Information and guidance for practice owners and associates providing NHS dentistry in England.
NHS dental contract changes in England from April 2026: Guide for practice owners
Guidance for practice owners on the NHS dental contract changes in England taking effect in April 2026, and what they mean for service delivery, activity, and remuneration.
NHS dental contract changes in England from April 2026: Guide for associates
Guidance for associates on the NHS dental contract changes in England taking effect in April 2026, and how it will impact your working environment and remuneration.
Guide to NHS dental standard contract terms in England
Guidance on the key clauses of the NHS General Dental Services (GDS) Contract in England. You should always read your contract, but we have highlighted the provisions that commonly affect how practices operate and manage their contractual responsibilities.
NHS dentistry in England: Contracts, charges, and payments
Guidance on how NHS dental services are commissioned and funded in England, including the structure of the General Dental Services (GDS) contract and Personal Dental Services (PDS) agreement.
Guidance on the rules and responsibilities that apply when accepting and treating NHS dental patients, including communication, treatment planning, charging, referrals, and managing missed appointments.
Guidance on the NHS dental performers list in England, including eligibility, applying to join, ongoing obligations, reviews, appeals, and leaving the list. This list is administered on behalf of NHS England by Primary Care Support England (PSCE).
The unscheduled care mandate in NHS dentistry in England will introduce significant changes to how urgent and unplanned care is delivered and funded from April 2026.
NHS appraisals for dental practice owners in England
Guidance for dental practice owners on NHS appraisal requirements, including responsibilities for self-employed clinicians, eligibility, funding arrangements, and record-keeping obligations.
Dental activity reviews and NHS practice inspections in England
Guidance for dental practices in England on NHS activity reviews and inspections, including the role of the NHS Business Services Authority and Integrated Care Boards in monitoring compliance and contractual delivery.
Guidance for dental contractors on resolving disputes over the terms of the General Dental Services (GDS) Contracts and Personal Dental Services (PDS) Agreements in England.
Guidance on a practical way for practices and associates to approach the Urgent Dental Care Incentive Scheme, suggesting a fair method for distributing any additional income earned through urgent care activity.
NHS contract monitoring and clawback in England and Wales
If you hold an NHS contract, your Primary Care Organisation (PCO) will be monitoring your performance, and act on any concerns. Underperformance can lead to financial recovery – also known as clawback.