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<p>From 1 April 2023, the responsibility for commissioning primary care dentistry
to meet the needs of the local population has been delegated to all integrated care
boards (ICBs) across England.</p><p>The current General Dental Service (GDS) contract
and Personal Dental Service (PDS) agreement were introduced in 2006. The majority
of contracts which deliver routine, or mandatory, dental services are legacy arrangements
from pre-2006, and the contracted Units of Dental Activity (UDAs) under these contracts
generally reflect the treatment volumes that were required from each practice prior
to the new arrangements coming into force.</p><p>Activity levels for any new GDS contracts
or PDS agreements would be determined as part of the procurement process, taking into
account oral health needs assessments undertaken by ICBs, to identify areas of need
and to determine the priorities for investment.</p><p>Contractors are expected to
deliver 96 to 102% of their agreed activity each year. Where contracts deliver less
than 96%, the value of the undelivered activity is recouped from the contractor. Undelivered
activity between 96 to 100% may be carried forward into the next financial year. Activity
greater than 100% may be funded to 110%, if there is a local arrangement with the
ICB, or may be deducted from the activity requirements of the next financial year.</p>
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