principle on the distribution of recall data to practices and public information, other possible interventions have not yet been fully scoped or agreed. A key dependency on these will be the timely evaluation of options and decision making by SRO Rory Deighton and the project board. Constraints The following constraints on this project have been identified to date: Dental contract some practitioners feel that the current dental contract and – the system of UDAs has failed to improve access and failed to deliver preventative dental work. holding this view may believe that the contract is a real constraint on improving access for those most in need of dental services. Some dentists have said that the new contract does not fairly reward them for the work they do; A target driven culture in some national and local organisations may constrain the move towards increasing recall intervals in line with NICE guidance; The aim of improving access may be constrained by the existing configuration of dental services and capacity relating to areas of need, particularly in localities or with communities with poor oral health and worse access to NHS dental services; Limitations on commissioning budgets; The project may also be constrained by the capacity and resources available to all partner agencies. Risk and issue log An initial list of and issues is suggested below. Appendix 4 also includes a suggested risk register and issue log - this will be maintained by the SRO Rory Deighton and reviewed at each meeting of the Project Board which will consider any appropriate mitigation required. Possible risks and issues: Recall intervals do not increase significantly; UDAs are not released; Dentists reduce their contract value in line with the reduction in UDAs; Dentists withdraw from NHS dental provision; NHE England recall any unused UDAs and re-distributes the resources to areas of commissioning; There are not increases in the number of patients accessing NHS dental services Patients are not empowered by public communications and do not feel confident to discuss with or challenge a dentist who is routinely recommending 6 month recalls for people with good oral health; Any UDAs released will stay within existing contracts existing pattern of – commissioning may not needs so access may remain an issue in some places
principle on the distribution of recall data to practices and public information, other possible interventions have not yet been fully scoped or agreed. A key dependency on these will be the timely evaluation of options and decision making by SRO Rory Deighton and the project board. Constraints The following constraints on this project have been identified to date: Dental contract – some practitioners feel that the current dental contract and the system of UDAs has failed to improve access and failed to deliver preventative dental work. holding this view may believe that the contract is a real constraint on improving access for those most in need of dental services. Some dentists have said that the new contract does not fairly reward them for the work they do; A target driven culture in some national and local organisations may constrain the move towards increasing recall intervals in line with NICE guidance; The aim of improving access may be constrained by the existing configuration of dental services and capacity relating to areas of need, particularly in localities or with communities with poor oral health and worse access to NHS dental services; Limitations on commissioning budgets; The project may also be constrained by the capacity and resources available to all partner agencies. Risk and issue log An initial list of and issues is suggested below. Appendix 4 also includes a suggested risk register and issue log - this will be maintained by the SRO Rory Deighton and reviewed at each meeting of the Project Board which will consider any appropriate mitigation required. Possible risks and issues: Recall intervals do not increase significantly; UDAs are not released; Dentists reduce their contract value in line with the reduction in UDAs; Dentists withdraw from NHS dental provision; NHE England recall any unused UDAs and re-distributes the resources to areas of commissioning; There are not increases in the number of patients accessing NHS dental services Patients are not empowered by public communications and do not feel confident to discuss with or challenge a dentist who is routinely recommending 6 month recalls for people with good oral health; Any UDAs released will stay within existing contracts – existing pattern of commissioning may not needs so access may remain an issue in some places