Source: nhsconfed.org
The UK government has opened a consultation on major reforms to the NHS dentistry contract, as part of its Ten-Year Health Plan.
According to the NHS Confederation, the current NHS dentistry contract — weakened by years of underfunding and staff shortages — has left millions of people without access to even basic care. Those in deprived regions and with complex needs have been hit hardest.
This consultation marks a key first step towards changing how dental practices are commissioned. The aim is to shift incentivisation toward prevention and improved oral health outcomes.
The reforms also look beyond dentists alone, recognising the vital role of the wider dental team — including therapists, hygienists, and dental nurses. The goal is to free dentists to focus on more complex cases while maximising preventative care by the broader workforce.
Stakeholders emphasise the need for a contract that adapts to local circumstances. Rural and urban areas have very different dental needs, and funding models need to reflect this diversity.
In short, the consultation signals that the government is ready to tackle the longstanding NHS dentistry crisis — and build a more accessible, preventative dental system.