England: 100% target fanciful but easy choice for ministers
28 June 2022
NHS England is now attempting a return to 'business as usual' for NHS dentistry, with a new 100% activity target - set to be imposed from 1 July - set to offer no flexibility to the thousands of practices struggling to live with Covid.
A 95% target has been in force since 1 April, and we understand delivery in the last quarter fell dramatically at the outset, a reflection of mounting workforce problems.
"Imposing fanciful targets is easy for Ministers" Shawn Charlwood, Chair of the British Dental Association's General Dental Practice Committee, said, but "the harder but necessary path demands real reform and fair funding." We believe these choices are driven by Treasury diktats, not by the data emerging from the frontline.
Covid infection rates are now at the highest levels since April, with widespread impact on workforce availability and patient cancellations. The most recent data published by the Office for National Statistics for the week ending 18 June, shows 1.7 million people across the UK were estimated to have had the virus – up 23% in a week, after a 43% jump the week before that.
While Infection, Prevention and Control guidance has been withdrawn, all practices are continuing to face burdens that lower their capacity, without corresponding support from government. We've stressed that no other UK nation has adopted such an inflexible, punitive approach, which it believes will leave a growing number of NHS practices facing financial penalties for failure to hit targets, further destabilising an already fragile delivery model.
With the exodus from the NHS accelerating, dentist leaders have said there can be no delay in delivering meaningful reform to the NHS contract, supported by appropriate financial resources. The Government is expected to introduce modest, marginal changes to the current discredited contract before parliament's summer recess, but formal negotiations on fundamental reform have yet to begin.