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<p>The Government welcomes the report by the Care Quality Commission <em>Smiling matters:
oral health care in care homes</em>. The Department together with Public Health England,
NHS England and Health Education England is carefully considering the recommendations
made in the report and will respond in due course.</p><p>This consideration includes
the recommendations that NHS England work with partners in the health and care system
to improve access both to high street and, where required domiciliary care for residents
of care homes. As well as the recommendation that both local and national monitoring
frameworks should include awareness and assessment of oral health including the National
Institute of Health and Care Excellence guideline NG48.</p><p>NHS England is responsible
for commissioning primary care dental services, including domiciliary care. Domiciliary
care may be delivered by any dentist holding a contract to deliver general dental
services or it may be specifically commissioned by NHS England locally as an additional
service. Where such services have been specifically commissioned any concerns about
delivery should be raised with NHS England. NHS England has a duty to provide services
to meet local need, including domiciliary services.</p>
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