The Chair advised that the Primary Care Commissioning Manager (Dental) at NHS England (Cumbria and the North East) had been in touch to inform the panel that a procurement of orthodontic services would be undertaken in 2018/19. It was explained that orthodontic treatment was often used to improve the appearance and alignment of crooked, protruding or crowded teeth and to correct problems with the bite of the teeth, usually with braces. Clinical provision of orthodontic services was currently delivered across the locality through a number of different service contracts, largely commissioned under Personal Dental Services (PDS) agreements. These contracts were due to come to an end in 2019/2020. NHS England was therefore required to re-procure these contracts in accordance with Procurement Regulations.
The panel was informed that an orthodontic need assessment had been undertaken by Public Health England to ensure that services commissioned would meet local needs. The estimated need had been calculated using a nationally accepted methodology which estimated that 33% of 12 year olds would need and want orthodontic treatment (average number of 12 year olds calculated from the 2014 base projections from the Office of National Statistics extrapolated up to 2027). The required Units of Othodontic Activity (UOAs) had been calculated based on a projection of 600 patients in Middlesbrough, which equated to 13,492 UOA based on an indicative 22.5 UOAs per patient.
The procurement was being managed on a regional basis however contracts would be split into geographical contract lots which had been informed by the local health needs assessment, natural patient flows and feedback from the stakeholder engagement undertaken. A summary of the proposed commissioning intentions, i.e. the capacity NHS England was proposing to secure within each locality was detailed at Appendix 2 of the report. The proposal was for a single contract to be awarded within Middlesbrough, for a contract size of 10,700 UOAs, which equated to treatment for 476 patients.
The point was made that the proposed commissioning intentions fell short of the estimated need for Middlesbrough and therefore further clarity was required from NHS England in respect of the overall capacity to be commissioned for Middlesbrough.
Reference was also made to a forthcoming Public Health England (PHE) event on Water Flouridation that was scheduled to be held at the Stadium of Light in Sunderland on 19 September 2018. An invitation had been extended to the Chair of the panel but unfortunately he was unable to attend and so enquired as to whether any other Member(s) would be available.
AGREED as follows:-
a) That further clarification be sought from the Primary Care Commissioning Manager (Dental) at NHS England (Cumbria and the North East) in respect of the figures detailed in Appendix 1.
b) That Councillors Biswas and McGloin attend the forthcoming PHE event on Water Fluoridation at the Stadium of Light in Sunderland.