NHS DENTAL CONTRACT

Original Request

1. The exact % increase paid to NHS Contractors in Nov/ Dec 2020 as a contract UPLIFT 2018- 2019, 2019-2020 and 2020- 2021 2. The Gross amount that this cost the IOMAN Government paid in Nov/ Dec 2020 to NHS Dental Contractors 3. A Breakdown of the Gross amount increase ( contract uplift) paid to each contractor ie there are a number of contractors and I would like the breakdown paid to each ( names not required ) 4. How many patients at present are on the NHS dental waiting list as of 31st March 2022 5. The number of Yearly Contracted UDAS for each contractor and the Number of Contracted UDAS that were completed each year ( please divide into Contractor ) Please also advise the total costs of these contracts to the isle of Man . I presume the year runs from April- April: 2019- 2020, 2020-2021 and 2021-2022 6. The amount of monies that have been clawed back ( for non performance of UDAS ) from each dentist 2019- 2020, 2020-2021 and 2021-2022"

Data Tables (10)

Full Response Text

Chief Executive: Kathryn Magson Freedom of Information Team Crookall House Demesne Road Douglas Isle of Man IM1 3QA (01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc Our ref: 1724793 19 April 2021 Dear ### We write further to your request which was received on 24 March 2021 and which states: "Question 01: 'Please could you provide me with the number of Units of Dental Activity (UDAS) contracted to dentists on the Isle of Man for the years, 2017-8, 2018-9, 2019- 20 and 2020-21.' Question 02: 'Please could you provide me with the cost (i.e. value in pounds) of the Units of Dental Activity (UDAS) contracted to dentists on the Isle of Man for the years 2017-8, 2018-9, 2019-20 and 2020-21.' Question 03: "For the contract year 2017-2018; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Question 04: "For the contract year 2018-2019; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Question 05: "For the contract year 2019-2020; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Question 06: 'Please could you provide me with the total number of Units of Orthodontic Activity (UOAS) contracted to, and completed by, providers on the Isle of Man for the years 2016-17, 2017-18, 2018-19 and 2019-20.'" Our response to your request is as follows: I have detailed below the information that is being released to you. Question 01: 'Please could you provide me with the number of Units of Dental Activity (UDAS) contracted to dentists on the Isle of Man for the years, 2017-8, 2018-9, 2019-20 and 2020-21.' Response: FOI 549433 –Information already available to requester for years 2017-2018 & 2018- 2019 • 2019-2020 – 142,879 UDAs contracted to dentists on the Isle of Man • 2020-2021 – 142,879 UDAs contracted to dentists on the Isle of Man • 2021-2022 – 142,879 UDAs contracted to dentists on the Isle of Man Question 02: 'Please could you provide me with the cost (i.e. value in pounds) of the Units of Dental Activity (UDAS) contracted to dentists on the Isle of Man for the years 2017-8, 2018-9, 2019-20 and 2020-21.' Response: FOI 549433 –Information already available to requester for years 2017-2018 & 2018- 2019 • 2019-2020 – Cost of UDAs contracted to dentists on the Isle of Man was £3,943,949 • 2020-2021 – Cost of UDAs contracted to dentists on the Isle of Man was £4,117,543 Contract uplifts in line with Doctors and Dentists Remuneration Body (DDRB) were approved and allocated in December 2020 with back pay calculated accordingly for 18- 19 (1.68%), 19-20 (3.07%) and 20-21 (2.8%). Therefore for 2021-2022 the cost of UDAs contracted to dentists on the Isle of Man will be £4,257,520. Question 03: "For the contract year 2017-2018; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Response: This information is already within the public domain – please refer to FOI 549433 – Information already available to requester. Question 04: "For the contract year 2018-2019; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Response: Contract Provider NHS Dental Practice Contracted UDA Target 2018- 2019 Completed UDAs 2018-2019 % of Overall Contract Achievement Tsivos & Loli Port Erin & The Square Dental Practices 28,321 28,210.8 99% Mrs S Du Toit & Mr G Provatakis Thie Rosien Dental Practice 14,800 14818.2 100% JH Van Rooyen & A Lewis 65 Woodbourne Road Dental Practice 21,100 19669.2 93% JH Van Rooyen & D Hennig Westview Dental Practice 20,162.6 (includes c/o of 162.6 from 17-18) 19904.8 99% Regent Health Services Ltd Regent Dental Care – Peel & Hillside Dental Practices 37,220 (includes c/o of 720 from 17-18) 34,715.6 93% Tracey Bell Tracey Bell Clinic 750 764.2 102% Thanos Karezis Grove Mount Dental Practice 3,148.2 (includes c/o of 7.2 from 17- 18) 2,963.6 94% Pip Dhariwal – Smile Dental Care Smile Dental Practice 12,000 12,055.8 101% ADP Limited Avondale Dental Practice 6,000 6,042 101% Question 05: "For the contract year 2019-2020; the number of contracted UDA's for each provider, the number of completed UDA's for each provider and the percentage achievement for each contract." Response: Contract Provider NHS Dental Practice Contracted UDA Target 2019- 2020 Completed UDAs 2019-2020 % of Overall Contract Achievement Tsivos & Loli Port Erin & The Square Dental Practices 28,430.2 (includes c/o of 109.2 from 18-19) 27,843.4 98% Mr G Provatakis Thie Rosien Dental Practice 14,800 14,837.6 100% JH Van Rooyen, A Lewis & D Hennig 65 Woodbourne Road & Westview Dental Practices 42,201.8 (includes c/o of 1,101.8 from 18-19) 38,560.2 91% Regent Health Services Ltd Regent Dental Care – Peel & Hillside Dental Practices 37,960 (includes c/o of 1,460 from 18-19) 37,599.8 99% Tracey Bell Tracey Bell Clinic 750 810 108% Thanos Karezis Grove Mount Dental Practice 3,533.6 (includes c/o of 125.6 from 18-19) 3,021.2 85% Pip Dhariwal – Smile Dental Care Smile Dental Practice 12,000 11,954.6 99% ADP Limited Avondale Dental Practice 6,000 6,011.8 100% Question 06: 'Please could you provide me with the total number of Units of Orthodontic Activity (UOAS) contracted to, and completed by, providers on the Isle of Man for the years 2016-17, 2017-18, 2018-19 and 2019-20.' Response: FOI IM84057I - Information already available to requester for years 2016-2017 The Orthodontic contract previously in place ran up to the end of September 2016 and the information the requester is asking for is contained in the above FOI response (there has been no number of UOAs contracted since or target for percentage of achievement since).
Following the cessation of the previous contract, patients transferred under the care of the Department of Health and Social Care to continue their ongoing care and a new ‘Any Qualified Provider’ contract was drawn up and tendered for. The new contract did not assign a contracted amount of UOAs and the payment system for the delivery of orthodontic treatment was also changed to encourage treatment completion and to allow for payment to be made to the Provider for UOAs actually delivered (as opposed to the previous format of contract which paid a full contract value in twelfths).
The new contract has been in place since October 2017 and is held by Regent Health Services Limited. For the first 3 months of the contract commencing (October-December 2017) the Provider worked closely with the DHSC to transfer patients currently in treatment into the Service. UOAs delivered and paid for from January 2018 to current date is as follows: Financial Period Number of UOAs Completed January 2018-March 2018 706.0 April 2018-March 2019 5539.0 April 2019-March 2020 4168.0 April 2020-March 2021 3528.0 Please note, as from the 1st April 2021 the Department no longer holds this information, you may wish to re-submit any similar requests for information to Manx Care which is an option available on the Freedom of Information request portal, who will process your request accordingly. Please quote the reference number 1724793 in any future communications. Your right to request a review If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post. An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review . If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded. If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on; 1. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act 2015; or 2. Whether we are justified in refusing to give you the information requested. In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. More detailed information on your right to a review can be found on the Information Commissioner’s website at www.inforights.im. Should you have any queries concerning this letter, please do not hesitate to contact me. Further information about freedom of information requests can be found at www.gov.im/foi. I will now close your request as of this date. Yours sincerely

Head of Compliance Department of Health and Social Care

Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000

Our ref: 2247701 16 February 2022

Dear ###

We write further to your request which was received on 7 February 2022 and which states:

"As of Monday 7th February, how many people are on the NHS dental waiting list and how long have people been on the list?"

Our response: As of close of business on the 7th February, there were 2,336 people on the dental allocation list. 75 people have joined the dental allocation list since the 1st February 2022. The average wait time is 141 days; the longest wait time is 964 days, where allocation to a specific practice is required. Manx Care has allocated 2,653 people since April 2021. The below table advises how the dental allocation list has grown and been allocated since April 2019.
Month/Year Added Patients Added Total Patients Allocated Rolling Waiting List (Month End) Notes Opening Balance 0 0 0 Apr-19 4 0 4 Added from Previous Allocation May-19 0 0 4 Added from Previous Allocation Jun-19 1 0 5 Added from Previous Allocation Jul-19 9 0 14 Added from Previous Allocation

Aug-19 6 0 20 Added from Previous Allocation Sep-19 4 0 24 Added from Previous Allocation Oct-19 75 0 99 Waiting lists Received from Practices Nov-19 72 0 171 Waiting lists Received from Practices Dec-19 197 0 368 Waiting lists Received from Practices Jan-20 215 0 583 Feb-20 231 0 814 Mar-20 140 0 954 Apr-20 16 0 970 Island in lockdown - Dentists Closed May-20 35 0 1005 Island in lockdown - Dentists Closed Jun-20 76 0 1081 Island in lockdown - Dentists Closed Jul-20 167 0 1248 Dentists re-opened Aug-20 171 0 1419 Sep-20 231 3 1647 Oct-20 202 4 1845 Nov-20 207 2 2050 Dec-20 145 1 2194 Jan-21 135 4 2325 Island Circuit Break Feb-21 185 2 2508 Mar-21 98 0 2606 Reduced Dental Services Apr-21 187 255 2538 May-21 227 212 2553 Jun-21 452 325 2680 Practice waiting list added Jul-21 180 306 2554 Aug-21 202 246 2510 Sep-21 210 522 2198 Oct-21 210 585 1823 Nov-21 155 150 1828 Dec-21 114 1 1941 Jan-22 228 51 2118 Feb-22 403 1715 Planned allocation for February

Please quote the reference number 2247701 in any future communications.

Your right to request a review

If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post.

An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review. If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded.

If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on; 1. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act 2015; or 2. Whether we are justified in refusing to give you the information requested.
In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. More detailed information on your right to a review can be found on the Information Commissioner’s website at www.inforights.im. Should you have any queries concerning this letter, please do not hesitate to contact me. Further information about freedom of information requests can be found at www.gov.im/foi.

I will now close your request as of this date. Yours sincerely

Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000

Our ref: 2380205 13 May 2022

Dear ###

We write further to your request which was received on 11th April 2022 which states:

"1. The exact % increase paid to NHS Contractors in Nov/ Dec 2020 as a contract UPLIFT 2018- 2019, 2019-2020 and 2020- 2021 2. The Gross amount that this cost the IOMAN Government paid in Nov/ Dec 2020 to NHS Dental Contractors 3. A Breakdown of the Gross amount increase (contract uplift) paid to each contractor ie there are a number of contractors and I would like the breakdown paid to each (names not required) 4. How many patients at present are on the NHS dental waiting list as of 31st March 2022 5. The number of Yearly Contracted UDAS for each contractor and the Number of Contracted UDAS that were completed each year (please divide into Contractor) Please also advise the total costs of these contracts to the Isle of Man. I presume the year runs from April- April: 2019- 2020, 2020-2021 and 2021-2022 6. The amount of monies that have been clawed back (for non performance of UDAS) from each dentist 2019- 2020, 2020-2021 and 2021-2022""

Our Response

1. The exact % increase paid to NHS Contractors in Nov/ Dec 2020 as a contract UPLIFT 2018-2019, 2019-2020 and 2020- 2021 The table below provides the exact % increase paid to NHS Contractors : Month / Year Percentage of Contract Uplift 2018 -2019 1.6% 2019 – 2020 3.07% 2020 – 2021 2.8% Total 7.55%
2. The Gross amount that this cost the IOMAN Government paid in Nov/ Dec 2020 to NHS
   Dental Contractors The gross amount calculated to NHS dental

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