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Ms Rosie Winterton: The information requested is not collected by dentist but by dental practice. The number of dental practices that have applied for personal dental service contracts in Hertfordshire is 18, across the eight Hertfordshire primary care trusts.
Mr. Hoyle: To ask the Secretary of State for Health how many dentists undertaking NHS work there are in (a) Lancashire and (b) Chorley South Ribble primary care trust; and if she will list the practices which are taking new patients. 
|Cumbria and Lancashire strategic health|
authority (SHA)Lancashire PCTs
|Blackburn with Darwen PCT||60|
|Burnley, Pendle and Rossendale PCT||91|
|Chorley and South Ribble PCT||81|
|Hyndburn and Ribble Valley PCT||54|
|Morecambe Bay PCT||130|
|West Lancashire PCT||54|
Ms Rosie Winterton: At the start of a personal dental service (PDS) arrangement the primary care trust (PCT) negotiates a patient list with the dental practice. The PCT then instruct the Dental Practice Board (DPB) to transfer the patient list from either an existing general dental service or PDS contract. The patient list is then amended from records supplied to the DPB by the dental surgery working in PDS.
Ms Rosie Winterton: In 200405, Portsmouth City Primary Care Trust (PCT) received an allocation of £120,000 in dental access funding. Of this allocation, £60,000 was to support the development of personal dental service (PDS) agreements and provide an increase of up to 6,000 additional patient registrations. £23,400 was used to increase provision for unregistered patients needing urgent dental care.
I am advised that Portsmouth City PCT has locally recruited three new dentists from overseas. The PCT is in negotiation with a number of practices, who wish to change to PDS and initial discussions have taken place with a view to a new surgery opening in Portsmouth.
Mr. Hancock: To ask the Secretary of State for Health what the cost of providing NHS dentistry in Portsmouth was in each of the last five years; how the money was allocated; and if she will make a statement. 
Ms Rosie Winterton:
Primary care provided by independent general dental practitioners (GDPs) forms the major element of national health service dental services. Most GDPs operate within the national terms of the general dental service (GDS), although some have opted to provide similar patient services under local contracts agreed with their primary care trust (PCT) as part of the recently introduced personal dental service
4 Jul 2005 : Column 210W
(PDS). Under the GDS, the main costs are the individual treatment fees, including patient registration payments, payable to dentists. Under the PDS, dentists are usually paid a regular contract value for a defined level of NHS commitment. The gross cost of GDS fees and PDS contract payments in the area of the Portsmouth City PCT are shown in the table.
The GDS is currently funded from a national non discretionary budget; local budgets are not allocated to specific areas, but payments are made purely in response to the treatment and service claims submitted by individual GDPs.
Expenditure on community and hospital dental services is determined by the relevant local NHS body and expenditure on services in the Portsmouth area alone is not identifiable from data available centrally.
|Gross GDS dental fees||Gross PDS payments||Total|
The PCT has developed a dental action plan, which was approved by the Department's dental support team in June 2004. Funding of a further £695,000 was also allocated to support the plan's implementation. The aim of the action plan was to deliver the capacity to provide national health service dental care for at least 50,000 more patients. Services are now in place to deliver care for almost 40,000 patients and other developments are in progress. For example, a primary care centre in Market Drayton will expand to include two dental surgeries in October 2005.
In the PCT area, four practices have opened recently, two of which are in Shrewsbury. The two practices have a combined capacity for around 15,000 NHS patients. Of four existing practices in the PCT area that have expanded, one is in Shrewsbury and it will provide capacity for an additional 3,000 NHS patients.
4 Jul 2005 : Column 211W
Mr. Drew: To ask the Secretary of State for Health what the contractual arrangements are for those dentists who are seeking to expand the numbers of NHS patients on their list by recruiting additional dentists to their practice, including from abroad. 
Ms Rosie Winterton: The contractual arrangements for a dental practice recruiting additional dentists to expand the numbers of national health service patients vary according to whether the practice is operating under general dental services (GDS) or personal dental services pilot (PDS) arrangements.
Under GDS, a dentist or dental practice, which chooses to offer NHS services, register their participation with their local primary care trust and the Dental Practice Board and make claims for reimbursement for items of service performed in line with the statement of dental remuneration. If they choose to recruit an additional dentist to expand the numbers of NHS patients, the extra items of service performed for these patients would be
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included in the reimbursement claims made. As self-employed contractors, dentists are free to vary the extent of their NHS work as and when they choose.
Under PDS, a dentist or dental practice who wishes to recruit an additional dentist to expand the numbers of NHS patients applies to their local PCT for a contract to cover the expanded NHS commitment. Local negotiations between the dental practice and PCT take place and when the proposed contract is agreed, it is referred to the national PDS team at the Department for approval under delegated powers from the Secretary of State.
The criteria for approving PDS contractual arrangements are designed to encourage growth in NHS services. Once approved, the dental practice and PCT sign a contract, which specifies the nature and extent of the NHS commitment, usually in terms of a practice list, the contract value and agreed arrangements for variations to the contract conditions.
Jim Cousins: To ask the Secretary of State for Health how many students there were (a) at the Newcastle upon Tyne Medical School and (b) the Newcastle upon Tyne Dental School in each of the last five years; and what plans there are to increase the numbers of students. 
|Total Medicine and Dentistry||1,760||1,780||1,800||1,965||2,130||2,370|
The Department of Health and the Higher Education Funding Council for England (HEFCE) will be considering the potential for further expansion of medical student numbers, and the expansion of dental education, through the separate forums of the Medical and Dental Joint Implementation Groups.
We are funding the biggest expansion of dental education since the inception of the NHS involving the creation of an additional 170 training places in dental schools. To support the clinical training costs of this 25 per cent. increase in capacity, the Department of Health has allocated revenue funds growing to £29 million recurring by 201011; and £20 million capital in each of the four years 200506 to 200809.
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