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Remuneration

We now have over 100 prototype practices testing the pathway alongside a new remuneration system. The new system is a blend of capitation and non-capitated activity.

For the first time, the new contract allows practices to exchange non-capitated activity for seeing additional patients. This is known as the exchange mechanism (PDF: 359KB). 

On the whole this methodology has been embraced by participating prototype practices.

The continuous evaluation of the dental prototype scheme is led by the Deputy Chief Dental Officer for England, Professor Eric Rooney. It’s also supported by an external reference group. This group includes representatives from:

We’re testing two models of payment calculation under prototype arrangements. These are:

  • Blend A
  • Blend B

Each new practice is allocated a model when they join the programme.

Blend A

The capitation element of this blend will cover

  • Band 1 treatments
  • urgent and charge exempt treatments for capitated patients

The activity element will cover:

  • Band 2 treatments
  • Band 3 treatments
  • Urgent care, referrals and charge exempt treatments for non-capitated patients

Blend B

The capitation element of this blend will cover

  • Band 1 treatments
  • Band 2 treatments
  • urgent and charge exempt treatments for capitated patients

The activity element will cover:

  • Band 3 treatments
  • Urgent care, referrals and charge exempt treatments for non-capitated patients

How the system works

View our factsheets on the financial components of the prototype arrangements.

Blends factsheet (PDF: 191KB)

Activity factsheet (PDF: 197KB)

Capitation factsheet (PDF: 197KB)

Year-end update for prototypes (PDF: 127KB)

Listen to our webinar recording that explains the calculation of prototype delivery requirements (finance schedules).

presentation with speakers notes on how the prototype remuneration system works (PDF: 5MB) has been prepared for business owners.

Wave 4 practices ONLY

Listen to a recording of a webinar which describes the handling of year-end 2018/19

Dental Quality and Outcomes Framework (DQOF)

The Dental Quality and Outcomes Framework (DQOF) is intended to assess the quality of dental services. It applies to practices involved in the dental contract reform programme on a quality basis only. 

Find out more about the dental quality and outcomes framework which was last revised in 2016/17.

View the statement referring to DQOF adjustment for the financial period 2015/16 and 2016/17.