Recommendations & Conclusions
4 items
18
Conclusion
21st Report - Fixing NHS Dentistry
Accepted in Part
The initial announcement of the dental recovery plan claimed that its aim was to “significantly expand access so that everyone who needs to see a dentist will be able to”.51 However, that ambition was never aligned to the actual targets of the plan, as an additional 1.5 million courses of …
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The initial announcement of the dental recovery plan claimed that its aim was to “significantly expand access so that everyone who needs to see a dentist will be able to”.51 However, that ambition was never aligned to the actual targets of the plan, as an additional 1.5 million courses of treatment would have left overall delivery in 2024–25 around 2.6 million courses of treatment short of pre–pandemic levels.52 DHSC confirmed this to us, saying that “even had all the aspirations of this plan been achieved, we would not have got to a point where everyone could see a dentist”.53 DHSC and NHSE’s modelling
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Government response AI summary
The government commits to NHSE carrying out analysis of the New Patient Premium, Golden Hellos, and UDA uplift initiatives, with data collected by July 2025 and a detailed breakdown provided by Autumn 2025, which will help assess the plan's impact.
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HM Treasury
22
Conclusion
21st Report - Fixing NHS Dentistry
Accepted in Part
Responsibility for commissioning dental services was delegated to integrated care boards (ICBs) in April 2023.62 Within the national dental contractual framework, ICBs have some flexibilities that NHSE says should help them to tailor services to meet specific population needs.63 This includes the ability to commission additional services, and to support …
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Responsibility for commissioning dental services was delegated to integrated care boards (ICBs) in April 2023.62 Within the national dental contractual framework, ICBs have some flexibilities that NHSE says should help them to tailor services to meet specific population needs.63 This includes the ability to commission additional services, and to support practices that receive lower payments for each UDA they deliver. The NAO’s report outlines how some ICBs have used these flexibilities, for example through raising the minimum UDA value in their area to £30 (rather than the national minimum of £28), or through initiatives such as Greater Manchester’s dental access quality scheme.64
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Government response AI summary
The government acknowledges the importance of strengthening engagement with ICBs and reaffirms their crucial role in local decision-making and dental contract reform. NHSE is actively engaging ICBs on policy implementation and will further enhance this through engagement and wider consultation on 2026 Payment and Quality …
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HM Treasury
24
Conclusion
21st Report - Fixing NHS Dentistry
Accepted in Part
The idea of identifying ICBs to commission mobile dental vans seems a particular example of an ineffective interaction between a national policy and an appropriate measure on the ground. NHSE and DHSC identified twelve ICBs to deliver the initiative,69 but none of these ICBs have since chosen to invest in …
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The idea of identifying ICBs to commission mobile dental vans seems a particular example of an ineffective interaction between a national policy and an appropriate measure on the ground. NHSE and DHSC identified twelve ICBs to deliver the initiative,69 but none of these ICBs have since chosen to invest in a dental van.70 DHSC acknowledged that ICBs know their own “patches” the best, and that allowing them to use that knowledge to decide on the best way to provide dental service would be preferable to trying to direct that from Whitehall.71 NHSE also acknowledged the importance of working with local commissioners, especially given that dentistry is a delegated service, to share best practice and to have accountability for implementing reforms locally.72 We note that this will be tested in the proposed method for actioning the new government’s commitment to delivering an additional 700,000 urgent appointments.73 In written evidence after the evidence session, NHSE and DHSC told us that dental commissioning teams within ICBs will be working to make these appointments available as soon as possible from April 2025.74 67 Q 55 68 C&AG’s Report, para 2.11 69 NHSE, Dental recovery plan update, Annex B, published 10 May 2024 70 Q 49 71 Q 51 72 Q 48 73 Q 101 74 Letter from the Interim Permanent Secretary of the Department of Health and Social Care and the Chief Executive Officer at NHS England relating to a follow up on the oral evidence session held on 13 February 2025 on Fixing NHS Dentistry, 18 March 2025 16 2 Future reform of NHS dentistry Establishing the true cost of NHS dentistry
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Government response AI summary
The government acknowledges the need to strengthen relationships with ICBs and reaffirms the importance of local decision-making. NHSE has taken active steps to engage ICBs on policy implementation and upcoming reforms, including future engagement and a wider consultation for 2026 Payment and Quality reforms.
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HM Treasury
29
Conclusion
21st Report - Fixing NHS Dentistry
Accepted in Part
The NAO reported that in 2023–24 there were 24,193 dentists providing some NHS dental care in England, a 2% decline on the total since 2019–20.87 NHSE data outlines that there is a large workforce gap that exists in NHS dentistry, with over 5,500 vacancies across the entire dental workforce in …
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The NAO reported that in 2023–24 there were 24,193 dentists providing some NHS dental care in England, a 2% decline on the total since 2019–20.87 NHSE data outlines that there is a large workforce gap that exists in NHS dentistry, with over 5,500 vacancies across the entire dental workforce in March 2024. Many of those vacancies go unfilled for more than half a year.88
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Government response AI summary
The government states it is addressing immediate challenges by delivering 700,000 extra urgent dental appointments from April 2025 and implementing the Golden Hello scheme, which has recruited 45 dentists and has 250 posts advertised. It also mentions longer-term plans for contract reform, a 10 Year …
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HM Treasury