DENTISTRY - UK - AUGUST 2019

DENTISTRY - UK - AUGUST 2019

Aug 2019 Mintel Industry ProfileN/A Price :
$ 1913

Although growth is forecast to slow over the next five years, the private sector is anticipated to have greater growth opportunities than NHS dentistry since the NHS faces a considerable challenge in providing high-quality healthcare amid rapid demographic changes and constrained public spending.

Table of contents

OVERVIEW
What you need to know
Covered in this Report
EXECUTIVE SUMMARY
Market size
Stagnant growth in dental care expenditure continues
Figure 1: Total UK dental care expenditure, 2015-19, (£ billion)
NHS accounts for largest segment but private dominates growth
Figure 2: Total UK dental care expenditure, by provider, 2015-19, (£ billion)
Dental earnings continue to fall
Figure 3: Average taxable income for all self-employed primary care dentists, England and Wales, 2012/13-2016/17, (£)
Slow market growth expected to continue – rising by just 6% to 2024
Figure 4: Forecast UK expenditure on dental care, 2020-24, (£ billion at 2019 prices)
Companies and brands
The consumer
Almost half of people have never used a private healthcare service
Seven-in-10 ‘self-fund’ dental treatment
What we think
ISSUES AND INSIGHTS
NHS dentist accessibility problems adding to funding pressures that put future provision in doubt
The facts
The implications
Threat of additional tax payments and stagnating salaries could stall market growth
The facts
The implications
THE MARKET – WHAT YOU NEED TO KNOW
Stagnant growth in dental care expenditure continues
Segment overview
Slow market growth expected to continue – rising by just 6% to 2024
MARKET SIZE
Stagnant growth in dental care expenditure continues
Figure 5: Total UK dental care expenditure, 2015-19, (£ billion)
NHS treatment costs rise by 5% for the third consecutive year in 2019
Figure 6: NHS dental charges in England, per band, 2015-19, (£)
Over half of young children did not visit a dentist in 2018…
…whilst regional inequalities remain
MARKET SEGMENTATION
Segment overview
Figure 7: Total UK dental care expenditure, by provider, 2015-19, (£ billion)
Private treatments
Cosmetic dentistry expenditure has risen by a quarter since 2015
Figure 8: UK expenditure on private cosmetic dental care, 2015-19, (£ billion)
NHS dentistry
Figure 9: UK expenditure on NHS dental care, by payment segment, 2015-19, (£ million)
Courses of NHS treatment decline in each band in 2018
Figure 10: Number of courses of dental treatment under the NHS in England, 2013/14-2017/18, (000s)
MARKET FORECAST
Planned introduction of new NHS dental contract next year has not eased uncertainty and tension in the profession
Growth expected to remain subdued – rising by just 6% to 2024
Figure 11: Forecast UK expenditure on dental care, 2020-24, (£ billion at 2019 prices)
Private cosmetic growth expected to be industry’s crowning glory, whilst the NHS will continue to stagnate
Figure 12: Forecast UK dental care expenditure, by segment, 2020-24, (£ billion at 2019 prices)
Digital technology and equipment helping reduce time pressures on dentists and improve patient outcomes
THE IMPACT OF THE ECONOMY
Annual GDP growth falls to six-year low in 2018
Figure 13: Annual GDP growth rate, 2014-18, (%)
Bank rate remains at 0.75%
Figure 14: Bank rate, 2008-18, by date of adjustment, (%)
Household real incomes are on the rise but continued NHS charge rise offsetting potential impact on dental visits
Figure 15: GDP per head at current market prices and real household disposable income per head, Q1 2015-Q1 2019, (£)
MARKET TRENDS
Dental earnings continue to fall
Figure 16: Average taxable income for all self-employed primary care dentists, England and Wales, 2012/13-2016/17, (£)
Figure 17: Associate rates per UDA, by region, (£)
Dental practice profits fall in 2018 after rising in 2017…
…although practice sales remain healthy
London and the Home Counties
South & South West Wales
Midlands
North
Scotland
MARKET DRIVERS
Although Brexit is still not resolved, there has been an impact on recruitment and costs
Ageing population to drive dental treatment demand
Figure 18: UK population estimate and projection, 2019 and 2024, by age group, (millions of people)
Both NHS dentist activity and the number of patients increased in 2018
Figure 19: Dentists with NHS activity in England, 2013/14-2017/18, (no. of dentists and % annual change)
Figure 20: Dental patients seen in England under the NHS over the previous 24 months, at 30 June, 2014-18, (000s of patients)
Student intake boosted by additional government funding, but large number of vacancies remain for current dental positions
Figure 21: Target number of dental students and actual intakes in England, 2013/14-2017/18, (number of students)
Lending to the industry is rising despite uncertainty
COMPANIES AND BRANDS – WHAT YOU NEED TO KNOW
Investor demand for practices remains strong, but average price growth diminishes
New co-ownership model continues to thrive and provide alternative
INDUSTRY STRUCTURE
Investor demand for practices remains strong, although average price growth diminishes
ADG and IHPN enter partnership
Market share
Figure 22: Number of UK dental practices, 2018, by corporate operator and ownership, (number)
Recent M&A activity
Sector structure
Figure 23: Analysis of changes in the structure of the dental practice sector, 2014-2018, (number of companies and practices)
Figure 24: Analysis of the employment structure of the dental practice sector, 2017-2018, (total employees and number of companies)
Figure 25: Analysis of the financial structure of the dental practice sector, 2017 and 2018, (£000 and number of companies)
COMPETITIVE STRATEGIES
New co-ownership model continues to thrive and provide alternative
Mydentist partners with Philips Sonicare and Superdrug to launch dental health campaign
COMPANY PROFILES
BUPA Dental Care
Figure 26: Financial analysis of Bupa Dental Care, 2013-2017, (£ million)
Colosseum Dental Services (formerly known as Southern Dental)
Figure 27: Financial analysis of Colosseum Dental Services, 2014-2017*, (£ million)
DPAS
Figure 28: Financial analysis of DPAS, 2013-2017, (£000)
Mydentist (formerly IDH Group)
Figure 29: Financial analysis of Turnstone Equityco 1, 2014-2018, (£ million)
Figure 30: Financial analysis of Whitecross Dental Care, 2014-2018, (£ 000)
Figure 31: Financial analysis of Petrie Tucker and Partners, 2014-2018, (£ million)
Figure 32: Financial analysis of Orthoworld 2000, 2014-2018, (£ million)
Practice Plan
Figure 33: Financial analysis of Practice Plan, 2013-2017, (£ million)
Rodericks Dental Limited
Figure 34: Financial analysis of Rodericks, 2014-2018, (£ million)
Simplyhealth Professionals (formerly Denplan)
Figure 35: Financial analysis of Simplyhealth Professionals, 2014-2018, (£ million)
THE CONSUMER – WHAT YOU NEED TO KNOW
Almost half of people have never used a private healthcare service
Seven-in-10 ‘self-fund’ dental treatment
People are most satisfied with appointment duration
LAST DENTAL APPOINTMENT
Almost half of people have never visited a private dentist
Figure 36: Last dental appointment, by time of last appointment and service type, April 2019, (% of respondents)
Likelihood of most recent NHS visit rises with age, but peaks at between 25 and 44 years old for most recent private visit
Figure 37: Last NHS dental appointment, by time of last appointment and by age and gender, April 2019, (% of respondents)
Figure 38: Last private dental appointment, by time of last appointment and by age and gender, April 2019, (% of respondents)
DENTAL PAYMENT
Seven-in-10 ‘self-fund’ dental treatment
Figure 39: Dental payment, April 2019, (% of respondents)
Over-65s twice as likely to self-fund than 16 to 24 year olds
Figure 40: Dental payment, by age and gender, April 2019, (% of respondents)
Self-funding of NHS treatment has risen over time with a decline in the proportion of free treatment…
Figure 41: Dental payment, by time of last NHS visit, April 2019, (% of respondents)
… whilst self-funding has declined in the private industry
Figure 42: Dental payment, by time of last private visit, April 2019, (% of respondents)
TYPE OF TREATMENT
Dental examination and check-up most common reason for treatment
Figure 43: Dental treatment, April 2019, (% of respondents)
Rise in check-ups and x-rays over the last year
Figure 44: Dental treatment, by time of last NHS visit, April 2019, (% of respondents)
Figure 45: Dental treatment, by time of last private visit, April 2019, (% of respondents)
SERVICE SATISFACTION
People are most satisfied with appointment duration
Figure 46: Dental service satisfaction, April 2019, (% of respondents)
BARRIERS TO DENTIST VISIT
Affordability still preventing dental visits
Figure 47: Barriers to visiting a dentist, April 2019, (% of respondents)
APPENDIX – DATA SOURCES, ABBREVIATIONS AND SUPPORTING INFORMATION
Abbreviations
Methodology
FURTHER SOURCES AND CONTACTS
Trade associations
Trade magazines
Trade events

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