All contracts will go through a year-end reconciliation after each financial year.
NHS Dental Services support NHS England (NHSE) regional commissioning teams to review the annual contracted target against the actual activity delivered.
The year-end reconciliation will look at the total number of:
- Units of Dental Activity (UDA)
- Units of Orthodontic Activity (UOA)
- Courses of Treatment (CoT) which include a sedation or domiciliary service
The reconciliation process is completed by September each year.
PDS+ contracts
NHS Dental Services do not support the reconciliation for PDS+ contracts.
NHSE regional dental commissioning teams will contact PDS+ and advanced service providers to explain their contract attainment and the process to follow.
UDA and UOA
| Actual activity performed | Action |
|---|---|
| Below 96% | A financial clawback will be administered up to the value of 100% of the contract's activity target and the contract subject to a breach notice. |
| 96% to 100% | Activity will be carried forward to be delivered in the next financial year. |
| 100% to 102% | Any activity completed over the contract's activity target will be carried forward to the next financial year. |
| Over 102% |
Any activity completed over 102% of the contracts activity target will not be carried forward to the next financial year. |
CoT
| Actual CoT performed | Action |
|---|---|
| Over 100% | No carry forward will be applied to the contract for over-performance. |
| Under 100% | A financial clawback will be administered up to the value of 100% of the contract's activity target. |
Carry forward
If activity is carried over to the following year, you must complete this before any activity will be counted towards the next year's target.
A minus figure is over-performance and a positive figure is under-performance.