Community Dental Services in Cornwall and Isles of Scilly

Description

NHS Cornwall and Isles of Scilly Integrated Care Board (CIOS ICB) are looking to award a new contract for the provision of Community Dental Services in Cornwall and Isles of Scilly to the existing provider. The existing contract for the provision of Community Dental Services in Cornwall and Isles of Scilly is due to expire on the 31st March 2026 and CIOS ICB have proposed that a new contract should replace the existing contract at the end of its term. All requirements outlined in Regulation 6(5) of the Health Care Services (Provider Selection Regime) Regulations 2023 have been met, including not breaching the considerable change threshold, and therefore direct award process C has been deemed the appropriate provider selection process. After conducting an assessment, taking into account the key criteria and applying the basic selection criteria, CIOS ICB is content that the existing provider is satisfying the original contract and will likely satisfy the proposed contract to a sufficient standard. The service is anticipated to commence on the 1st April 2026 for a contract duration of 2 years until the 31st March 2028. The estimated lifetime value of the contract is £17,857,164.72 based on 24/25 prices. This notice serves as an intention to award the contract to the existing provider under Direct Award Process C of the Provider Selection Regime (PSR). Lot 1: NHS Cornwall and Isles of Scilly Integrated Care Board (CIOS ICB) are looking to award a new contract for the provision of Community Dental Services in Cornwall and Isles of Scilly to the existing provider, Smile Together Dental Community Interest Company. The Cornwall and Isles of Scilly Community Dental Service (CDS) is committed with improving oral health care and reducing health care inequalities through the provision of primary care dental services within community settings. The service includes the provision of Special Care and Paediatric Dentistry (SCPD) which is the treatment of: • Adult patients who cannot be treated in a high street dental practice due to the nature of their physical or mental disabilities, or because they have a need for enhanced support to receive treatment and • Paediatric patients who may have needs as described above, or who have more complex or significant treatment needs. Patients who meet the eligibility criteria for SCPD are eligible to receive Mandatory Dental Services (MDS) from the Community Dental Service provider. This includes urgent treatment, and referral to other dental services where this is appropriate. The service also includes the provision of: • Urgent Care - both 'In-hours' and 'Out of Hours' • An in-hours Dental Telephone Helpline • Treatment under Sedation • Treatment under General Anaesthesia (GA) • Domiciliary care • Orthodontics • Minor Oral Surgery • Treatment of temporary patients - that is, patients who would not normally be eligible for SCPD services, but who may become eligible for a period of time. This could be due to, for example, fluctuations in their physical or mental health or a temporary need for care. The service is for patients who: • require urgent dental care and do not have access to a NHS dentist • are judged to meet referral criteria and are therefore referred to the service as they require advanced mandatory services, general anaesthetic, sedation services, oral surgery, orthodontics or other relevant services • have special care dental needs or are medically complex and require dental care • require urgent treatment Out of Hours • are confined within hospital and require domiciliary oral healthcare The service is available to all residents and temporary residents / visitors of Cornwall and Isles of Scilly. The existing contract for the provision of Community Dental Services in Cornwall and Isles of Scilly is due to expire on the 31st March 2026 and CIOS ICB have proposed that a new contract should replace the existing contract at the end of its term. All requirements outlined in Regulation 6(5) of the Health Care Services (Provider Selection Regime) Regulations 2023 have been met, including not breaching the considerable change threshold, and therefore direct award process C has been deemed the appropriate provider selection process. After conducting an assessment, taking into account the key criteria and applying the basic selection criteria, CIOS ICB is content that the existing provider is satisfying the original contract and will likely satisfy the proposed contract to a sufficient standard. The service is anticipated to commence on the 1st April 2026 for a contract duration of 2 years until the 31st March 2028. The estimated lifetime value of the contract is £17,857,164.72 based on 24/25 prices. The contract value will be subject to the Doctors' and Dentists' Review Body (DDRB) annual percentage uplift from 2025/26 onwards, when applied. The Commissioner will be contracting for the services using the Standard clauses for a Personal Dental Services (PDS) agreement, with an NHS Standard Contract included as an appendix for the provision of treatment under General Anaesthesia. This notice serves as an intention to award the contract to the existing provider under Direct Award Process C of the PSR. During the life of the proposed new contract, CIOS ICB intend to conduct a review of the CDS and where appropriate, redesign and commission services for the future, under new longer term contractual arrangements. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.