Northants LDC is here to serve all levy paying dentists working in the county of Northamptonshire, England.

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7/2/2023


Dear Practitioners,


Elections for the above Committee are now complete and, as required by the LDC Constitution, I have to inform you of the results as set out below.


The following were nominated for Election to Northants LDC:


Mrs. Judith Husband

Mr. Vikas Vohra 

Mrs. Jessica Wyatt

Ms. Joanna Skarzynska


As there were six seats to be filled, I declare all of the above duly elected to Northamptonshire LDC. Members are elected for 4 years.

The results letter can be downloaded HERE.


Yours sincerely,


Diana Trifu

Secretary Northants LDC






LATEST NEWS

NEWSPAGE
• • • • •
09/06/22 Latest UPDATES on National infection prevention and control.Please see National IPC Manual  HERE  and Glossary of terms HERE 
                                                      • • • • •  
01/06/22 Dental framework – Supporting Guidance for Primary and Community Care Dental Settings.
New guidance from NHSE on how practices should now be delivering care and a dental framework has been designed to support practices on how practices should now be delivering care.
See attached HERE
                                                     • • • • •  
25/05/22 Monkeypox 
In response to the monkeypox outbreak ,NHSEI Midlands Region provided this Guidance  -please see document HERE 

                                                    • • • • •  
05/04/22 Dental services year end arrangements and 2022/23
This letter HERE outlines arrangements for 2022/23 and sets out a further step taken by NHSE to support practices following the review of performance data which was undertaken during Q4.
                                                    • • • • •  
22/12/21 
NHSE has published new targets for Q4. The new targets are:
-85% for general dental services
-90% for orthodontics
Overactivity in previous quarters cannot be carried forwards and offset against these new targets.
see Letter HERE                      
                                                        • • • • •   
  
30/09/21 NEW UDA AND UOA TARGETS
NHSE has set out the targets for the next 3 month period (1st October to 31st December). The new targets are:
-65% for General Dental Services
-85% for orthodontics
The rate of clawback will then reduce linearly down to a lower threshold of 52% of UDAs and 60% of UOAs. Below these levels, normal clawback will apply.From Q3 the abatement rate will reduce from 16.75% to 12.75% for general dental contract holders.see Letter HERE
                                                                     • • • • •
30/09/21 Receiving a COVID-19 booster jab
Booster vaccine doses will be available on the NHS for people most at risk from COVID-19 who have had a 2nd dose of a vaccine at least 6 months ago. 
Most people will be invited to book an appointment at a larger vaccination centre, pharmacy, or local NHS service such as a GP surgery., however frontline health care workers, including dental staff can book a booster dose appointment online HERE
                                                                      • • • • •
30/09/2021 NHSE has announced that for the first time all NHS dental practitioners and frontline practice staff will be eligible to receive the flu vaccine.
Eligible clinical and non-clinical frontline patient-facing NHS primary dental contractors and their frontline staff may visit a general practice or a community pharmacy to be vaccinated. Any non-clinical staff not directly involved with the provision of patient-facing NHS services on a day-to-day basis (for example cleaners, back-office administrative staff, counter staff) are not eligible for vaccination under this scheme.see letter HERE

                                                                     • • • • •
4/6/21 Latest Update from Sara Hurley, Chief Dental Officer England on NHS Dentistry and Oral Health -see update  HERE 

  • • • • •
1/4/21 New  UDA & UOA targets commenced on 1st April and will last for 6 months. 
These are:-
60% activity for UDAs – an increase of 15%
80% for UOAs – an increase of 10%
 
To calculate your exact target divide your contracted annual UDA/UOA amount by 2 and then multiply by 60%. This will provide the total target for the next 6 months. Practices that achieve this target before 30th September 2021 will be deemed to have achieved 100% of their contracted UDAs/UOAs and will not be subject to clawback for this period.
 
The rate of clawback will then reduce linearly down to the existing lower threshold of 36% of the UDAs and 56% of the UOAs. Below these levels, normal clawback will apply. The payment for activity not delivered, exempt from clawback by these arrangements, will continue to be adjusted by 16.75% to take account of variable costs not incurred.
 
A 16.75% abatement will be applied to those contractual UDAs/UOAs not undertaken. For instance, if you achieve the 60% UDA target exactly the abatement will be applied to 40% of your contractual value for this period but if you achieve 65% the abatement will only be applied on 35% of the contractual value. A similar calculation applies to UOAs, with abatement being applied to 20% of your contractual value for the period should you achieve the 80% target exactly.
Further information can be found in the CDOs Letter 8 and the BSA Letter 8 guidance .
                                                      • • • • •

29/03/21 SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms) is an international clinical coded language to standardise the codes attached to each medical/dental/clinical procedure so that all systems can become interoperable.
The government has announced that implementation of the SNOMED coding system is being postponed from 1st April to after 31st August.
                                                      • • • • •
 
13/2/21 NHSE letter re Q4
In a letter sent to practice’s last week NHSE provided clarification about issues related to the CDO’s 7th letter of preparedness and NHS contractual arrangements during Q4.
NHSE have published four webinars which will help you to understand the Issue 7 Preparedness Letter and supporting guidance for dental contract management arrangements for the 2020/21 year-end reconciliation. 
The webinars cover: 
· Webinar 1- Time periods 1 and 2
· Webinar 2- Time period 3 (UDA contracts)
· Webinar 3- Time Period 3 (UOA contracts)
· Webinar 4- Time Period 3 (Other contract types)
PCC has also made text transcripts of the webinars available.
See  Issue 7 Preparedness Letter HERE 
                                                   • • • • •
7/1/21 VACCINE ACCESS 
The CDO has confirmed dental teams supporting the NHS, those working in private or mixed practices will all be entitled to a vaccine, this includes specialist practices and clinical dental technicians registered with the CQC. 
NHS England has also confirmed that all dentists, teams and support staff – in both NHS and private settings – will receive priority access to the COVID vaccine.see letter HERE
• • • • •
31/12/20 COVID vaccine rollout 
BDA have repeatedly sought reassurance about prioritisation for dentistry, with NHS England, the Office of the CDO and separately across the devolved nations. NHS England has confirmed initial priority for those aged 80 and over, together with care home staff and residents. Frontline health and social care staff are included in the next priority group. BDA has been told consistently that dentists and their teams, both in the NHS and in the private sector, are included in that group.For live BDA updates please click HERE
• • • • •
31/12/20 Starting 31st December,  Northants moves into Tier4 -following restrictions apply-see HERE.
NHS England has confirmed that dental practices should continue to operate as before, using the Standard Operating Procedure.See also its guidance to support dental contract arrangements for 2020/21-year-end reconciliation
• • • • •
29/12/20 If you have not received the letter  for ordering the lateral flow antigen testing kit,go directly to the PCSE website, 
https://pcse.england.nhs.uk/
which you normally use to order NHS stationary it is possible to order the tests without having first received the letter.
• • • • •
22/12/20 The CDO has published Preparedness Letter Issue 7 with new targets being introduced from 1st January 2021.  The Letter confirms that the UDA target for the fourth quarter will be 45% of the quarters normal contracted UDAs i.e. 45% of their 1/4 annual target. For orthodontic practices the target will be 70% of the quarter’s normally contracted UOAs
• • • • •
16/12/20 NHSE is planning to reimburse dental practices for additional PPE purchased during the pandemic.See the published guidance HERE 
• • • • •
16/12/20 The NHS is sending a letter to all dental practices with information on how to order and receive deliveries of lateral flow antigen testing kits for staff. You should receive an invitation to order lateral flow testing devices directly from Primary Care Services England (PCSE), who will be managing the ordering and delivery process. Following receipt of an invitation, you should log on and complete the order as quickly as possible. The final closing date for orders across all contractors will be Wednesday 30 December. Practices should already have access to the PCSE online portal, which is normally used to order secure stationery and supplies such as prescription pads.see publication HERE
• • • • •
05/11/20 Starting Thursday 5th November England has moved back into lockdown until 2nd December 2020.
NHS England, the CDO and BDA have all confirmed that dental practices should remain open during the new national lockdown.Practices should continue to operate within the parameters of the Standard Operating Procedure attached HERE 
• • • • •
27/10/20 NHS England has issued the latest version of the Standard Operating Procedure for dentistry during the COVID-19 pandemic. Review into COVID-19 and aerosol-generating procedures, incorporating the COVID-19: infection prevention and control dental appendix.  Changes are highlighted in yellow with the document HERE


   • • • • •
27/08/20 Healthcare providers can order additional personal protective equipment (PPE) through the PPE PORTAL to top up their existing supplies for COVID-19 in an emergency.See guidance on the portal page.
   • • • • •



11/12/20 SOP for rollout of lateral flow devices for symptomatic staff testing for COVID-19 in primary care.
see guidance HERE.
For more updates  regarding lateral flow antigen tests in primary care see link HERE
• • • • •
27/10/20 Latest SOP UPDATE -Transition to Recovery 
Published this week, the update  includes revision into  the reduction of the fallow time and changes into masks requirements.When a surgery's ventilation system can achieve six to nine Air Changes/Hour (ACH), a baseline fallow  time of 20 minutes is recommended. When there are 10 or more ACH, this can be reduced to  15 minutes.
The SOP  also confirms that FFP3 masks are recommended for AGP procedures. However, England’s CDO Sara Hurley has also indicated that where there are existing stocks of FFP2 masks, 'it is understood that it may be necessary for practices to continue to use these until staff are successfully fit tested and supplied with the appropriate FFP3 mask'.
The latest SOP version can be read HERE

• • • • •
28/08/20 
English SOP UPDATE -Transition to Recovery HERE-FOR LIVE UPDATES SEE LINK BELOW
• • • • •
13/06/20 
English SOP UPDATES via live link

Please find HERE the  link to updated national OCDO and NHS England and Improvement Standard Operating Procedure outlining guidance and information with regard to transition to recovery of dental provision.

• • • • •
02/06/20
On 01/06/20 Midlands NHSE confirmed (HERE) that there is no expectation on providers to implement an immediate return to routine or to an activity-based contract. The letter also contains a link to an online statement of preparedness which all providers will need to complete. 
 
• • • • •
16/06/20-updated version
The Faculty of General Dental Practice (UK) and the College of General Dentistry have convened an expert task force to review the evidence base for dental practice during the Covid-19 outbreak and have published the document ‘Implications of Covid-19 for the safe management of general dental practice: A practical guide.’  Updated version 1.1 Available HERE

FGDP UK cont....
A synopsis of key considerations, designed to be used in conjunction with the guidance, was published on 16 June 2020. HERE
• • • • •
28/05/20 In a letter to all practices, NHS England's chief dental officer, Sara Hurley, said: "We are asking that all dental practices commence opening from Monday, 8 June for all face-to-face care, where practices assess that they have the necessary IPC and PPE requirements in place."  HERE
• • • • •

 Dental Bulletin from East midlands NHS dental team

28/10/21 Issue 45 HERE
06/07/21 Issue 43 HERE
29/04/21 Issue 41 HERE 
30/03/21 Issue 40 HERE
02/03/21 Issue 38 HERE
17/02/21 Issue 37 HERE
08/02/21 Issue 36 HERE
01/02/21 Issue 35 HERE
25/01/21 Issue 34 HERE 
21/01/21 Issue 33 HERE 
11/01/21 Issue 32 HERE 
05/01/21 Issue 31 HERE
22/12/20 Issue 30 HERE


For earlier issues see NHS section below

• • • • •

19/05/20 Amendment to the symptoms of Covid-19


This guidance has been updated to reflect changes to the case definition for COVID-19 from 18 May 2020. Changes within the SOP are highlighted in yellow. 

• • • • •

18/05/20 East Mids Standard Operating Procedure for Urgent Minor Oral Surgery (MOS) provision during COVID-19 Response- available HERE

• • • • •

2. 15-05-20
NHS workforce feedback hub
 
NHS England and NHS Improvement have opened an online feedback hub so that its leaders can respond to the needs and experiences of the NHS workforce at this unprecedented time. The hub is private and anonymous and is being run by Ipsos MORI, the independent research organisation. It is open to anyone working in the NHS in England. LINK TO HUB HERE
• • • • •

7/5/20
Join the virtual frontline: can you offer your skills in the Public Health England (PHE) Contact Tracing Service programme?

To find out more and be considered for this opportunity, please click on this link through to the NHS Professionals' website.

Yours sincerely
James Orr
Managing Director, Doctors and Placement Services
NHS Professionals
• • • • •

Latest updates from NHS, BSA, DHSC

05/06/20-National Covid Testing Programme
NHS England's latest information on how your staff can access the National Covid Testing Programme. Click here for more. 
• • • • • 
7/5/20
 Dental Primary Care Bulletin from East Midlands NHSEI  ( this has  been updated , new version in news section above)
 Below are links mentioned  in the bulletin 

 • • • • • 
• • • • • 
• • • • • 

 NHS Primary Care Bulletin
The national team issues a daily Primary Care bulletin which contains useful updates and information across the Primary Care contractor group (including dental). The bulletin is free for all to  SIGN UP HERE.
Latest updates from BDA
 • • • • • 
Please check for the latest LIVE UPDATES from the BDA regarding COVID-19 using the link here.
 • • • • • 
25/09/20  Insight into the new report on AGPs and fallow time HERE 
 • • • • • 

14/07/20 NHS ENGLAND AND BDA clarification on abatement issues HERE

30/4/20
THE BDA have joined up with Public Health England, the Royal College of Surgeons and the Faculty of General Dental Practice to send an open letter to support dentists in appropriate prescribing of antibiotics in urgent dental care. Download the letter here. 



Back catalogue of  updates from OCDO (see news section above for latest updates)
 • • • • • 

04/06/21 The Chief Dental Officer England, Sara Hurley, has issued an update to the profession containing important information for the NHS dental community. See update  HERE (Includes links to Previous NHS dentistry and oral health updates)

 • • • • • 

29/03/21 The CDO’s Letter 8 also includes information on proposals to press ahead with dental contract reform, including six basic principles which must apply.
 
Contract changes must:
1-Be designed with and enjoy the support of the profession
2-Improve oral health outcomes (or, where sufficient data are not yet available, credibly be on track to do so)
3-Increase incentives to undertake preventive dentistry, prioritise evidence-based care for patients with the most needs and reduce incentives to deliver care that is of low clinical value
4-Improve patient access to NHS care, with a specific focus on addressing inequalities, particularly deprivation and ethnicity
5-Demonstrate that patients are not having to pay privately for dental care that was previously commissioned NHS dental care
6-Be affordable within NHS resources made available by the Government, including taking account of dental charge income. 
                                               • • • • • 
22/12/2020 New practice arrangements for quarter 4- Issue 7 Preparedness letter for primary dental care HERE
The letter  confirms that the UDA target for the fourth quarter will be 45% of the quarters normal contracted UDAs e.g. 45% of 1/4 of your full annual target. For orthodontic practices, the target will be 70% of the quarter’s normally contracted UOAs.
                                                • • • • • 
31/10/20 CDO Sara Hurley will be holding a webinar on 5th November at 16:30 on how infection prevention control and the new fallow time requirements are due to work in dental settings.. She will be joined by representatives from Public Health England and our Deputy Chief Dental Officers Eric Rooney and Jason Wong. If willing to join ,please register HERE
 • • • • • 
25/09/20 Update from the CDO Sarah Hurley-SDCEP recommendation for Mitigation of Aerosol Generating Procedures in Dentistry HERE
 • • • • • 
23/09/20 Update from the Chief Dental Officer,
Sara Hurley -maintaining dental services HERE
• • • • • 
28/08/20 Sara Hurley, Chief Dental Officer England, has written to practices  Issue 6th Preparedeness letter  to announce the updated Urgent Dental Care and Transition to Recovery Standard Operating Procedures (SOP) in England. 
 
• • • • • 
13/07/20 The CDO Issue 5th Preparedness letter for primary dental care can be found HERE .
Further guidance is given on resumption of dental services, patient management , standard operating procedures, financial and contractual arrangements for dental services in England, PPE and fit testing and workforce issues.
 • • • • • 
28/05/20 SENT ON BEHALF OF SARA HURLEY, CHIEF DENTAL OFFICER ENGLAND
 
Please find attached documents completed on 19th May 2020, for which agreement to release has now been secured.
Please share with your networks and members as appropriate.

 
Office of the Chief Dental Officer England
NHS England and NHS Improvement
w: www.nhsengland.co.uk and www.improvement.nhs.uk
 • • • • • 
The CDO Sara Hurley also wrote an opinion piece HERE on how dentistry will emerge from the pandemic lockdown.

 • • • • • 
11/05/20 Message from;
Office of the Chief Dental Officer England
NHS England and NHS Improvement

Yesterday evening (10 May 2020) the Prime Minister announced the conditional plan to ease restrictions. All dental guidance and Standard Operating Procedures currently in force remain unchanged. The temporary cessation of routine dentistry addresses the safety of patients and of dental teams as well as supporting the public health measures required to slow community transmission of COVID-19. This advice has not changed
 • • • • • 
The Office of the CDO offer support to primary care colleagues facing challenges of Covid-19. Staff can access individual coaching support by video link or telephone with highly trained, experienced coaches.  Click here for more
 • • • • • 
15/04/20 The Chief Dental Officer's 4th Preparedness Letter  here for General Dental Practices and Community Dental Services regarding the COVID-19 situation. 
COVID-19 􏰀􏰁􏰂guidance and Standard operating procedure (SOP) for Urgent Dental Care Systems available here
Published 15-April-2020
 • • • • • 
Update letter  from Sara Hurley Chief Dental Officer  1-May-2020 here
 • • • • • 
25 /03/20 This  HERE is the 3rd of a series of regular updates to general dental practices and community dental services   from OCDO regarding the emerging COVID-19 situation. An electronic copy of this letter, and all other relevant guidance from NHS England and NHS Improvement can be found here: www.england.nhs.uk/coronavirus/primary-care/.
 • • • • • 

Latest Updates From the GDC   
                                                  • • • • • 
25/3/21 The GDC is now allowing dental professionals to pay the annual retention fee (the ARF) by instalments using quarterly Direct Debits. This would be cost £170 per quarter for dentists and £28.50 per quarter for DCPs.

If you wish to find out more or set up to use the quarterly payment option go to the GDC website for further information.    
 • • • • • 
30/06/20 Latest GDC information on Reopening practices and returning to work , Wellbeing support, Annual Report and Accounts.
Check HERE for more
 • • • • • 
 05/06/20 The General Dental Council (GDC) publish their latest information Covid-19 and dental treatment updates on the website. 
Click here for more.


Latest Updates From the CQC
 • • • • • 
19/05/20 Following on from previous coronavirus (COVID-19) updates, sent to all dental providers, the Care Quality Commission (CQC) write to confirm the current position.

The decision to offer dental care services is one for the provider to take.

Alongside guidance given by Public Heath England (PHE) and the General Dental Council (GDC), CQC encourage dental providers to give proper consideration to the communications from the Chief Dental Officer (CDO) regardless of whether their practice is NHS, private, or mixed.

CQC cannot require providers of dental care services to close, unless we find clear evidence of a breach of our regulations that requires consideration of the use of our powers under the Health and Social Care Act 2008 and associated regulations.

As part of our regulatory function we will assess the extent to which providers are providing an appropriate level of safety within the context of our regulations. In doing so we will refer to prevailing guidance, not limited to but including guidance from PHE, the CDO and GDC to help us reach a judgement on the extent to which the service currently being provided complies with our Regulations.   
Latest Clinical References To Assist Emergency Triage
 • • • • • 
The FGDP have provided a compilation of guidance, news and reources relevant to general dental practice during Covid-19. To read more click here.
Published 28-April-2020
 • • • • • 
Management of dental  emergencies

11 May 2020
SDCEP has updated the Drugs for Management of Dental Problems During COVID-19 Pandemic supplement, which was first published on 8 April 2020.
The drugs supplement is based on SDCEP’s Drug Prescribing for Dentistry guidance and lists the drug regimens that dentists are most likely to advise or prescribe for their patients during the COVID-19 pandemic. The updated version: –

provides more detailed advice on contraindications and cautions for analgesics and antibiotics in two new appendices
clarifies the definition of optimal analgesia
includes volumes for oral preparations of analgesic doses for children
emphasises that antibiotics are not indicated in the absence of swelling or other signs of infection  
The updated drugs supplement is now available on the SDCEP COVID-19 webpage.

Which also covers

 • • • • • 
Endodontic emergencies

 • • • • • 
Orthodontic emergencies

 • • • • • 
Advice on Ibuprofen

Commission on Human Medicines advice on Ibuprofen and coronavirus (COVID-19), concludes there is currently insufficient evidence to establish a link between use of ibuprofen and susceptibility to contracting COVID-19 or the worsening of its symptoms. More details here

Private Practice
 • • • • • 

British Association of Private Dentistry (BAPD)
has designed  a useful reference for Dental Professionals and Key Stakeholder Groups, both in the United Kingdom and abroad, to help understand the current position of the UK dental industry during the COVID19 crisis. HERE

Upkeep of Practice during Closure & Eventual Reopening
 • • • • • 
SDCEP has developed a Practice Recovery Toolkit, which is provided via this webpage

https://www.sdcep.org.uk/published-guidance/covid-19-practice-recovery/


Coronavirus (COVID-19): further information

 • • • • • 



 • • • • • 

DENTIST PEER SUPPORT

How to get help in times of difficulty.

Please click here to access local dentist to dentist advice & support.  

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Please click here to access our latest event schedule

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