BDA criticizes flexible NHS commissioning update

NHS England has released new guidance on flexible commissioning, which the BDA called a “new framework with the same old problems”.

Introduced in 2021, the flexible commissioning scheme aims to make NHS dental contracts more adaptable by allowing a proportion of UDAs to be filled through locally approved schemes.

On 9 October, an updated framework for commissioners was published by NHS England. It states that its goal is to “prevent poor oral health, protect and expand access to, and provide high-quality care.” A key priority of the document is the restoration of mandatory services such as screening and diagnostics after COVID-19.

The British Dental Association (BDA) acknowledged the ‘worthy aspirations’ of this update. However, he said the ‘failed and underfunded contract’ would act as a ‘binder to progress’. Without significant investment, the association said it did not believe the framework would drive real progress.

The BDA also said it will reach out to integrated care boards (ICBs) to discuss the challenges ahead. He encouraged members of each local scheme to have written contracts for their participation and to seek guidance from the BDA.

“NHS dentistry is not working”

It comes after the BDA delivered the message that ‘NHS dentistry is not working’ at the Conservative Party Conference on 2 October. BDA members stood outside the conference with a poster referencing the Conversation Party’s iconic slogan ‘Labour isn’t working’.

The BDA then shared the following POST on X: ‘@RishiSunak pledged to “restore” NHS dentistry when he ran for top job. But there is no sign of the change we need to ensure this service has a future. Near the corner of #CPC23, patients have been queuing since 4 am for an appointment. NHS dentistry needs a rescue plan.’

The association felt that the flexible commissioning framework ‘could provide a space for the necessary progress’. However, he also said the update was not “a substitute for fundamental reform to a broken system”.

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