answer every question you have, but we hope that it will support and guide you in making the decisions asked of you.

 

If you are looking for advice on a work-related issue:

 

  • Members employed on national terms and conditions within the salaried/community dental service, in dental schools, in the armed forces or a variety of other employed roles with in the NHS, please contact: employmentrelations@bda.org
  • Members working under hospital terms and conditions can contact the BMA for employment relations support: 0300 123 1233 (please quote your BDA membership number).

This may prove quite stressful and members should be aware that they have access to our 24-hour counselling service. We’re here for you and we encourage all those under stress to reach out.

 

Coronavirus and DCTs

26. What do I need to know about redeployment?

We advise DCTs to review the following documents and to take the following eight steps to prepare for redeployment.

 

FAQs from Health Education England (HEE)


Links to resources for COVID-19 e-learning


Information on rotas management from NHS Employers and the BMA

 

If asked to undertake other duties during the outbreak, this may include working in another dental discipline that you haven’t undertaken for a while or something completely outside of dentistry. You should take the following steps to make sure you are safe while undertaking other duties:

 

  • Step 1
    Agree, with your NHS clinical director/line manager and their equivalent in the area to which you are to be redeployed, a task list or role specification. This task list will state clearly the tasks that you will be expected to do. Ensure the task list is clearly defined and ill-defined statements such as ‘any other duties’ are not included.
  • Step 2
    If you are happy, in principle, with the task list provided, discuss whatever training is required for you to safely perform the duties. Get a firm commitment to the date of this training and opportunity to shadow a colleague based in the new area.
  • Step 3
    Check with your indemnity provider that they will cover you for the new duties.
  • Step 4
    Undergo the training and make notes of what you were taught. Recording on mobile phones may be particularly useful.
  • Step 5
    Report for your new duties. Establish who will be providing operational supervision.
  • Step 6
    Complete our Redeployed Duties & Training Log on a daily basis to keep track of your work. This may need these records later.
  • Step 7
    Talk to other colleagues, not necessarily dentists, in the area in which you are working. Discuss any concerns you may have with your operational supervisor. Contact us if you feel under any pressure to act beyond your task list.
  • Step 8
    Consider contacting BDA Health Assured if you find your mental health and general wellbeing is being challenged.