Learning from contract change in primary care dentistry: a qualitative study of stakeholders in the north of England

Richard D. Holmes, Jimmy G. Steele, Cam Donaldson, Catherine E. Exley

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The aim of this research was to explore and synthesise learning from stakeholders (NHS dentists, commissioners and patients) approximately five years on from the introduction of a new NHS dental contract in England. The case study involved a purposive sample of stakeholders associated with a former NHS Primary Care Trust (PCT) in the north of England.Semi-structured interviews were conducted with 8 commissioners of NHS dental services and 5 NHS general dental practitioners. Three focus group meetings were held with 14 NHSdental patients. All focus groups and interviews were audio recorded and transcribed ver-batim. The data were analysed using a framework approach. Four themes were identified:‘commissioners’ views of managing local NHS dental services’; ‘the risks of commissioning for patient access’; ‘costs, contract currency and commissioning constraints’; and ‘local decision-making and future priorities’.
Original languageEnglish
JournalHealth Policy
Publication statusPublished - 2015



  • dental care
  • dental practice
  • qualitative research
  • health resources
  • NHS

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