NHS dental quality and payment reforms: guidance

The latest guidance from NHS England supporting the implementation of the contractual changes from April are now available.

These documents are for dental contractors, dental teams and commissioners. They provide updated information on the contractual changes to the GDS contract that come into force from 1 April.

Guidance is provided on service requirements, actions to be taken, payment arrangements and reconciliation processes.

  • guidance on the quality and payment reforms (alongside template documents that can be used for quality improvement offer letters and appraisals)
  • year 1 topic guide for the quality improvement programme: The topic for year 1 (2026/27 financial year) will focus on assigning dental recall intervals in line with the National Institute for Health and Care Excellence (NICE) guidelines.

The documents published are:

  1. NHS dentistry: quality and payment reforms contractual guidance
  2. Annex A: template quality improvement offer communication to eligible Dental Contractors
  3. Annex C: appraisal template
  4. NHS dentistry quality improvement programme: Year 1 topic guide

All the documents are available on the NHS England website.