This report provides information on NHS dental activity within a sample of adult Courses of Treatment (CoTs). Information was taken from a sample of 9,822 CoTs in England and 1,446 CoTs in Wales, processed between April 2007 and March 2008, covering dental contracts across all Primary Care Trusts in England and Local Health Boards in Wales. This information is compared to equivalent information for 2003/04. This information is sourced from the Dental Services Division (DSD) of the NHS Business Services Authority (NHS BSA).
A new dental contract system was introduced in England and Wales on 1 April 2006. One element of the new contractual arrangements was a move away from recording individual treatment items (which was the basis of payments to dentists under the old arrangements) to a simpler system whereby CoTs are divided into three main bands, based on the most complex treatment within the course. This report looks at equivalent dental activity data under the old and new contractual arrangements.
This report measures treatment activity in three ways:
- the percentage of CoTs that contain a particular type of treatment (e.g. 70 per cent of CoTs contained an examination)
- the number of treatment items in every 100 CoTs (e.g. 120 teeth filled in every 100 CoTs)
- the average number of items for CoTs containing that treatment (e.g. an average of 2 crowns per CoT for CoTs containing one or more crowns)
This report has been produced by The NHS Information Centre for health and social care. A joint working group with representation from the NHS Information Centre, the Department of Health (DH), the secretariat of the Review Body on Doctors' and Dentists' Remuneration (DDRB), the British Dental Association (BDA), the Welsh Assembly Government (WAG) and the DSD was consulted on this study and the content of the report.