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Article: Volume 41 Number 1 Page 7 - January/February 2014

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  Dent Update 2014; 41: 7-18

General Practice:  NHS Pilots in Primary Care – An Insight into the Future?

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Abstract: This article looks at the background to the current changes in primary care dentistry being piloted in England. It looks at the structure of the different elements being piloted, such as the oral health assessment, interim care appointments and care pathways. It also examines advanced care pathways and how complex care will be provided when clinically feasible and beneficial to the patient. The authors have worked in a Type 1 pilot practice since September 2010.

Clinical relevance: The NHS contract currently being piloted in England delivers care through care pathways and clinical risk assessments with prevention as an important building block for the delivery of services. There are new measures planned for measuring quality outcomes in primary care. This has implications for how services are delivered, who delivers them and how dentists will be remunerated in the future.

Author notes: Tajinder Sihra, BDS, Dental Foundation Dentist, London and Len D’Cruz, BDS, LDS RCS, MFGDP, LLM, Dip FOd, Dentist, Woodford Green, Essex.

Objective: To understand the changes that primary care dentistry is facing in England in the coming years and how it will affect the delivery of care to patients and the potential implications on team working.