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Commissioning: greater flexibility encouraging but access remains an issue

6 February 2019


With patient access making headlines across England the BDA has welcomed greater commissioning flexibilities to enable dental practices to achieve their contract value through local schemes and to reduce some of the pressure of the UDA treadmill.


NHS England have confirmed that dental practices in England can now be paid for up to four per cent contract over-delivery for participation in local initiatives.


NHS England commissioners have said they will work with providers to set up local schemes to improve oral health and practices can be paid up to 104 per cent of their contract value if they participate.


The exact nature of these schemes, and the payments associated with them, will be determined locally.


Existing local flexible commissioning arrangements are not affected by this new provision nor are existing local arrangements for over-delivery.


This new flexibility for over-delivery goes some way to achieving this, but we will continue to press for more ambitious schemes to take the pressure off struggling GDS practices.


Dental contract reform

We are campaigning for a dental contract that puts prevention first - find out what the issues are and what we have been calling for.


Through our policy and campaigning work, we ensure that the concerns of all sections of the profession are raised and that dentists' voices are heard at a national level: join us.