Key Points
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Retaining and Returning Advisers (RRAs) have become well-established dental educators in postgraduate dental deaneries across England.
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RRAs provide advice and educational support for a range of dental practitioners.
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RRAs are well-placed to respond to future workforce and educational priorities.
Abstract
Introduction Retaining and Returning Advisers (RRAs) were appointed to postgraduate dental deaneries in England in 2002 as part of the Government's strategy to retain the dental workforce and support return to practice following a career break. The study aimed to review RRAs' activities and consider the overall success of the RRA initiative five years from inception (2007).
Design and methods A case study design, conducted in three phases, drawing on qualitative data. In Phase 1, semi-structured interviews were held with all RRAs in England (n = 12). Phase 2 involved an electronic survey of all 12 postgraduate dental deans in England (n = 10). In Phase 3, analysis was undertaken and a final report prepared.
Results RRAs have been flexible in responding to the changing policy context, and devolved funding for the role to the local, deanery level. They have adapted to support more diverse target groups including those seeking vocational training equivalence and underperforming dentists. Future priorities were envisaged to be associated with primary care trusts' commissioning and quality assurance responsibilities, and supporting all members of the dental team.
Conclusion RRAs have become well-established in deaneries and have made a successful contribution to addressing workforce and educational needs for a diverse group of practitioners.
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References
Department of Health. Modernising NHS dentistry – implementing the NHS plan. London: Department of Health, 2000.
Department of Health. The operating framework for the NHS in England 2010/2011. London: Department of Health, 2009.
Department of Health. The International Recruitment Project – recruiting dentists from Poland. London: Department of Health, 2004.
Department of Health. More dentists now, more dentists later. Press Release. Available from http://www.dh.gov.uk. Accessed 25 May 2010.
NHS Primary Care Contracting and Department of Health. Primary care and community services: improving dental access, quality and oral health. London: Department of Health, 2009.
NHS Primary Care Contracting. Dental access programme. http://www.pcc.nhs.uk/dentalaccess. Accessed 25 May 2010.
Seward M. Better opportunities for women dentists. London: Department of Health, 2001.
Firmstone V, Bullock A D, Bedward J, Frame J . An evaluation of the effectiveness of the Retaining and Returning Initiative in England. Birmingham: University of Birmingham Press, 2004.
Firmstone V, Bullock A D, Frame J, Bedward J . Supporting return to dentistry: a national evaluation of the Retaining and Returning Advisory Service. Br Dent J 2007; 203: 413–417.
Department of Health. Implementing local commissioning for primary care dentistry. Factsheet 15: Keeping in Touch Scheme for dentists (KITS). London: Department of Health, 2006.
Department of Health. NHS dentistry: delivering change. Report by the Chief Dental Officer (England). London: Department of Health, 2004.
HM Government. The Dental Auxiliaries (Amendment) Regulation 2002. London: The Stationery Office, 2002.
General Dental Council. Extended duties for dental hygienists and dental therapists. Press release. London: General Dental Council, 2002.
Department of Health. NHS dentistry: options for change. London: Department of Health, 2002.
HM Government. The National Health Service (Performers Lists) Amendment Regulations. London: The Stationery Office, 2005.
Department of Health. Equity and excellence: liberating the NHS. London: Department of Health, 2010.
Davies-Slowik J, Firmstone V, Bullock A, Frame J . Retaining and Returning Advisers in England: a review of their first five years in supporting the dental workforce. Birmingham: University of Birmingham Press, 2008.
Coffey A, Atkinson P . Making sense of qualitative data. London: Sage, 1996.
Review Body on Doctors' and Dentists' Remuneration. Thirty-Ninth Report. Norwich: The Stationery Office, 2010.
Review Body on Doctors' and Dentists' Remuneration. Thirty-Eighth Report. Norwich: The Stationery Office, 2009.
Mathewson H, Rudkin D . The GDC – lifting the lid. Part 4: fitness to practise. Br Dent J 2008; 205: 95–99.
Department of Health. New dental contract pilot proposals to be published in December. Press release. London: Department of Health, 2010.
Acknowledgements
We, the research team, would like to express our gratitude to Dame Margaret Seward for stimulating and supporting our interest in evaluating the RRA initiative. We acknowledge and thank the NHS West Midlands Workforce Deanery for funding this evaluation study. However, the views and opinions expressed are the authors' and do not necessarily reflect those of the funder. We also wish to thank the Retaining and Returning Advisers and the Postgraduate Dental Deans for their willingness to be interviewed and respond to surveys. Finally, particular acknowledgement is extended to Professor Alison Bullock for her leadership and support in the completion of this research and for her invaluable comments on earlier drafts of this paper.
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Davies-Slowik, J., Firmstone, V. & Frame, J. Educational support for the dental workforce: a review of the first five years of Retaining and Returning Advisers in England. Br Dent J 210, E6 (2011). https://doi.org/10.1038/sj.bdj.2011.197
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DOI: https://doi.org/10.1038/sj.bdj.2011.197


