1. THE HAMPSHIRE AND ISLE OF WIGHT LOCAL DENTAL COMMITTEE
Keith Percival BDS MGDS FFGDP
Honorary Secretary

2. HISTORY
Local Dental Committees in England and Wales were established in 1948 at the inception of the NHS. Established in statute under Section 45b of the 1977 NHS Act as modified by the 1999 Health Act. included in the NHS Act 2006.
Health and Social Care Act 2012: 152 PCTs replaced by 211 CCGs
NHS England 13 sub-regions of 4 regions
There are 110 LDCs in the UK (96 E&W).

3. PURPOSE
NHS England nationally, regionally and locally recognise and consult with LDCs on matters of local and regional 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.
Health Authorities engage with the LDC

4. CONSTITUTION
The LDCs have a Constitution which is based on a nationally agreed BDA/DOH 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.

5. STRUCTURE 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

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

7. FINANCE 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 SO arrangement. This can be an agreed set or variable arrangement (PDS/POL)

8. HAMPSHIRE & IOW LDC Historical and Present Day
Originally 4 smaller LDCs that finally merged in June 2007.
It remains the largest LDC in the UK and also matches the largest LMC in England
It represents around 840 (performers) dentists and 298 contractors (providers)
We have capacity for 24 voting members
We are registered with the IC

9. WEBSITE H&IOW LDC has its own website:
This new website receives contains up to date information and links to other relevant sites
The Secretary can be contacted on:
Emily Percival is the Web Manager

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

11. EXTERNAL MEETINGS 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

12. CONSTITUENT ADVICE
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.

13. PROCUREMENT The LDC advises on:
LDN (part of the Local Professional Network)
Identifying service need/demand (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

14. PATIENTS
We protect and support patients by giving up to date clinical and professional input to:
The local and regional 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/IMOS, Orthodontics, IFR referrals
Social Marketing/media – radio & TV

15. DONATIONS
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 Programme

16. REPRESENTATION
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 Councils.

17. GDPC
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

18. DEVELOPMENTAL SUPPORT
Currently
Advisory –GDC, CQC, IG, Clinical Governance, Appraisal, WISDOM, Coach/ Mentoring, Mentoring and Performers List Validation by Experience (PLVE)
LDN and Mental Health training
Task and Finish Groups/MCNs
111
Contract Reform
Future
Revalidation

19. POLITICAL ACTIVITY
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

20. UNPRECEDENTED CHANGE
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

21. IMMEDIATE FUTURE NHS Commissioning & Contracting changes
LPNs/National Commissioning/Care Pathways
Contract Reform – implementation 2018/19?
GDC Future Strategy - upstream
BSA Data – quality assurance/DAF
Service Procurement – Orthodontics 2018
Greater LDN clinical input
PASS resurrection and redevelopment
Regional PAGs/PLDPs

22. DENTAL CONTRACT REFORM PROTOTYPES
TWO types of Prototype based on combinations of:
Registration
Capitation
Activity
Quality?

23. CRYSTAL BALL Co-Commissioning,5 Year Forward View, STPs
Demise of Individual Dental Practice Units
Practice Federations/Multi-speciality treatment centres
Shorter Career Pathways/apprenticeship route
More Imposed Regulatory Compliance
Federations of Local Representative Committees
Loss of practitioner support eg OH
Little or no increased National/Local Investment

24. RISKS Increased Management By Commissioners
Loss of PDS Agreements due to larger procurement lots
Failure to Engage with constituents and patients Locally & Nationally
Reduced Representation Locally and Nationally
Reduced Positive Public Profile
Reduced Financial Reward and Job Satisfaction
Reduced Pension - award/timing
Short Term Time Limited Contracts
BREXIT - workforce

25. FINAL THOUGHTS 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.