Dentistry provided by the National Health Service in the United Kingdom is supposed to ensure that dental treatment is available to the whole population. Most dentistry is provided by private practitioners, most of whom also provide, on a commercial basis, services which the NHS does not provide, largely cosmetic.[1] Most adult patients have to pay some NHS charges, although these are often significantly cheaper than the cost of private dentistry.[2] The majority of people choose NHS dental care rather than private care: as of 2005, the national average proportion of people forced to use private care was 23%.[3] NHS dentistry is not always available and is not managed in the way that other NHS services are managed.[vague]