The Chairman of the Society Mr Nigel Harradine was in the chair.
1. Apologies for absence. Apologies were received from Ken Lumsden, Heather Nevard, Alex Cash, Alison Downing, Rob Evans, Joy Hickman, Keith Isaacson, Jay Kindelan, David Bowden, Shruti Patel, Chris Young, Allan Thom.
2. Minutes of the AGM held on 18th September 2010
The minutes of the meeting held at the Brighton Centre on 18th September 2010 were approved.
3. Matters arising
There were no matters arising.
4. Elections for awards
Recommendations of the Board were as follows:
Honorary Membership: Tim Newton
Distinction Award: Laura Mitchell
Life membership: Chris Wright, Liz Devenish
Special Service Award: Chris Sutherland, Rye Mattick, Gavin Barry, Louise Harper, David Morris.
Recognition Award: Stuart Parkinson, Mark Simon, Tony Oxley
These recommendations were adopted unanimously. The awards will be presented during the conference.
5. Chairman’s Report.
The chairman gave his annual report as follows:
I want to thank all those who have worked really hard on behalf of the Society in the last year. Some of this work is less widely known, but represents very valuable contributions to better orthodontic care. This spirit of hard work and collaboration has continued to be very evident in a year when some issues have appeared to threaten the unity of purpose of the Society. I am confident that the British Orthodontic Society will continue to be the effective voice and channel of the British contribution to orthodontics
6. Hon Secretary’s Report
The British Orthodontic Society came into being on 1st July 1994 and this is a report on the activities of the seventeenth full year of the Society. The report on the activities of the BOS Committees is compiled mainly from the annual reports of the BOS Committee Chairmen. A summary of this report was presented to the meeting
Some topics from the year
A continuing review of reserves released funds to pursue core aims of our charitable Society and ways to employ this funding in pursuit of our charitable aims are being developed
The second National Orthodontic Week (NOW) was held addressing a core aim to educate and inform and raising the profile with those who may influence the future of orthodontics.
Enhancement of patient information: - guidance in various media continue to be produced and updated
Various meetings have been held with outside bodies including the deputy CDO and the BDA with regard to orthodontic commissioning and contracts.
An National Orthodontic Commissioning day at the BOC provided a means of helping bring about improved patient care by informing commissioners as well as providers.
The society continues to support training of GDP's in orthodontics through the joint FGDP/BOS course
The Board was delighted to note the award of an MBE to Chris Kettler, former secretary of the Society.
Many of these are covered in more detail later in this report.
Board of Trustees
The Board of Trustees has held four meetings since the last AGM. The meetings were on 3rd December 2010, 8th March, 6th July and 24th September 2011. Two of the meetings have also been held on the same day as meetings of the Representative Body. The final meeting of the current Board will be on 2nd December 2010 which will also be an Induction meeting led by the Society's auditors for all the current Trustees and for those joining next year.
The Board of Trustees consists of the BOS Trustees, who are the Chairman, Treasurer, the Honorary Secretary, the Chairmen of the six Groups of the Society and the Chairman of the Conference and Meetings Committee. Additionally the President and the Chief Executive, who are not BOS Trustees, are non-voting members.
Changes in Trustees this year are that James Spencer has taken over as chairman of the Conference and Meetings Committee and Jad Seehra as chairman of TGG. In addition Ray Edler has taken over from Liz Devenish as President.
The Board has had another active year. The Board continues to review the Risk Assessments and to keep these up to date. The Board continues to work to a Strategic and Five Year Plan. The strategic review of reserves begun last year resulted in identifying new areas of investment. At the same time it has been possible to pay off the mortgage on the Society's headquarters in Bridewell Place, London. A new process for inviting and assessing applications for research and educational projects is being introduced.
The National Orthodontic Week of 2010 was repeated in 2011 with a high profile launch at the Museum of Childhood. The aim was to provide good quality information to the public about orthodontics, focusing in particular on correction of overjets. Activities during the week generated a satisfyingly high level of press coverage.
The Board has written the Trustees’ Annual Report to go with the Financial Statement for 2010 as required by the Charity Commissioners.
The Board has continued to promote the VLE and modular orthodontic teaching The VLE is currently in use for SpR, FTTA and DwSI training and modules have been extended to provide CPD for members generally.
A major review was undertaken of the course on orthodontics for general dental practitioners (DPCO) run jointly with the FGDP. As a result improvements are being made to arrangements for course administration before the next round of this popular course is started.
The WFO 2015 Committee continues to work on the organisation of the 8th IOC to be hosted by BOS in London in 2015 and debenture issue among BOS members was launched successfully to raise working capital for the venture.
Some five years have passed since the last restructuring of the Board which has proved effective in streamlining the work of the Board. However both the Society and external circumstances evolve over time and a new working party has been established to recommend on any further changes to the Board structure which might be desirable. The party will report during the coming year and any propoals involving amendments to the constitution will come before the AGM in 2011.
The following will retire from the Board of Trustees at the end of the year: Sue Cunningham as UTG chairman, Hem Shah as TGG Chairman, Helen Newbrook as PG chairman and Ray Edler as President.
Representative Body
The Representative Body consists of all the members of the Board of Trustees plus one additional representative of every Group (usually the Group Secretary), all the Committee Chairmen who are not otherwise members of the Board, the Editors of the Journal of Orthodontics, the Clinical Effectiveness Bulletin and BOSNews, the Communications Manager, the Website Editor and representatives of the GDC, the SAC, and the Faculty of Dental Surgery in England plus co-opted members. There are approximately 32 members. The role of this committee is to act as a forum for exchange of views and information between the various arms of the Society and to act as a vehicle for consultation.
The Representative Body met on 18th September 2010 and 8th March 2011, and its final meeting of 2011 takes place on 24th September 2011. The Representative Body received reports of the previous meetings of the Board of Trustees and reports from all the BOS Committees and Groups, the content of which is covered later in this report.
Nigel Hunt and his successor as SAC chairman, Sue Cunningham have reported a number of times on the SAC in orthodontics. The SAC rewrote the orthodontic curricula at the request of the SDEB and proposed two orthodontic CCST's in order to fulfil current requirements on quality assurance. Concern abut the implications of the proposals was voiced by a number of members and led to a vigorous debate during the year. The three-year CCST has been accepted by the GDC and is being implemented, while the proposed five year CCST will be considered in due course as part the GDC's review of dental specialties.
The new Chairman of the GDC is an orthodontist, Professor Kevin O'Brien and he has been congratulated on his appointment by the Society.
BOS Office
The office continues with its administrative activities at HO and there are no issues of note at the present time.
We have just completed a review of Room Hire. The Income stream to end of 5/2011 was £12,900.00 with an expenditure of £4,900.00 (mostly refreshments provided as part of the room hire but also some supplies and renewal costs). A portion of Gavin’s salary needs to be accounted for in Room Hire activities, but even taking 2/3rds into account, Room Hire still comes out with a surplus.
Staff:
Les Joffe CEO
Ann Wright Administrator
Ann Humphrys Assistant Administrator
Jaki Walker Office Assistant
Tony Kearney Office Manager
Gavin Lee Meetings Manager
At the end of 2010, all staff appraisals were undertaken by the then Chair of UTG and Board Trustee, Sue Cunningham, and BOS CEO, Les Joffe. Staff appraisals are due again before the end of 2011
The outcome of the appraisals registered a desire by all the staff to expand their interests into job related areas and staff training will be offered to improve skills over the winter period 2011
Amongst many other tasks:
Ann Wright continues to keep a steady hand on the tiller of all BOS activities, especially as BOS HO takes on more and more clinical meetings and committee support.
Ann Humphrys has done an excellent job of sorting out and consolidating the ONG and OTA member’s affiliation into the BOS database.
Jaki Walker is taking a central role in keeping the BOS website up to date.
Tony Kearney has been invaluable in keeping the Society’s financial machine running and in assisting with VAT.
Gavin Lee has made improvements in the running of the room hire and this had led to an improved experience by all those outside bodies making use of BOS meeting room.
8th IOC AND WFO2015CC
The WFO 2105 Congress Committee met at Excel on April 8th for discussions on:
1. The transfer of the venue contract from Excel Exhibition area to Excel ICC (purpose built conference facility). We are still awaiting comparative costs but the higher venue costs for ICC will be offset by not having to build lecture theatres in exhibition space. Kenes UK, Jonathan Sandler and James Spencer will make final decisions on which space to use for 8IOC
2. The proposal put forward by Kenes for a networking website aimed at engaging with potential delegates (home and overseas) for 8IOC on a global basis. It was decided not to implement this proposal; however, networking will be a part of the 8IOC website.
The financials to date have been reported by the Hon. Treasurer.
The non take-up of the debenture scheme appears to be 718 BOS members, 147 OTA and 304 ONG.
46 BOS members resigned between the end of 2010 and March 2011. Whether this number has been influenced by the debenture “imposition” (as reported by some members) is difficult to tell.
BOS Website enhancement
cScape has undertaken a major review of the BOS website and its future development. In June 2010, the working party met with cScape and a proposal was put to the Board and accepted in July 2010, was implemented. From September 2010 to May 2001, various workshops and meeting were held between the working party, cScape, members, public, associated professionals, and media. The reason for such a long time line was getting the various stakeholders together for workshops.
On June 10th, the working party met with cScape for a presentation of the review findings and a final workshop. The proposals are now being evaluated and a new website will be commissioned during the next few months.
Archive and Museum Committee
The committee has met once on 14th March 2011.
The significant items were
a) The committee is seeking clarification on the use of electronic media for archival purposes from the Wellcome foundation.
b) A number of boxes of items had been retrieved from Jim Moss' house. These have been sorted and included in particular a number of interesting text books.
The committee has agreed that we will keep all British published orthodontic text books and that we will attempt to obtain a full set.
There were also a number of course notes and that this would be the start of an interesting and valuable collection.
c) It was agreed that the chairman would contact the chairman and secretary of the society to update the constitution of the committee to reflect its current composition following the loss of the curator. The updating is now in progress.
There was a working party held on 10th June in the Museum to start on the task of reviewing the content of the museum with a view to improving the display and making it more accessible.
The working party concentrated on the collection of plaster study models. Some very significant collections were identified but there is also a part of the collection which is poorly or not indentified and is of little value.
The committee takes the view that the items in the collection should be preserved if they fulfil the following criteria.
Educating the public
Educating the profession
Research
Historical relevance
Consideration is being given to editing the collection in many cases after photographing the items.
Clinical Standards Committee
The last meeting of the Clinical Standard Committee was held on the 29th June 2011. We welcomed Kate House to her first meeting as new Editor of the Clinical Effectiveness Bulletin.
The progress of current outstanding items:-
Advice sheets & Patient Information Leaflets (PILs)
There are a number of PILS (12) and Advice sheets (6) in the process of being written/ updated.
Advice Sheets
1. Re-use of Orthodontic Materials has been formatted by Dodds, proof-read and forwarded to the Communication Committee for final approval.
2. Medical Emergencies, Inhalation/Ingestion of Foreign Bodies, Writing practice leaflets Mouthguards and Auto-transplantation – awaiting formatting by Dodds and proof-reading.
Patient Information Leaflets (PILs)
3. Updated PILs: Fixed Appliances, Removable Appliances, Orthodontic Treatment and Retainers - all have been formatted by Dodds, proof-read and passed to Communications Committee for final approval.
4. New PILs: Digit sucking, First Visit to the Orthognathic Clinic, Impacted Canines, Hypodontia, Protraction headgear and RME - awaiting formatting by Dodds and proof-reading.
5. New PILs in development and discussion: ‘Brace Friendly Food & Drink’ and ‘Dental Care for Children with a Cleft’.
The committee is planning on taking steps to publicise to members the information that is available through the society.
Clinical Effectiveness Bulletin (CEB) – The first edition for 2011 was produced and distributed over the summer.
National Clinical Guidelines – the guidelines of First Permanent Molars and Retention are due to be reviewed in 2012.
Coordinated national audits on:
1. Mini-screw (TADs) national on-line audit (D. Bearn) – this is still on-going, although the first reported results are being written-up for publication in the JO.
2. Mouthguard provision survey – this has been completed. The final report has been submitted to the JO for review/publication.
3. Adverse Event reporting – it is planned re-draft the reporting form and to publicise this system to members with articles written for the BOS News and the CEB.
Other items:
1. It is planned to develop the web-based regional audit reporting.
2. National Electronic Patient Records Consultation/working party (Phase 2) - Simon Ash represents the BOS in this consultation process. An on-line survey on the hospital outpatient process was circulated to all members of the COG Group for comment.
3. The chairs of the CSC and the Ethics committee have submitted a joint paper to the Board of Trustees for consideration re a possible way forward for both committees.
Communications Committee
Members:
Les Joffe CEO
Gavin Barry Editor of Clinical Effectiveness Bulletin
Phil Benson Editor of the Journal of Orthodontics
Mark Forty Editor of the Business Supplement
Andrew Hayward-Dunn Dodds the Printers
Mary Lo Website Manager
Baz Parmar Editor, BOS News
Tracy Posner Communications Manager
There was a full committee meeting in March 2011 and several meetings of sub groups and working parties have led to information being shared.
Publications to date in 2010
Annual Review
Journal of Orthodontics – 4 issues
Website
BOS News – 3 issues
Orthodontic Times - 2 issues
Clinical Effectiveness Bulletin – 3 issues
Media coverage
An extensive media outreach campaign has continued and analysis shows the following outcomes for 2010 and the first half of 2011.
Media coverage for 2010
Number of publications: 57
Total advertising value measure: £949,245
Total circulation: 133,695,765
Media coverage for 2011 (first half of the year from January to July 2011)
Number of Publications: 40
Total Advertising Value Measure: £147,172
Total Circulation: 7,126,198
National Orthodontic Week 2011
National Orthodontic Week (NOW) has its own dedicated organising group but cross refers to the Communications Committee. The second NOW was launched on 22 February 2011 at the Museum of Childhood. Here are some of the highlights:
The dedicated NOW website was revamped with new information for the 2011 campaign.
The focus of the 2011 campaign was young people and the subject addressed was the problems relating to an overjet
The results of a survey conducted by YouGov’ of 2,092 adults* revealed that over 90% would want treatment of significantly protruded teeth for themselves and/or their children
A number of innovative initiatives were developed to increase the public outreach of the campaign including ‘Meet an orthodontist’ programme at the V & A Museum of Childhood, the building of two ‘before and after orthodontic treatment’ Lego heads, a guess the number of Lego bricks competition, the creation of a ‘brace friendly’ recipe competition
A three minutes film explaining the benefits of orthodontic treatment was reworked for NOW and included interviews with several Against the Odds winners
As a lasting legacy a brace friendly recipe leaflet was created which can be purchased by members to give to their patients
NOW spokespeople Nigel Harradine and Nicola Johnson conducted 56 radio interviews, including several for BBC radio stations and syndicated broadcasts.
Press Coverage appeared in national, regional and professional publications including Edinburgh Evening News and the British Dental Journal.
We reached a total audience of 4,311,059 people with the NOW media coverage for 2011.
The equivalent advertising spend of the NOW press coverage would have cost the BOS £100,475 if it had to pay for the space.
25 branded NOW items were sold and 5% commission donated to BOSF
Sponsorship was obtained from three companies to offset NOW development costs
Websites
There are now two BOS sub-sites for NOW and 2015. The Communications Committee started its work in collaboration with cScape to review and revamp the main BOS website.
CONFERENCE AND MEETINGS COMMITTEE
Harrogate 2011
Organisation of the conference continues as planned
This year will be the 25th Anniversary of the first BOC and so this will be celebrated throughout conference
As last year the Reception will be held on Sunday night and the Banquet on the Monday night which proved a successful innovation.
A number of innovations are planned including
a session for Orthodontic Therapists
the introduction of team registration to encourage all members of the orthodontic team to attend
Masterclasses on TADs and marketing
an app for smart phones to enhance the delegate experience
a facebook page for marketing the conference
enhanced email publicity
Trade space has sold very well and this is very pleasing in light of the economic downturn and the perceived reduction at the recent BDA conference
The political session will revert to Sunday mornings following discussion with the chairs of OSG and OPC
Future conferences
Bournemouth 2012 – Sunday 23rd September – Tuesday 25th September.
Speaker recruitment has started
Manchester 2013 – Thursday 19th September – Saturday 21st September.
Edinburgh 2014 – Thursday 18th September – Saturday 20th September.
EDUCATION COMMITTEE REPORT – MAY 2011
1. VLE
NOP:
Module drafts continue to filter through and it is likely to be the end of the year before all modules are completed. However as we now have 5 or 6 modules completely finished, the FHI have set up a “New NOP” to run alongside the existing one so that people can at least use the completed modules. When all the new modules are up and running the current NOP can then be removed. we would like to thank all module authors for the tremendous amount of work they have put in and also thank the FHI for their continuing help and support.
CPD:
The JO papers + questions and UTG short presentations + questions seem to be running well. The CPD side of the VLE has been handed over to Steve Chadwick and Dina Slater and they are monitoring the usage so that we can decide how much additional CPD needs to be found.
2. Education courses
Karen Drage led the second BOS Education Course, with other members of the Education Committee, earlier this year and this was again a successful event. The Committee is planning a course on Educational Supervision specifically for those who have Deanery supervisory roles and this is planned for Oct 2011.
3. Committee members
At the end of 2011, Steve Chadwick and Sue Cunningham step down from the committee. Charlotte Eckhardt takes over the Chair of the Committee from the end of this year.
Ethics Committee
Report of the BOS Ethics Committee
Report to BOS Representative Body
September 2011
Member details:
| Name | Group | End of Term |
| Chairman | Stephen Rudge | | Dec 2012 |
| Ex Officio | Nigel Harradine | COG | Dec 2011 |
| Members: | Harneet Mangat | OSG | Dec 2011 |
| Rob Evans | UTG | Dec 2011 |
| Katy Kelly | PG | Dec 2011 |
| Jane James | Comm | Dec 2011 |
| Sona Pabari | TGG | Dec 2013 |
The last Ethics committee was on the 29th June 2011
The next Ethics Committee meeting will be 1st November 2011
Key points:
There have been no patient or member complaints to the Chairman or Committee since the last report of June 2009
A paper by Stephen Rudge and Nikki Atack as Chairs of the Ethics Committee and Clinical Standards Committee respectively has been put to the Board. The responsibilities of the Committee may then be within the scope of an overarching Clinical Governance Committee at the end of December 2011 when Five Committee members come to the end of their period of office
The Advice sheets .
Communication is the key to good consumer relations
Practice advertising and websites
will be put to the Board by the November 2011
Whistleblowing
will be put to the Board by the end of 2011
The Committee will be looking at the Ethical responsibilities and roles of Orthodontic Therapists and supervising clinicians following the report from the Working Party looking into the Scope of training and practice for orthodontic therapists in September / October 2011. An updated Advice Sheet will be produced.
Summary of Advice Sheets (produced and edited by the Ethics Committee)
(From now on all Advice Sheets will only be placed on the Website – there will be no more paper copies)
Advice Sheets - printed and downloadable
1 Advertising orthodontic products and techniques to Rev. 2010
the public.
2 Communication is the key to good consumer relations Rev. 2002 being submitted by end Oct 2011
3 Ethical management of patient compliance Rev. 2010
4 Consent in orthodontics Rev. 2008
7 The duties and responsibilities of expert witnesses Rev. 2002 Final review by lawyers
10 Practice advertising and websites Rev. 2006 being submitted by end Oct 2011
14 Practice Closure - the ethical care of patients Rev. 2003 Withdrawn
17 Second opinions Rev. 2006 being submitted by end Oct 2011
18 Waiting lists Rev. 2008
19 Whistleblowing Rev. 2004 to be submitted by end 2011
28 Prinicples of confidential Patient information management Rev. 2008
29 Out of hours - Guidance to practitioners and patients Rev. 2009
30 Running a mixed practice and maintaining ethical standards Rev. 2008
Advice sheets to be added to website
Consent for retention 2010
Complaints 2010
Child protection 2010
Advice sheets - downloadable only
BOS Advice sheet on Complaints, produced by the Ethics Committee 2010
International Committee
Julian O'Neill is now President of FEO and has been elected to the Executive of EFOSA. Jonathan Sandler is Chair of the Nominations Committee for EFOSA. The last EFOSA meting was in Istanbul immediately prior to the EOS Conference and there were 60 attendees representing most of the European countries and a few countries outside Europe. Challenges of providing high quality orthodontic services in many European Countries were discussed in detail as well as efforts to standardise training through out Europe.
Jonathan Sandler gave a 20 minute presentation on London 2015, which was very well received. Delegates were particularly interested in how they could join the 'Early Bird' Debenture scheme for the 8th IOC meeting in London. The 2015 Conference Committee is currently working on this to maximise early registrations.
Journal of Orthodontics
Editorial Board Update
The Editor-in-Chief Philip Benson has decided to stand down as Editor from the end of this year after three and a half years. This will allow the Editor-in-Chief post to fall into line with all the other British Orthodontic Society posts which start and end at the calendar year, but will also allow the new Editor in Chief to work with the current Editorial Assistant for six months until his contract finishes in June 2012. The society is actively seeking a replacement.
David Bearn has also requested to step down as an Associate Editor from 1 September. David has worked extremely hard for the journal and we will miss his astute editing of scientific articles and wise council. Again we are actively seeking a replacement as Associate Editor.
Mrs Fiona Dyer has completed three years as one of the two Clinical Sub-editors of the journal and has to step down due to other commitments. Again I am very grateful for all the hard work she has undertaken for the journal to ensure that it maintains a high standard of clinical article. I am delighted that Scott Deacon, Consultant Orthodontist at Bristol Dental Hospital and Frenchay has agreed to take on this role for the journal.
Production and submissions
JOR published 4 issues in 2010.
Automated reviewer reminders are now sent out from the system reducing the need for manual checks.
2010 saw the greatest number of submissions in the last 3 years, rising from 98 in 2009 to 170 in 2010. Turnaround times decreased meaning that the editorial team and reviewers continue to deliver a fast service to authors. The journal is exercising a 78% rejection rate, which is high. It does indicate that only the highest quality papers are being accepted.
2010 Subscriptions
There has been a decline in print and online institutional subscriptions, but an increase in e-only subscriptions and consortia deals. JOR is sold to international consortia, and sales have grown steadily over the past three years.
General Comments
JOR is currently under reassessment by Thomson ISI. The editors, board and Publisher compiled a document outlining journal strengths to support the evaluation process.
CPD was launched in the journal in the final issue of 2010. The journal includes a new CPD section and the BOS and Maney worked together to establish an online link to the CPD article from the BOS VLE.
JOR has recently reviewed and updated its ethics policies and the journal now encourages authors of clinical trials to register their study on an internationally available database of clinical trials to discourage selective reporting of data.
Orthodontic Practice Committee
Since the 2010 AGM, 3 meetings of OPC have taken place. The next meeting will take place at BOC 2011 with a final 2011 meeting scheduled for December dovetailing with the OSG meeting.
PDS Contracts
The first five-year period of PDS has now ended. Not surprisingly this has been a stressful time for all, particularly coming at a time when major NHS changes are underway. PCT manpower is being stretched and much effort from the DoH/PCC and PCT’s is being directed towards the new dental pilots.
Based on the information we have received it would appear that there has been much variation around the country in terms of PCT’s approaches to the end of the first PDS period. Most PCT’s seem to have opted for short-term extensions of between 1 and 3 years via a single tender action option until such time as the future landscape becomes clearer. Some of these PCT’s have hinted that they intend to go through a full procurement process in due course. We are aware of some PCT’s who have already initiated this and a number of existing providers have been through an open and competitive process with the hope of winning longer-term contracts and continuing to remain providers. As yet we are not aware of any significant changes in provider via this process although it would seem that a number of non-specialist providers and holders of small contracts have run into some difficulties at the Pre Qualifying Questionnaire stage. We are currently taking advice from the BDA and the DoH on this matter. It does seem likely that more contracts will be handled in this way and many existing providers do face the prospect of having to go through a full procurement process should they wish to remain providers.
Naturally we are keen to help members with as much information as we can provide to help with this process. The BDA are running some a tendering course later in November with a specific emphasis on orthodontics. We also have a slot on tendering during the Political Session at this year’s BOC with input from the BDA.
Some PCT’s have sought to build in some KPI’s with new contract awards or extensions and in some cases up to 10% of the contract value is attached to delivering these KPI’s. The KPI’s in question seem to vary but are largely based on measures already in the Vital Signs report and those surrounding patient satisfaction. Mandatory involvement in the local MCN has also been added as a condition for some contracts.
Probably our biggest concern surrounded additional clauses that some PCT’s sought to insert into the contract surrounding completion of cases at the end of a PDS period. In keeping with the principles of PDS, the responsibility of the provider usually ends at the end of the contract once payments stop, providing performance is up to date. Some PCT’s were understandably concerned at this prospect and being left with a problem surrounding providing continuing care let alone the financial implications of doing so. With this in mind some sought to include clauses obliging providers to complete all commenced treatment once the PDS contract ended. These clauses appeared very variable and did not stem from central advice. Furthermore they represented a misunderstanding as to the nature of PDS. The financial arrangements surrounding this clause seemed very variable with some agreeing figures in keeping with previous BOS recommendations whilst others offered no money at all to complete the cases. We are aware of one PCT that even wanted the provider to treat all the patients on the waiting list for no extra funding!
A number of providers have approached us at the BOS office or the business team at the BDA led by Hollie De La Fuente. In every such case, between us we have been successful in removing such clauses, generally following an educational exercise surrounding the nature of PDS.
Future commissioning arrangements
Providers remain concerned about future commissioning arrangements although it has been confirmed that both primary and secondary care orthodontic services will be handled by the NHS Commissioning Board and not GP-led consortia. There are also some question marks over time frames following the recent government pause on health reforms and listening exercise. It had recently been suggested that the phasing out of SHA’s will be deferred a year until 2013 and that the phasing out of PCT’s (which was scheduled for 2013) may be introduced more gradually. At present many PCT’s have begun to cluster although this is largely for efficiency purposes to pool resources as manpower decreases and also to run more cost-effectively. It is not necessarily the case that these clusters will become the regional representation of the NHS Commissioning board.
However, some clarity is starting to emerge as to the structure of the NHS Commissioning Board and how it will function at a local level. Furthermore, it seems likely that local professional networks will play a key role and that the new arrangements will be much more coordinated, consistent and accountable than the current system. Via OPC, the BOS has already started building relationships with the key individuals involved in this process.
Liaison with DoH, BDA, GDPC and Key Stakeholders Group
OPC are represented at the GDPC by Colin Wallis and Harneet Mangat and on the Key Stakeholders Group by Richard Jones, all of whom have attended meetings over tha last 12 months. Regular liaison has also taken place with the BDA and the DoH.
Updates for members
OPC has continued to update members regularly through BOS news and quarterly electronic updates. Furthermore, enquiries from members are fielded on an almost daily basis.
Scholarship and Grants Committee (incorporating BOSF)
The S&G committee met in December 2010 and May 2011. The main business has been reviewing the process of the awards that are made and updating and harmonizing the format, regulations and publicity related to these. The results of this work are now available via the website. It is hoped that users will find this a more streamlined and uniform site, which is easily navigable. My thanks are due to the significant work by the former Chair (David Bearn) and by the swift and conscientious work of the BOS office team.
I took over from David Bearn in December 2010, but then went traveling for three months until March 2011. I must thank Ann Wright for her hard work in this period by ensuring that all calls for prize applications went out in a timely fashion and were all collated for my return. Judging has been a busy process this spring, and currently stands as follows:
Against The Odds, Sponsored by OrmcoEurope
SPG organizes this award and is being judges over the summer.
Dr Mustafa Abdel Ellah Mustafa and Katie Irvine
Commended: Jeremy Peak and Jayne Hawkin/ John Costello and Kristine Knight
BOC Research Poster Prize and BOC Audit Poster Prize, Sponsored by Hawley Russell
Will be judged at BOC
BOS Award to an Orthodontic Technician for Distinguished Service
Jeff Lewis has been nominated
BOS Award to an Orthodontic Nurse for Distinguished Service
Carly Matthews has been nominated
BOS Clinical Audit Prize
Awaiting nomination
BOS TGG Distinguished Trainer Award
Fraser MacDonald
Chapman Prize in Orthodontics
AWARDED TO Badri Thiruvenkatachari
Geoffrey Fletcher Scholarship
AWARDED to Emily Hall
Houston Postgraduate Research Scholar, Sponsored by TP Orthodontics
Shiri Seymour, Eastman
Rema Prabakaran, Eastman
Laurence Usiskin Student Elective Prize
Peter Ngheim
M.Orth Cases Prize Sponsored by Dolphin Imaging and BOS Medal
Will be judged at BOC
Practitioner Group Cases Prize, Sponsored by Dental Directory
PG about to send out call for applicants
Research Protocol Award, Sponsored by JJ Thompson
Sarabjit Singh NANDHRA
UTG Research Prize, Sponsored by Orthocare
Will be judged at BOC
BOS Student Technician Award
Magdalena Nowak
Of particular note is the phenomenal response this year to the new format for the Houston award.
The new format for the Maurice Berman Prize is to be launched in the autumn. It is now for clinical excellence displayed by an established orthodontist.
Conclusion
In its Memorandum of Association the charitable objects of the BOS are set out as being to:
04/36 promote the study and practice of orthodontics
04/37 maintain and improve professional standards in orthodontics
04/38 encourage research and education in orthodontics
The work of the Board is structured with this end in view. The BOS remains strong both financially and professionally and is well placed to continue to to fulfil these aims. The vast majority of UK orthodontic providers, whether specialists or not, are members of BOS. We have strong contacts with policy makers at the Department of Health, we foster research and training, we promote high standards of practice and ethics, and we seek to inform and assist the public in their concerns about orthodontics.
We continue to have a remarkable number of enthusiastic volunteers working in many capacities for the Society, taking forward its aims. I would just mention here that there is a real need for more younger members, especially from among the specialist practitioners, to become involved with the running of the society. We also have a highly dedicated group of staff at the BOS Office who provide enormous support to the Society's activities. Our chairman Nigel Harradine comes to the end of his term of office this year. He has given unstinting service to the Society over the past three years during which time he has brought steady and thoughtful leadership to the society, and his success owes much to his notable diplomatic skills. We are most grateful to him for all he has achieved and we extend a warm welcome to his successor Nigel Hunt who takes over in the new year. It has been a great pleasure to me personally to work with the BOS team over the years and our thanks are due to them all for their enthusiasm.
7. Proposed amendment to Articles of Association
It was proposed that the words struck through be deleted and the words in italics be inserted:
Article 11. The Board may approve applications for Retired membership from any member who:-
04/39 retired from all active clinical or remunerated administrative or research work in dentistry; and
04/40 is over 55 years of age.
The Board may approve applications for Retired membership from any member who:-
(a) is no longer registered as a dentist
and
(b) is over 55 years of age.
Article 41. Only members in the grades of Full Member, Life Member and Retired Member All classes of member shall be entitled to vote (in person or by proxy) on issues affecting the business of the Society.
The motion to accept the amendment to Article 11 was passed unanimously and the amendment to Article 41 passed unanimously with the exception of one proxy vote against.
8. Hon Treasurer's Report
This is the seventeenth Financial Statement presented to a unified BOS and my third as Treasurer. It represents the period from the 1st January 2010 to the 31st December 2010.
In my report, I intend to cover the following 6 areas:
First, an analysis of the Society membership for 2010.
Second, a review the 2010 financial statements, a summary of which has been circulated in advance of this meeting.
Third, the budget estimates for 2012.
Fourth, the proposed subscriptions for 2012.
Fifth, an outline of BOS’s reserves, and
Sixth, the proposal of four motions regarding the 2010 report, the 2010 accounts, the 2012 subscription and the auditors.
Let’s start with an overview of the society membership.
As of the 31st December 2010 the total membership of the British Orthodontic Society was 1,929. This was structured into the various membership categories:
2010 2009 2008
Full members: 1379 (1338) (1314)
Honorary: 7 (7 ) (7)
Life: 33 (34) (36)
International 153 (155) (153)
Associate: 13 (15) (16)
Retired 66 (64) (64)
Company: 20 ( 23) (23)
Postgraduate: 257 (255) (248)
TOTALS 1929 (1891) (1861)
The 2008 figures are in brackets.
The number of full members has increased by 28.
If we review the Group membership numbers over the past 5 years, you will note that:
| 2010 | 2009 | 2008 | 2007 | 2006 | |
| OSG 709 | 667 | 642 | 627 | 603 | |
| COG 279 | 273 | 273 | 278 | 261 | |
| Training Grades 259 | 255 | 248 | 260 | 253 | |
| PG 436 | 433 | 428 | 452 | 430 | |
| UTG 72 | 68 | 72 | 70 | 69 | |
| Community Group 34 | 36 | 40 | 40 | 44 | | |
| 1774 | 1732 | 1703 | 1727 | 1660 | | |
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the Orthodontic Specialist Group has shown a marked increase again. There are small fluctuations in the other groups.
The 2010 Financial Statement.
A copy of the summary accounts has been circulated to all members. The complete statutory financial statement and accounts are available for examination at the Society Offices. The accounts have been professionally audited and conform to International Standards on Auditing (UK and Ireland) as issued by the Auditing Practices Board. This is a legal requirement.
[The figures in italics are the 2009 figures.]
In 2010, the Society had a total income of £1,457,931 (£1,444,171). The breakdown of these income figures, as well as the expenditure figures, which we will examine next, now conform to the Charities Commission Statement of Recommended Practice 2005 (SORP2005) regulations, where each of the Societies main activities has to reflect an income and expenditure stream, so:
Publications/Website/Media, which reflects the Societies information activities – to both public and members – shows incoming funds of £414,009 (£405,299),
Conference and Clinical meetings, which reflects the provision of continuing professional education shows incoming funds of £772,920 (£764,998) and
BOSF/Awards/Journal, which reflects the support and advancement of knowledge within the profession shows incoming funds of £162,389 (£170,873)
Added to this is Voluntary income of £51,377 (£38,380), and Investments and Interests on deposits of ££57,236 (£64,621).
As you will note there was a small increase in income of £13,760.00
Total Charitable expenditure of £1,196,051 (£1,294,940) is divided into the 3 main activities. Provision of information activities cost £402,634 (£380,376), provision of educational activities expended £545,538 (£691,147), and provision of support to research activities cost £223,600 (£198,731). Added to these activities are governance costs £22,292 (£23,196) and investment management costs £1,987 (£1,490). The Governance costs should be interpreted as the costs associated with committee expenditure and professional fees - the cost of keeping BOS on the straight and narrow.
If we compare income and expenditure in the various activities and categories, we see that there are deficits in the BOSF/Awards/Journal activities, and in Governance, which has no income stream. Rather than view these items as losses, I would like you all to view these activities as needing an investment of funds from other more profitable sources, such as those made by Educational activities and Investments.
2010 Income Expenditure
| Publications/Website/Media | £414,009 | £402,634 | |
| Conference/Clinical Meetings | £772,920 | £545,538 | |
| BOSF/Awards/Journal | £162,389 | £160,356 | |
| Governance | £000 | £22,292 | |
| Voluntary (Donations/Legacies) | £51,377 | £000 | |
| Investment | £57,236 | £1,627 | |
| TOTAL: | £1,457,931 | £1,196,051 | |
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Income less Expenditure with the subtraction of Investment Asset losses, produces a surplus of £261,880 for 2010 against a surplus of £149,231 for 2009 .
| 2009 | 2010 |
| Total income | (£1,444,171) | 1,457,931 |
| Total expenditure | (£1,294,940) | £1,196,051 |
| Investment asset gain/(losses) | (£29,800) | £23,335 |
| Net movement in funds | (£179,031) | £285,215 |
This summary forms the basis of the accounts, which are submitted to the Charity Commissioners and Companies House.
This brings us to the Society Balance Sheet.
| 2010 | 2009 |
| Fixed Assets | £1,774,664 | £1,716,882 |
| Net Current Assets | £981,327 | £1,009,469 |
| Total Assets | £2,755,991 | £2,726,351 |
It shows that our fixed assets, property, plant and furnishings, have increased by around £57,000.00. Our net current assets, which include cash in the bank, plus debtors and fewer creditors, have decreased by approx. £28,000.00. Overall the assets of BOS have been increased by some £29,000.00 to over £2,750,000.00.
This is a healthy Balance sheet when compared to other allied Societies of a similar structure. This reflects the major efforts that many members of the society make giving both their time and skills to provide and attend the educational activities, to promote orthodontic awareness and support the research activities. All of which fulfills the charitable obligations of the society.
I would now like to look at budget estimates for 2012 .
Within the setting of the Societies budgets, of fundamental interest to members is the concept of CORE expenditure. Society CORE expenditure is made up of ALL those expense items which have no inherent income source.
So if we take all the activities in which the Society has the possibility of income generation, such as Publications, Conferences and Meetings, Room Hire, Journal or Awards Sponsorship, and accepted that these activities were to break even, and there are precedents for losses being made in all these areas, then at best CORE subscription would have to cover the following expenses:
Management/Adim Expenditure which includes Bank Charges, Wages, Auditors Fees and Committee Expenses
Direct Expenditure, includes Clinical Governance, Public Relations, Subscriptions to other Societies, Legal and Professional Fee, Loan Interest and Education Projects
Support Expenditure which includes Office Rent and Rates, Heat, Light and Power, Travelling Expenses, Printing/Postage/Telephone/
Stationery, Equipment Hire and Rental, Maintenance, General Expenses and IT/Website
My projections for 2012 show that there will be a CORE expenditure of approx. £541,000.00, which is similar to the 2011 figure.
Raising this sum to run the Society without reliance on profit from other sources, brings us directly to the proposal of the subscription for 2012.
| Cheque/CC | Direct Debit |
| Full Members | £325.00 | (£310.00) |
| Associate | £305.00 | (£290.00) |
| Company | £305.00 | (£290.00) |
| International | £215.00 | (£200.00) |
| Postgraduate | £175.00 | (£165.00) |
| Retired | £115.00 | (£105.00) |
| The above rates are the same as 2011 There is a proposal to simplify membership within the society to alter voting rights and with this the subscription rates will also be simplified. If the proposal to alter the members categories is brought in the subscription fees will be as follows Cheque/cc DD Full (including company and associate members) £325 £310 International and Training Grades £175 £165 Retired £115 £105 | | |
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The figures on the left are the proposed subscription rates for 2012 for the varying categories of membership, if payment is made by cheque or credit card. The figures on the right are for direct debit payments which significantly reduce administration costs.
The reductions allowed for direct debit payers are £15.00 for Full,( associate and company members) and £10.00 for Postgraduate/International and Retired members,. Overall this will reduce the incoming subscription to around £531,000 from a full gross collection of £541,000 but this will be close enough to the expenditure for CORE activities.
Please remember this is the total subscription — no added extras – no Group subscription.
It also is important to remember that the annual subscription is tax deductible.
The reductions on offer are to incentivise all members to pay or continue paying by Direct Debit. This is done by BACs transfer at the beginning of January. It takes an enormous strain off Ann Wright, Ann Humphreys, Tony Kearney and Jaki Walker at HO and allows them to get on with more important duties.
Any other method of payment and payment made after the end of January will be collected at the full rate.
At this time, the BOS reserves policy warrants a brief update.
| Reserves start 2010 | £765,156.00 | | |
| Reserves used in 2010 | £287,893 |
| £477,263 |
| | | | |
Surplus 2010 £285,215
Reserves end 2010 £762,478.00
At this point I should remind the Society that the Society constitution requires that we keep a base line reserve of half of the annual subscription – around £257,000.00 and that £243,000 is held in investments.
This leaves an effective reserve of approx. £262,400.00.
For 2001 the plans for the reserves were to further pump prime the WFO 2015 Congress, £50,000, the Board of Trustees has earmarked £66,000 for further development of modular teaching and CPD, and £40,000.00 for enhancement of the BOS website.
£50,000 will be added to the Societies investments with a view to building up a large portfolio sufficient to generate an income stream that can provide regular and sustained educational support income.
£80,000 in research funds from this reserve have been identified for encouraging further development of orthodontic study in the form of a studentship and there was to be continued financial support for the National Orthodontic Week that is scheduled for spring February 2011 at an estimated cost of £40,000.
This ends my report, and it is a requirement of the Charities Act that our 20010 accounts are formally approved at the AGM. They have already been approved by the Society auditors and passed by the Board of Trustees.
Four motions were proposed for AGM approval.
Firstly the adoption of this report.
Secondly the adoption of the 2009 accounts.
Thirdly approval of the 2011 subscription rates, which have been approved by the Board of Trustees and which have been presented to the Representative Body of BOS.
Fourthly that Baker Tilly UK Audit LLP are re-appointed as BOS auditors for the year 2011 accounting period.
The four motions were put to the meeting and approved unanimously.
The Chief Executive Les Joffe proposed that direct debits should continue to be taken in March and the proposal was accepted.
9. Appointment of President for 2013
The appointment by the Representative Body of John Muir as President for 2013 was noted.
10. Election of officers for 2012
The election of the following officers for 2012 was noted:
Chairman Nigel Hunt
Treasurer Alison Murray
Honorary Secretary David Tidy
13. Any other business The Chairman-elect, Nigel Hunt, wished to record his thanks in particular to the Chairman Nigel Harradine and the Honorary Secretary David Tidy.
14. Date and place of next AGM.
The chairman announced that the 2012 AGM would be held at the Bournemouth Conference Centre during the British Orthodontic Conference at a date and time to be notified.
The meeting was closed at 1745 hours.
