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Making it work in practice

The dental contract reform programme is a change to the way NHS primary care dentistry has been provided in the past. This may require a different approach from dental practices in the programme.

There are different tools and resources that you can use to help you manage the new prototype arrangements.

We’ve developed the modelling tool to help practices:

  • forecast their year-end position at any time
  • determine where the focus needs to be on fulfilling the contract measures

How to use the modelling tool

You’ll need to provide:

  • patient numbers
  • prototype activity

These figures will need to be an estimated forecast for the year-end. You can use data from the most recent capitation remuneration report to help with this. This can be found on Compass.

Once you have entered the estimated figures for your practice, the tool will calculate the forecast year-end position.

The data output may vary in relation to either:

  • activity
  • capitation

The impact of any changes to patient attendance numbers or activity is calculated using these figures. This enables the practice to see if any action is needed to deliver the contract.

Download the modelling tool (Excel: 21KB)

View the modelling tool guidance (PDF: 277KB)

You can get an animated version of the guidance by emailing the dental contract review mailbox.

Focusing on disease prevention can lead to a reduction in dental treatment. This may mean practices:

  • have reduced levels of Units of Dental Activity (UDA)
  • can’t meet the expected minimum activity (EMA) of their contract

The exchange mechanism looks at how practices can compensate for a reduced level of activity by seeing more patients.

View the guidance for the exchange mechanism (PDF: 347KB). This helps you to calculate the number of extra patients you’ll need to see to make up for any activity deficit you have.

Patients on the list of a performer who is leaving or has left the practice may be transferred as a whole list to another existing or new performer.  

It is not possible to transfer the list in part.

You can view guidance on bulk patient transfers between performers (PDF: 920KB).

If you need to transfer all of a performers patients to a different performer, use our transfer request service

You can view guidance on ways to manage implementation of the programme.

View the top tips for appointment book management (PDF: 215KB) that practices have shared with the contract reform team.

View the hints and tips on introducing skill mix (PDF: 277KB). This shows how practices have benefitted from a introducing wider range of skills into their teams.

View the guidance on data transmission (PDF: 191KB) to understand what is expected of practices that join the programme.

There are several leaflets and forms that prototype practices need to use. These are in line with general data protection regulations (GDPR).

View the patient information: NHS dental prototypes leaflet (PDF: 261KB). This has been developed to let patients know what they can expect under the programme.

You can order these online at

You’ll need to register first. Do this by completing the registration form (Excel: 213KB) and sending it to

There are two documents that practices need to give to patients who receive care under the programme. These are:

Prototype practice record form (PRDP)(PDF: 84KB)

Fair processing notice (PDF: 74KB)​​​​​​

You can order these documents from the Primary Care Support England (PCSE) portal. We’ll send instructions on how to register for this if your practice joins the programme.

All other forms such as the FP17 are unchanged.