Dental Services: Bassetlaw

Health written question – answered on 15th October 2008.

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Photo of John Mann John Mann PPS (Rt Hon Tessa Jowell, Minister of State), Cabinet Office

To ask the Secretary of State for Health what the NHS budget for dentistry in Bassetlaw constituency was in each of the last 20 years.

Photo of Ann Keen Ann Keen Parliamentary Under-Secretary (Health Services), Department of Health

This information is not available in the format requested.

Prior to April 2006, most primary dental services were provided under former General Dental Service arrangements. These were demand-led services, funded from a single national budget, where the pattern of dental expenditure was largely determined by where dentists chose to practice and how much national health service work they chose to undertake. Expenditure was accounted for by the former Dental Practice Board on a national basis only.

However, certain information on primary dental care expenditure in individual primary care trusts (PCTs), health authorities or constituency areas is available for earlier years. The Information Centre for health and social care published the following report on 26 March 2008:

"NHS Expenditure for General Dental Services and Personal Dental Services: England 1997/98-2005/06". This report has already been placed in the Library and is available at:

www.ic.nhs.uk/pubs/dentalexpend1997to2006

The report includes information on primary dental care expenditure by constituency for 1997-98 to 2005-06 in tables A3 and B3 of annex 3. Table A3 relates to 'gross' expenditure and table B3 relates to 'net' expenditure. 'Gross' expenditure refers to the full cost of the payments recorded; 'net' expenditure reflects the cost of these payments to the NHS after the deduction of income from NHS dental charges paid by patients. Information by PCT and strategic health authority (SHA) is also available in tables A1 and B1.

This information is based on the old contractual arrangements which were in place up to and including 31 March 2006 and is not directly comparable with subsequent expenditure data reflecting the new framework and scope of local commissioning arrangements for primary dental care services introduced from April 2006. Further notes to aid interpretation of the information are shown in the 'Contents and Notes' page of annex 3.

PCTs assumed responsibility for the local commissioning of primary dental care on 1 April 2006. Under the new service framework, the Department awards each PCT an annual primary dental service allocation to maintain and develop dental care services. Allocations are net of any income from NHS dental charges paid by patients, which PCTs retain as additional funding for dentistry. PCTs may direct further local NHS resources to dentistry if they consider it appropriate in the light of local needs and priorities. PCTs therefore determine their own local operational budgets taking into account the total resource they intend to commit to dentistry including any expected income from NHS dental charges. The Department's primary dental service allocations to Bassetlaw PCT since April 2006 is shown in the following table.

Primary dental care service allocations to Bassetlaw PCT (net of patient charge revenue)
Financial year Net allocation (£000)
2006-07 2,644
2007-08 2,839
2008-09 3,142
Note :

Any PCT which hosts an approved training post for a dental vocational trainee will receive a supplementary net funding allocation from its SHA to cover the relevant costs.

Data on actual expenditure on primary dental services can be derived from PCT accounts. Expenditure totals for Bassetlaw PCT are set out in the following table. However, accounts data do not separately identify expenditure by constituency area or any other sub-division of a PCT area.

Expenditure on primary dental care services in Bassetlaw PCT, 2006-07 to 2007-08
£000
Financial year
2006-07 2007-08
Gross expenditure 4,059 4,403
Dental charges paid by patients 1,079 1,180
Net expenditure 2,980 3,223
Note:

PCTs also commission secondary dental services such as specialist hospital dental departments, which they fund from their general NHS budgets, but expenditure on these services is not separately identified in PCT accounts.

Source:

2006-07 data from audited summarisation schedules of Bassetlaw PCT. 2007-08 data from audited financial monitoring and accounts forms for Bassetlaw PCT.

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