Commissioning NHS dentistry in England: issues for decision-makers managing the new contract with finite resources

Richard D. Holmes, Angela Bate, Jimmy Steele, Cam Donaldson

Research output: Contribution to journalArticle


The aim of this study was to explore the views of dental decision-makers in Primary Care Organisations with regard to the management of NHS dental services, and to gauge participants' awareness of economics-based approaches including programme budgeting and marginal analysis, with which to potentially structure commissioning decisions. Recorded semi-structured interviews were conducted with 18 NHS dental decision-makers (mixed clinical and finance backgrounds) predominantly across Primary Care Trusts in England. Data were analysed using qualitative methods and the constant comparative approach.

Original languageEnglish
Pages (from-to)79-88
Number of pages10
JournalHealth Policy
Issue number1
Publication statusPublished - 1 Jun 2009



  • decision making in health care
  • NHS dentistry
  • health economics

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