Tariq Drabu Dentist Welcomes Latest GDC Tooth Whitening Prosecution

On 30 September 2013 Elaine Taylor-Valles, a beautician pleaded guilty at Preston Crown Court to the offence of unlawfully practising dentistry, namely tooth whitening contrary to sections 38 (1) and (2) of the Dentists Act 1984 and unlawfully carrying on the business of dentistry contrary to sections 41(1) and (1B) of the Dentists Act 1984.

She is the first person to be successfully prosecuted by the UK’s dental regulator, the General Dental Council (GDC), since the High Court upheld the view that tooth whitening is the practise of dentistry and should only be carried out by dentists, dental hygienists and dental therapists, working on prescription from a dentist.

Her case was brought to court by a patient who complained about the results of her tooth whitening.

I have said it before and I will repeat it again – why take chances with your health – have your teeth professionally whitened within a dental environment not by an unqualified unlicensed person.

Here at Langley Dental Practice we start our whitening prices from only £199 and that includes a consultation with a UK trained and qualified dentist – somebody who will always put your dental health and well being as their priority.

Call us on 01616432428 for more details. For more insight from myself, Tariq Drabu Dentist, be sure to follow me on Twitter @TariqJDrabu

Tariq Drabu On The NHS Failings

In April this year the government published the results from an NHS ‘Friends and Family Test’ which gave over 400,000 patients the opportunity to rate their hospital by providing feedback on whether or not they would recommend the hospital to a friend or family member.

However, the government’s flagship test has come under scrutiny after critics of the test have branded it ‘meaningless’ for a variety of reasons.

Sky News found that although Chase Farm Hospital, North London, was given a negative overall score on the test, the majority of people would have recommended it. When investigated further it was found that the reason behind this was due to votes only being counted as positive if the patient had stated they would “strongly agree” when asked if they would recommend the hospital. Votes where people had stated they would “agree” to recommend the hospital but “not strongly” were counted as neutral votes and therefore don’t count towards the positive rating.

Furthermore, it was found that in some cases wards were given negative ratings when only one patient had responded, meaning the test didn’t show a fair representation of the hospital overall. People have also criticised the test as it doesn’t state the reasons why patients are likely or unlikely to recommend a hospital, meaning their reasons for not recommending it could be due to a lack of car parking spaces, rather than poor care being given.

Although the tests don’t show exactly where the problems lie within the hospitals, the people behind the survey have said that getting figures every month will improve standards. Dr Tim Kelsey of the NHS Commissioning Board stated “This is how we’re going to drive an improvement in healthcare; it’s by listening to the patient on the ward and in the A&E department so that doctors and nurses on the front line can really focus on improvements in care”.

Despite criticisms, studies that look at patient care have previously revealed severe problems in certain NHS hospitals. Back in February a report regarding the care provided by Mid Staffordshire NHS Foundation Trust was published, which showed that patients were often neglected due to the Trust being preoccupied with cost cutting, targets and processes, which subsequently saw the Trust lose sight of its fundamental responsibility to provide safe care. The report, known as the Francis Report, also revealed a culture of failed management where poor medical practice was ignored and patient complaints were either dismissed or overlooked.

These findings were particular disturbing for me, Dr Tariq Drabu Dentist, to hear as I have formerly worked at Stafford Hospital in the oral surgery department back in 1987. I found the staff to be wonderful and very supportive, which is why I am devastated to hear that the high standards that I once witnessed have not  been maintained. I fundamentally believe in the ethos and values of the NHS and I am proud to be an NHS dentist in an area of high social deprivation and high needs. It is the high quality that myself and my staff have given patients over the last 15 years that has given my practice such a good reputation. As we are all registered with the GDC, The General Dental Council, we are committed to putting our patients’ needs first and offering quality, superb care. Because we are so dedicated to our patients we find it even more shocking that some members of the NHS at Stafford Hospital don’t share the same values that we do here at Langley Dental Group.

As the team leader, senior dentist and director of Langley Dental Group I always encourage an open and honest culture not just to my patients but also to my staff, where they should feel that they are always able to come forward without any fear of being judged, ignored or overlooked. Although there are currently doubts about the accuracy of the NHS Family and Friends Test, hopefully the results will eventually show us where the main problems in the NHS lie, in order for hospitals to be able to review the care they are offering patients and ultimately offer an outstanding, professional service, like the one here at Langley Dental Practice.

To keep up with all my latest news, be sure to follow me on twitter @TariqJDrabu

Dentist Tariq Drabu Talks About Recent GDC Standards Change

In June the GDC (General Dental Council) approved new standards for the Dental Team, which will replace the current Standards Guidance and accompanying statements. The new guidelines will come in to effect in September; however, the Scope of Practice isn’t included in these changes.

These standards aren’t just for the dentists, but for all members of the dental team, including dental nurses, dental hygienists, dental therapists, orthodontic therapists and dental technicians.

We are all registered with the GDC here at the Langley Dental Practice and fully support these new standards.There are nine principles that registered dental professionals must keep to at all times. Principles state what members of the dental team must do, as well as information being provided for extra things they could do to make the patients experience even better.

1.      Put patients’ interests first: Members of the dental team must listen to their patients, be honest with them and treat them with dignity and respect at all times. They must also treat patients in a hygienic and safe environment, putting a patient’s interests before their own or their colleagues.

2.      Communicate effectively with patients: Members of the dental team must recognise and promote a patient’s rights, as well as giving them the information they need in a way they can understand, in order for them to make informed decisions. The dental team are also responsible for giving patients clear information about costs.

3.      Obtain valid consent: Members of the dental team must have valid consent before starting a patient’s treatment, whilst also making sure the patient understands the decisions they are being asked to make. They also have the duty to make sure that patients consent remains valid throughout each stage of the treatment.

4.      Maintain and protect patients’ information: Members of the dental team must keep accurate and up to date records, whilst making sure they protect the confidentiality of the patient. They must also offer the patient access to the information they hold about them and only release information to third parties without the patient’s consent in exceptional circumstances.

5.      Have a clear and effective complaints procedure: Members of the dental team must respect a patient’s right to complaint, making sure there is an effective complaints procedure readily available for patients to use. They must also provide patients with a prompt and constructive response when a complaint has been made.

6.      Work with colleagues in a way that is in patients’ best interests: Work effectively with your colleagues, contribute to good teamwork, as well as communicating clearly and effectively with team members and colleagues at all times.

7.      Maintain, develop and work within your professional knowledge and skills: Provide good quality care, whilst working within your knowledge skills, professional competence and abilities.


8.      Raise concerns if patients are at risk: Always put a patient’s safety first and act promptly if a patient or colleague is at risk, taking necessary measures to protect them.

9.      Make sure your personal behaviour maintains patients’ confidence in you and the dental profession: Protect patients and colleagues from risks posed by your health, conduct or performance and inform the GDC if you are subject to any criminal proceedings.

These principles are not listed in order of priority, as they are all equally as important and failure to follow them may result in a member of the dental team being removed from the GDC’s register. For more information on these principles visit the GDC’s official website: http://www.gdc-uk.org/Dentalprofessionals/Standards/Pages/standards.aspx


Tariq Drabu Dentist Takes On Extra Commitments

Just thought I would share a PR piece that a colleague has written about my latest work, just to explain why things might get a little bit quiet over the next month;

Dr Tariq Drabu will be doubling his work commitment at UCLan Dental Clinic in Preston this August.

The announcement comes just a year after he was first appointed to a senior specialist teaching position at the brand new University of CentralLancashire (UCLan) Dental Clinic in Preston.

Tariq Drabu is responsible for leading the specialist oral surgery services at the UCLan Dental Clinic, a £1.3m state-of-the-art facility , which provides much needed services for local people as well as staff and students of the university. The clinic boasts four general dental clinics, and a 10 chair training bay, making it one of the few universities in the country, other than specialist dedicated medical centres, to offer facilities such as recovery rooms and training suites.

Dr Drabu will now work two days a week at the clinic, following an increase in patient numbers due to the clinic undertaking some contractual work from Blackpool Hospital, where patients are now being referred to UCLan Dental Clinic for assessment and treatment.

The role at the university is not the first time that he has worked in a university teaching environment with having been a senior teaching fellow in oral and maxillofacial surgery at Manchester Dental Hospital between 2001 and 2009.  Whilst at the dental hospital he was responsible for the teaching, lecturing and supervision of dentists on the University of Manchesters Masters program in oral and maxillofacial surgery

Tariq Drabu will be balancing the work alongside his other work commitments, which include running his own successful dental practice, the Langley Dental Practice, which has expanded its patient base from around 1500 in 1998 to around 15000 now. He is also the clinical lead for NHS Heywood Middleton and Rochdale and NHS Oldham primary care minor oral surgery services.

Search Tariq Drabu Twitter on Google for more updates or alternatively follow him, @TariqDrabu65

Tariq Drabu Highlights Illegal Dentistry

Illegal dentistry that is a topic that has been coming up quite regularly lately, and one that I feel falls fairly close into the realms of the illegal teeth whitening practice that I have previously touched upon. You only have to look at the General Dental Council’s (GDC) newsfeed and youll no doubt find mention of illegal Dentists being prosecuted for various acts.

What is meant by an illegal dentist? These are most often individuals that have taken it upon themselves to conduct dental procedures without a dental license, the right equipment or in extreme cases, the appropriate training. Needless to say, its a terrifying thought

The most recent cases to be brought to light involve “practitioners” in Wirral and Surrey, both of whom were operating dental clinics without the relevant licensing, with one of the offenders never having registered with the GDC in the first place.

Just to highlight a fundamental point made by the GDC in both cases; By law all dentists, dental nurses, dental technicians, clinical dental technicians, dental hygienists, dental therapists and orthodontic therapists must be registered with the GDC to work in the UK. This is to ensure only appropriately qualified and skilled dental professionals are part of the dental team looking after patients.

The fact that there are members of the medical community that are openly breaking the trust that the general public place in medical practitioners not only worries me, but also astounds me. In some extreme cases, these medical rogues that are looking to save money could potentially be putting lives at risk.

Needless to say, this is a topic that I feel very strongly about and fully support the decision of the GDC to take up prosecution proceedings. At the Langley Dental Practice all our staff are GDC registered and have been for many years. Trust and care are just two of the things that should precede all other motives to work in such roles in any medical field.
Regards, Tariq Drabu

Tariq Drabu Dentist Supports GDC On Teeth Whitening Ruling

Here is another piece I feel my followers may well be interested in as it directly involves topics I have spoken out on before.

Dr Tariq Drabu Dentist Supports Vote For Teeth Whitening Ruling

Where as many see teeth whitening as a simple procedure designed to boost people’s self-esteem and provide them with pearly white teeth, there is a lot more to it than that.

In recent years the desire to have whiter teeth has increased, which has sparked interest amongst non dental professionals such as beauticians and hairdressers who are experienced in working on people’s appearance. For them it is seen as an additional revenue stream in difficult economic times. However, although they may have experience carrying out procedures that enhance a person’s look, The General Dental Council, the organisation that regulates dental professionals in the UK, has concluded, with the backing of the law, that teeth whitening is a form of dentistry and therefore should only be carried out by a registered dentist, dental hygienist or dental therapist.

Teeth whitening includes the use of different agents, such as carbamide peroxide or hydrogen peroxide, that need to be closely monitored to ensure a person is not put at risk during the procedure. Dental professionals, such as Tariq Drabu Dentist, have the necessary skills, training and knowledge to ensure they do not put at risk their patient’s oral health and well being. However, with beauticians not being specifically trained in dentistry there is a danger that they may use chemicals such as chlorine dioxide, which have been proven to dissolve enamel.  There is also a danger that any mouth guard provided by non dental professionals may not fit properly, which can cause the whitening solution to leak out and blister the gums and cause sensitivity.

Although there was previously some possible ambiguity in place regarding who could carry out whitening  procedures, in a recent ruling by the High Court it was said that tooth-whitening is a treatment performed by dentists and therefore constituted the practice of dentistry under the Dentists Act 1984. Summarising that a person not qualified as a dentist should be prohibited from providing the treatment.

The ruling came after Lorna Jamous, a beautician who previously carried out teeth whitening procedures, was prosecuted for practising dentistry, as she was neither a qualified dentist or registered with the GDC (The General Dental Council).

The High Court held that:

1. Teeth whitening constituted the practice of dentistry and therefore a non-dentist was prohibited from providing it by section 38 and section 41 of the Dentists Act 1984; and

2. The general public had to be protected from receiving treatment from those not qualified to give it. It was not relevant whether it could also be performed in a domestic context. When a parent brushed a child’s teeth, he or she was not providing treatment to the child and was not practicing a profession.

Dr Tariq Drabu commented on the matter, stating I am very much against non dental professionals such as hairdressers and beauticians offering teeth whitening as I do not feel it is safe or an ethical practice. I also feel that the beauticians and hairdressers misrepresent us by saying that dentists charge a fortune, which is untrue. Here at Langley Dental Practice we are charging just £199 for upper & lower arch teeth whitening.”

Following the ruling, the High Court stated that now only dentists, dental hygienists and dental therapists (working to the prescription of a dentist) are allowed to carry out tooth whitening.

Search Tariq Drabu Twitter on Google for more updates or alternatively follow him, @TariqJDrabu



Tariq Drabu Staff Take Home Award

 It is a proud day for any employer when a member of your team is praised for their work by a member of the public. It is an even prouder day when a member of your team is recognised and honoured in a public display by fellow professionals for their efforts to the profession I have held dearly for the past 27 years.With a great sense  of pride  I am delighted to  announce that one of our dental nurse cadets took home an award at the recent regional Cadet Annual Award Ceremony held in Manchester this past week.

Sarah Gorman was presented the award for being the best cadet from the Manchester Dental School for the 2012/2013 intake.Having worked with myself, Tariq Drabu, and the other staff at the Langley Dental Practice over the past 12 months.We are all truly humbled to have Sarah recognised for the outstanding thought and care that she clearly puts into all of her efforts at the practice.I personally feel that such awards should also stand as a testament to other practicing nurses and dental experts in our medical profession. After all, it is nurses like Sarah that will be the next generation of staff that help deliver vital treatment for years to come.

As medical practitioners, there is a certain level of expertise and care that the general public expect members of our profession to provide. If we are able to set and maintain a high standard of expectations amongst our practicing nurses and dental staff early on in their studies, then surely this will help maintain even higher standards for years to come. It is certainly food for thought.

In my many years I have heard quite a few  horror stories from members of the public that  have faced rude or brash staff at various hospitals and clinics throughout the UK. To me, this is simply unacceptable and it is staff like Sarah that gives me hope for the future.

Thank you for all your hard work over the past months, Sarah. It is truly appreciated!

Dr Tariq Drabu Affair Around Whitening Update

It is time for the government to redouble its efforts to prosecute illegal teeth whitening providers. This is in light of the recent English Department of Health review of cosmetic practice published on April 24th 2013 which was highly critical of some of the standards in the cosmetic medicine industry. The report is entitled the “Review of the Regulation of Cosmetic Interventions”.

In 2012 there was a successful prosecution and jailing of an illegal teeth whitening trader. Barrington Armstrong-Thorpe was given a 16 month jail sentence by a judge at Chelmsford Crown Court for illegally selling teeth whitening products.

We are living in austere times and many people are looking at ways of maximising or supplementing their income. It is easy to go on to the internet where you can find lots of companies offering franchise opportunities for teeth whitening or sales opportunities for teeth whitening products and on the surface this can seem like a perfectly legitimate way of making extra money. In the case of Mr Armstrong Thorpe it was deemed to be illegal and I am therefore pleased that the law has finally caught up with him. The government needs to move to the next level following its review of cosmetic practice and aggressively and actively prosecute illegal tooth whitening traders.

There has been a lot of guidance recently about teeth whitening which should hopefully give some clarity around the whole situation. Firstly the General Dental Council (GDC), the organisation which regulates dental professionals and is responsible for protecting the UK public clearly states that applying materials to teeth and carrying out procedures that are supposed to improve the appearance of teeth and also giving clinical advice about these matters is actually the practice of dentistry. The GDC state that this should only be undertaken by dentists or dental hygienists/therapists working to a dentist’s prescription. I support the GDC in its view that the carrying out of dentistry by individuals not registered with them is a criminal offence. This is not about dentists having a monopoly it is about the protection of the public. Good teeth whitening is not just about price. It is about safety, standards and quality.

The most recent important piece of legislation from the government is the Cosmetic Product (Safety) (Amendment) Regulations 2012. A link to the document is here. This came into force on 31st October 2012. From 31 October 2012 the government has basically fallen into line with a directive issued by the EU.

This means that:

1.    Products containing more than 0.1% hydrogen peroxide cannot be provided direct to the consumers or public.

2.    Products containing between 0.1% and 6% hydrogen peroxide can only be sold to dental practitioners.

3.    These products can only be made available to patients following an examination – by definition that would be a clinical procedure which would have to be undertaken by a dentist. The first session of whitening treatment should be provided by a dentist, or by a hygienist or therapist under supervision of a dentist after which they can be provided to the patient to complete the cycle of use.

4.    Products containing between 0.1% and 6% hydrogen peroxide should not be used on under 18s.

5.    Products containing over 6% hydrogen peroxide are illegal to use.


Some dentists as an alternative to hydrogen peroxide are using carbamide peroxide and 6% hydrogen peroxide equates to just over 16% of carbamide peroxide.

Many so-called teeth whitening clinics are using products such as chlorine dioxide and sodium perborate. These are not appropriate products for teeth whitening and have strong and serious question marks around safety attached to them. So with so-called teeth whitening clinics, what we are effectively talking about a group of people who are not only illegally practising dentistry, but also selling products that are dangerous for health to a public that is unsuspecting and is looking for what they think is a cheap bargain. Why on earth would people want to compromise their health in this way by using organisations and companies that are providing a service that does not fall within any recognised framework of regulation or scrutiny?

I and my team at Langley Dental Practice, Middleton, Manchester have been offering safe, effective and legal teeth whitening for over 10 years with superb results. I am very critical of the misleading advertising tactics that some of the franchising teeth whitening companies are using to scare patients away from dental practices. The so-called cosmetic teeth whitening companies try and put forward the myth of greedy dentists ripping off the public claiming that we want to charge anything between £350 and £700 for whitening. Here at Langley Dental Practice we start our teeth whitening prices at just £199 for both upper and lower teeth and this includes a full detailed consultation with an experienced British educated, qualified and trained dentist, somebody who is skilled in the art and science of looking after your teeth – not a “cosmetic technician” or “beauty therapist” or even worse somebody working out of the back of a van who comes to your home.

I welcome the fact that there is now greater clarity around the issue of teeth whitening and also that illegal teeth whiteners are now being prosecuted. The government review of cosmetic practice should be a wake up call for all those concerned about illegal and poor practice whether in medicine or dentistry. Everybody is looking for value for money these days but why put a price on your health and take unnecessary risks?

Dr Tariq Drabu Affairs Around Cosmetic Practice

The time has come for better and effective regulation of non surgical cosmetic treatments such as Botox and dermal fillers. This follows the publication of a report published on 24 April by the Department of Health in England. The report is entitled the “Review of the Regulation of Cosmetic Interventions”. The Department of Health reporting group was asked to review regulation in the cosmetic interventions sector following the PIP breast implant scandal which revealed serious lapses in product quality, after care and record keeping. I was astounded to read that the report also draws attention to widespread use of misleading advertising, inappropriate marketing and unsafe practices right across the sector. The report points highlights that cosmetic interventions are a booming business in the UK, worth £2.3 billion in 2010, and estimated to rise to £3.6 billion by 2015. They can either be surgical – such as face-lifts, tummy tucks and breast implants – or non-surgical – typically dermal fillers, Botox or the use of laser or intense pulsed light (IPL). These latter account for nine out of ten procedures and 75% of the market value.

The report authors were surprised to discover that non-surgical interventions, which can have major and irreversible adverse impacts on health and wellbeing, are almost entirely unregulated. The report highlights that a person having a non-surgical cosmetic intervention has no more protection and redress than someone buying a ballpoint pen or a toothbrush. This type of finding points to an industry that is out of control with no regulatory input where everybody and anybody with minimal training can set themselves up to provide services. The industry is glamourised by the media who fail to discriminate between legitimately trained and ethical practitioners with a scientific background and operators who are just cashing in.

As a concerned, responsible and ethical practitioner I support the key recommendations of the report namely:

  • The scope of the EU Medical Devices Directive should be extended to include all cosmetic implants including dermal fillers, UK legislation should be introduced to enact the changes sooner. Legislation should be introduced to classify fillers as a prescription-only medical device.
  • All those performing cosmetic interventions must be registered.
  • The Health Education England’s (HEE’s) mandate should include the development of appropriate accredited qualifications for providers of non-surgical interventions and it should determine accreditation requirements for the various professional groups. This work should be completed in 2013.
  • Surgical providers should provide both the person undergoing a procedure and their GP with proper records.
  • A breast implant registry should be established within the next 12 months and extended to other cosmetic devices as soon as possible, to provide better monitoring of patient outcomes and device safety.

Regrettably for some people nonsurgical cosmetic treatment is not seen as a medical procedure. This has led to events such as Botox parties where non-qualified non-trained members of the public can inject other members of the public with a drug and a chemical with no regulation, license or inspection. This is a situation that has to be stopped and cannot continue for safety of the public. This is not about cost and any arguments that are put forward to advance that are missing the point. This is simply about public safety.

We have looked at the regulation of these procedures. If you are working in an unregulated environment where you do not have to worry about hygiene, safety, inspections and regulations you will be able to provide this procedure at a cheap cost. There are no issues of training or continuing professional development or education involved. In this way you are putting your health at risk and those people who administer these treatments they are a danger to the public and must be stopped. I am not saying that doctors and dentists provide these treatments cheaper. However at least you know that you will be treated in a safe, clean, hygienic environment to the highest standards by a professional whose job is to put your safety above all else. I continue to support the position that only trained doctors, dentists and nurses should provide nonsurgical cosmetic treatments.

I and my team at Langley Dental Practice, Middleton, Manchester have been offering treatments such wrinkle smoothing and dermal fillers for almost 10 years with excellent results. We also offer tooth whitening administered by UK trained and qualified dentists from only £199. Currently non-surgical procedures such as laser treatments or injectables can be administered by people with no healthcare qualifications whatsoever. I was quite astounded when I read that you do not need to be medically trained to administer these types of procedure. Regulation of these procedures is important and I hope that the government will act swiftly and decisively.

Tariq Drabu Dental Foundation 2013 Funding Shortfall Again

Recently I gave full backing to an e-petition on the HM Government website launched to guarantee funding or places for all new graduate foundation dentists. The details of the petition which already has over 3000 signatures can be seen here. http://epetitions.direct.gov.uk/petitions/4030

All new dental graduates are supposed to be given a training place in a practice in the first year after graduation. In fact a few years ago in response to a shortage of NHS dentists, the government created an additional 77 new dental places by opening two new dental schools, UCLAN and Peninsula. However last year 35 new graduate dentists ended up without a training place job. I cannot imagine how desperately demoralising and shattering this experience must have been for these new graduate dentists. 

In 2005 the Chief Dental Officer giving evidence to the Public Accounts Committee of the House of Commons stated that it cost the taxpayer around £250,000 to train each student dentist. That was seven years ago. Last year we had 35 dentists unfunded. If you add that all up in today’s money, that makes a figure of £9 million wasted last year with 35 unemployed dental graduates – a frightening sum. On top of that these students are leaving universities with levels of debt approaching £50,000. If last year’s state of affairs is duplicated it will be heartbreaking for new graduate dentists and a waste of time and money for the taxpayer. Because completion of Dental Foundation Training is a prerequisite for newly-qualified dentists wishing to provide NHS care, these individuals will be disqualified from caring for NHS patients.That surely cannot make sense.

Here at Langley Dental Practice we have been a training practice for seven of the past eight years. It is one of the most rewarding experiences that we get in dentistry to watch and train a new graduate and see them mature over a 12 month period of training and mentoring into a competent caring associate able to practice independently. I feel that by signing this petition I am showing that what has happened this year is unacceptable because the government has squandered taxpayers’ money and betrayed those who have strived hard to pursue a career providing NHS dental care. 

I was a nominated finalist in the Dental Defence Union “Trainer of the Year” award in 2007 for my efforts in training and mentoring newly qualified dentists. Trying to find your first job in the run up to your final dental examinations must be an extremely stressful experience. To go through a difficult complicated application procedure and rigorous interview process, only not to be allocated a place must be extremely demoralising and distressing. To make matters worse we now have a large influx of new European Union graduates where the economy has hit a downturn who do not even have to do foundation training yet some of them have actually got places on the foundation training scheme.

We know that the government has to make cutbacks and that we live in an era where difficult choices have to be made. However it is a crazy state of affairs that the NHS invests £250,000 in training a new dentist only for that dentist not to be able to find a job within the NHS. I support this e-petition for full funding for foundation dental places and I urge the government to make sufficient funds available for all dental foundation training places as a matter of priority.