Annual UDA reports of all NHS Dental performers on the island

Summary

The request sought annual UDA performance reports for all NHS dental contractors on the Isle of Man, and the Department of Health and Social Care disclosed provisional 2018-2019 delivery figures alongside an explanation of the UDA banding system and contract rules.

Key Facts

• NHS dental activity is monitored via Units of Dental Activity (UDAs) linked to four treatment bands.
• Final confirmed UDA figures for the year are typically received in June, so the provided data is provisional.
• Providers can carry over a maximum of 4% UDA shortfall into the following financial year.
• Over-achievement of UDA targets does not result in additional payment to providers.
• Regent Health Services Ltd experienced a specific shortfall due to a contract transition involving Community Dental Service patients.

Data Disclosed

• 2019-05-13
• 2019-05-21
• Band 1: 1 UDA
• Band 2: 3 UDAs
• Band 3: 12 UDAs
• Band 4: 1.2 UDAs
• Tsivos & Loli: 28,211.8 UDAs delivered
• Mrs S Du Toit & Mr G Provatakis: 14,818.2 UDAs delivered
• Regent Health Services Ltd: 34,715.6 UDAs delivered
• 4% carryover limit
• 1st April 2018
• 2018-2019

Original Request

I would like for the public to be informed regarding the annual UDA performance reports of all dental contractors on the island.

Data Tables (3)

Full Response Text

Chief Executive: Angela Murray Freedom of Information Team DHSC Crookall House Demesne Road Douglas IM1 3QA

(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 820865 21st May 2019

Dear ###

We write further to your request which was received on 13th May 2019 and states:

"I would like for the public to be informed regarding the annual UDA performance reports of all dental contractors on the island."

We are pleased to be able to provide a response to your request with an answer to your question: To give the public an understanding of this question, each NHS Dental Provider delivers dental services via contract with the Department of Health and Social Care.
Activity under each contract is monitored by Units of Dental activity (UDAs) linked to Bands 1, 2, 3 and 4 of the Dental Charge Regulations 2015 which can be found on www.gov.im/dentists.
The number of UDAs assigned to the different banded treatments delivered on patients are as follows: - Banded Treatment No. of UDAs Assigned for Delivery Band 1 1 Band 2 3 Band 3 12 Band 4 (Emergency Appointments) 1.2 There is a ruling with regard to dentists’ claims being made which allows claims for the previous financial year to continue to be submitted for treatments that had been started in the previous year (a 2-month cut off period). The final figures of the contract delivery of UDAs for the end of year is confirmed to the Department of Health and Social Care via the NHS BSA (National Health Service Business Services Authority) at the end of June, after which year-end review meetings can take place with contract providers.

Whilst the final confirmed figures are not yet certain, we are happy to share the information which is available to the Department now with regard to UDA delivery, with the understanding that this information is still subject to change, as follows: - Contract Provider NHS Dental Practice UDA Target 2018-2019 UDAs Delivered as at May 19 Tsivos & Loli Port Erin Dental Practice 21,321 Tsivos & Loli The Square Dental Practice 7,000 28,211.8 Mrs S Du Toit & Mr G Provatakis Thie Rosien Dental Practice 14,800 14,818.2 JH Van Rooyen & A Lewis 65 Woodbourne Road Dental Practice 21,100 19,658.2 JH Van Rooyen & D Hennig Westview Dental Practice 20,162.6 19,904.8 Regent Health Services Ltd Regent Dental Care, Peel 18,720 Regent Health Services Ltd Regent Dental Care, Douglas 18,500 34,715.6 Tracey Bell Tracey Bell Clinic 750 764.2 Thanos Karezis Grove Mount Dental Practice 3,148.2 2,963.6 Pip Dhariwal - Smile Dental Care Smile Dental Practice 12,000 12,060.8 ADP Limited Avondale Dental Practice 6,000 6,042 The UDA Target includes any carryover from 2017-2018 and is what is expected to be achieved for 2018-2019. Contract Providers are able to carryover a maximum of 4% shortfall of UDAs into the following financial year. It may be helpful for the public to also understand that when a Dental Provider over- achieves on their UDA delivery there is no additional payment made for this. The data in the above table shows that 4 providers have so far over-achieved on delivery in 2018-2019. For providers who have not reached their full target, an expectation will be that they either carryover UDAs for 2019-2020 or they can reimburse the shortfall financially (this is dependent on the amount of shortfall).
With regard to Regent Health Services Limited, they commenced a new contract on 1st April 2018, which involved taking over a previous contract and setting up their new practice, as well as receiving all patients who were previously considered ‘continuing care’ patients of the Community Dental Service. These patients had all been seen to have their final examination appointments and complete any outstanding treatments at CDS prior to be transferred to Regent Dental Care in Douglas. This meant that whilst the practice took a large number of patients, there was no requirement for Regent Dental Care to see the patients, unless for emergency treatment, until the patient’s recall appointment (as advised by CDS) was due. Therefore most patients transferred would not be required to be seen in 2018-2019. This explains the shortfall at Regent Health Services Ltd’s Douglas practice for 2018-2019 which was beyond the provider’s control. However, it is worthy to note that Regent Dental Care also opened their books to new NHS patients for both their practices and continue to assist in delivering on demand for new patients to have access to an NHS dentist. Patients at the Douglas practice were offered to relocate to the Peel practice if it was more convenient to them and the overall delivery for Regent Health Services Ltd is combined between both practices (similar to that of Port Erin Dental Surgery and The Square which are practices with contracts owned by the same providers).

Other FOIs that have been responded to with this type of question that may be useful for the requestor to refer to are: - FOI Reference Topic Date 355331 Dental Services 18.11.17 355319 UDAs etc. 18.11.17 420033 NHS Dental Services on the Isle of Man 13.03.18 362727 Contracted UDAs and Provider Performances 06.04.18 360137 Information regarding under performance of UDAs 06.04.18 549433 Dental Providers and UDAs 21.08.18

Please quote the reference number 820865 in any future communications.

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I will now close your request as of this date.

Yours sincerely