Advice on leaving a practice

A DDU associate member called for advice after the practice owners said he wasn't allowed to tell patients was he planning to leave, because of the impact they feared it might have on those patients' practice payment plans.

The scene

A DDU member called the advice line as he was soon going to be leaving a practice. The member was an associate and the practice owners had told him that he was not allowed to tell patients he was leaving, as these patients had entered into a practice payment plan. The owners were concerned about what impact telling patients would have on the practice.

The DDU member felt he was not able to be entirely transparent with the patients, some of whom were booking appointments on the mistaken understanding that they would be returning to him.

DDU advice

The DDU adviser recommended that the member put patients’ interests first. Irrespective of any financial arrangement entered into with the practice by these patients, the member had a professional and legal duty not to mislead them when they were under his care.

The adviser explained that patients can be misled by information being withheld, as well as by information that is provided. If patients were making appointments on the understanding that they would be returning to the member and this was not the case, these patients were being misled in some way and this needed to be addressed.

While it is understandable why practice owners may be reluctant for patients to be informed when associates are leaving, this might actually prove counterproductive.

Not only is the practice risking criticism for being involved in misleading patients, but when patients eventually find out, some are likely to be unhappy. They could complain and involve third parties, or simply tell other patients, who themselves may decide not to return.

The DDU’s adviser therefore suggested the dentist speak with the practice owners about his concerns, to mutually agree how patients were to be informed that he was leaving.

It is sometimes helpful to follow up conversations such as this with an email, confirming what was agreed. In this situation, being entirely open and honest is likely to be the best approach for associate dentists and patients - as well as for the goodwill of the practice.

This page was correct at publication on 14/08/2019. Any guidance is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.

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