Progress of reform
In a session held at the British Dental Association conference in Manchester three of the authors of the 2009 "Independent Review of t?he NHS Dentistry in England" examined the progress of contract reform over the past six years.
The 2009 review proposed a blended contract for primary care services in which there would be a mix between capitation, activity and quality payments; this was linked to a clear patient pathway based on risk and prevention. Since then the profession has seen capitation and quality based pilots and there is now a move to prototype contracts which include activity in the blend.
Jimmy Steele, Janet Clarke and Eric Rooney discussed the background to the 2009 review, the approach they took and what the review recommended and then mapped that to the current move from pilot contracts to prototypes.
Jimmy Steele said:
"It has been an interesting process and considerable progress has been made, albeit more slowly than we and many others might have anticipated.
"I think we are now broadly happy with the concept and operation of the pathways and risk evaluation though there are still a few things to iron out.
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