ANNUAL REPORT 2013
Irish Dental Association 2013
Sub Committees
Board of Directors
Head Office
President Dr Sean Malone
Chief Executive Officer
Accreditation Annual Conference
Fintan Hourihan
CED
Elaine Hughes Vice President Dr Andrew Bolas
CPD
Honorary Secretary Designate Dr Maher Kemmoona
Assistant Chief Executive Clare Dowling**
JIDA
Employment/Communications Officer President-Elect Dr Peter Gannon
Honorary Membership Officer Dr Ryan Hennessy
Honorary Secretary Dr Mark Condon
GP Group Rep Dr James Turner
Membership
Mena Sherlock Personal Assistant to CEO
Public Relations
Eileen Greene
Quality & Patient Safety Scientific
Accounts/Admin Mary Graham Reception/Admin
Honorary Treasurer Dr Nuala Carney
HSE Dental Surgeons Rep Pardraig Halvey*
Fionnuala O’Brien JIDA Co-Ordinator and Admin Assistant Dario Gioe Marketing and Events Admin
Council of the Irish Dental Union President Dr Sean Malone
Honorary Membership Officer Dr Ryan Hennessy
Orthodontic Group Rep Dr Ronan Perry
South Eastern Branch Rep Dr Eimear Norton
Vice President Dr Andrew Bolas
JIDA Rep Dr Seamus Sharkey
Elected Members Dr Gillian Smith Dr Saoirse O’Toole
Western Branch Rep Dr Peter Gannon
President Elect Dr Peter Gannon
CED Rep Dr Robin Foyle
Honorary Secretary Dr Mark Condon
GP Group Reps Dr James Turner Dr John Nolan
Honorary Sec. Designate Dr Maher Kemmoona
North Eastern Vacant
Metro Branch Reps Dr Adrian Loomes Dr Dermot Kavanagh
Eastern Vacant
Kerry Branch Rep Dr Rose-Marie Daly
HSE Dental Surgeons Group Dr Padraig Halvey
North Western Vacant
Munster Branch Rep Dr Maire Brennan
Honorary Treasurer Dr Nuala Carney
Midland Vacant
Union Branches Eastern
Metropolitan
Munster
North Munster
South Eastern
Kerry
Midland
North Eastern
North Western
Western
As of December 31, 2012 *Replaced by Dr Iseult Bouarroudj in 2014. **Replaced by Sarah Gill in 2014. Irish Dental Association
ANNUAL REPORT 2013
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Contents
MISSION STATEMENT The IRISH DENTAL ASSOCIATION exists to promote the advancement of the interests of the dental profession and promote the wellbeing of our country’s population through the attainment of optimum oral health.
President’s Report
4
Chief Executive’s Report
6
Honorary Secretary’s Report
18
Honorary Treasurer’s Report
20
Group Report
22
Committee Members
23
Committee Reports
24
Branch Reports
30
Financial Report
33
Motions for AGM
46
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Irish Dental Association
ANNUAL REPORT 2013
Irish Dental Association
ANNUAL REPORT 2013
4
President’s Report
I have had a very busy year as President of the Irish Dental
Our membership continues to grow, with a record total of over
Association. The main event was preparing our submission to
1,700 members at present. This is due to the excellent service
the Department of Health for the new Dental Act. I want to
provided by the Association, with financial advice, continuing
thank all the members who made suggestions, and also the
education, advocacy with the Government, and all our social
honorary officers and Council members who helped to
programmes. I want to pay tribute to all the hard working staff
prepare our submission. We had a consultation meeting with
in IDA House and our Honorary Officers, and Committee
the Department in March 2014, and we received some
members.
indications about what to expect. When the Bill reaches Committee stage, we will need to lobby intensively for
I attended the HSE conference in Mullingar , and was given a
amendments. The devil will be in the detail.
great welcome. I would like to congratulate the HSE group and their President Dr Iseult Bouarroudj for their excellent
I did a large number of interviews in print and on radio and
letter to The Irish Times highlighting the disgraceful neglect
television (fiú amháin as Gaeilge) putting forward the Irish
of this Government towards the country’s dental health. I
Dental Association's stance on water fluoridation in Ireland. I
notice that there was no reply, which says it all.
think this is very important, because apart from doing the right thing, it promotes the image of a caring profession, and
There were two new ideas commenced this year. One was our
that the Association supports robust science.
radio advertising campaign. Our campaign consisted of 30second slots, which we booked on Today FM and over 22 local
As part of another interview on the Last Word on Today FM, I
radio stations. My feeling is that it was worth trying, but that
explained how the Government has taken €100 million per
anything more comprehensive would be too expensive. We are
year from the PRSI and the HSE dental schemes in private
looking at other options, for example, targeted sponsorship.
practice each year since 2010. As the economy improves, we
Secondly we developed our strategy plan. This is a long-term
will need to fight our corner to restore the level of dental care
project, and it gives us a roadmap of where we want to be in
to the public to which it is entitled.
five years, so that we become proactive, rather that reactive.
An interesting development has been the takeover of Smiles
Finally, I want to thank again everybody who helped me during
Dental. I believe that the Association should aim to have
this year. I learned two things: take nothing personally, and
representatives from large chains such as Smiles as active
don't be afraid to ask for advice. These will stand me in good
members and not just from the traditional single-handed or
stead for the rest of my life. I am so glad that I got the
smaller practices; particularly those dentists who did not
opportunity to be your President, and I wouldn't have missed
qualify in Ireland. As the profile of our profession changes, so
it for the world.
also should this be reflected in our representatives and leaders within the Association, be they associates, employees of dental chains, foreign graduates, locums, or part-time
Beir bua,
dentists.
Another crucial issue has been the proposed new InfectionControl Guidelines from the Dental Council. The Irish Dental Association supports guidelines which protect the patient, and the dental team, but they must be financially workable. We sent a comprehensive submission again to the Dental Council, and we will have further discussions with the Council
Seán Malone
again in the near future.
President
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Irish Dental Association
ANNUAL REPORT 2013
Chief Executive’s Report
Advocacy Dental Bill
Clear lines to identify procedures that are to be carried out only by qualified dentists.
The IDA lodged a comprehensive submission to the
Extending the divisions of the specialist register to
Department of Health, which launched a public consultation
accommodate specialities recognised commonly in common
exercise in the summer of 2013.
law jurisdictions such as the US, Canada, the UK, Australia,
The Association emphasised its support for stronger
and New Zealand was also called for by the IDA. This would
safeguards for patients and the licensing of dental practices.
ultimately benefit the general public and offer a quality mark,
The inspection of dental practices should be carried out by
which gives transparency and peace of mind to the public.
the Dental Council.
Recognition of dental specialities encourages scientific
The Association believes that the Dental Council should be
advancement, promotes innovation and the highest standards
composed of an equal number of dentists and non-dentists,
of care, and rewards education and achievement, all of which
while there should be a majority of dentists on fitness-to-
serve to promote the highest standards of dentistry.
practice committees. The IDA also believes that dentists
Specialities should only be recognised within fields which
should not be identified at fitness-to-practice hearings until,
require unique knowledge and skills beyond those possessed
and unless, they are found to have committed sanctionable
by dental graduates and which assume a specified period of
offences.
post-graduate training or experience. This should not
While dentists support expanding the scope of practice for
undermine the entitlement of general dental practitioners to
hygienists, concern remains that there must be recognition
provide aspects of care which are provided by specialists,
of the fact that only qualified dentists are trained to provide
assuming they possess the necessary skills, expertise, and
the complete range of dental care and treatments. The role
experience.
of dentists and their primary role in undertaking full dental
In addition, the IDA called for a repeal of the existing ban on
examinations and prescribing x-rays needs to be properly
incorporation of practices, albeit with appropriate safeguards
understood and protected in the interests of patients and
for patients and ensuring that dental enterprises cannot deny
promoting better oral health. The distinction between direct
redress for patients by hiding behind a corporate mask. Special
access within the dental practice and independent practice
safeguards would have to be introduced where a non-dentist
was strongly emphasised by the IDA. Direct access within the
holds the controlling interest in dental practices.
practice alongside the dentist could only be supported where
The Association also called for an appropriate definition of
there are clear obligations to ensure dentists regularly
dentistry to be included in the new legislation, given the
examine patients.
dangers faced by non-qualified persons offering to take impressions, to provide tooth whitening and other treatments, which are more appropriately provided by dentists. The dangers associated with clinics that arrange examinations in hotels and other non-clinical settings before arranging treatment (or, very often, over-treatment) overseas, was also mentioned. In a similar vein, the IDA called for strong safeguards to be introduced to regulate advertising. The Association cited the criteria adopted by the American Dental Association in its Principles of Ethics and Code of Professional Opinion in regard to advertising by dentists. The legislation should enable the Dental Council to identify, regulate, and sanction registrants and corporate enterprises that engage in false or misleading advertising. Mandatory CPD regulated by the Dental Council was also strongly endorsed by the Association.
Irish Dental Association
ANNUAL REPORT 2013
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Chief Dental Officer appointed After many years of campaigning on this issue, we saw a welcome development in 2013, with the appointment of Dr Dympna Kavanagh as Chief Dental Officer. The need to fill this long-vacant position had been a priority for the Association in recent years. In recognition of the ongoing damage being done by the failure to fill this position, the Association joined with the Deans of the dental schools in Cork and Dublin, plus the RSCI Faculty of Dentistry, in combining to lobby for this position to be filled on a full-time basis, with appropriate seniority within the Department of Health and by open competition. Ultimately, the Department of Health decided to fill this position on a part-time basis by seconding Dr Dympna Kavanagh from her position as Oral Health Lead in the HSE for a three-year term of office. We look forward to working
Therefore, we call on the Dental Council to set aside the draft
closely with Dr Kavanagh in the years ahead.
as published and to engage in a proper and meaningful
Dr Dympna Kavanagh, Chief Dental Officer.
fashion with all stakeholders to review policy in a manner
Revised Dental Council Code of Conduct relating to
which can be justified according to risk and viability, and with
infection prevention and control
the aim of ultimately enhancing the oral health of the nation,
We prepared an extensive submission to the Dental Council
guided by appropriate quality and patient safety standards.
on proposed new infection-control standards.
Given the potential impact of what is being proposed, we
In regard to washer-disinfector units, we suggest instead
believe there is an onus on the Dental Council to produce
alternative levels of acceptable standards, which do not
evidence to support changes in existing policy, rather than on
assume universal use of washer-disinfectors.
stakeholders to show evidence to refute propositions
We take issue with the recommendation of a dedicated
unsupported by evidence.
decontamination room and suggest, as there is no compelling
There is a profound responsibility on policy makers, including
reason for such a recommendation, that this should be set
the Dental Council, to be fully cognisant of the impact on
aside.
patient attendance and oral health caused by increasing
Any recommendations in regard to blood-borne diseases
regulatory burden. They must also be aware of the
should await the publication of revised Department of Health
consequent onus on dental practices to pass on the costs of
guidance, while also taking account of revised guidance from
such extra operating requirements to patients and the
the GDC in regard to HIV-positive dentists.
inevitable impact on dental attendance and oral health.
We are supportive and committed to promoting the highest
We suggest that a full patient impact assessment (PIA) be
standard of infection prevention and control. Members
undertaken by the Dental Council before proceeding further.
support guidelines that are appropriate, clear, concise,
This should set any perceived risks, i.e., evidence-based risks,
enforceable, practical, financially viable, and evidence-based.
against the consequences of extra regulatory burden on
We are seriously concerned at the absence of any compelling
attendance and oral health gain.
evidence to demonstrate any level of risk necessitating such
A copy of our submission is available to view on our website.
radical changes or evidence, which supports the thrust of the changes being proposed. It is our belief that the only sure
IDA attends Oireachtas Committee hearing
result of implementing the changes proposed will be to
The Oireachtas Joint Committee on Health and Children has
further jeopardise the viability of dental practices, to force
unanimously supported a number of key recommendations
ensuing costs to be passed on to patients, and to seriously
from the Irish Dental Association to deal with the current
diminish the oral health of the nation as attendance dwindles.
crisis in oral health.
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Irish Dental Association
ANNUAL REPORT 2013
Deputy Caoimhghín Ó Caoláin (Sinn Féin) asked about orthodontic waiting lists in the north east, the eligibility criteria for orthodontic treatment, and raised questions in regard to the administration of the DTSS and delays in payments to dentists, as well as raising concerns on behalf of clinical dental technicians. Deputy Seamus Healy (Independent) raised concerns about difficulties in children being seen by the public service, as well as the guidelines for orthodontic care, the lack of a Chief Dental Officer, and the failure of the Department of Health and Children to respond to the Association’s proposals sent A number of submissions were made by the Association to the Department of Health. A recent delegation included, from left: Ms Sarah Gill; Drs Maher Kemmoona and Andrew Bolas; Mr Fintan Hourihan; Ms Elaine Hughes; Drs Sean Malone, Ryan Hennessy, Mark Condon and Ronan Perry.
in January 2012 regarding the replacement of the DTSS. The increasing incidence of oral cancer was raised by Deputy Denis Naughten (Independent). He also explained that there
The Association accepted an invitation to attend a meeting of
are currently 2,000 children awaiting treatment in the former
the Health Committee, which sought information on the
Western Health Board region and suggested that there are
impact of the cuts to the State dental schemes, as well as the
very different experiences and waiting lists for children on
reduced expenditure on HSE dental services. The Association
different sides of the same street, according to whether they
made a detailed submission and presentation to the
are in the previous Western Health Board or the Midland
Oireachtas committee hearing, which was then followed by
Health Board. He stated his great dissatisfaction at the lack
an extensive question and answer session. The Association’s
of attention being paid to this problem.
delegation comprised: Dr Andrew Bolas, President; Dr Peter
Senator Colm Burke (Fine Gael) queried how long the Chief
Gannon, Chair of the General Practitioner Group; Ms Clare
Dental Officer position has been vacant and also raised
Dowling, Employment and Communications Officer; and, Mr
concerns about the lack of health education programmes
Fintan Hourihan, Chief Executive.
relating to dental care here in Ireland.
The Committee unanimously supported writing to the
Deputy Mary Mitchell O’Connor (Fine Gael) raised questions
Minister for Health, Dr James Reilly, calling for the immediate
about value for money associated with orthodontic care and
appointment of a Chief Dental Officer. In addition, the
raised queries about the opening hours of dentists (she was
Committee unanimously supported a number of proposals
advised by the IDA that dentists offer significantly expanded
from the Association intended to deal with the current
opening hours and, in fact, the chairman Deputy Jerry
orthodontic
Buttimer expressed gratitude for being seen by his own
waiting
list
crisis.
The
Association’s
recommendations included diverting some of the €85 million
dentist at 8.00am that morning).
previously assigned to the Treatment Purchase Fund to deal
The savings associated with spending and dental care for
with the maxillofacial and orthodontic waiting lists, as well as
children, and thereby saving the State significant expenditure
restoring marginal tax rate relief for orthodontic and other
in later years, was raised by Deputy Robert Dowds (Labour),
specialist dental treatments and addressing the anomaly
who also raised questions about the cost of restoring the
whereby those without an income are unable to claim tax
scale and polish and in relation to the extent which dentists
relief for dental treatments. The Association also called on
advertised their fees.
additional funding to be made available to the dental schools
The good work of dentists in caring for children was
to train orthodontists and orthodontic therapists.
acknowledged by Deputy Catherine Byrne (Fine Gael), who also raised questions about orthodontic care and Mouth
Irish Dental Association
ANNUAL REPORT 2013
8
Questions from the Oireachtas Committee on Health
Cancer Awareness Day. She also commented on the
After the initial IDA presentation, a wide range of queries and
important role of parents as educators and sought
questions were put to the Association from members of the
information on the extent to which children miss
Oireachtas Health Committee.
appointments with dentists.
The difficulties in east Cork for children seeing HSE dental
January 2013
care was raised by Deputy Sandra McLellan (Sinn Féin), who
4 Dentists welcome new rules for tooth whitening and mouth
also raised questions about orthodontic care and reform of
guards and issue tips for better dental health in 2013.
the Public Dental Service.
4 Dentists issue new guidelines on mouth guards.
The low number of dentists in practice in Ireland was raised
February 2013
by Senator John Crown (Independent).
4 IDA briefs Minister with responsibility for primary care.
The Chair of the Committee, Deputy Jerry Buttimer (Fine
4 Dentists highlight potential breaches of new tooth-
Gael) explained that the Committee had received a large
whitening regulations.
volume of emails in regard to fluoridation and sought the
April 2013
views of the Association. Dr Andrew Bolas explained that the
4 Annual reports show another busy year for dental bodies.
Association was fully supportive of fluoridation and
4 Dental Complaints Resolution Service issues its first
highlighted a new (soon to be published) cross-border study,
Annual Report.
which shows significant variations in the level of decay among
4 Three out of four people here do not avail of free check ups.
15-year-olds in Donegal and Derry as testimony to the value
4 Dental Association urges HSE to give dentists key role in tobacco control strategy.
of fluoridation. At the end of the two-hour hearing, the Oireachtas Committee decided to invite the HSE to respond to some of the concerns
4 An estimated 100,000 Irish people suffer from sleep apnoea.
raised by the Association after Easter and also agreed to put
May 2013
dental health on its work programme for the new Dáil term.
4 IDA hosts meeting of Council of European Dentists.
The Chair, Deputy Buttimer thanked the Association for
July 2013
promptly accepting the invitation to attend and the
4 Dentists adopt consensus statement on benefits of
comprehensive
submission,
which
he
acknowledged
contained a significant number of solutions, as well as raising concerns and explaining the extent of the current oral health
fluoridation. 4 IDA calls on Minister to restore all essential preventive treatments.
problems. He concluded by noting that the Committee would
4 Dentists warn that oral piercings can lead to serious illness.
now write to the Minister for Health, supporting the proposals
August 2013
from the Association in regard to dealing with the waiting lists
4 Irish Dental Association makes 10 key recommendations
and also calling for the urgent appointment of a Chief Dental Officer.
for Budget 2014. September 2013 4 Mouth Cancer Awareness Day takes place on Wednesday,
Media coverage
September 18.
The Association issued a number of press releases during the
October 2013
year, which attracted significant media coverage. All of these
4 Minister for Primary Care to launch review of oral health
press releases can be viewed in the news section of the IDA website. Spokespeople for the Association also participated in a number of radio and print interviews on a range of topics throughout the year. We are very grateful to all who gave up their time to take part in these interviews.
care policy at IDA seminar. 4 IDA’s Budget 2014 response: successive governments have removed €400m in dental supports from the general public since 2010. 4 Public dental service failing school children, special needs patients, and teenagers. November 2013
Submissions In addition to representations made to the Department of
4 Irish Dental Association seeks Employment/Communications Officer.
Health in relation to the Dental Bill and to the Dental Council
December 2013
in regard to infection control guidelines, the IDA made a
4 HSE Service Plan 2014.
number of other submissions during the year.
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Irish Dental Association
ANNUAL REPORT 2013
All of these submissions are available to view on the IDA
The purpose of the gathering was to build a coalition of
website.
opinion leaders, tasked with formulating an agreed set of
n Submission re DTSS fees part of consultation under the
priorities for presentation to Government addressing the oral
FEMPI Act 2009 (Jan 2013). n Submission to Joint Committee on Health and Children (March 2013). n Submission for Budget 2014.
health needs of the nation, developing the potential of the dental professions and identifying the key requirements for new models of dental care. Concise briefing material was prepared and circulated in advance for consideration by all attendees. A professional
National Oral Health Forum
rapporteur assisted Professor Steele and the steering group
A major initiative launched in 2013 saw the launch of the
to draft a report reflecting the views of the attendees.
first ever National Oral Health Forum. The forum was
It was hoped to see the final report published early in 2014
organised by the IDA and the Deans of the Dublin and Cork
and this would be followed by a series of meetings with the
dental schools and the RCSI Faculty of Dentistry.
Department of Health and other important decision makers
The invitation to almost 20 different stakeholders stated that
and opinion leaders.
it is universally acknowledged that a vision for oral health for
The forum marked a decisive step forward in assembling the
Ireland is long overdue and that, in these rapidly changing
various branches of the profession to speak with a united,
times, we need to take ownership of moving this agenda on.
stronger, and louder voice and we hope to see this initiative
The steering group of the new Oral Health Forum wished to
develop further in the years ahead. Particular thanks are
see an action plan developed, which would have broad
owed to our partners on the organising committee, especially
support across the profession in Ireland.
Professor June Nunn, who also made the DDUH meeting
A day-long summit of dental leaders took place in Dublin
rooms available for the inaugural summit meeting.
Dental University Hospital on November 21, 2013. Following an opening address by the Secretary General of the Department of Health, Dr Ambrose McLoughlin, the Chief Dental Officer, Dr Dympna Kavanagh, addressed the meeting. Professor Jimmy Steele facilitated the event, which featured three keynote speakers, followed by intensive engagement by all the attendees and, ultimately, the preparation of a consensus statement.
Oral Health Forum steering committee members, from left: Prof. June Nunn, Dean of the Dublin Dental University Hospital; IDA CEO Fintan Hourihan; Prof. Martin Kinirons, Dean of the Cork University Dental School and Hospital; and, Prof. Gerry Kearns, Dean of the Faculty of Dentistry, RCSI. Irish Dental Association
ANNUAL REPORT 2013
10
Scientific/Education/MCAD Journal Despite intense competition for advertising, the Journal of the Irish Dental Association remains the dominant publication for dentists in Ireland. A survey of members of the Association has proved the dominance of the Journal in the Irish market for dental publications. A representative sample (175 dentists) answered several questions about dental publications and readership. The sample was demographically representative in all ways: geography, gender, age, etc.
Completely dominant in Ireland Of those who responded to the survey, 64% chose the Journal as their preferred dental publication. Of the other publications, the next closest was Dental Update, which is the preference of 9%; while 7.5% prefer the British Dental Journal. A similar number (7.5%) chose Irish Dentistry, while 1.5% chose Ireland’s Dental. When excluding Dental Update and the
Online vs print
BDJ, the Journal is the choice of approximately 85% of Irish
The majority of readers prefer to read the Journal in printed
dentists. This tallies with previous surveys, most notably that
format, but other findings suggest that some readers would
carried out for Omega Financial Management in November
prefer to receive soft copies. We are also aware that meeting
2011. Therefore, the Journal of the Irish Dental Association is
CPD demands will also require greater online access to the
the overwhelming favourite of Irish dentists.
Journal and demand further innovations, which the
The Journal of the Irish Dental Association is now the dominant publication for dentists in Ireland.
Association is committed to deliver to help IDA members
Getting the publications?
exclusively.
Every respondent to the survey (100%) was in receipt of every edition of the Journal. Only 63.8% reported receiving Irish
Message to marketing managers
Dentistry, while a mere 31.9% reported receiving Ireland’s Dental.
Cheaper doesn’t always mean good value. And promotions are not always what they seem. Awards presented to those
Getting the message
who nominate themselves and pay for consideration hardly
The dominance of the Journal was confirmed by the question:
carry the same credibility as our own award of Ireland’s Most
“Which title do you prefer specifically for: peer-reviewed
Sensitive Dentist, which is awarded by peers on the basis of
articles; news; interviews/features; practice management;
nominations received from patients themselves.
editorials, CPD; HR advice; social news/events; obituaries;
Spending valuable marketing funds on advertising in the other
and, classifieds?” The Journal was the first preference of the
titles doesn’t make sense – and just to add the icing on this
majority of readers for every category.
particular cake, 85% of respondents said that they actively
Interestingly, the majority of dentists not only chose the
support advertisers in the Journal.
Journal as the best place for peer-reviewed articles of
The message from this survey is clear: the only meaningful
relevance to them, but more than 50% also said that they
publication for Irish dentists is the Journal of the Irish Dental
would like to see more peer-reviewed content in the Journal.
Association. To those who already support the Journal, both
A whopping 90% said that they would use the publication to
commercially and editorially, we are very grateful. To those
gain verifiable CPD points for answering questions based on
who are yet to advertise with us, we hope the above will close
articles in the Journal, if that was made available.
the argument.
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Irish Dental Association
ANNUAL REPORT 2013
Quality and Patient Safety
Work in progress
The Quality and Patient Safety Committee was established in
Currently, the Committee is developing advice on the following
2009, with the purpose of helping IDA members achieve
topics:
compliance with the various regulations applicable to dental
4 data collection, usage, and protection;
practice and promote quality and safety for patients.
4 essentials of dental practice/dental practice inspections;
The Committee aims to ensure its advice is reasonable, practical, and based on the best available evidence. The
and, 4 safety statement for dental practices.
litmus test is that the advice can be applied in a standard dental surgery, without an unreasonable burden being placed
Website
on the practice, financial or otherwise.
Our website attracted significant numbers of visitors during
The advice is prepared following a review of international and
the year, reflecting an expansion in the range and volume of
national standards and is subject to in-depth assessment by
content. Preparations for a major overhaul of the website have
the Committee.
commenced and we hope to have significant improvements
The advice is coupled with audit tools to allow self-
made to the website in the coming year, enabling online CPD,
assessment and to support risk identification and
a learning management system, and greater interactivity for
management.
our Journal. The generous assistance of Drs Michael Crowe, Mark Kelly, and Maurice Fitzgerald in assisting Elaine and I
Work of the Committee
in developing the website is gratefully acknowledged.
Work completed
Twenty-nine countries were represented at the CED’s Dublin meeting, which took place in May.
So far, the Committee has developed advice in the following
CED meeting
areas:
It was a great honour to host the CED meeting in Dublin in
4 decontamination in dentistry;
2013 and it is particularly gratifying to report the unanimously
4 hand hygiene;
positive feedback from delegates for such a friendly and
4 emergency drugs and equipment;
professionally-organised event. Thanks in particular to Elaine
4 amalgam separation;
and our CED delegates (Drs Tom Feeney, Barney Murphy, and
4 waste management; and,
Robin Foyle), as well as Joan and Marian for their Trojan work
4 complaints procedure for dental practices.
in helping to organise the meeting. As is evident in the report by our delegation leader, Dr Tom Feeney, we value highly your involvement in, and attendance at, CED meetings, where important discussions take place around EU legislation affecting dentistry in significant ways and where the responses of the profession are decided. We are particularly fortunate to have such a strong and committed delegation and it is only appropriate that we recognise the sterling work of Dr Tom Feeney, who has just stepped down from our delegation after 20 years’ service on behalf of Irish dentists, including exhaustive work as a member of the CED board where he was so highly regarded. It is also great to report that such a highly-respected figure as Dr Nuala Carney has agreed to replace Dr Feeney as a member of our delegation.
Irish Dental Association
ANNUAL REPORT 2013
12
Services and benefits Complaints system handles 130 complaints in 2013 The IDA Dental Complaints Resolution Service handled 130 complaints in 2013, according to Michael Kilcoyne, mediator with the service. Michael received over 1,230 emails and letters and just over 260 phone calls last year. Ultimately, this resulted in 130 complaints being submitted, of which 28 cases have been resolved in full and 102 are still being processed. The majority of complaints related to disagreements or misunderstandings in relation to professional fees, followed by adverse clinical outcomes and communications difficulties. Dentists are encouraged to seek advice from their medical defence organisation and are strongly encouraged to avail of this voluntary service, which is proving very effective in resolving disputes, that may otherwise have been referred to the Dental Council or the law courts.
Affinity schemes
Michael says he is very satisfied with the engagement of
The Association has, over many years, negotiated a wide
dentists. Certainly the feedback we receive from members is
range of group schemes that provide members with huge
that this is a very welcome and successful initiative, which
savings on items that are necessary expenditures in any
helps to resolve disputes in an informal and less time-
practice.
consuming manner and which ultimately enhances confidence
The suite of financial benefits available to IDA members has
in the high standards of care and treatment provided by Irish
grown during 2013, making it even more attractive for all
dentists. An Annual Report for 2013 will be published by the
registered dentists to join their Association.
Dental Complaints Resolution Service shortly.
2013 saw the continuation of the affinity deal with Dental
A recently introduced benefit is the Tax Protection Policy which will meet all reasonable professional costs of IDA members who are subject to an audit of their business accounts.
Protection, which offers a massive €1,005 saving to IDA
Accreditation
members for those who are at least three-years qualified.
Reflecting the continued economic difficulties but also greater
This deal alone well covers the average annual fee of €785 to
FDA regulation in the US, 2013 was a challenging year for the
join IDA.
Association in regard to accreditation arrangements.
The agreement with AIB Credit Card Services has also been
Nonetheless, we remain optimistic that the gradual economic
negotiated in 2013 to give even more savings to IDA members
recovery and our firmly-established position as the voice of
on their credit card terminal transactions.
Irish dentistry should allow us to look ahead with cautious
We were delighted to see new affinity schemes commence in
optimism. Our intention is to maximise value for all those
2013 with the introduction of a deal with Swordfish Medical
organisations with whom we have long-standing commercial
for the purchase of loupes, giving a big saving of over €800 to
arrangements and who are strong supporters of the
members. We also saw the introduction of a deal for bottled
Association and the profession.
water and water coolers with Irish water company
Enhanced and closer collaboration with suppliers of services
Ballygowan.
and products to the dental profession makes sense for so
A service introduced in 2013 was a tax protection policy taken
many reasons and offers mutual gains, which can only help
out by IDA on behalf of all members with brokers DAS. The
provide better services to IDA members. The future offers
scheme allows any IDA member who is going through a tax
significant opportunities for the Association and our friends
audit to claim back all reasonable costs involved with the audit
and supporters and we are determined to explore how we can
of their business accounts. The scheme proved so popular in
maximise these possibilities in an appropriate and mutually
2013 that DAS renegotiated the deal in 2014 and will now
beneficial fashion.
cover up to €4,000.
13
Irish Dental Association
ANNUAL REPORT 2013
Income protection continues to be a product very popular with
After labouring in the sweltering heat for a few hours,
members, for obvious reasons. Any self-employed dentist
thoughts soon turned to the fantastic barbecue refreshments
who, for whatever reason, finds themselves unable to work
and some liquid rehydration. We were delighted to have the
due to illness or injury can supplement their income. Day One
President, Dr Sean Malone - joined by his wife Norma -
offerings are now available through our preferred provider
present some wine to the overall winners - Drs Gerry Cleary
Omega Financial Management, and we would continue to
and Brendan Fanning, Terry O’Brien and Maeve O’Flynn.
encourage members to take out income protection.
Particular thanks to Drs Ciara Scott, Gerry Cleary, and Garrett
Glennon Insurance continues to offer discounted rates to
McGann for helping organise the event along with the helpful
members on home, motor, and dental practice insurance.
staff in Fitzwilliam. There is already talk of the next social
Other financial offerings include: discount on health
tennis day in 2014 and if it’s half as enjoyable as the inaugural
insurance (VHI); Bank of Ireland Gold Visa Card; 10%
day, everyone lucky enough to reserve a place will leave very
reduction with DLT Magazines for your waiting room; 50%
happy.
reduction in classified adverts in our Journal; and, massive savings on CPD courses, some of which are exclusive to IDA
Collaboration with American Dental Association
members.
The Association is most fortunate to enjoy a very close
Now more than ever, it makes sound financial sense to be a
relationship with the American Dental Association and this
member of IDA.
has enabled us to collaborate on and work together in a number of ways, which have been very beneficial for Irish
The IDA Tennis Tournament proved to be a big success.
First social tennis day for dentists
dentists. Previously we agreed an arrangement whereby
The Association’s first ever social tennis ‘gathering’ saw the
members could access the Journal of the American Dental
courts in Fitzwilliam Tennis Club bathed in glorious sunshine
Association without charge. In 2013, we agreed also to extend
for a very memorable day in early July.
access to the Professional Product Review, a really useful
Travelling from as far as Donegal, all concerned were thrilled
resource for dentists.
to meet old friends and make new acquaintances.
The ADA Professional Product Review aims to provide
With the emphasis on the social as much as the tennis, the
information that is user-friendly, unbiased, clinically relevant,
format gave everyone plenty of time for chat and court-side
and scientifically sound.
refreshments between some keenly-contested games of
From 2006-2011, the ADA Laboratories in Chicago conducted
tennis. The doubles format allowed everyone to play against
numerous product evaluations, from LED curing units and
a variety of pairings and plenty of court time was assured for
flowable composites, to digital radiography systems,
everyone.
CAD/CAM and more than 70 types of restorative materials. The Review has published expert panel discussions, extensive product survey data, product category ‘primers’ and practitioner input. More recently, the Review has featured topics on dental therapeutics, clinical techniques, and clinical collaborations with dental schools. In April 2012, the Review moved entirely online as a digital magazine and a PDF and executive summaries are now printed in the corresponding issue of JADA. All issues of the Review can be accessed in the archives.
Irish Dental Association
ANNUAL REPORT 2013
14
CPD/training CPD 2013 saw a significant expansion in the range of CPD activity on offer and we have prioritised initiatives which are available exclusively to IDA members – our CPD Roadshows being a perfect example. Significant thanks are due to Elaine and Dario in IDA House for organising and managing these events and especially to those speakers who have given so generously in sharing their knowledge and expertise. As the primary provider of CPD, we are well aware of the opportunities, as well as the challenges, posed by the introduction of compulsory CPD in new dental legislation. We are harnessing the expertise of not just the Board of Directors, but also the Editorial Board of the Journal, our CPD Committee, our PR and Public Affairs Committee and our
There were also presentations on marketing a dental practice
Website Committee to plan how we can enhance our CPD
and social media in dentistry from leading experts in their
offerings to members. This has also been a priority objective
field.
in our new strategy plan, so members can be assured this will
A very interesting presentation took place in the afternoon,
be foremost in our thoughts and actions in the years ahead.
when three IDA members - two of whom had recently opened
Hands-on courses are a feature of the Annual Conference.
dental practices and one who is in practice for a number of
HSE Seminar
years - gave their stories as to what works for them in
2013 was a very difficult year for the HSE Seminar, with
practice: how they build their practice, attract new patients,
significant challenges from the HSE in allowing staff to attend,
market their services, and use the community, social media,
and funding cuts to budgets for CPD. However, the event took
websites, etc. The three presenters gave a great insight into
place in October in Mullingar and was a great success. We
their business models and were very willing to share what
have seen a decline in delegate numbers at this event in
worked and, in some cases, what didn’t work for them.
recent years, yet the feedback from those who did attend was
This is the one event annually that has no clinical content and
very positive. Three days of scientific lectures, along with the
it gives delegates the opportunity to review their businesses
group’s AGM and other social events, filled the schedule for
and see how, from a commercial perspective, it can grow and
over 100 HSE dental surgeons.
improve.
A word of thanks to our trade companies who attended our trade show at this event.
Putting gums on seats – practice management The National Convention Centre in Dublin was the venue for this year’s annual event on practice management. The day kicked off with the annual meeting of the GDP Group, with an address from the Chief Dental Officer, Dr Dympna Kavanagh. She outlined her role in regulation, governance, and accountability and in policy making with the Department of Health. Next up was John O’Mahony from Behaviour & Attitudes, who reported very interesting findings from a comprehensive survey of Irish attitudes to dentists and oral health.
15
Irish Dental Association
ANNUAL REPORT 2013
Minister of State for Primary Care, Alex White, T.D., addresses the Annual Seminar of the Public Dental Surgeons.
Governance Board adopts new three-year strategy plan The IDA Board of Directors has adopted an ambitious threeyear plan, which sets out a map for the next three years. The plan was adopted following an extensive consultation and strategy-planning exercise, undertaken over the past three months. Members were surveyed, key external stakeholders were interviewed, and a working group of dentists was formed to develop the plan with the assistance of strategy experts, Prospectus Consulting. The vision for the IDA is to become the authoritative voice of Irish dentistry, focused on realising the full potential of our members. We aim to be recognised as innovative and progressive in achieving excellent oral health for Ireland. Therefore, our mission is to be dedicated to the advancement of the profession and its members, the promotion of oral health, and the provision of a quality service to the public. The plan identifies six key strategic objectives for the Association/Union. These are to review and enhance services to: support the evolving needs of members; position the IDA as the leading authority on dentistry and oral health; consolidate the IDA’s position as the primary provider of CPD and education; facilitate the development of successful practices; provide appropriate professional representation and advice; and, promote quality and patient safety amongst our members and the public. A comprehensive plan of actions under these headings has been developed and oversight committee is to be established to monitor progress in implementing the plan.
Membership survey With record levels of membership, it was no surprise that there was a broad measure of satisfaction expressed by members in a recent survey carried out in preparation for a new strategic plan. In preparation for the new plan, the Association undertook a survey of members, which elicited 242 responses. Members expressed broad satisfaction with the work of the Association and 79% stated they were satisfied or very satisfied with the services offered by the Association, while an impressive 84% said they rated the service provided by staff at IDA House as good or very good. Two thirds of members said they believed that the services, representation and performance of the Association has improved over the last three years. Particularly strong satisfaction was expressed in Irish Dental Association
ANNUAL REPORT 2013
16
regard to the provision of continuing professional education, the Journal of the Irish Dental Association, and communications with members. The survey also identified a wealth of other messages from members, which reflect the desire to see continued expansion of services and benefits. Members stated they were anxious to see the excellent range of CPD services expanded and made more accessible and were also very strong in insisting that the Association had to devote greater resources to lobbying Government, but also to undertaking public awareness campaigns and promoting the positive work of dentists in Ireland. The survey also identified the priority areas to which the Association should devote attention in the coming years. Members set out what they see
of the membership, met on four occasions in 2013.
to Eileen and to Clare and to welcome and offer our best Several representatives of the wishes to Sinead and Sarah. Association appeared on television throughout the year; Committee guidance and this combined Detailed guidance notes were prepared in 2013 for members with a strong PR of the Quality and Patient Safety Committee, CPD Committee, campaign on our objectives throughout and the Public Relations Committee. The guidance all media. documents provide information on: the status of the
The purpose of the Committee is to review expenditure levels,
committees; the purpose of the committees; the duties and
to monitor income and expenditure against budgets, to
responsibilities of committee members; membership; the
overview savings and banking arrangements, to monitor
relationship with the secretariat and with Council; its tenure;
monetary compensation payments, and to advise the Board
arrangements for notice and conduct of meetings; guidelines
and Council as appropriate.
for Committee members; as well as information on dealing
as the key challenges and opportunities for dentistry at this time of considerable change and uncertainty.
Audit and Finance Committee The Audit and Finance Committee, which comprises the Honorary Treasurer, Vice President, Honorary Secretary, and the Treasurer/Secretary Designate, as well as two nominees
with conflicts of interest, decision making, and provision to
Trade union status
review the guidance regularly.
An application was made in early 2013 to secure a trade union license, after the Irish Dental Union was formally registered by the Registrar of Friendly Societies.
AGM At the 2013 AGM, it was decided that Article 5.12 would be amended to state as follows: “Entrance fees and annual subscriptions shall be such as the Board of Directors may determine at the final Board meeting in each calendar year, following full consultation and deliberation by Council.�
Staff changes The number of staff employed by the Association remained unchanged in 2013. Ms Eileen Green retired after many years of distinguished service and was replaced by Ms Sinead Kelly, while Ms Clare Dowling left and was replaced by Ms Sarah
Fintan Hourihan
Gill. I wish to put on record our appreciation and best wishes
CEO
17
Irish Dental Association
ANNUAL REPORT 2013
Honorary Secretary’s Report
Last year was another busy and successful year for the Association. Not only did we expand the educational, scientific, and advocacy activities for and on behalf of the profession, we also extended the range of benefits and services to members. This has also contributed to a record rise in membership numbers and I am pleased to say that membership currently stands at a record high. Clearly, this reflects the contribution and effort of a great number of colleagues, both dentists working in a voluntary capacity on behalf of the profession within the Association and also our excellent and dedicated staff in IDA House.
Membership Overall membership increased to 1,700 dentists in 2013 and this confirms that the Association is not only representative of the overwhelming majority of dentists in practice in Ireland, but is clearly the authoritative voice of Irish dentistry. In 2013, we undertook a new strategic planning exercise and produced an exciting and challenging three-year strategy plan. The plan identifies six key strategic objectives for the Association/Union. These are to review and enhance services to support the evolving needs of members, to position the IDA as the leading authority on dentistry and oral health, to consolidate the IDA’s position as the primary provider of CPD and education, to facilitate the development of successful practices, to provide appropriate professional representation and advice and to promote quality and patient safety amongst our members and the public. The need for a strong, vibrant, and engaged membership is paramount if we are to realise these ambitious objections and I am delighted that we have arranged an oversight committee, which will meet regularly to review progress and to brief the Board of Directors on the realisation of the targets set out in our three-year strategy plan.
New Dental Bill After many years, we finally saw some activity and progress within the Department of Health towards updating the legislation governing the practice of dentistry. The existing legislation is almost 30 years old and many urgent reforms are required at this stage, given the many advances in dental practice since 1985. The Association prioritised the preparation of a submission to the Department of Health in 2013 and a very comprehensive and robust submission was prepared on behalf of members. We would hope to see Irish Dental Association
ANNUAL REPORT 2013
18
publication of a new Dental Bill in 2014 or early 2015 at the
introduction of universal health insurance. There are many
latest. Hopefully this will facilitate the ongoing development
other significant changes which the profession is preparing
of dental practice and will only serve to underscore the
to deal with and for all these reasons, it is critically important
highest standards of quality which are obtained across the
that we retain a strong organisation with the highest levels of
profession. The Association was also very busily involved in
membership and active and engaged participation by
engaging with the Dental Council, which has proposed to
members. Therefore, it is incumbent on us all to play our part
introduce
The
as members and hopefully we will continue to see the active
consequences of these changes are very significant and we
revised
infection-control
standards.
involvement of volunteers within the Association to work
have sought to emphasise the need to ensure reasonable
closely with our Secretariat in representing the interests of
standards, which do not threaten the viability of dental
the profession.
practices and which are evidenced-based and appropriate to dental practice.
Thanks In my final year on the Board of Directors, I would like to
Oral Health Forum
record my thanks and appreciation to all those colleagues
The establishment of the Oral Health Forum in conjunction
with whom I served on the Board and indeed on various other
with the Deans of the Dental Schools in Cork and Dublin as
committees over the past three years. I would also like to
well as the Faculty of Dentistry in the RCSI was another
thank my practice colleagues and my family for supporting
significant innovation in 2013 and we hope to see increasing
me in participating as a Board member and finally, I wish to
collaboration between the key stakeholders in dentistry as we
thank especially the members of the Secretariat in IDA House,
seek to forge a common agenda and to oblige the Government
who have offered unstinting support and assistance over the
and the powers that be to address the badly-needed
past three years.
investment and reforms for dental care in Ireland. The appointment of a Chief Dental Officer after many years
I would strongly encourage colleagues to consider
campaigning on this issue by the Association is also worth a
participation within our committees or on the Board of
mention and, in spite of reservations we voiced about the
Directors in due course. It has been a very enjoyable and
structure of the appointment, the Association is fully
enriching experience and I would recommend it strongly to
committed to engaging productively with the new Chief Dental
others.
Officer, Dr Dympna Kavanagh, and hopefully this will also contribute to a better understanding of the needs of the dental profession and our patients within the Department of Health and elsewhere.
Looking ahead As mentioned earlier, the Association has embarked on a strategic review in 2013 and this involved a significant input by the Board of Directors and the Secretariat. This has resulted in the development of a significant new plan, which will offer a roadmap for the Association over the next three years. At a time of significant change in health care, it is important that we take stock and review the landscape on a regular basis and also to prepare a plan which will guide us in representing members and the patients we care for and treat on a daily basis. The years ahead promise significant further changes with
Mark Condon
new legislation for dental care, as well as the proposed
Honorary Secretary
19
Irish Dental Association
ANNUAL REPORT 2013
Honorary Treasurer’s Report
Attached to this report you will find the audited accounts for
to €9,184 – reflecting the reduction in HSE members,
the year ended December 31, 2013. Our auditors for the
constraints on availability, and pay cuts.
period were Grant Thornton, chartered accountants and
‘Branch contributions’ refers to monies held by IDA branches
registered auditors.
in their accounts. These funds are generally raised by the branches themselves to defray their own running costs.
Income
Irish Dental Association
ANNUAL REPORT 2013
20
There was a net increase in combined IDA/IDU income for the
Expenditure
year of €112,571, i.e., from €1,163,284 to €1,275,855.
Total outgoings for the IDA/IDU was €1,130,492 - €77,800
Combined membership income showed a substantial
more than for 2012. Although no staff member received an
increase from €884,869.89 to €992,816.28, reflecting an
increase in pay in 2013, the payroll has increased by 12%. This
increase of 18% in membership subscriptions. This accounts
was as a result of several one-off costs that occurred in 2013.
for 78% of Association/Union income.
There were general increases in taxes and employer
Accreditation income has fallen to €119,138.66, as a result of
contributions, several staff changes, retirement and
the loss of the Johnson and Johnson accreditation contract.
‘dovetailing’ of staff, staff members who worked many
This is a reflection of what is happening in the business world,
weekends, and some performance-related payments.
where accreditation and sponsorship contracts are being
VHI subscriptions have also risen substantially, although most
withdrawn generally. Unfortunately, we can no longer
of the 30% increase was in fact related to 2012, which
presume to retain these contracts from year to year and must
artificially reduced the 2012 figure, and consequently
refocus our attempts to widen the range of income sources.
increased the 2013 sum.
The income raised from training courses run by the IDA has
In 2013, the IDU introduced an insurance cover for members,
risen substantially from €10,009 to €32,944 - this is a
including a helpline service, cover for tax audits and other
potential source of further supplementary income that should
legal and health issues - the cost of this was €14,049.
be a focus in the future.
Members have received benefits of almost €65,000 from this
It is gratifying to see that the numbers at the Annual Scientific
contract.
Conference had risen again in Galway, resulting in a
The public relations expense (€51,316) suffered from the loss
significant rise in income from €70,599 to €87,614 - an
of €14,400 LEARGAS funding, which we received in 2012.
increase of 24%. We would hope that, with rising membership
Other increases in PR costs relate to several new online
numbers, the conference will go from strength to strength.
communications methods for keeping in touch with members,
The income from the PDS Conference was down from €11,901
printed newsletters, and the pre-Budget submission.
Journal costs rose this year from €32,558 to €45,197. This was
The costs associated with these projects are a necessary and
primarily due to two bumper editions late in the year,
vital part of development, however we are cognisant of the
necessary in order to bring up-to-date peer-reviewed articles
need to continue to be prudent, and to have a nest egg well
which had been accepted for publication, and which were
maintained for contingencies.
becoming backlogged. The Journal of the Irish Dental
The staff at IDA House continue to do everything possible to
Association continues to be the most popular professional
maintain cost controls and ensure that the organisation runs
publication for Irish dentists, and enormous credit is due to
in the most cost-efficient manner. As the organisation grows,
those who edit and produce it on a very limited budget.
and new, increased demands are made, the existing facilities
Members’ travel and compensation expenses have increased
are getting tighter and tighter, and we appreciate the need to
due to the changes in the rules regarding eligible claims for
review spatial organisation in the future.
members who attend committee/Council meetings during
I am indebted to the members of the Audit and Finance
surgery hours. It is hoped this will encourage more members
Committee, who meet quarterly, for their sound advice and
to become actively involved in the Association.
honest appraisal of our finances on a regular basis. Their
Research comprising a comprehensive consumer survey of
collective wisdom and integrity has been a great support.
patients attitudes to dentistry was carried out by Behaviours
I am extremely grateful to our CEO, Fintan Hourihan, for his
and Attitudes on our behalf. This has yielded fascinating and
constant patience and support, and advice whenever needed.
valuable information and insights for the profession. The
Also sincere thanks to Elaine Hughes, Assistant CEO, for
Board, in association with Prospectus Strategy Consultants,
continuing her excellent work in managing to maintain as
put considerable time and effort into the strategy plan for the
many of the accreditation contracts as she has, despite the
organisation for the coming three years.
very difficult business environment. Elaine continues to do
Research was also carried out into factors inhibiting and
sterling work co-ordinating both the CPD roadshows and the
facilitating engagement of members within the IDA. This
ASM, without which our balances would be very different.
helped inform the approach to strategy planning, and
A special thanks to my right hand lady, Sinead Kelly, our new
planning membership services in the future. These combined
financial administrator. Sinead has brought enormous skills
costs totalled €58,389 for research and development.
to the IDA, she is superbly competent, and carries out every
We hosted the very successful May meeting of the Council of
request with a smile. I count myself very lucky to be working
European Dentists. This is a one-off cost, and the Irish
with her. Thanks also to our auditors, Grant Thornton, for their
hospitality industry was much appreciated I am told.
expert advice and guidance as always.
Cost containment has been effective in general at IDA House,
Finally, a special thank you to my predecessor, Ray McCarthy,
with our running costs (€120,376) only slightly increasing in
who has continued to generously give advice and support
2013, compared to 2012 (€114,540).
whenever asked, and to serve on yet another committee.
Overview of 2013 Although the economy continues to struggle, there are signs of stabilisation, and it is extremely encouraging to see the IDA growing hugely in membership during these challenging times. There has never been a better or more important time to be part of both the Association and the Union, and the numerous benefits of membership continue to grow. This solid membership base has put us in good financial stead to face the potential challenges of the coming years. The Board has adopted a stimulating strategy plan, encouraging new initiatives and services for members, which will make the association even more dynamic and maintain our position at
Nuala Carney
the forefront of the profession.
Honorary Treasurer
21
Irish Dental Association
ANNUAL REPORT 2013
Group Reports
Orthodontic Group The year proved to be another busy one for the Orthodontic
The second meeting, in November, was held in Adare Manor,
Group.
Co. Limerick. Drs David Bernie and Nigel Harradine
There were two meetings of the Orthodontic Society of Ireland
presented their ‘Excellence in Orthodontics’ course. Each of
during the year. The first meeting was held in April in the
the speakers has over 30 years’ experience, having first
Westin Hotel in Dublin. The clinical issues that were
presented the course in 1987. The speakers had addressed
discussed included early Class III treatment and retention.
the orthodontic group in 2004, and they were most welcome
The issue of timing of Class III treatment has always been a
back. The speakers covered a broad range of topics over two
topic of great debate. Equally, retention is paramount, and
days. These topics included treatment mechanics, new
various retention regimes were outlined.
technologies, such as customised appliances, and digital
Meetings provide a great framework to catch up with
scanning.
colleagues. They allow clinicians the opportunities to listen,
The AGM was held after the November meeting.
and learn from each other, and, as always, the social part of the meeting plays an important role.
Dr Ronan Perry Orthodontic Group Rep
Mouth Cancer Awareness Day
The
response
profession
from
the
was
dental
truly
outstanding, with over 602 dentists around the country 2013
signing up in 2013 and 8th
giving free oral cancer examinations to patients on the day. We continue to receive
r1
The fourth Mouth Cancer Awareness Day took place on September 18, 2013 and once again it was a tremendous success.
We dn
es d a y S e pte
m
be
excellent media coverage both nationally and regionally and the cancer survivors stories It is estimated that over 400 cases of mouth, head and neck
are truly remarkable each year.
cancer are detected in Ireland each year, however,
As a result of MCAD 2013, two cases of mouth cancer were
awareness of this disease among the general public is still
detected and are continuing to be treated.
quite low.
The IDA would like to express its sincere gratitude to all
Mouth Cancer Awareness Day (MCAD) is a collaboration
participating dentists in 2013. Without the support of the
between a group of cancer survivors, the Irish Cancer
dental profession, the event would not be possible. Well
society, the Dental Health Foundation, the Cork and Dublin
done to you and your entire dental team.
Dental University Hospitals and the Irish Dental Association.
Irish Dental Association
ANNUAL REPORT 2013
22
The objective of the annual campaign is to raise public and
On a sad note, we also said goodbye to our great friend and
professional awareness of oral cancer in Ireland and to
supporter in MCAD, Gerry Collins. Gerry passed away after
emphasise the importance of prevention and early
a very brave fight with cancer.
detection.
Ar Dheis Dé Go Raibh a Anam.
Committee Members 2013
Board of Directors
Journal of the IDA Editorial Board
Dr Sean Malone
President
Professor Leo Stassen Editor
Dr Andrew Bolas
Vice President
Dr Dermot Canavan
Dr Peter Gannon
President-Elect
Professor Finbar Allen
Dr Mark Condon
Honorary Secretary
Dr Michael Crowe
Dr Nuala Carney
Honorary Treasurer
Dr Ioannis Polyzois
Dr Maher Kemmoona
Honorary Secretary Designate
Dr Chris Lynch
Dr Ryan Hennessy
Honorary Membership Officer
Dr Ciara Scott
Dr James Turner
GP Group Rep
Dr Mark Kelly
Dr Iseult Bouarroudj
HSE Dental Surgeons Rep
Dr Seamus Sharkey
Deputy Editor
Ms Jennifer O’Rourke
Accreditation
Dr Simon Wolstencroft
Dr Pat Cleary
Mr Tom Cullen
Dr Anne O’Neill
Mr Paul O’Grady
Ms Elaine Hughes
Mr Fintan Hourihan Ms Elaine Hughes
Audit and Finance Dr Nuala Carney
Ms Fionnuala O’Brien Honorary Treasurer
Dr Mark Condon
Public Relations Advisory
Dr Kevin Dunne
Dr Rose-Marie Daly
Dr Jane Renehan
Dr Susan Kiely
Dr Andrew Bolas
Dr Andrew Bolas
Dr Maher Kemmoona
Dr Ultan McGuckin
Mr Fintan Hourihan
Dr Brian O’Loughlin
Chair
Dr John Walsh
CED
Dr Pat Cleary
Dr Tom Feeney (replaced by Dr Nuala Carney)
Ms Clare Dowling
Dr Robin Foyle
Mr Fintan Hourihan
Dr Bernard Murphy
Quality and Patient Safety
Mr Fintan Hourihan
Dr Eamon Croke
CPD Dr Garry Heavey
Chair
Dr John Adye-Curran Chair
Dr Nick Armstrong
Dr PJ Byrne
Dr Barry Harrington
Dr Paddy Crotty
Dr Liam Jones
Dr Ciara Scott
Dr Ray McCarthy
Ms Elaine Hughes
Dr Daniel McIllgorm Dr Barney Murphy
Scientific Dr Tiernan O’Brien
Dr Jane Renehan Chair
Dr James Tarpey
Professor Frank Burke
Ms Clare Dowling
Professor Stephen Flint
Mr Fintan Hourihan
Dr Frank Quinn
23
Irish Dental Association
ANNUAL REPORT 2013
Committee Reports
Accreditation
CED meeting. The meeting was hosted by the Irish Dental Association and started with a welcome address by the
Accreditation by the Irish Dental Association indicates the
Minister of State for Primary Care in Ireland, Mr Alex White.
acceptance of a product as being generally safe and of benefit
The second day of the meeting started with an address by Mr
when used by those for whom it is indicated in accordance
Jo Leinen, Member of the European Parliament and President
with the manufacturers’ recommendations and under
of the European Movement International.
reasonable foreseeable conditions of use. It also implies that the claims made by the manufacturer are justified and based
Continuing professional development
on sound advice.
During the plenary session, members of the CED
The Irish Dental Association now has accreditation deals in
unanimously adopted a resolution on continuing professional
position with the following companies:
development (CPD) of dentists. CED members stressed that
n
Colgate Total;
engaging in CPD is a professional obligation of every
n
GSK – Sensodyne; and,
European dentist, who, in order to assure the quality of patient
n
Wrigley’s – Wrigley’s Complete and Wrigley’s extra
care, must update professional knowledge and skills
range.
throughout their entire professional life.
Unfortunately, Listerine, Johnson & Johnson did not renew
The CED recognises that health systems delivering oral
their contract with IDA in 2013. This was due to a decision to
healthcare are different across the European Union and
cease all of their accreditation contracts worldwide.
supports the diversity of continuing education activities on
For their selfless work, I wish to record our appreciation to
offer and the principle of free choice by the practitioners that
the members of our scientific committee: Dr Tiernan O’Brien,
are in line with the policy of each member state.
Dr Frank Quinn, Professor Frank Burke and Professor Stephen Flint, and also our accreditation committee,
Tobacco products directive
comprising Drs Pat Cleary, Anne O’Neill and Ms Elaine
CED members unanimously adopted a resolution on the
Hughes.
proposed tobacco products directive, which, at the time, was being considered by the European Parliament and the
Dr Pat Cleary
Council. The European dentists welcomed the European
Accreditation Committee
Commission’s initiative to review EU legislation on tobacco (Directive 2001/37/EC) and strongly supported it, as it aims at improving general and oral health of European citizens. The CED particularly supports initiatives related to tobacco use and call for de-normalisation of tobacco products.
CED
The CED supports also the intention for the proposal to encourage full implementation of the WHO Framework
The voice of dentists and oral health in Europe for 50 years.
Convention on Tobacco Control, which is binding for the EU
The Council of European Dentists (CED) is a European not-
Medical devices legislation
for-profit association, which represents over 340,000
CED members confirmed their position on the future
practising dentists through 32 national dental associations
regulation on medical devices, which was being considered
and chambers from 30 European countries. Its key objectives
by the European Parliament and the Council.
and all member states.
are to promote high standards of oral healthcare and effective
Irish Dental Association
ANNUAL REPORT 2013
24
patient safety-centred professional practice across Europe,
November meeting
including through regular contacts with other European
In November 2013, representatives of CED member and
organisations and EU institutions.
observer organisations met in Brussels under the
Ireland was the venue in May 2013 for the regular six-monthly
chairmanship of CED President Dr Wolfgang Doneus.
n
CED board elections
basic dental training comprising of at least five years of
The CED board elections took place with Dr Susie Sanderson
study, which may in addition be expressed with the
(United Kingdom), Dr Peter Engel (Germany), Dr Pirkko
equivalent ECTS credits and consist of at least 5,000
Grönroos (Finland), and Dr Roland L’Herron (France) being reelected as Directors. They join the current CED President Dr
hours of full-time theoretical and practical training; n
to the profession on the grounds of public health
Wolfgang Doneus (Austria), Vice-President and Director Dr
concerns;
Marco Landi (Italy), and Directors Dr Nikolai Sharkov n
(Bulgaria) and Dr Alexander Tolmeijer (The Netherlands).
the possibility for member states to refuse partial access
the obligation for member states’ competent authorities
The CED Board of Directors is composed of eight members
to alert, through a specific alert mechanism, the
who must be dental practitioners and share the powers of
authorities of other member states about professionals
administration of the organisation, including communication
who are no longer entitled to practice as a result of a disciplinary action or criminal conviction; and,
and representation of the CED towards third parties, in particular
the
European
Institutions,
as
well
as
implementation of CED policy and financial management.
n
the possibility for member states’ competent authorities to conduct language controls in order to verify that professionals are in possession of necessary language
Membership of Croatian Dental Association in the CED
skills.
Following Croatia’s accession to the European Union on July 1, 2013, the Croatian Dental Chamber requested to become a
Meetings
full member of the CED. The CED members unanimously
The Irish Dental Association was represented during the year
approved the request.
by Dr Tom Feeney, Dr Barney Murphy, Dr Robin Foyle, Mr Fintan Hourihan, and Ms Elaine Hughes. Dr Feeney
CED updated policy on dental amalgam
completed his term of office in November and Dr Nuala
In light of the Minamata Convention on mercury signed on
Carney was elected to succeed him.
October 10, 2013, the CED members adopted a position on the Convention in which they reaffirm their continued engagement
in
encouraging
the
reduction
of
the
environmental impact of the use of dental amalgam and
CPD Committee
acknowledge, with appreciation, the progress achieved in Europe in this area, and now worldwide.
2013 saw the continuation of our CPD roadshow in six
The CED believes that the signing of a globally-binding treaty
regional locations around the country. Over 450 dentists have
on the use of mercury is a sensible outcome, which
now attended at least one workshop and the feedback from
recognises the practicalities of improving oral health. For
attendees is very positive.
many years, the CED has stressed the importance of avoiding
A huge thanks to all of the CPD roadshow presenters, who
a complete phase-out of the use of mercury in dentistry,
were so giving of their time and expertise to travel around the
particularly in a short timeframe.
country to these workshops. Without their co-operation and
The CED also welcomes the flexible approach adopted to take
sharing of their knowledge and skills we would not be able to
into account countries’ domestic circumstances and believes
run these regional events. Their contribution is much
that the treaty reaches a good balance between the use of
appreciated.
amalgam and non-mercury based materials.
We were also delighted to welcome GSK Sensodyne as sponsor of the workshops in 2013.
Professional Qualifications Directive
The CPD committee introduced a number of hands on
CED members welcomed the final adoption of the revised
courses throughout 2013 namely:
Professional Qualifications Directive by the EU Council on
4 Endodontics – Pat Cleary
November 15, 2013. The main features concerning the dental
4 Clinical Photography – Dr PJ Byrne
profession include:
4 Introduction to Implants – Drs Ronan Allen & Dr Ed O’Reilly
25
Irish Dental Association
ANNUAL REPORT 2013
4 Cone Beam Imaging – Drs John Lawlor and Spencer Woolfe
professional who may have an article to contribute. High
4 Oral Radiology – Dr Brendan Fanning
quality, practical, and educational, they will be a perfect
Most of these courses were fully subscribed, with some of
complement to our already well-regarded peer-reviewed
them experiencing waiting lists for further courses in the
papers. We will award a prize for the best such paper each
autumn. Thank you to all our course tutors and to our many
year.
sponsors.
We have also spent time in 2013 developing plans for a dedicated website for the Journal. This would tie-in closely
Committee: Chair, Dr Garry Heavey; Drs PJ Byrne, Paddy
with the aims of the Association in relation to CPD activity. We
Crotty, Ciara Scott, and Elaine Hughes.
intend to provide a site that will be searchable by author, article, and subject.
Get involved
Journal of the Irish Dental Association – Editorial Board
While there were no resignations from the Editorial Board of the Journal in 2013, our corporate governance policy provides for a regular turnover of members. Any dental professional is welcome to apply to become a member of the Board. There is a small number of meetings each year, and of course, a
Progress and development
willingness to follow up any commitments made at these
Our professional publication, the Journal of the Irish Dental
meetings is important. However, the work is not, and should
Association saw another year of progress and development in
not, be too onerous. Please consider volunteering – it will be
2013. The heart of the Journal is peer-reviewed content and
to the benefit of the profession and to you in the long run.
in 2013 we received 42 papers for consideration. As you will see from the table, 18 of these were from international
Support
authors, and 24 from Irish authors. We published 10 papers
One of the reasons why being on the Editorial Board is not
in 2013, while we have published a further two already in 2014
especially onerous is because of the support put in place by
and have another five awaiting publication. Although several
the Association. This is manifested in most instances in the
are still in the review process, 17 papers were rejected.
work of Journal Co-ordinator, Fionnuala O’Brien, who liaises
These are very healthy figures and given that we already held
brilliantly between authors, reviewers, editors, publishers,
a good stock of high-quality papers from 2012, it was a
and the Association. We are grateful to her, to our publishers
challenge to get so many published. The Editorial Board is
Think Media, and to all members of the Editorial Board for
grateful to the Council of the Association, which gave
their commitment and contribution to the Journal. May I also
permission for additional papers to be published in the
most sincerely thank all our advertisers. We need and
second half of the year. This allowed the backlog to be
appreciate their commercial support and it allows us to
removed and we have now returned to a reasonable time schedule for publishing. The Journal is very grateful to all the
Table: Peer reviewed papers for JIDA in 2013
authors and reviewers who provide such an invaluable service to our readers.
Total submitted in 2013
42
(18 international, 24 Irish)
Plans for 2014
Accepted and published in 2013
In our most recent issue, plans developed during 2013 for a
Accepted in 2013, but published in 2014
2
series of step-by-step, practice-oriented clinical articles
Accepted and still awaiting publication
5
came to fruition. The article from Dr Una Lally in the April/May
Awaiting resubmission following review
7
2014 edition is to be the first in a series of such articles. The
Still in review
1
resources of the Journal, our publishers Think Media, and the
Rejected articles
Association, are all available to assist any dentist or dental Irish Dental Association
ANNUAL REPORT 2013
26
10
17
produce a better Journal. Finally, we thank our readers who support us so loyally, and who consistently rank the Journal
4. To work towards improvements in internal PR within the member group of the association.
as their favourite dental publication.
OCTOBER 2013: Professor Leo Stassen
Consultation with the Chair of the CPD Committee
Honorary Editor
Plans to develop the theme of early visits as both a professional and public message were discussed with the chair of the CPD committee, Dr Garry Heavy. It was agreed that the initial steps for this measure would be to assess the
Public Relations and Public Affairs Committee
level of support from the specialist representative group in paediatric dentistry in Ireland and amongst members of the association, in particular the GP group. A letter was written to the Irish division of the European Academy of Paediatric Dentistry.
MARCH 2013:
The response to the letter was overwhelmingly positive and
Consultation with Behaviour and Attitudes
strongly in support of the profession doing more to promote
2013 was an exciting year for our committee. The committee
early visits. The GP group representative Dr Peter Gannon and
was represented at the planning stages of the research
current president echoed these sentiments. It is intended that
undertaken by Behaviours and Attitudes. This involved a
this be reflected in the planning for educational needs for the
number of teleconferences and the review of drafts for
association in future.
questions appropriate for the survey to be undertaken.
NOVEMBER 2013: SEPTEMBER 2013:
Appointment of the liaison person with Council
Meeting with Fintan Hourihan following
James Turner was appointed as the liaison person for the
appointment as Chair of the Committee
Board of Directors.
After becoming Chair of the PR Committee during the summer, a meeting was scheduled in Dublin to review the
Teleconference with the Committee
role, the title and the function of the then Public Relations
We held our first teleconference meeting in November. The
Committee. It was agreed to change the name of the
main body of work for the meeting was a review of the website
committee to the Public Relations and Public Affairs
requested by Council. Feedback was collected. It was agreed
Committee. The role of the committee was outlined. In the
that, given the diversity of the website and the range of
first instance, the committee is there to act in advisory
different sections, the committee would take responsibility for
capacity to the Board of Directors. It was agreed at this
information aimed at the public. The data has been collected
meeting, that in order for this role to be fulfilled, it was
and this material is to be brought forward to the next meeting
necessary to appoint a liaison person to communicate on
of the website committee.
behalf of the Board of Directors. It is vital to the functioning of the committee that the Board of Directors involve the
DECEMBER 2013:
committee so that we can be effective.
Meeting with Public Affairs Lobbying Specialist
The aims of the committee were set out as follows:
A draft proposal was prepared based on the pre-budget
1. To promote and support an advertising campaign for the
submission for review by the specialist lobbying company GFC
Association. 2. To promote early visits as a public and professional health message. 3. To look at the feasibility of a pilot study for public affairs lobbying.
consulting. Following a review of the draft prepared by GFC consulting, it was agreed that a project of this scale was outside the budget for the coming year, but it is intended that this will be revisited in future budgets, if there is sufficient appetite for this amongst members of Council.
27
Irish Dental Association
ANNUAL REPORT 2013
Consultation with the Strategic Planning Group The committee was represented in a consultation with strategy development consultants, Prospectus. A long
Quality and Patient Safety Committee
discussion took place to reflect the aims of the committee and questions were structured around present and future
The Irish Dental Association’s Quality and Patient Safety
challenges, opportunities and priorities of the Association.
Committee was established in 2009. The purpose of the Committee is to assist IDA members in achieving compliance
Involvement in the advertising campaign
with the various regulations applicable to dental practice, and
The committee was represented at the meetings held in
promote quality and safety for patients.
preparation for the IDA radio campaign. Vice Chairperson Dr
The Committee aims to ensure its advice is reasonable,
Susan Kiely attended these meetings in Dublin.
practical and based on the best available evidence. The litmus test is that the advice can be applied in a standard dental
JANUARY 2014:
surgery, without an unreasonable burden being placed on the
Representation at the meeting
practice, financial or otherwise.
with Dr Dympna Kavanagh
The advice is prepared following a review of international and
The committee was represented at a meeting with the Chief
national standards and is subject to in-depth assessment by
Dental Officer in January 2014. This meeting was reflective of
the Committee. It is coupled with audit tools to allow self-
the stages for planning in Dr Kavanagh’s new role set out over
assessment and to support risk identification and
the next three years.
management.
MARCH 2014:
Work completed
Meeting with PR company
So far, the Committee has developed advice in the following
A meeting was held with myself, Mr Fintan Hourihan, Ms Sarah
areas:
Gill, and Mr Kieran Garry of Gordon MRM in Dublin in March 2014.
n
decontamination in dentistry;
Past activity of our PR company was reviewed and discussed in
n
hand hygiene;
relation to value for money and effectiveness. A new month-by-
n
emergency drugs and equipment;
month plan was agreed upon for public affairs and relations for
n
amalgam separation;
the upcoming eight months. Plans were made for a press
n
waste management; and,
conference meeting to be held in advance of the AGM, to
n
complaints procedure for dental practices.
encourage important networking opportunities for the Association with key figures in the Irish media. It was agreed that more would
Work in progress
be done to develop the website using multimedia and videos on
Currently, the Committee is developing advice on the following
topical issues. There are a number of other exciting ideas which
topics:
have yet to be discussed at our upcoming committee meeting.
n
data collection, usage, and protection;
n
essentials of dental practice/dental practice inspections;
Review of membership and a call for new members A decision was taken in consultation with Mr Fintan Hourihan
and, n
safety statement for dental practices.
to review the membership of our committee. Those with an interest in the committee are invited to consider joining.
Review of the Association’s best practice website
I would sincerely like to thank the members of the committee
The best practice website is regularly reviewed to ensure
for their enthusiasm, good will, and assistance over the last
accuracy of information to members. Decontamination in
number of months. It has been a pleasure to be involved.
Dentistry was recently reviewed and alterations made to the advice on the use of autoclaves. The Committee will update
Irish Dental Association
ANNUAL REPORT 2013
28
Dr Rose-Marie Daly
the website when the Dental Council publishes its new Code
Chairwoman
on Infection Prevention and Control.
The Committee welcomes all enquiries or suggestions
CPD Committees and, of course, the Council of the IDU. The
regarding the content of the best practice section of the
Committee also works with the Conference Committee.
website.
Communication with members Miscellaneous work
The Committee is concerned at what appears to be a low level
The Committee is regularly asked to review documents that
of awareness amongst members of its work and sought
may be in a consultative process, like the recent document
Council’s assistance to improve the dissemination of the
from the Dental Council on infection prevention and control,
advice available to members.
EU directives, or legislative and work practice changes. The
The Committee’s primary method of communication with
Committee reports to the Council of the IDU on all matters.
members has, so far, been by way of the best practice section of the members’ area of the IDA website www.dentist.ie.
FUTURE WORK
Workshops on the various areas of advice have been
Advice for dentists setting up in practice
presented at the last three Annual Scientific Conferences. The
Dr Barry Harrington, a Committee member whose input is
Committee is anxious that the workshops remain a fixed
greatly
feature of the Conference and are greatly encouraged by
valued
by
the
Committee,
has
drafted
a
comprehensive document entitled General Facilities to be
Council’s response.
considered when setting up in Dental Practice. The Committee
The workshops have been presented in various venues around
believes this document contains a wealth of information and
the country at the behest of the local branch.
will work with Barry on the development of this document.
The Journal of the Irish Dental Association offers another important outlet for the work of the Committee. The Journal
Radiology
published an interview with the chair of the committee in the
The Committee is working with Dr Andrew Bolas on a review
October/November 2013 edition. The chair encouraged all
of the Best Practice Advice on Radiology, which was published
members to use the information on the best practice website
in 2009.
to position their practices in advance of inspections being mandatory.
Membership of the Committee
The Committee also asked that its work be regularly
The Committee endeavours to ensure all sections and profiles
highlighted in emails sent to members by the Association and
of the profession are represented. The Committee recently
in the members’ section of the Journal.
welcomed three new members. At present, there are 12 members of the Committee, with a good mix of public and
Workshops
private members. The Committee regularly recruits members
Dr Jane Renehan, in conjunction with Mr Brian Rogers of
to ensure it is replenished on a timely basis.
Rogers Consultants, presented workshops on waste management at the Annual Conference, in Galway in April
Link with Council of the IDU
2013. These were well supported by enthusiastic attendances
In the past year, the Committee welcomed the President, Dr
and the ensuing discussions were useful to all who took part.
Sean Malone, to a number of its meetings. The Committee
This year’s workshop is again a collaborative effort, as it will
invites the incoming President each year to attend a
be jointly presented by a member of the office of the Data
Committee meeting prior to the commencement of his/her
Protection Commissioner and Dr Eamon Croke. The topic is
term of office, to facilitate appraisal of the Committee’s work.
Data Collection, Usage and Protection and an audit tool will be
The President-Elect, Dr Peter Gannon, is also the current
unveiled in the course of the workshops.
liaison member between the Committee and the Council of the IDU.
Communication with other committees
Dr Eamon D. Croke
The Committee is in regular communication with the GP and
Chairman
29
Irish Dental Association
ANNUAL REPORT 2013
Branch Reports
Kerry Branch
on milling by Dr Paul Quinlan, and finally a lecture on hypnosis and sedation in practice by Dr Emma Corrigan.
This year the committee members include Dr Padraig Cronin
Our January meeting was a joint meeting with the Irish
as President, and Mr Paul Keogh as secretary and treasurer.
Endodontic Society, at which Drs Willy Pertot and Luc van der
I have been acting as Branch Representative. This year we
Sluis gave two lectures on ‘Instrumentation’ and ‘The future of
had three meetings. I gave the first lecture in November 2013
root canal disinfection and the role of ultrasonics’ respectively.
on pain and anxiety management in young children. Mr Paul
Our ASM was held on Friday, February 7, entitled ‘Best
Keogh, consultant oral surgeon, Tralee, gave an excellent
Practice’. It consisted of a hands-on component in the
presentation on oral surgery entitled ‘Five Salient Points’.
morning, with two courses running simultaneously. The first,
Finally, we were delighted to welcome Dr Michael O’Sullivan
on posterior composites, was given by Professor Robbie
from the Dental Hospital in Dublin, who gave a comprehensive
McConnell, in association with Dentsply, while the second was
and up-to-date review of the management of hypodontia. All
a rotary endo course given by Dr Lynda Elliott, in association
talks were well attended. It has been reported that obtaining
with Kerr and Sybron. Lectures ran from 1.30pm until
CPD from the Dental Council has been problematic this year,
approximately 5.30pm and included speakers: Drs Alison
as they request significant advance notice of meetings.
Dougall on medical emergencies; Eddie Cotter on loose dentures; Fiona O’Shaughnessy on safety statements and clinical waste management; Mr Cliff Beirne on avoiding
Dr Rose-Marie Daly
litigation; and, Prof. Robbie McConnell on treatment planning.
Branch Representative
The ASM was followed by a drinks reception and dinner, where Ivan Yeats was the guest speaker. At our September, October, November, and March meetings, we also held Suppers for Learning with specialists discussing topics in small groups in an informal setting before the
Metropolitan Branch
lectures. These were expertly co-ordinated by Dr Una Lally, with help from Drs Rebecca Carville and Mick Lavin.
On the occasion of our AGM 2013, Dr Dermot Kavanagh
We are very grateful to all our speakers for their hard work.
passed over the chain of office to the new President, Dr Adrian
We are also especially grateful for the generosity of our
Loomes. The President-Elect is Dr Laura Houlihan. Honorary
sponsors, which allows us to hold these meetings.
Treasurer is Dr Rory Maguire and Honorary Secretary is Dr
The Committee met on several occasions throughout 2013:
Laura Houlihan. Drs Dermot Kavanagh, Catherine Wynne,
March 26, April 16, May 21, July 2, July 30, August 27, October
Rebecca Carville, and Nicola Zammit are continuing as
3, October 29, December 10; and, in 2014: January 14, January
committee members and are being joined by Drs Michael
30, February 18.
Lavin, Saoirse O Toole, and Una Lally.
I would like to thank all the committee members for their hard
The theme of our first meeting in September 2013 was mouth
work over the year. In particular, Dr Rory Maguire for his
cancer, to tie in with Mouth Cancer Awareness Day, and was
continuous work as treasurer, and Dr Adrian Loomes for his
very well attended. We invited Drs Conor McAllister, Michael
hard work and enthusiasm during his Presidency.
Freedman, and Cal Condron to speak. It was a very
A final word of thanks to all the staff in IDA House for your
informative evening on the Mouth Cancer Awareness
courtesy, patience, hard work, and help. It is greatly
Campaign, including discussions on when to refer and when
appreciated.
not to, and botox. The October meeting consisted of three 20-minute lectures on implants by Drs Paul O Reilly, Declan Furlong, and Anne O’Donoghue.
Irish Dental Association
ANNUAL REPORT 2013
30
In November, the first lecture was on ‘Optimising your
Laura Houlihan
website’ by Dr Mark Kelly, followed by an informative lecture
Honorary Secretary
Munster Branch
Trace – Introduction to Motivational Interviewing and its application to Dentistry; with a particular
President – Dr Maire Brennen Secretary – Dr Liz Kelleher
focus on Smoking Cessation. April
Treasurer – Dr Kieran O’Connor
Dr Dermot Canavan - Acute Dental Pain – Current Concepts and Treatment Options.
In June, Fintan Hourihan met with the Munster Branch
Local support
Committee and outlined the process of electing a branch
The Branch has donated €1,500 to the Irish Dental Benevolent
member for President of the IDA for 2015/16. This process
Society in support of its work. In addition, it has also
was completed, and at September Branch AGM, Dr Anne
supported the 2014 UCC Dental Outreach Project to Ghana,
Twomey was ratified as Munster Branch candidate for
donating €1,000.
Presidency. Outgoing Branch President, Dr Fiona Twohig handed over the Chain of Office to Dr Maire Brennan. The
Dr Judith Phelan
committee met on eight occasions during the year.
Committee Member
Dr John Barry resigned from committee after many years of dedicated service to the Irish Dental Association at both local and national level. The Committee, on behalf of the Munster Branch, would like to formally acknowledge and thank John
North Munster Branch
for his immense contribution. Branch Officers
Continuing education programme
President - Dr Eoin Mullane
The Munster Branch had another very active year under the
Secretary - Dr Joe Callanan
Presidency of Dr Maire Brennan. The academic programme
Treasurer - Dr Eamonn Noonan
began in September, with a collaborative lecture evening with
(GDP Rep. to be confirmed) Dr Neil Griseto
Cork Dental Hospital given by Dr Eleanor O’Sullivan prior to Mouth Cancer Awareness Day.
Each season/cycle (October to April), we organise five
The Annual Scientific Meeting was held at the popular Fota
meetings, with a different speaker each month. Topics
Island Resort. It was an information-packed day for the 80
included:
delegates with visiting lecturers Dr Marga Ree, Dr Paddy
endodontics; motivational techniques; implantology; oral
Crotty, and State Pathologist, Marie Cassidy ensuring that a
medicine (orofacial pain); and, composites (updates in:
wide range of topics were covered.
bonding, layering and glass fiber posts). Attendance at
oral
surgery;
periodontics;
prosthodontics;
meetings vary, but, on average, we have approximately 20
Evening lecture series
GDPs attend each meeting.
October
Professor Tara Renton, King’s College London –
The NMB has also started a Christmas drinks night, which we
Turning Wounds into Wisdom: Trigeminal nerve
plan to hold every December. We have held it for the last two
injuries in relation to dentistry.
years and it was well attended last December. We feel it’s
November Terry Prone – Dentistry - Image and Reality.
important to emphasise the social side of the Branch.
December Dr Patricia Shalloe, Mr John O’Keefe, Mr Bill
January
March
Holohan, and Mr Simon Martin – Cybercrime –
Plans for the year ahead
Implications for Dental Practice.
We will hold two further meetings this season/cycle and our
Dr Jennifer McCafferty - Preventative Dental
AGM.
Care for Children: Tips for tots to teens.
We also plan to invite two oral surgeons to speak to the NMB
February’s meeting was rescheduled to March
Members in October and November 2014. Topics to cover
due to local storms. Dr Sharon Curtin and Anna
include: oral cancer and oral infection.
31
Irish Dental Association
ANNUAL REPORT 2013
Western Branch Report 2013 The Western Branch has seen a significant increase in membership in the past year, with the total number of members now close to 140. There were few meetings over the course of the year but these were well attended. The Saturday morning CPD roadshow meetings were very popular and we are thankful to the speakers who travelled west for both of those days. Our Branch Committee is not active at the moment and it is important that a few members take on this responsibility.
Peter Gannon
Irish Dental Association
ANNUAL REPORT 2013
32
FINANCIAL REPORT 2013
33
Irish Dental Association
ANNUAL REPORT 2013
Directors’ Report
The directors present their report and the financial statements of the company for the year ended December 31, 2013.
Principal activities and business review The principal activity of the company during the year was the provision of support services and information for its dentist members and it is envisaged that this will continue to be the company's main activity. The Irish Dental Association Limited is focused on professional advocacy, education and scientific publishing and seeks to promote the education of the dental profession and the attainment of optimum oral health. The directors are satisfied with the company's performance during the year and look forward to continued improvement in the future.
Results The results for the year are set out in the company profit and loss account on page 37. The directors have not recommended a dividend.
Financial risk management objectives and policies The company has budgetary and financial reporting procedures, supported by appropriate key performance indicators, to manage credit, liquidity and other financial risk. All key financial figures are monitored on an ongoing basis.
Important events since the year end There have been no significant events affecting the company since the year end.
The board of directors
Registered office Unit 2 Leopardstown Office Park, Sandyford, Dublin 18
Dr Ryan Hennessy Dr James Turner
Auditor
Dr Andrew Bolas
Grant Thornton, Chartered Accountants & Registered Auditor
Dr Mark Condon
24 - 26 City Quay, Dublin 2
Dr Nuala Carney Dr SeĂĄn Malone
Bankers
Dr Patrick Halvey
Bank of Ireland, 1 Main Street, Dundrum, Dublin 14
Dr Maher Kemmoona
Allied Irish Bank, 33 Blackthorn Road, Sandyford, Dublin 18
Dr Peter Gannon
Permanent TSB, Main Street, Dundrum, Dublin 14
Dr Mark Condon
Company secretary
Solicitors O'Connor & Co., 8 Clare Street, Dublin 2\
Irish Dental Association
ANNUAL REPORT 2013
34
n make judgements and accounting estimates that are
Directors The directors and secretary who served the company during the year were as follows:
reasonable and prudent; and
n prepare the financial statements on the going concern
Dr Ryan Hennessy
basis unless it is inappropriate to presume that the
Dr James Turner
company will continue in business.
Dr Andrew Bolas
The directors confirm that they have complied with the above
Dr Mark Condon
requirements in preparing the financial statements.
Dr Nuala Carney
The directors are responsible for keeping proper books of
Dr Seán Malone
account that disclose with reasonable accuracy at any time
Dr Patrick Halvey
the financial position of the company and enable them to
Dr Maher Kemmoona
(Appointed April 18, 2013)
ensure that the financial statements are prepared in
Dr Peter Gannon
(Appointed April 18, 2013)
accordance with accounting standards generally accepted in
Dr Conor McAlister
(Resigned April 18, 2013)
Ireland and comply with the Companies Acts, 1963 to 2013.
Dr Ray McCarthy
(Resigned April 18, 2013)
The directors are also responsible for safeguarding the assets of the company and hence for taking reasonable steps for the
Directors’ responsibilities
prevention and detection of fraud and other irregularities.
The directors are responsible for preparing the Annual Report and the financial statements in accordance with applicable
Books of account
Irish law and generally accepted accounting practice in
The directors believe that they have complied with the
Ireland including the accounting standards issued by
requirements of Section 202 of the Companies Act, 1990 with
Financial Reporting Council and promulgated by The Institute
regard to books of account by employing personnel with
of Chartered Accountants in Ireland.
appropriate expertise and by providing adequate resources to
Irish company law requires the directors to prepare financial
the financial function. The books of account of the company
statements for each financial year which give a true and fair
are maintained at Unit 2 Leopardstown Office Park,
view of the state of affairs of the company and of the profit or
Sandyford, Dublin 18.
loss of the company for that year. In preparing these financial statements, the directors are required to:
Auditor
n select suitable accounting policies and then apply them
The auditors, Grant Thornton, will continue in office in
consistently;
accordance with section 160(2) of the Companies Act 1963.
Signed on behalf of the directors
______________________________
______________________________
Dr Nuala Carney, Director
Dr Seán Malone, Director
Approved by the directors on April 10, 2014
35
Irish Dental Association
ANNUAL REPORT 2013
Independent auditor’s report
We have audited the financial statements of The Irish Dental Association Limited for the year ended December 31, 2013.
The financial reporting framework that has been applied in
inconsistent with, the knowledge acquired by us in the course
their preparation is applicable law and United Kingdom
of performing the audit. If we become aware of any apparent
Accounting Standards (United Kingdom Generally Accepted
material misstatements or inconsistencies we consider the
Accounting Practice).
implications for our report.
This report is made solely to the company's shareholders, as a body, in accordance with Section 193 of the Companies Act,
Opinion on financial statements
1990. Our audit work has been undertaken so that we might
In our opinion the financial statements:
state to the company's shareholders those matters we are
n give a true and fair view, in accordance with Generally
required to state to them in an auditor's report and for no
Accepted Accounting Practice in Ireland of the state of the
other purpose. To the fullest extent permitted by law, we do
company's affairs as at 31st December 2013 and of its
not accept or assume responsibility to anyone other than the
loss for the year then ended; and
company and the company's shareholders as a body, for our
n have been properly prepared in accordance with the
audit work, for this report, or for the opinions we have formed.
requirements of the Companies Acts, 1963 to 2013.
Respective responsibilities of directors and auditor
Matters on which we are required to report by the
As explained more fully in the Directors' Responsibilities
Companies Act 1936-2013
Statement set out on pages 2 to 3, the directors are
n we have obtained all the information and explanations
responsible for the preparation of the financial statements
which we consider necessary for the purposes of our audit.
giving a true and fair view. Our responsibility is to audit and
n in our opinion, proper books of account have been kept by
express an opinion on the financial statements in accordance with Irish law and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Auditing Practices Board's Ethical Standards for Auditors.
the company.
n the financial statements are in agreement with the books of account.
n in our opinion the information given in the Directors' Report on pages 2 to 4 is consistent with the financial
Scope of the audit of the financial statements
statements.
An audit involves obtaining evidence about the amounts and disclosures in the financial statements sufficient to give
Matters on which we are required to report by
reasonable assurance that the financial statements are free
exception
from material misstatement, whether caused by fraud or
We have nothing to report in respect of the provisions of the
error. This includes an assessment of: whether the
Companies Acts, 1963 to 2013 which requires us to report to
accounting policies are appropriate to the company's
you if, in our opinion, the disclosures of directors'
circumstances and have been consistently applied and
remuneration and transactions specified by law are not made.
adequately disclosed; the reasonableness of significant accounting estimates made by the directors; and the overall
Tony O’Carroll
presentation of the financial statements. In addition, we read
For and on behalf of GRANT THORNTON
all the financial and non-financial information in the annual
Chartered Accountants& Registered Auditor
report to identify material inconsistencies with the audited
24 - 26 City Quay, Dublin 2
financial statements and to identify any information that is apparently materially incorrect based on, or materially Irish Dental Association
ANNUAL REPORT 2013
36
April 10, 2014
PROFIT AND LOSS ACCOUNT YEAR ENDED DECEMBER 31, 2013
INCOME
2013
2012
Note
€
€
2
548,393
485,966
(540,934)
(542,690)
7,459
(56,724)
Administrative expenses OPERATING PROFIT/(LOSS)
_____
3
Other provisions
(794,431)
_____
–
_____
_____
(786,972)
(56,724)
Interest receivable
6
1,708
2,972
Interest payable and similar charges
7
(3,409)
(5,301)
_____
_____
(788,673)
(59,053)
LOSS ON ORDINARY ACTIVITIES BEFORE TAXATION Tax on loss on ordinary activities
LOSS FOR THE FINANCIAL YEAR
8
–
_____
–
_____
(788,673)
(59,053)
_____ _____
_____ _____
All of the activities of the company are classed as continuing.
Statement of total recognised gains and losses There are no recognised gains or losses other than the loss of €788,673 attributable to the members for the year ended December 31, 2013 (2012 - loss of €59,053).
Signed on behalf of the directors
______________________________
______________________________
Dr Nuala Carney, Director
Dr Seán Malone, Director Approved by the directors on April 10, 2014
37
Irish Dental Association
ANNUAL REPORT 2013
BALANCE SHEET YEAR ENDED DECEMBER 31, 2013
2013 Note
€
2012 €
€
€
FIXED ASSETS Tangible assets
9
498,348
1,319,344
CURRENT ASSETS Debtors
10
Cash at bank and in hand
332,611
151,005
162,915
188,124
_____
_____
495,526
339,129
CREDITORS Amounts falling due within one year
11
NET CURRENT LIABILITIES
539,087
393,711
_____
_____
(43,561)
TOTAL ASSETS LESS CURRENT LIABILITIES
(54,582)
_____
_____
454,787
1,264,762
CREDITORS: Amounts falling due after more than one year
12
210,828
_____
243,959
1,032,632
_____ _____
_____ _____
257,988
RESERVES
14
Other reserves
15
257,988
Profit and loss account
16
(14,029)
MEMBERS' FUNDS
232,130
_____
_____
243,959
_____ _____
774,644
_____
1,032,632
_____ _____
Signed on behalf of the directors
______________________________
______________________________
Dr Nuala Carney, Director
Dr Seán Malone, Director Approved by the directors on April 10, 2014
Irish Dental Association
ANNUAL REPORT 2013
38
CASH FLOW STATEMENT YEAR ENDED DECEMBER 31, 2013
2013 Note
NET CASH INFLOW FROM OPERATING ACTIVITIES
€
17
2012 €
€
5,919
€
191,727
RETURNS ON INVESTMENTS AND SERVICING OF FINANCE Interest received Interest paid
1,708
2,972
(3,409)
(5,301)
_____
_____
NET CASH OUTFLOW FROM RETURNS ON INVESTMENTS AND SERVICING OF FINANCE
TAXATION
(1,701)
(2,329)
(312)
(598)
CAPITAL EXPENDITURE Payments to acquire tangible fixed assets
(9,731)
(10,496)
_____
NET CASH OUTFLOW FROM CAPITAL EXPENDITURE
_____ (9,731)
CASH (OUTFLOW)/INFLOW BEFORE FINANCING
(10,496)
_____
_____
(5,825)
178,304
FINANCING Repayment of bank loans
(19,384)
NET CASH OUTFLOW FROM FINANCING (DECREASE)/INCREASE IN CASH
(17,962)
_____
_____ (19,384)
_____ 18
(25,209)
_____ _____
(17,962)
_____
160,342
_____ _____
39
Irish Dental Association
ANNUAL REPORT 2013
NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2013
1. ACCOUNTING POLICIES
Basis of accounting
Post retirement benefits
The financial statements are prepared in accordance with
The company has agreed to provide certain additional post-
generally accepted accounting principles under the historical
retirement benefits to selected senior employees. The
cost convention and comply with financial reporting standards
estimated cost of providing such benefits is charged against
of the Accounting Standards Board, as promulgated by the
profits on a systematic basis over the employees' working
Institute of Chartered Accountants in Ireland, and Irish statute
lives within the company.
comprising the Companies Acts, 1963 to 2013. Financial instruments Turnover
Financial instruments are classified and accounted for,
The turnover shown in the profit and loss account represents
according to the substance of the contractual arrangement,
amounts invoiced during the year.
as either financial assets, financial liabilities or equity instruments. An equity instrument is any contract that
Fixed assets
evidences a residual interest in the assets of the company
All fixed assets are initially recorded at cost.
after deducting all of its liabilities.
Depreciation
2. INCOME
Depreciation is calculated so as to write off the cost of an
The income and loss before tax are attributable to the one
asset, less its estimated residual value, over the useful
principal activity of the company.
economic life of that asset as follows: Freehold Land & Buildings
- 2% Straight Line
An analysis of income is given below:
Fixtures, Fittings & Equipment - 20% Straight Line
Finance lease agreements Where the company enters into a lease which entails taking substantially all the risks and rewards of ownership of an asset, the lease is treated as a finance lease. The asset is recorded in the balance sheet as a tangible fixed asset and is depreciated in accordance with the above depreciation policies. Future instalments under such leases, net of finance charges, are included within creditors. Rentals payable are apportioned between the finance element, which is charged to the profit and loss account on a straight line basis, and the capital element which reduces the outstanding obligation for future instalments.
Irish Dental Association
ANNUAL REPORT 2013
40
Republic of Ireland
2013
2012
â‚Ź
â‚Ź
548,393
_____ _____
485,966
_____ _____
3. OPERATING PROFIT/(LOSS) Operating profit/(loss) is stated after charging: Directors' remuneration Depreciation of owned fixed assets Auditor's remuneration - as auditor Operating lease costs: Plant and equipment
€
€
–
–
36,296
34,330
8,262
9,102
4,501 _____
_____
4,970 _____
2013
2012
_____
4. OTHER PROVISIONS The provision arises on the revaluation of land and buildings as detailed in note 9 overleaf.
5. PARTICULARS OF EMPLOYEES The average number of staff employed by the company during the financial year amounted to: Number of administrative staff
4
4
_____ _____
_____ _____
2013
2012
€
€
Wages and salaries
206,235
230,377
Social welfare costs
21,905
24,417
Other pension costs
35,033 _____
26,269 _____
263,173 _____ _____
281,063 _____ _____
The aggregate payroll costs of the above were:
6. INTEREST RECEIVABLE Bank interest receivable
1,708
2,972
_____ _____
_____ _____
3,409 _____ _____
5,301 _____ _____
7. INTEREST PAYABLE AND SIMILAR CHARGES Interest payable on bank borrowing
8. TAXATION ON ORDINARY ACTIVITIES Factors affecting current tax charge The tax assessed on the loss on ordinary activities for the year is higher than the standard rate of corporation tax in Ireland of 12.50% (2012 - 12.50%). Loss on ordinary activities before taxation
Loss on ordinary activities by rate of tax Expenses not deductible for tax purposes Timing differences Additional tax arising on profits chargeable at 25%
2013
2012
(788,673)
(59,053)
_____ _____
_____ _____
(98,584)
(7,382)
99,929
162
3,609
2,855
227
389
Losses carried forward
(5,181) _____
3,976 _____
Total current tax
_____ _____
_____ _____
41
Irish Dental Association
ANNUAL REPORT 2013
9. TANGIBLE FIXED ASSETS Land & Buildings Freehold €
Fixtures, Fittings & Equipment €
1,500,588
175,981
Total
€
COST At January 1, 2013 Additions Revaluation At December 31, 2013
– (1,025,588)
_____ 475,000
_____ _____
1,676,569
9,731
9,731
–
(1,025,588)
_____
185,712
_____
660,712
_____ _____
_____ _____
357,225
DEPRECIATION At January 1, 2013
205,395
151,830
Charge for the year
25,762
10,534
36,296
–
(231,157)
Revaluation At December 31, 2013
NET BOOK VALUE At December 31, 2013 At December 31, 2013
(231,157)
_____ –
_____ _____ 475,000
_____ 1,295,193
_____ _____
_____
162,364
_____ _____
23,348
_____
24,151
_____ _____
_____
162,364
_____ _____
498,348
_____
1,319,344
_____ _____
On March 31, 2014, Mr Jason Fielden and Mr Brian Gibson of Lisney valued the property at a current market value of €475,000 (Original cost €1,500,588).
10. DEBTORS Corporation tax repayable Other debtors Prepayments and accrued income
2013
2012
€ 4
€ –
270,536
138,752
62,071
_____ 332,611
All amounts are receivable within one year.
_____ _____
12,253
_____
151,005
_____ _____
11. CREDITORS Amounts falling due within one year
2013 € 19,419
2012 € 17,501
Trade creditors
150,112
63,939
Corporation tax
–
308
Bank loans
PAYE and social welfare Amounts due to related party Accruals and deferred income
24,733
19,767
133,413
149,237
211,410
_____ 539,087
_____ _____
142,959
_____
393,711
_____ _____
The bank loans due within one year are secured on the property at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18. Irish Dental Association
ANNUAL REPORT 2013
42
12. CREDITORS Amounts falling due after more than one year Bank loans
2013
2012
€ 210,828
€ 232,130
_____ _____
_____ _____
The bank loans due after one year are secured on the property at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18.
13. RELATED PARTY TRANSACTIONS The Irish Dental Association Limited is related to The Irish Dental Union and during the year, The Irish Dental Association collected subscriptions on behalf of The Irish Dental Union of €744,612 (2012: €675,115). The Irish Dental Association Limited paid expenses totalling €592,699 (2012: €500,878) during the year. The balance owing to The Irish Dental Union at the year end was €133,413 (2012: €149,237). No other transactions with related parties were undertaken such as are required to be disclosed under Financial Reporting Standard 8.
14. COMPANY LIMITED BY GUARANTEE The company is limited by guarantee and therefore does not have any authorised or issued shares. The maximum contribution required by each member is €1.27.
15. OTHER RESERVES
Capital reserve
2013
2012
€ 257,988
€ 257,988
_____ _____
_____ _____
16. PROFIT AND LOSS ACCOUNT
Balance brought forward Loss for the financial year Balance carried forward
2013 € 774,644 (788,673)
_____ (14,029)
_____ _____
2012 € 833,697 (59,053)
_____
774,644
_____ _____
17. RECONCILIATION OF OPERATING PROFIT/(LOSS) TO NET CASH INFLOW FROM OPERATING ACTIVITIES
Operating profit/(loss) Depreciation (Increase)/decrease in debtors Increase in creditors Net cash inflow from operating activities
2013 € 7,459
2012 € (56,724)
36,296
34,330
(181,602)
23,093
143,766
_____ 5,919
_____ _____
191,028
_____
191,727
_____ _____
43
Irish Dental Association
ANNUAL REPORT 2013
18. RECONCILIATION OF NET CASH FLOW TO MOVEMENT IN NET DEBT 2013 € (Decrease)/increase in cash in the period Net cash outflow from bank loans
€
(25,209)
2012 € 160,342
19,384
17,962
____
____ (5,825)
178,304
____ Change in net debt
____
(5,825)
178,304
Net debt at January 1, 2013
(61,507)
(239,811)
Net debt at December 31, 2013
(67,332)
(61,507)
____
____
____ ____
____ ____
19. ANALYSIS OF CHANGES IN NET DEBT At 1 Jan 2013 €
Cash flows €
At 31 Dec 2013 €
Net cash: Cash in hand and at bank
188,124
_____
(25,209)
_____
162,915
_____
Debt: Debt due within 1 year
(17,501)
(1,918)
(19,419)
Debt due after 1 year
(232,130)
21,302
(210,828)
_____
_____
(249,631)
19,384
_____ _____ Net debt
Irish Dental Association
ANNUAL REPORT 2013
44
€
(61,507)
_____
_____ _____
(5,825)
_____
_____
(230,247)
_____ _____
(67,332)
_____
DETAILED PROFIT AND LOSS ACCOUNT YEAR ENDED DECEMBER 31, 2013
2013 € INCOME Member subscriptions Journal / Ad sales Accreditation Branch contributions Other Income Surplus from Annual Conference Surplus from Public Dental Surgeons Seminar Surplus from Training Courses
OVERHEADS Wages and salaries Employers PRSI Staff pension contributions VHI Rates and water Light and heat Insurance Repairs and maintenance Cleaning Estate service charge Members compensation Travel and subsistence Presidential expenses Telephone Council of European Dentists meeting costs Equipment leasing charges Printing, stationery and postage Staff training Meetings, delegations and courses Sundry expenses Subscriptions and affiliation fees Public relations and advertising Website development Legal and professional fees Auditors remuneration Depreciation charge Bad debts written off Bank charges
OPERATING PROFIT/(LOSS) Other provisions
Bank interest receivable
Bank interest payable LOSS ON ORDINARY ACTIVITIES
2012 €
€
248,204 30,946 119,139 17,150 3,211 87,615 9,184 32,944
€
168,780 24,096 147,663 52,846 2,421 68,249 11,901 10,010
_____
_____
548,393
485,966
(206,235) (21,905) (16,972) (18,061) (4,948) (3,633) (2,399) (11,109) (299) (858) – (10,888) (3,946) (7,627) (19,576) (4,501) (81,623) (3,845) (5,130) (8,029) (7,898) (33,560) (2,575) (15,566) (8,262) (36,296) – (5,193) _____
(230,377) (24,417) (17,748) (8,521) (5,009) (2,734) (2,035) (11,277) (780) (601) (4,800) (17,958) (3,989) (6,673) – (4,970) (53,212) – (12,026) (3,895) (5,357) (13,776) (17,298) (43,075) (9,102) (34,330) (1,837) (6,893) _____ (540,934) _____
(542,690) _____
7,459
(56,724)
(794,431) _____
_____–
(786,972)
(56,724)
1,708 _____
2,972 _____
(785,264)
(53,752)
(3,409) _____ (788,673) _____
(5,301) _____ (59,053) _____
45
Irish Dental Association
ANNUAL REPORT 2013
Motions
Motion number 1
Motion number 2
Motion number 3
That the audited accounts and report
That this AGM appoints Grant Thornton,
That this AGM authorises the directors
thereon for the year ended December
Chartered Accountants, as auditors to
to fix the remuneration of the auditors.
31, 2013, be accepted.
hold office until the conclusion of the next annual general meeting at which accounts are laid.
Proposed by: Dr Nuala Carney
Proposed by: Dr Nuala Carney
Proposed by: Dr Nuala Carney
Seconded:
Seconded:
Seconded:
Dr Mark Condon
Dr Mark Condon
Dr Mark Condon
Motion number 4
Motion number 5
Motion number 6
That the Association condemns the
That the Association calls on the
That this AGM calls on the Department
lack of preventative state-funded dental
government to address the alarming
of Health and the HSE to ensure
care.
rise of caries in children.
appropriate and timely provision of dental general anaesthetic services for children and special care patients in order to avoid unnecessary delays in treating pain, sepsis and dental trauma.
Proposed by:
Irish Dental Association
ANNUAL REPORT 2013
46
GP Committee
Proposed by:
GP Committee
Proposed by: HSE Dental Surgeons Group
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