Keith Percival BDS MGDS FFGDP Honorary Secretary

 Local Dental Committees in England and Wales were established in 1948 and became statutory bodies under the NHS Act 1977 and are included in the NHS Act Primary Care Organisations (PCOs) recognise and consult with LDCs on matters of local dental interest and following the NHS reforms in 2006 they also consult on, local commissioning and the developments surrounding the provision of NHS dental services.  There are over 110 LDCs in the UK.

 The LDCs have a Constitution which is based on a national model constitution which determines the membership, purpose and structure of the committee.  This constitution is endorsed by the relevant NHSE Sub-Region that is coterminus with the LDC constituency borders and thereby accepted as one of the local representative committees.  Elections are held every two years with the option to co-opt extra non voting members.

 LDCs have a number of executive officers: 1. Chairman 2. Vice Chairman 3. Treasurer 4. Secretary  Other members of the committee may have specific roles: 5. Cross representatives 6. Media representatives

The day to day running of the LDC Executive is supported by the following:  Secretary, Administrator and PA  Minute Secretary  Website Manager with external website maintenance/management  NHSE (Wessex) staff – Communication & Finance  Administrative support to the Treasurer

The LDC activity is financed through two funding streams:  The Statutory Levy This is collected through the NHSE/POL/ BSA as a percentage of the Total GDS contract value.  The Voluntary Levy This is usually collected through an agreed direct debit/SO arrangement. This can be an agreed set or variable arrangement (PDS/POL)

History  Originally 4 smaller LDCs that finally merged in June  It remains the largest LDC in the UK and also matches the largest LMC in England  It represents around 900 (performers) dentists and 298 contractors (providers)  We have capacity for 24 voting members

H&IOW LDC has its own website:  This website receives around 6,500 hits per month and contains up to date information and links to other relevant sites  The Secretary can be contacted on:

 H&IOW LDC holds seven evening meetings a year (including the AGM)  Guest speakers are invited to most meetings to give  Short Topical Presentations  Representative reports from: Deanery (HEE) CDPH (PHE) Other LRCs UOPDA PCOs GDPC Other LDC Executives DPAs Regional Advisors (DFT) Media NHS England Salaried Services DOH LDC Officials’ Day Annual Conference of LDCs

What do we do for our constituents?  We spend in excess of 2,000 hours per annum attending and holding official meetings, panels, groups, events, giving advice, support and generally running the committee.  We travel in excess of 8,000 miles per annum  We liaise with PCOs, Deanery, Salaried Services, BDA Branch & Sections, FGDP, GDPC other representative groups, City Councils, H&WBBs (HOSP), Healthwatch and other LDCs and LRCs

Individual/Group practitioner advice and support (not managed negotiation):  Contractual – NHS Regulations, NHSE/GDP disputes.  Governance related – HTM01-05, Audit etc  Regulatory – CQC, GDC, N Performer List  Employment – Safeguarding & IG  The LDC is very aware of Equality, Diversity and Conflicts of Interest elements within its role.

The LDC advises on:  LDN (part of the Local Professional Network)  Identifying service need (Practice Sales)  Social Marketing / Communication  Task and Finish Groups  Types of contract – PDS+ (KPIs), PDS/GDS  Short/Long term implications for Contractors  Service development opportunity  Recurring and Non-recurring activity

 We protect and support patients by giving up to date clinical and professional input to:  The local and area Consultants in Dental Public Health & Service Evaluation Consultants  Performance, contractual and governance related panels and committees –PLDPs, PAGs, CRPs & Oral Hearings  Service developments and attendant criteria/protocols – MOS, Orthodontics, IFR referrals  Social Marketing/media – radio & TV

H&IOW LDC regularly sends donations that are agreed at the AGM and funded through the Voluntary Levy to support national political representation and GDPs who are no longer able to work through ill health: The British Dental Guild BDA Benevolent Fund The Dentists Health Support Trust

 LDCs fund regional representation on the GENERAL DENTAL PRACTICE COMMITTEE.  GDPC is a committee of the BDA and represents all GDPs whether they are in NHS, MIXED OR PRIVATE PRACTICE.  This committee undertakes advisory and negotiating responsibilities with the DOH and reports to the BDA PEC and inputs to the BDA English Council.

The GDPC main body meets three times a year to receive reports from its many executive led committees:  Cross Representatives include the FGDP, LDC Conference and BMA (GPC) who attend with a vice versa arrangement of engagement.  Regional LDC/GDPC Liaison Group Meetings  Young Dentists and many other Committees and Groups are represented.  Four Managers are elected from GDPC to the British Dental Guild for a 4 year term of office

Currently  Advisory –GDC, CQC, IG, Clinical Governance, Appraisal, WISDOM, Coach Mentor, FTE  LDN  Task and Finish Groups/MCNs  111  Contract Reform Future  Revalidation  Contract Reform Prototypes

LOCAL NHS DENTAL SERVICE CONCERNS are conveyed to National and Local Government Representatives, Media, CDO and MPs by:  Motions to the Annual Conference of LDCs  GDPC Representation  LDC Officials’ Day  BDA contact  National/Local Lobbying & Consultation activities & responses eg Water Fluoridation

WHITE PAPER July 2010 – Equity and Excellence: Liberating the NHS Health and Social Care Bill/ Act 2011/12 Demise of PCTs & SHAs April 2013 NHS England and Sub –regional offices New stakeholders: H&WBBs, Clinical Senates, LPNs, CCGs, PHE, HEE (LETB) etc

 NHS Commissioning & Contracting changes  LPNs/SOM/Care Pathways  Contract Reform – implementation 2018/19?  New GDC Principles/standards/CPD requirements  New BSA Data – quality assurance/DAF  Local Authorities – Health and Wellbeing Boards  JSNAs &Strategies  LDN input plus:  VFM and PROMS (patient reported outcomes)

TWO types of Prototype based on combinations of:  Registration  Capitation  Activity  DQOF

 Co-Commissioning, 5 Year Forward View  Demise of Individual Dental Practice Units  Revalidation – 2016/17  Formally Established Career Pathways – DES?  More Imposed Regulatory Compliance  Federation of Local Representative Committees  Increased Developed and Structured Support for Dentists but loss of OH support  Little increased National/Local Investment

 Increased Inequitable Management By National Commissioners  Loss of Independent Professional Status  Failure to Engage Locally & Nationally  Reduced Representation Locally and Nationally  Reduced Positive Public Profile  Reduced Financial Reward and Job Satisfaction:  Reduced Pension - award/timing  Inequitable/Short Term Time Limited Contracts

The Future of the Profession of Dentistry needs:  Representation, Involvement and Engagement  Image/Profile – valued and respected by Patients  High Quality Professional Ethics and Standards  Reflective Professional Approach  Patients at the centre of everything that we do.