To ask the Secretary of State for Health if he will make a statement on the allocations to primary care trusts (PCTs) of the funding announced in his Department's press release of 18 September; and what guidance he will issue to PCTs on how their allocations on local dental services are to be spent.
The £30 million investment in IT will facilitate integration of dental practices with wider NHS (IT) systems and will support local contracting. The IT investment and solutions for dentistry consistent with other NHS information technology initiatives are being taken forward within the national programme for IT.
The funding of £200,000 for developing dental leadership is aimed at strategic health authority level to support primary care trusts (PCTs) in delivering the modernisation agenda for dentistry.
The organisational development funds of £1 million are being distributed in line with advice from strategic health authorities (SHAs). They are intended to help PCTs, local dental committees and dentists to prepare for the change in the way dental services are commissioned. £0.3 million has been distributed for 2003–04 and the remaining £0.7 million will be distributed for use in 2004–05.
The balance of £59 million is intended to support dental access and quality as follows:
£9 million is for the NHS dentistry support team that has been set up to work with those areas where it is hardest to find an NHS dentist. These funds are being used in a targeted way to support local action plans for improving access to dentistry. The NHS support team have identified 16 PCTs with specific dental access issues. Funding for these PCTs, which are shown in the following list, will take into account the challenge faced by the individual PCTs and the potential benefit of the proposals in the dental action plan that each of the challenged PCTs is developing. Draft plans are now starting to arrive. The team allocated £200,000 in 2003–04, and will be increasing the pace of allocations early in 2004–05 based on the plans currently in preparation;
£35 million capital funds are to enable PCTs to invest in primary care premises and facilities to improve access and quality. These funds will be distributed on a fair-shares basis at SHA level and then on a targeted basis to PCTs on the advice of the SHAs. The fair shares for SHAs are set out in the table. The bulk of the funds will be spent in 2004–05 to allow SHAs and PCTs to plan for its investment; and
£15 million revenue funding for 2004–05 to support access will also be allocated on a fair-shares basis at SHA level and, on the advice of the SHA, on a targeted basis to PCTs. The SHA fair shares allocations of these funds are set out in the table.
Guidance for PCTs on commissioning NHS dentistry, including the allocation of £35 million capital and £15 million revenue to support access, quality and choice was issued on
PCTs which have been identified for support from the NHS Dentistry Support Team:
Isle of Wight;
Scarborough, Whitby and Rydedale;
Craven, Harrogate and Rural District;
Northumbria Care Trust;
Burnley, Pendle and Rossendale;
Hyndeburn and Ribble;
Blackburn with Darwen;
|Strategic Health Authority||Capital||Revenue|
|Avon, Gloucestershire and Wiltshire||1,396||598|
|Bedfordshire and Hertfordshire||1,039||446|
|Birmingham and The Black Country||1,771||761|
|Cheshire and Merseyside||1,853||796|
|County Durham and Tees Valley||894||384|
|Cumbria and Lancashire||1,411||602|
|Dorset and Somerset||814||349|
|Hampshire and Isle of Wight||1,148||492|
|Kent and Medway||1,071||459|
|Leicestershire, Northamptonshire and Rutland||962||412|
|Norfolk, Suffolk and Cambridgeshire||1,416||607|
|North and East Yorkshire and Northern Lincolnshire||1,073||460|
|North Central London||961||413|
|North East London||1,297||556|
|North West London||1,344||575|
|Northumberland, Tyne and Wear||1,089||466|
|Shropshire and Staffordshire||988||425|
|South East London||1,165||499|
|South West London||863||370|
|South West Peninsula||1,092||469|
|Surrey and Sussex||1,689||723|
|West Midlands South||1,013||433|