Source · Select Committees · Public Accounts Committee
Recommendation 15
15
Deferred
Acknowledgement of dental recovery plan failure and inability to quantify additional treatments
Conclusion
At our session in February 2025 DHSC acknowledged that whilst the concept behind the initiatives were “entirely reasonable” the initiatives in the plan had ultimately not been successful, and that one—the new patient premium—”clearly failed”.40 NHSE also agreed that the plan had been unsuccessful but noted that overall UDA delivery for 2024–25 is on track to be about 1% higher than 2023–24, which NHSE felt was “in line” with increases in previous years.41 The NAO report, however, found that DHSC had assumed an increase in activity in 2024–25 of around 3.7% without the added hoped–for activity from the dental recovery plan.42 We asked for a number of how many additional courses of treatment had been delivered against the overall 1.5 million target, but NHSE could not give a specific answer, saying that it is “too early to say at this point that we have delivered towards the 1.5 million”.43
Government Response Summary
The government agrees with the committee's observation that the dental recovery plan's initiatives were not fully successful and NHSE is currently analysing the impact of the New Patient Premium, Golden Hellos, and UDA uplift to determine how many additional appointments were delivered, with findings expected by Autumn 2025.
Government Response
Deferred
HM Government
Deferred
2.1 The government agrees with the Committee’s recommendation. Target implementation date: Autumn 2025 2.2 NHSE is carrying out analysis of the main initiatives which were planned to result in additional appointments being delivered: the New Patient Premium, Golden Hellos and the uplift to the minimum Unit of Dental Activity (UDA) rate. The government decided not to implement a national programme of mobile dental vans and so this will not be included in this analysis. The impact of these 3 initiatives will be assessed using changes in activity claims and UDAs delivered. In line with NHSE’s regular data collection process and usual reporting timelines for dental contractors to submit returns, NHSE expects all data for 2024-25 to have been collected by end of July 2025. NHSE will then be in a position to run further analysis and provide a detailed breakdown for each of the initiatives individually. This should be completed by end of August 2025 and NHSE will write to the Committee in the Autumn to set out the results of this analysis. 2.3 In addition to this analysis, NHSE has carried out focus groups with stakeholders to understand their views on the New Patient Premium and will also undertake an evaluation of the Golden Hello scheme, due to be completed and shared with ministers by Summer 2025. This will be published alongside the main evaluation in Autumn 2025. 2.4 The government agrees with the Committee’s recommendation. Target implementation date: Autumn 2025 2.5 NHSE will carry out analysis of how many additional appointments were delivered by the 3 main initiatives in the dental recovery plan as set out in response to recommendation 2a. The government decided not to implement a national programme of mobile dental vans and so this will not be included in the analysis. 2.6 The government agrees with the Committee’s recommendation. Target implementation date: Autumn 2025 2.7 Due to the two-month window for activity claims to be submitted by dental contractors, the data necessary to provide this confirmation will be available from Summer 2025. Factoring in time for analysis of this data NHSE would expect to be able to report on the impact of the individual initiatives by Autumn 2025.