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Richards W Needs and priorities in dental care. Br J Health Care Manag. 2004; 10:178-181 https://doi.org/10.12968/bjhc.2004.10.6.18715
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A new generation of contract management? A Welsh perspective

From Volume 49, Issue 9, October 2022 | Pages 701-703

Authors

Wayne Richards

Professor of Community General Dental Practice; Faculty of Life Sciences and Education, University of South Wales, Pontypridd, Wales.

Articles by Wayne Richards

Email Wayne Richards

Teresa Filipponi

Senior Lecturer; Faculty of Life Sciences and Education, University of South Wales, Pontypridd, Wales.

Articles by Teresa Filipponi

Anne-Marie Coll

Senior Lecturer; Faculty of Life Sciences and Education, University of South Wales, Pontypridd, Wales.

Articles by Anne-Marie Coll

Jamal Ameen

Emeritus Professor of Statistics; Faculty of Life Sciences and Education, University of South Wales, Pontypridd, Wales.

Articles by Jamal Ameen

Article

For many decades the need for reform of the general dental practice contract in the UK has been an issue.1,2,3 Changes were made to contracts in 1990 and 2006, along with numerous ongoing pilots, in order to address population and professional needs.4,5,6 The 2006 contract, which is the basis of current operations, was not welcomed by general dental practitioners (GDPs), and continues to be problematic. Performance monitoring is on the basis of ‘units of dental activity’ (UDA). The UDA is a measure of contract monitoring based on the ‘delivery of treatments’. The delivery of treatments met the need in 1948 with the beginning of the NHS when dental caries levels were high. However, today, the prevalence of dental caries has dramatically declined and, therefore, the need for restoration and treatment, as a result of dental caries, is reduced. Today, the treatment gap for repair has been filled with social aesthetic modalities.7

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