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May 2 nd 2022 Lincolnshire LDC Update Number 65
Dear all ………….. It seems some time since the LDC sent out an update. A combination of
little newsworthy items plus regular information from NHSE and the excellent monthly
newsletter from the LDN, means our update is yet something else to take on board. I know I
can struggle with information overload and as such, I am conscious not to send out our
updates just for the sake of.
For our NHS Colleagues, you will be aware of the change in UDA & UOA targets as from April 1 st NHS England have confirmed a review at year-end will decide whether quarter one 2022/23 will be treated as a stand-alone period, or the full year of performance will be used to allow practices to make up delivery across the rest of the year. The approach will be decided on the basis of which is more helpful to the practice. If treating Q1 separately is advantageous to the practice, income protection for that period will be received at 95%, the variable cost adjustment of 12.75% will be applied, and no activity will be carried forward.
If this isn’t the case and it is not favourable for the practice to treat Q1 as a separate period,
the calculation of performance will be based on a whole year and no separate arrangements
will apply. If you receive income protection you will be reminded to complete the Workforce
Data Collection form and Year-End Declaration.
Orthodontists who have delivered more than 100% of activity may carry forward a
maximum of 2% applying to years 2021/22 and 2022/23.
In relation to the exceptional circumstances provisions applied in the previous financial year,
NHS England have confirmed that these will not be extended into Q1. NHS England
confirmed that any relevant lost activity due to a staff member testing positive for Covid
that impacted on a practice’s ability to deliver to the NHS contract will be awarded based on
sessions that were unable to be completed during 1 December 2021 to 31 March 2022.
My own (and the general feeling) is that the majority of practices will calculate performance
on the whole year.
Activity in 2021/2022
The Midlands delivered 91.6% of target for Q4 (ie of 85%) and was the second best area in
the country. London was the best delivering 93.7% and South West the worst at 76.5%.
The following data compares the delivery of each ICS. C&W is Coventry and Warwickshire.
B&Sol is Birmingham and Solihull. H&W Herefordshire and Worcester.
You can see from the first slide that Lincolnshire is one of the worst performing areas and
when statistics are mentioned, it is usually ……..compared to Lincolnshire. There are many
reason why Lincolnshire has a low activity, with lack of workforce a major factor.
The scheduled UDA slide shows that 751 out of 1171 contracts failed to make the 85 %
threshold with 391 below the 75% threshold.
Health Inequalities
Such figures highlight the inequalities that exist when Lincolnshire is compared to other
areas but as we are all aware health inequalities exist within our own County. Social
deprivation is a key factor but lack of fluoridation in the east of the county plays a significant
part in this inequality. I had a meeting with Karl McCartney on Thursday and stressed that
all Lincolnshire MPs should support the up and coming fluoridation legislation debate.
www.gov.uk/government/consultations/water-fluoridation-seeking-views-on-future-consultation-
process/water-fluoridation-seeking-views-on-future-consultation-process
The uptake in the recent Government £50 million initiative was very poor with only 2
practices able to provide additional sessions. Similarly with the non-recurrent Orthodontic
funding. Only 10 additional new case starts in Lincolnshire
Dentistry in the Media
The following is part of a report from the Guardian on 1 st May 2022.
“As a result of the decline in NHS dentists “we are now seeing “dental deserts” emerge across thecountry where there is almost no chance of ever seeing an NHS dentist for routine care. Dental deserts present a serious risk to the dental health of millions of NHS patients in England.”
The trend is likely to worsen as dental practices increasingly rely on private work to stay open, it warns. The deserts are particularly concentrated in rural and coastal areas.
It names the area covered by the NHS clinical commissioning group (CCG) in North Lincolnshire as the part of England with the smallest number of NHS dentists per 100,000 people – just 32. North East Lincolnshire and the East Riding of Yorkshire are joint second worst, with only 37 NHS dentists for every 100,000 people. Lincolnshire and Norfolk and Waveney are next, on 38.
The report also reveals that just 26.1% of adults in Thurrock in Essex have seen an NHS dentist in the previous two years – the lowest percentage in the country – followed by West Essex (27.3%) and then Kent and Medway (29.3%). Thurrock is also where the lowest proportion of children have seen an NHS dentist in the last year – just 30.7% – followed by north-east London (32.2%) and North Lincolnshire (35.3%).”
“Dental deserts not only stretch across the whole of the east of England, from east Yorkshire,
through Lincolnshire and down to Norfolk, but are now emerging in many other ‘red wall’
constituencies that the government wishes to level up,” said the ADG’s chair, Neil Carmichael, a former Conservative MP.
The whole article can be accessed below
https://www.theguardian.com/society/2022/may/01/dental-deserts-form-in-england-as-dentists-quit-nhs-experts-warn
Peer Review
Please see the LDC Update in February for further information Details of this initiative are
being finalised. All levy paying practices, both NHS & Private will be able to take part and the scheme is also open to DCPs. There will be an element of funding available and this will be provided by the LDN and agreed by the LDC. Our plan is that members of the LDC will lead on this and the initiative will enable participants to physically meet and up engage with others. The best learning is often face to face and this scheme will provide this opportunity.
Watch this space for further details.
LDC Website
Is now well established. Minutes of our most recent LDC meeting will be published and you
can find out the points discussed . We are happy to advertise vacancies on this site. Please
contact lincsldc@gmail.com
And finally ……………….. a date for your diary, our AGM will be on Teams on Tuesday 7 th June at 7:00pm. Sharon will send details in due course.
Best wishes
Kenny Hume Lincolnshire LDC Chair
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