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Each Monday, our Money team speaks to someone from a different profession to discover what it’s really like. This week we chat to James Davies, a specialist orthodontist at Quayside Orthodontics in Carmarthenshire and Pembrokeshire…

People think my job is… something they would not want to do. Looking in people’s mouths all day!

What I’d say to them is… it’s better than working with smelly feet.

One thing I’d change about the industry is… the NHS contract. Dentists used to be paid for what they did, now they are paid per course of treatment. In short, if you do one filling or 20 you get paid the same. This discourages the treatment of those in high need unless the dentist becomes a charity. What we have seen over the past 20 years is privatisation by stealth. Make the NHS contract so difficult to undertake profitably that dentists vote with their feet – then the government can blame the “greedy dentist”.

Being able to build a quick rapport is vital… Working in people’s mouths is an intrusive process, so being able to reduce anxieties and tensions over difficult, potentially painful procedures is key. Communication is the most important skill – manual dexterity is a close second to this.

Every dentist will have a small number of patients…who they would gladly pay to go elsewhere.

The biggest mistake I made with a patient was… is miscommunication. A larger lady entered the practice and I asked her “when she was due”. To my embarrassment, she replied “I had the baby 12 weeks ago.” Cringe!

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Watching the complete life transformation of a patient… who has finished their course of treatment is the most rewarding thing. Often within orthodontics, patients walk in unwilling to smile and with low self-esteem. They can walk out beaming and overflowing with positivity into their new lives. I personally find treating teenagers is incredibly rewarding, they have lots of dreams and aspirations, and they help to keep me young.

Read more of this series:
What it’s really like to be a… publican
What it’s really like to be a… novelist
What it’s really like to be a… soldier

Often our hands are tied… by NHS regulation. There is so much dentists can do to improve people’s smiles, but there is an overly complex set of rules of what constitutes NHS and private (cosmetic) treatment.

A practice I worked at was bought out by a multinational… and I was left working for a company that put profits over patient care and treated everybody as a number. On the positive flip, it motivated me to set up my own practice to be everything they were not, and it has been a runaway success. Kindness and the personal touch cost nothing!

Salaries start at… £38,000 in year one, rising to about £100,000 in year five. With a specialism you can earn upwards of £150,000.

There is a huge amount of freedom to pick and choose your work schedule… as most dentists are self-employed and are contracted to a practice. I have always worked four days a week, which gives me a day to pursue other interests, be it DIY, gardening or learning Welsh.

My day begins at… around 8am with a bowl of cornflakes (something I think is grossly underrated). I always buy an i newspaper on my way to work and see my first patient by 9am. I tend to see 25 patients a day and try to fit a 5km run at lunchtime twice a week. My evenings are spent ferrying my children to various activities before retiring at 10pm.

When you’re staring into someone’s mouth… the mind does wonder. I think about things going on in the family, ambitions/dreams and how to strive to be a better person.

A file picture of a dentist examining someone's mouth. Pic: iStock
Image:
Pic: iStock


Dentistry in the UK is a five-year course… to attain a bachelor in dental science degree from one of 16 dental schools. It is usually an undergraduate degree, though graduate entry is available from Aberdeen and Preston. Upon graduation, you enter on a dental foundation programme within the NHS. This currently pays £38,472 a year. Most dentists can expect to earn around £60,000 to £100,000 in subsequent years. There are 13 specialisms within dentistry that dentists can choose to study and attain postgraduate qualifications. I undertook a career in orthodontics, which required a three-year post graduate degree.

I would hope to semi-retire at… 60. I am lucky enough to have a NHS pension – a defined benefit pension scheme underwritten by the government. For a dentist joining today, you will have to be 67. If I am enjoying it, which I hope I still am, I would happily work two days a week for as long as I can or am allowed!

If I had my time again I would have… slowed down and lived my life at a jog rather than a sprint. I would have worried less about the future and enjoyed the journey more rather than the destination.

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Thames Water creditors offer £1bn ‘sweetener’ in rescue deal

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Thames Water creditors offer £1bn ‘sweetener’ in rescue deal

Thames Water’s largest group of creditors is to offer an additional £1bn-plus sweetener in a bid to persuade Ofwat and the government to pursue a rescue deal with them that would head off the nationalisation of Britain’s biggest water utility.

Sky News has learnt that the senior creditors, which account for roughly £13bn of Thames Water‘s top-ranking debt, will propose this month that they inject hundreds of millions of pounds of new equity and write off a substantial additional portion of their existing capital.

In total, the extra equity and debt haircut are understood to total roughly £1.25bn, although the precise split between them was unclear on Monday evening.

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The numbers were still subject to being finalised as part of a comprehensive plan to be submitted to Ofwat, according to people close to the process.

Thames Water has about 16 million customers and serves about a quarter of the UK population.

The creditor group, which includes funds such as Elliott Management and Silver Point Capital, is racing to secure backing for a deal that would avoid seeing their investments effectively wiped out in a special administration regime (SAR).

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Sky News revealed last month that Steve Reed, the environment secretary, had authorised the appointment of FTI Consulting, a City restructuring firm, to advise on contingency planning for a SAR.

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Last month: Is Thames a step closer to nationalisation?

On Monday, The Times reported that Rachel Reeves, the chancellor, had reaffirmed the government’s desire to see a “market-based solution” to the crisis at Thames Water.

The company’s main group of creditors had already offered £3bn of new equity and roughly £2bn of debt financing, which, alongside other elements, represented a roughly 20pc haircut on their existing exposure to Thames Water.

On Tuesday, the creditors are expected to set out further details of their operational plans for the company, in an attempt to allay concerns that they are insufficiently experienced to take on the task of running the UK’s biggest water company.

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The Russia-Ukraine war has reshaped global trade and forged new alliances

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The Russia-Ukraine war has reshaped global trade and forged new alliances

The vast majority of policymakers in Westminster, let alone elsewhere around the UK, have never heard of the Shanghai Cooperation Organisation, the geopolitical grouping currently holding its summit at Tianjin, but hear me out on why we should all be paying considerable attention to it.

Because the more attention you pay to this grouping of 10 Eurasian states – most notably China, Russia and India – the more you start to realise that the long-term consequences of the war in Ukraine might well reach far beyond Europe’s borders, changing the contours of the world as we know it.

The best place to begin with this is in February 2022, when Russia invaded Ukraine. Back then, there were a few important hallmarks in the global economy. The amount of goods exported to Russia by the G7 – the equivalent grouping of rich, industrialised nations – was about the same as China’s exports. Europe was busily sucking in most Russian oil.

But roll on to today and G7 exports to Russia have gone to nearly zero (a consequence of sanctions). Russian assets, including government bonds previously owned by the Russian central bank, have been confiscated and their fate wrangled over. But Chinese exports to Russia, far from falling or even flatlining, have risen sharply. Exports of Chinese transportation equipment are up nearly 500%. Meanwhile, India has gone from importing next to no Russian oil to relying on the country for the majority of its crude imports.

Indeed, so much oil is India now importing from Russia that the US has said it will impose “secondary tariffs” on India, doubling the level of tariffs paid on Indian goods imported into America to 50% – one of the highest levels in the world.

The upshot of Ukraine, in other words, isn’t just misery and war in Europe. It’s a sharp divergence in economic strategies around the world. Some countries – notably the members of the Shanghai Cooperation Organisation – have doubled down on their economic relationship with Russia. Others have forsworn Russian business.

And in so doing, many of those Asian nations have begun to envisage something they had never quite imagined before: an economic future that doesn’t depend on the American financial infrastructure. Once upon a time, Asian nations were the biggest buyers of American government debt, in part to provide them with the dollars they needed to buy crude oil, which is generally denominated in the US currency. But since the invasion of Ukraine, Russia has begun to sell its oil without denominating it in dollars.

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At the same time, many Asian nations have reduced their purchases of US debt. Indeed, part of the explanation for the recent rise in US and UK government bond yields is that there is simply less demand for them from foreign investors than there used to be. The world is changing – and the foundations of what we used to call globalisation are shifting.

The penultimate reason to pay attention to the Shanghai Cooperation Organisation is that while once upon a time its members accounted for a small fraction of global economic output, today that fraction is on the rise. Indeed, if you adjust economic output to account for purchasing power, the share of global GDP accounted for by the nations meeting in Tianjin is close to overtaking the share of GDP accounted for by the world’s advanced nations.

And the final thing to note – something that would have seemed completely implausible only a few years ago – is that China and India, once sworn rivals, are edging closer to an economic rapprochement. With India now facing swingeing tariffs from the US, New Delhi sees little downside in a rare trip to China, to cement relations with Beijing. This is a seismic moment in geopolitics. For a long time, the world’s two most populous nations were at loggerheads. Now they are increasingly moving in lockstep with each other.

That is a consequence few would have guessed at when Russia invaded Ukraine. Yet it could be of enormous importance for geopolitics in future decades.

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Aberdeen in exclusive talks to sell investment tips site Finimize

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Aberdeen in exclusive talks to sell investment tips site Finimize

Aberdeen is in exclusive talks to sell Finimize, the investment insights platform it bought just four years ago, as its new chief executive unwinds another chunk of his predecessor’s legacy.

Sky News understands the FTSE-250 asset management group has narrowed its search for a buyer for Finimize to a single party.

The exclusive talks with the buyer – whose identity was unclear on Sunday – have been ongoing for at least a month, according to insiders.

City sources said Brave Bison, the London-listed marketing group that operates a number of community-based businesses, was among the parties that had previously held talks with Aberdeen about a deal.

Finimize charges an annual subscription fee for investment tips, and had more than one million subscribers to its newsletter at the time of Aberdeen’s £87m purchase of the business.

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The sale of Finimize would represent another step in chief executive Jason Windsor’s reshaping of the company, which now has a market capitalisation of £3.6bn.

Mr Windsor, who replaced Steven Bird last year, also ditched the company’s much-ridiculed Abrdn branding, with the group having been formed in 2017 from the merger of Aberdeen Asset Management and Standard Life.

Investors were left underwhelmed by the merger, which originally valued the enlarged company at about £11bn.

On Friday, Aberdeen shares closed at 194.7p, up 30% during the last year.

Aberdeen declined to comment.

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