The Minister of State, Department of Health (Mr Simon Burns)
We said in the coalition agreement that we would introduce a new dental contract based on registration capitation and quality to increase access and improve oral health, particularly of children. We are today announcing the publication of our proposals for piloting that new contract, and inviting expressions of interest in taking part in the pilots.
The current dental contract, which was introduced by the previous Administration in 2006, has been a bone of contention for dentists since its inception. The House of Commons Health Select Committee report published in July 2008 found that the contract had failed to solve problems of access, that the UDA-based system (that is units of dental activity) of remuneration was extremely unpopular with dentists, and that commissioning of dentistry by primary care trusts was often of poor quality. It called for registration to be reintroduced.
Under our planned new contract dentists will be rewarded for the quality of care they deliver for patients rather than the number of treatments and, through registration, patients will have the security of continuing care. Our reforms will give dentists the encouragement they need to provide a service that meets the needs of today’s population. The Select Committee noted that there was widespread criticism that the UDA system introduced in the 2006 contract was not piloted. We have decided that we will carry out pilots as part of the development of our reforms.
To help us develop our proposals, we have taken advice from a national expert steering group, containing representatives of the dental profession, and patients, and NHS commissioners. Professor Jimmy Steele, author of the independent review of dentistry published last year, was also a member of the group.
The three different models set out in the publication will be piloted in 50 to 60 areas around the country from next April. The three pilot models will be slightly different in order to provide information and evidence on different aspects of the proposals, which will then help inform the development of a new national contract.
The proposals we are announcing today mark a first step towards delivering this new and better system of dentistry. In the light of the pilots we will bring forward proposals for a new national contract, with the intention of bringing forward legislation.