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About the programme

The dental contact reform programme is testing a contract model that:

  • focuses on disease prevention
  • supports patients on a care pathway to secure improved oral health

It’s a new way of delivering services that involves the patient following a care pathway that’s prescribed by the dentist. 

The patient is encouraged to take responsibility for maintaining their own oral health but they still have access to the full range of treatments available on the NHS as is deemed clinically appropriate.

Making it work

Access to dental services in a primary care setting continues to be a priority to the government and the NHS.

Therefore, the system being tested includes a financial system that focuses on 2 contractual measures:

  • capitation
  • activity

Together these should provide the incentives to make sure practices continue to attract patients and deliver the clinical pathway to within the limits their contract will allow.

We've prepared a presentation to help business owners explain the dental contract reform programme to the practice team:

Increasing participation

At the start of the 2018 calendar year, we invited NHS dental practices to express their interest in joining the programme.

By taking on additional practices, we aim to:

  • increase overall learning
  • practice for any future rollout

Up to 50 new practices (Wave 4) will join the programme in 2 phases. The first phase will happen in October 2018 and the second in January 2019.

Support for Wave 4 practices

Support and resources will be made available to the Wave 4 practices before 1 October 2018.

The resources include: 

  • webinars - to assist understanding of prototyping and the finance schedule
  • one-to-one calls - to allow individual practices to ask questions about their finance schedules
  • factsheets - relating to topics that prototype practices must have a good understanding of in order to manage the practice under the new arrangements

You can find these resources on our website.

Additional Information

New prototype practices can find out what to do and when in order to prepare for their implementation day. 

You can view a list of practices that are involved (this currently excludes Wave 4 practices).