An exploratory study investigating the barriers to reporting child dental neglect concerns among general medical practitioners in Greater Manchester

Abstract

Introduction Dental neglect presents a global concern and is a shared public challenge for all healthcare professionals, including general medical practitioners (GPs). Previous literature highlights a lack of training among GPs and suggests that barriers are present to reporting concerns of dental neglect. Aims To investigate the current awareness of child dental neglect among GPs in Greater Manchester and to investigate barriers to the reporting of concerns. Methods An anonymous, electronic questionnaire was distributed to GPs in Greater Manchester. Respondents reported their experience and training in child dental neglect and their management of suspected cases. Results were assessed using descriptive analysis. Results In total, 25 GPs completed the questionnaire. It was found 60% received undergraduate child protection training and 96% completed postgraduate training. Only 20% felt adequately trained in the referral of suspected child dental neglect and the majority acknowledged that more training is required. Furthermore, 42% had been suspicious of child dental neglect; however, only 80% recorded their observations. Plus, 32% had suspected child dental neglect and not completed a referral. Common barriers to reporting included lack of knowledge of referral procedures and lack of certainty of diagnosis. Conclusion Barriers to referral of suspected cases of neglect were reported and there is a demand for further training among GPs.