A shock new NHS contract which could shake things up more than ever has been uncovered.
Before you all get too alarmed, this access programme contract is still in draft form, however seems to have been released ahead of schedule by a number of PCT’s across the country as a part of their tendering process.
Under the new proposals practice payments will be transformed with monthly payments being cut by half and the remainder being paid quarterly in lump sums.
The reliance on UDA as the sole measure of performance has gone, replaced by a combination of quality, access, and UDA measurements.
Serious concerns have been highlighted over the structure of the new agreement; the implementation of quality measures and the lack of real piloting for example.
Up to 150 of these contracts could be rolled out over the next 18 months. It has already surfaced as far apart as Lincolnshire, Devon, and the north-east.
One source slammed the new document, describing it as ‘a myriad of quality measures bolted onto the UDA system and dropped into a GP contract’.
The problem arises when one area, such as quality, is seen as the focus, resulting in a potential drop in other areas.
The perceived change in attitude from the access team – from promising to engage with
the profession to the sudden appearance of this new document – has also drawn criticism.
Dr John Milne, chair of the BDA’s General Dental Practice Committee, backed up the fears.
He said: ‘The BDA has seen a draft version of a dental access contract that is being developed by the Department of Health. The version we have seen is not, in our opinion, fit for purpose.
‘We are lobbying the Department hard for a number of significant changes to its content. It is important that they take on board the profession’s concerns and make the appropriate
amendments.
‘Unfortunately, the draft has been released by a number of primary care trusts. As it stands, we do not believe the contract is suitable and are advising members not to sign it.
‘We also believe that it is important that this draft contract does not become seen as a
substitute for developing the work of Professor Steele’s review and will continue to push hard for progress on consulting on and piloting his recommendations.’
Chief dental officer for England Barry Cockcroft said: ‘This contract is being developed by the Department’s dental access programme who are working with many PCTs across the country to support them procuring brand new services.
‘In developing this contract template, the access team has been keen to share drafts with stakeholders and respond to their feedback. The access team has written to the NHS pointing out that this is work in progress and asking them to share it with stakeholders in order to get
feedback but also to point out that the version they have at the moment is not the final version.
‘We are aware that an early draft of the contract has been posted… and can confirm that we have already made significant changes to the working draft.
‘The access team have held several meetings with the British Dental Association regarding development of this contract and further meetings are planned.
‘The new access contract does incorporate some of the recommendations of the Steele review but in terms of piloting the Steele recommendations much more significant work will be undertaken with existing providers.
‘We intend to robustly pilot potential changes with existing providers, we have had many expressions of interest from dentists and PCTs to be involved in piloting and we are developing a programme of initiating and evaluating pilots, involving stakeholders as fully as possible.’
Sam Jethwa GKT