Friday 2 February 2018

Beguiling statistics


I’m not accustomed to watching BBC’s The One Show, but I did catch it on Wednesday this week, when there was an item on the charity Dentaid in Yorkshire town of Dewsbury. It mainly works overseas, but, as its website (https://www.dentaid.org/uk/) puts it, “It is a sad fact that many people in Britain are unable to access safe, affordable dental care. Although the NHS offers first class dental services, many vulnerable people aren’t registered with a dentist and only seek treatment when they are suffering pain.
“In some parts of the country there are long waiting lists for NHS dentists and people are developing dental problems while they are waiting for a place to become available.
“Dentaid is also aware that homeless people, those with a history of drug and alcohol abuse or patients with mental health problems can face obstacles when visiting a dental surgery.
“Furthermore, up to 40 per cent of children in the UK are not receiving any dental check-ups or oral health education.
Dentaid has a range of projects in the UK to tackle these problems.It offers free dental service to those who can’t get NHS treatment for one reason or another.” 


One of those was the mobile clinic visiting Dewsbury, treating around 200 people in a fortnight.
Photo from Dentaid's website; treatment in Dewsbury

This post isn’t about the multiple reasons, such as the cutting of school dental services and the push towards privatising health services, that have given rise to this. However it is about a passing remark made by Eddie Crouch, Vice Chair of the British Dental Association, being interviewed by Alex Jones and Matt Baker.

He stated, “Access to local NHS dentistry is a problem everywhere.” And so Alex Jones commented, with I assume a government statistic, “You know, there has been an increase in NHS dentists, 20%; so you would think that would improve things slightly. But not so?”

Eddie Crouch: “Well, what we’re talking about there is the global number of dentists actually in the NHS, but we’re not talking about the number working full-time in the NHS. That figure is irrelevant really. If the whole time numbers of dentists working in the NHS hasn’t increased, and in fact the funding hasn’t increased for a long time; so even if there were more dentists working in the NHS, they’re only working with the same amount of funding.”

He is of course right. Governments are fond of confounding criticism with statistics. Just watch Prime Minister’s Questions or listen to the Today programme. However one can select statistics to prove any case. Perhaps the most egregious example is to do with unemployment. The number of unemployed people has according to government figures been gratifyingly decreasing year by year. And yet oddly the average standard of living has also been falling and homelessness rising. One is therefore left with questions such as how many of the “employed” are working part-time, how many are on zero hours contracts, what sort of jobs are these “employed” working in and how many have been excluded from benefits by other means.

The important question is not about the statistics, but about the outcome. Mark Twain was reported as saying, “Figures often beguile me, particularly when I have the arranging of them myself; in which case the remark attributed to Disraeli would often apply with justice and force: ‘There are three kinds of lies: lies, damned lies, and statistics.’” I think he meant that statistics could be used to prove anything.  

It's an eloquent commentary on the current state of the NHS that desperate patients are being compelled to resort either to private firms - or to third-world charities.

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