1. Hampshire and Isle of Wight LDC in a changing NHS Keith Percival BDS MGDS RCS FFGDP (UK) Hon Secretary H&IOW LDC

2. How did we get to here Established in 1948: LDCs, along with Local Medical, Optical and Pharmaceutical Committees at the inception of the NHS The NHS Act 1977 and The 1999 Health Act: Section 45B of The 1977 NHS Act, as modified by the 1999 Health Act, enabled Health Authorities to consult with LDCs on matters of local dental interest. National Health Service Act 2006 Health and Social Care Act 2012: 152 PCTs replaced by 211 CCGs 27 Area Teams becoming sub-regional offices – 13 LDNs

3. NHS England regional structures

4. Representative Risk Management Association Federation Merging LDCs Valid representation – LDC stakeholders NHS/Local Authority - New World Marginalization VFM

5. Relationships MCNs CCGs – future commissioning? Local Authorities – engagement - HOSP Regional and local NHS offices – reduced status? LPNs – LDN (Core Membership) T&FGs HEE/LETBs – FTE, Training (tier 2), appraisal? Acute Trusts – CDS (CRC), SCAS,111

6. Dental Practices NCB = NHS England NHSE (Wessex) Public Health England NHS Business Services Authority (BSA) NHSLA PCSS Local Professional Network CCGs Clinical Adviser DPAs

7. H&IOW LDC H&IOW and DORSET LDCs MCNs LDC/GDPC Regional Liaison Group GDPC NHSE (Wessex) National Commissioning Board (NHS England) Department of Health LDC Conference Healthwatch Hampshire Healthwatch Dorset GDC/CQC Hampshire Health & Wellbeing Dorset Health & Wellbeing LDN Other LRCs

8. Priorities: NHSE Core membership of the Local Dental Network (LDN) essential – clinically led? Commissioning Strategy – National Specialist Commissioning Guides Non-specialist providers - accrediation Membership of the emerging Managed Clinical Networks (MCNs) – consultant led Referral Pathways, Criteria, Protocols Re-commissioning concerns - procurement

9. Priorities: GDP GDPC/BDA/BDG Key messages/themes: contractual, commissioning concerns Pastoral Support – PASS, Mentoring Coach/Mentor, DHST, Benevolent Fund Education Support – CPD EVENTS, Training Funding – LDN representatives Performance/Contract Management Panels – representation – PAG, PLDP, Oral Hearings

10. Priorities: GDP Communication Regular Joint LDC/PHE/NHSE liaison Group meetings – NHS.net Local authorities Meetings with other LRC Groups Patient representative groups Commissioning recommendation panel LDC websites, newsletters, email, social media

11. Recent Developments and Future Initiatives Vanguard sites Co-commissioning – 3 models (CCGs)? Contract Reform – prototypes Time limited contracts Rapidly expanding dental bodies corporate Five Year Forward View – federation, 7 day service Multi-speciality Community Providers

12. Through 2016/17 New National LDC website - Early 2016 LDC Conference - June 2016 (Manchester) Dental Commissioning by CCGs revisited

13. Questions?