Contract Management

16 May 2018
The Regulations and Agreements underpinning the provision of general primary care dental services remain in place in respect of all prototype practices.  However some amendments are necessary to enable the three community dental service (CDS) practices that are participating in the dental contract reform programme to operate within the legal framework for prototyping. These amendments to the Regulations only apply those CDS practices and can be viewed below.
 
As is the case with all CDS practices, they are commissioned by NHS England to provide specific services for an identified cohort of patients and in this way they are different from all other NHS primary care dental services providers.  The CDS practices operating within the programme will follow the clinical pathway to test the feasibility and effectiveness of delivering care in this way for the community dental service in the future.
 
For reference the existing Regulations and amendments to in place for all services may be viewed by clicking on the following links
 
NHS (General Dental Service) Regulations 2005 can be downloaded here
NHS (Personal Dental Service) Agreement Regulations 2005 can be downloaded here
The NHS (Primary Dental Services - Misc. Amendments and Directions to the NHS Business Services Authority) Regulations 2016 can be downloaded here
 
However in the case of all prototype practices, in addition to the above underpinning regulations, a contract variation will have been signed by both the prototype practice business owner and NHS England.  This contract variation governs the provision of services in accordance with the requirements of the prototype phase of dental contract reform.
 
GDS – Standard GDS Contract Variation Notice for participants in the Prototype Agreements Scheme – November 2015 can be downloaded here
 
PDS – Standard PDS Agreement Variation Notice for participants in the Prototype Agreements Scheme – November 2015 can be downloaded here
 
Prototype directions 2015 can be downloaded here
 
NHS dental prototype agreements – patient information can be downloaded here

Revised exit guidance has been published and is available here

Prototype Reports

Ensuring your practice meets its contract expectations is essential to the financial stability and wellbeing of the practice.  It is very important therefore that you review the reports that are generated by NHS BSA every month to help you monitor performance in regard to the two measures; capitation and activity and take action where necessary to manage deviation.

Where to find the reports to manage your prototype

With effect from August 2016, the monthly reports reflecting your contract’s performance are available on Compass.  Guidance on how to  access your reports can be viewed here

Performer level reports

The following reports are available directly to performers via their Compass login, and contain individual achievement to date:

·         Capitation and activity summary and

·         Patient list report

Both reports are available in PDF format, and the patient list report is also available in excel format, allowing the data to be sorted and filtered.

Frequency of reports

Prototype reports are produced on a monthly basis to ensure that you are able to manage your contract closely. A list of the publication dates for the financial period 1 April 2018 to 31 March 2019 is as follows;

2018

Tuesday 10th April
Wednesday 9th May
Friday 8th June
Monday 9th July
Wednesday 8th August
Monday 10th September
Monday 8th October
Thursday 8th November
Monday 10th December

2019

Wednesday 9th January
Friday 8th February
Friday 8th March
Monday 8th April 

The reports reflect the month preceding the schedule close date so for example; May reports will be available in early June.  Please note the EDI FP17 transmission schedule cut-off date will vary throughout the year.  Click here for list of these dates.  Appointment transmissions are cut off on the 22nd of each month.

List of reports that are available

There are currently eight reports available for prototype practices, with accompanying guidance notes.  You will note that some of the reports are formatted in Excel to enable you to filter the data as appropriate. A summary of each report is set out below:

1.

Capitation remuneration report - This report is available in pdf format only

This reports provides a summary of the actual patient numbers on the capitated patient list against the expected patient numbers for 2016/17 (CECP) and the prototype UDAs delivered against the expected minimum activity level for 2016/17 (EMA)..

2.

Capitation and activity report – performer level – This report is available in PDF and Excel 

This report gives a performer-level breakdown of the number of capitated patients and the number of prototype UDAs delivered this month, as reported on the  capitation remuneration report. 

Excel allows you to sort and filter the information to provide individual performers with their own data.

3.

Capitated patient list – details - This report is available in PDF and Excel 

This report contains the name and other personal details of each patient on the capitated patient list, the name and performer number of the performer who last saw the patient at the most recent capitation trigger event (please see report guidance for an explanation of event capitation trigger)and, the time left until the patient lapses.

Patients are listed in the order of the time left until they are lapsed.  A red, amber, green flag indicating how imminently the patient will lapse and so the immediacy with which attention should be paid.  Excel provides the facility to sort and filter the data.

4.

Capitated patient list – summary by performer – This report is available in PDF only

This report provides a summary of the total number of patients included in the practice’s capitated patient list at the end of each month, by performer.  This report will be updated every month throughout the financial year.

5.

Imminent lapsers – details - This report is available in PDF format only

 This report is a sub-set of the main capitated patient list and provides the personal details of patients who are due to lapse within six months from the date of the report.

6.

Imminent lapsers – summary by performer – This report is available in PDF format only.

This report summarises the total number of patients due to lapse within 1 month, 1-3 months, 3-6 months by performer.

7.

Leavers and joiners – details - The report is available in pdf format only.

This report lists the details of the patients that have left the practice in the latest reporting month.   The report provides the transfer date for the patient which is the date the patient left the capitated patient list.  The reasons for this may be because the patient lapsed or became a capitated patient at another practice or started seeing a DFT trainee for continuing care.  It also lists the details of the patients who have joined the practice in the latest reporting month.

8.

Leavers and joiners – summary - This report is available in PDF format only

The report is a summary of the number of joiners and leavers and provides the net increase in capitated patients at the practice for each month of the financial year to date and the totals for the period.  It also shows the number of joiners and leavers for the financial year to date by performer.

Dental quality and outcomes framework (DQOF)

A report containing 2016/17 DQOF data is now available to practices and commissioners via Compass The file name of this report is PTDQOF.

This report has been published for information and quality improvement purposes. As previously communicated financial adjustments associated with DQOF will not be applied for 2017/18.

Report guidance can be found on the NHSBSA website at the following page https://www.nhsbsa.nhs.uk/contract-and-performance-management/dental-contract-reform-prototypes-england

Queries regarding the content of these reports should be directed to NHSBSA either via the contact phone centre  0800 330 1348  or the online contact form at https://www.nhsbsa.nhs.uk/contact-nhs-dental-services

Please include details of the nature of your query and the area of the report the query relates to, for example:

  • Area: Clinical Effectiveness
  • Specific metric: OI05 : Number of sextant bleeding sites for patients aged 19 years old and over
  • Query details/request: Please provide details of patients not being maintained or improved.
Dental contract reform Contract management

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