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Contract management

The Regulations and Agreements underpinning the provision of general primary care dental services remain in place in respect of all prototype practices.

However, some amendments are necessary to enable the 3 community dental service (CDS) practices that are participating in the dental contract reform programme to operate within the legal framework for prototyping.

These amendments to the Regulations only apply to those CDS practices.

As is the case with all CDS practices, they are commissioned by NHS England to provide specific services for an identified cohort of patients and in this way they are different from all other NHS primary care dental services providers.  

The CDS practices operating within the programme will follow the clinical pathway to test the feasibility and effectiveness of delivering care in this way for the community dental service in the future.

For reference, the existing Regulations and amendments in place for all services:

NHS (General Dental Service) Regulations 2005

NHS (Personal Dental Service) Agreement Regulations 2005

The NHS (Primary Dental Services - Misc. Amendments and Directions to the NHS Business Services Authority) Regulations 2016 

For all prototype practices, in addition to the existing underpinning regulations, a contract variation will have been signed by both the prototype practice business owner and NHS England.  

This contract variation governs the provision of services in accordance with the requirements of the prototype phase of dental contract reform.

GDS - Standard GDS Contract Variation Notice for participants in the Prototype Agreements Scheme - November 2015

PDS - Standard PDS Agreement Variation Notice for participants in the Prototype Agreements Scheme - November 2015 (PDF: 315KB)

NHS dental prototype agreements - patient information

Published revised exit guidance

You can also download prototype directions provided by Gov.uk:

Prototype directions 2015

We've prepared a presentation to enable business owners to highlight key areas of the prototype contractual arrangements to the practice team:

Making sure your practice meets its contract expectations is essential to the financial stability and wellbeing of the practice. 

It's important that you review the reports that are generated by NHSBSA every month to help you monitor performance in regard to the two measures; capitation and activity, and take action where necessary to manage deviation.
 

Where to find the reports to manage your prototype

With effect from August 2016, the monthly reports reflecting your contract’s performance are available on Compass. 

You can view guidance on accessing your reports on Compass
 

Performer level reports

The following reports are available directly to performers via their Compass login, and contain individual achievement to date:

  • capitation and activity summary
  • patient list report

Both reports are available in PDF format, and the patient list report is also available in excel format, allowing the data to be sorted and filtered.
 

Frequency of reports

Prototype reports are produced on a monthly basis to ensure that you are able to manage your contract closely.

Publication dates for the financial period 1 April 2018 to 31 March 2019:

2018

Tuesday 10th April
Wednesday 9th May
Friday 8th June
Monday 9th July
Wednesday 8th August
Monday 10th September
Monday 8th October
Thursday 8th November
Monday 10th December

2019

Wednesday 9th January
Friday 8th February
Friday 8th March
Monday 8th April 

The reports reflect the month preceding the schedule close date, for example, May reports will be available in early June. 

The EDI FP17 transmission schedule cut-off date will vary throughout the year. Appointment transmissions are cut off on the 22nd of each month.

You can view the cut off dates.
 

Reports available

There are currently 8 reports available for prototype practices, with accompanying guidance notes.

Some of the reports are formatted in Excel to enable you to filter the data as appropriate.

Capitation remuneration report (PDF only)

This reports provides a summary of the actual patient numbers on the capitated patient list against the expected patient numbers for 2016/17 (CECP) and the prototype UDAs delivered against the expected minimum activity level for 2016/17 (EMA).

Capitation and activity report – performer level (PDF and Excel)

This report gives a performer-level breakdown of the number of capitated patients and the number of prototype UDAs delivered this month, as reported on the capitation remuneration report. 

Excel allows you to sort and filter the information to provide individual performers with their own data.

Capitated patient list – details (PDF and Excel)

This report contains the name and other personal details of each patient on the capitated patient list, the name and performer number of the performer who last saw the patient at the most recent capitation trigger event (see report guidance for an explanation of event capitation trigger) and, the time left until the patient lapses.

Patients are listed in the order of the time left until they are lapsed. 

A red, amber or green flag indicates how imminently the patient will lapse, indicating attention priority.

Excel provides the facility to sort and filter the data.

Capitated patient list – summary by performer (PDF only)

This report provides a summary of the total number of patients included in the practice’s capitated patient list at the end of each month, by performer.

This report will be updated every month throughout the financial year.

Imminent lapsers – details (PDF only)

This report is a sub-set of the main capitated patient list and provides the personal details of patients who are due to lapse within six months from the date of the report.

Imminent lapsers – summary by performer (PDF only)

This report summarises the total number of patients due to lapse within 1 month, 1-3 months, 3-6 months by performer.

Leavers and joiners – details (PDF only)

This report lists the details of the patients that have left the practice in the latest reporting month.

The report provides the transfer date for the patient which is the date the patient left the capitated patient list.

The reasons for this may be because the patient lapsed or became a capitated patient at another practice or started seeing a DFT trainee for continuing care.

It also lists the details of the patients who have joined the practice in the latest reporting month.

Leavers and joiners – summary (PDF only)

The report is a summary of the number of joiners and leavers and provides the net increase in capitated patients at the practice for each month of the financial year to date and the totals for the period.  It also shows the number of joiners and leavers for the financial year to date by performer.


Dental quality and outcomes framework (DQOF)

A report containing 2016/17 DQOF data is now available to practices and commissioners via Compass.

The file name of this report is 'PTDQOF'.

This report has been published for information and quality improvement purposes. As previously communicated financial adjustments associated with DQOF will not be applied for 2017/18.


DQOF guidance 2016/17

Dental Quality and Outcomes Framework

Practice report example

DQOF definitions quick reference guide


DQOF report queries

Queries regarding the content of these reports should be directed to us using the online contact form or by calling 0800 330 1348.

Include details of the nature of your query and the area of the report the query relates to, for example:

  • area: clinical Effectiveness
  • specific metric: OI05 : number of sextant bleeding sites for patients aged 19 years old and over
  • query details/request: provide details of patients not being maintained or improved.