The responsibility for commissioning local NHS dental services in England and Wales rests with commissioning authorities (local area teams in England and health boards in Wales. Commissioning authorities hold the budget and have powers to contract for the provision of dental services according to the needs of their local populations. When they wish to commission services, commissioning authorities will advertise an invitation for prospective bidders to express an interest in bidding for the available activity.
The timescales involved often last for many months and the process can be arduous. Weeks of frantic activity alternate with weeks of waiting to hear the outcome of each stage, and you have no guarantee of success. Generally, you will need to convince the commissioning team that you are capable of delivering value for money, high-quality services from within a business-focused environment.