Launching your own dental practice is one of the most ambitious steps a dentist can take. It’s not only a chance to build financial independence but also an opportunity to shape a patient experience that reflects your professional ethos. Yet, opening a practice is complex; it demands clear planning, financial discipline and strict compliance with UK regulations.
This guide walks through the full journey, covering setup costs, essential equipment, and compliance requirements.
Squat Practice vs. Buying an Existing Practice
When setting up, dentists usually face two main choices:
- Squat practice (from scratch): Complete control over location, design and culture. It’s often cheaper to start but carries the challenge of building a patient base from nothing.
- Buying an existing practice: Comes with patients, staff and compliance systems already in place. However, you may inherit outdated equipment, undesirable contracts or a reputation that doesn’t align with your vision.
The right option depends on your financial position, appetite for risk and long-term strategy.
Developing a Business Plan & Conducting Market Research
A clear business plan is essential to secure finance and guide decision-making. It should cover:
- Local market research: demographics, competition and demand for NHS vs private services.
- Revenue projections and cash flow forecasts.
- Services offered (general dentistry, cosmetic, orthodontics).
- Business structure (sole trader, partnership or limited company).
- Funding sources: savings, bank loans, private investors or specialist dental finance brokers.
A solid business plan gives lenders confidence and ensures you remain focused during the setup stage.
Location & Premises Selection
Location is one of the strongest predictors of long-term success. Consider:
- Accessibility: parking, public transport, disabled access.
- Footfall and visibility: high street or near complementary businesses (gyms, pharmacies, cafés).
- Demographics: family-heavy areas, professionals or commuter populations.
- Premises suitability: Class E planning permission, size for multiple surgeries, natural light and patient flow.
Review ONS data and future local developments to identify growth areas before committing.
Design, Fit-Out & Equipment
A well-designed surgery balances compliance with patient comfort and staff ergonomics. Key considerations include:
- Layout: dirty-to-clean workflow, decontamination zoning, ergonomic chair placement.
- Project partners: specialist dental architects or turnkey providers reduce risk compared to generic contractors.
- Equipment essentials:
- Dental chairs
- Digital imaging
- Sterilisation units
- Practice management software
Investing in ergonomic design reduces occupational risks for staff and improves patient satisfaction.
Compliance & Legal Requirements
Every UK dental practice must comply with strict standards. Core requirements include:
- Care Quality Commission (CQC) registration.
- General Dental Council (GDC) registration for dentists and dental care professionals (e.g. registered dental nurses).
- Emergency equipment (defibrillator, oxygen, resuscitation training).
- Planning permission & building regulations (Class E usage, fire safety, disabled access).
- Ongoing compliance: Infection control, GDPR, CPD training and risk assessments.
Failing to plan for compliance can delay your opening or even put your licence at risk.
Checklist
Key steps to opening a UK dental practice:
- Decide between squat practice setup or acquisition.
- Write a robust business plan.
- Secure funding and manage costs carefully.
- Choose the right location and premises.
- Design ergonomic surgeries and invest in quality equipment.
- Register with CQC and ensure GDC compliance.
- Build a skilled team and appoint a practice manager.
- Launch a marketing strategy to acquire patients.
- Maintain compliance and prioritise staff/patient wellbeing.
FAQs
Who can own a dental practice in the UK?
Both dentists and non-dentists can own a dental practice in the UK, provided regulatory requirements are met. Non-dentist owners must ensure that all clinical decisions are made by qualified dental professionals. It’s also crucial to comply with Care Quality Commission (CQC) standards to maintain safe and ethical operations.
What are typical setup costs?
Setup costs for a dental practice typically range between £250,000 and £500,000, depending on equipment, premises and technology used. Additional costs may include staff recruitment, marketing and initial stock of materials. Budgeting carefully and spreading expenses across finance packages can help manage cash flow effectively.
How long does it take to open a squat practice?
Opening a squat (new) practice usually takes 6 to 8 months for planning, fit-out, equipment installation and obtaining necessary approvals. However, full profitability can take 2 to 3 years as you build a patient base. Using a squat practice calculator can provide more accurate estimates for timelines and expected revenue growth.
What are the main compliance requirements?
Key compliance requirements include registration with the Care Quality Commission (CQC), ensuring all clinical staff are registered with the General Dental Council (GDC), and adherence to infection control protocols. Practices must also comply with GDPR, maintain CPD training records, and follow workplace safety regulations. Staying up-to-date with inspections and audits is essential to avoid penalties.
Do I need a practice manager?
Yes, even small practices benefit from having a practice manager. They handle HR, stock management, scheduling, compliance and daily operations, freeing dentists to focus on clinical work. A good practice manager also improves patient experience and can implement strategies that increase efficiency and profitability.