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Clinical philosophy

The clinical philosophy of dental contract reform concentrates on changing the focus of dental services. The intention is to focus on disease prevention instead of only treatments given.

The care pathway

Patients will be taken on a journey, known as the care pathway. 

This will allow patients to receive:

  • oral health assessments to identify their risk of future dental disease
  • treatment where clinically necessary
  • a self-care plan and preventative care advice to help them take responsibility for their oral health
  • ongoing support and preventative treatments through oral health reviews

In the remuneration approach we're testing, it's recognised that it's takes time to support a patient to:

  • make the most effective change in their oral health
  • follow preventive advice to try and reduce formal interventions

This change is in line with the NHS long term plan.

You can find out more information in the factsheet on care pathway approach (PDF: 170KB).

Dental Quality and Outcomes Framework (DQOF)

The Dental Quality and Outcomes Framework provides a measure of the quality of services provided by the practice.

View the Dental Quality and Outcomes Framework presentation (Powerpoint: 159KB) to find out more about the clinical rationale behind DQOF.


National Institute for Health and Care Excellence (NICE) guidance is available.

Information on Delivering Better Oral Health (DBOH)(PDF: 4.3MB).