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Dental services for all: New arrangements will reward dentists for seeing more NHS patients

NEW arrangements have been announced that will reward dentists for seeing more NHS patients.

The new revised payment arrangements for NHS dentists will be linked more closely to the number of patients they see under changes being introduced in April.  

The arrangements will help ensure patients are able to access NHS services while dentists continue to be supported as they operate under coronavirus restrictions.  

The revised payments replace the emergency top-up arrangements that were introduced to protect the sector from the immediate impact of the pandemic.

Separately, an advisory group will be established to consider long term reform of the sector and future structure of NHS dentistry.

Dentist with patient.
The arrangements will ensure dentists continue to be supported as they operate under coronavirus restrictions. Photo by Caroline LM on Unsplash

Public Health Minister Maree Todd said:

“The pandemic has had a significant impact on the provision of dental care and our focus must now be on recovery and ensuring we equip the sector to work through the significant dental backlog.

“From April, the new system will support dentists to see more patients while avoiding a cliff-edge for practices and ensuring a soft transition during what is still a constrained period for dental teams.

“Importantly, this means dentists could earn more than they do now through COVID-19 payment support.

“We’re delivering record investment in dentistry – with a 9% increase in the budget for NHS dental services in 2022-23 – and there has been a 39% increase in the number of high-street dentists in Scotland between 2007 and 2021.

“Last year there were 55.6 dentists per 100,000 of the population providing NHS care in Scotland compared to 39.9 in England.

“We are absolutely committed to improving oral health, including the removal of NHS dental charges during the lifetime of this Parliament.”

Chief Dental Officer Tom Ferris said: “We know how important it is that NHS dental teams get the right support to carry on providing the services patients need. 

“We’re confident that these revised arrangements are a step in the right direction to improving access, by linking financial support to seeing patients.

“We have been sharing our proposals with the British Dental Association from before Christmas, listening to the concerns of the sector and the need to avoid the cliff-edge when the emergency support payments come to an end.

“These revised arrangements are in addition to £50 million of financial support for dentists during the pandemic, along with £35 million of PPE.

“It also comes on top of new and increased fees for dentists for a range of treatments including enhanced appointments from 1st February 2022.”

The new arrangements will see the withdrawal of emergency financial support arrangements – which were paid to dentists regardless of their rates of activity – from 1st April 2022 to be replaced with interim funding arrangements.

There will also be interim arrangements to pay more than emergency financial support to dentists who are performing above average activity, and the same for those performing at average activity levels.

The revised payments come on top of support introduced in February for a range of items at a potential investment of £20 million per year, and an extension of free PPE for the sector funded by more than £12 million per year. 

The basic examination fee for adults of £9.95 will be replaced by an enhanced fee of £14.85.

Dentists will have the opportunity to claim the enhanced examination fee for children and will also be able to claim a fee for small film radiographs for children.

Dentists can claim Childsmile for children and young people up to age 17, and fluoride varnish application between two and 12.

This will address the increase in oral health inequalities that may have arisen in children and young people during the pandemic

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